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By Libby Edwards MD, Peter J. Lynch MD

Featuring over 450 full-color pictures of universal disorder shows, Genital Dermatology Atlas is a realistic consultant to the prognosis and therapy of genital dermatologic lesions. The ebook permits clinicians to fast generate a differential analysis and offers particular therapy options for every disease.

Core chapters are equipped by means of illness presentation together with patches and plaques, papules and nodules, and ulcers. different chapters contain anatomy and common variations, diagnostic and healing systems, particular matters in genital dermatology, and pediatrics. Illustrations are prepared by means of morphologic visual appeal for speedy analysis, and remedy is carefully defined. This moment version is totally up to date, comprises extra male genital problems, and has new chapters on genital soreness syndrome and on genital pruritus and the eczematous diseases.

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In postinflammatory hyperpigmentation, the localization of melanin beneath the epidermis and in melanophages results in little color contrast with surrounding skin. However, the epidermal pigment occurring in melanoma, physiologic hyperpigmentation, and lentigines is accentuated. In addition, the depigmentation of vitiligo is accentuated by loss of melanin in the epidermis, whereas hypopigmented processes such as postinflammatory hypopigmentation show little contrast with surrounding skin. Unfortunately, common foreign bodies such as lint and some topical medications fluoresce, so that the simple presence of fluorescence is unhelpful.

In this situation, I prefer the use of selective serotonin reuptake inhibitors (SSRIs). It is not clear whether these agents work because of their beneficial effect on anxiety and depression or whether they diminish the obsessive–compulsive component of chronic scratching. Further information on the use of SSRIs can be found in Chapter 2.

This fluorescence is the result of a watersoluble porphyrin, and this fluorescence can be negative if the area was recently washed. | 29 Uncommon dermatophyte fungi such as Microsporum audouinii, M. canis, and Trichophyton schoenleinii produce a blue-green fluorescence, although most superficial fungal infections do not fluoresce, so a lack of fluorescence is usual for tinea cruris. Pityriasis “tinea” versicolor, which characteristically presents as either hypopigmented or hyperpigmented scaly patches on the trunk, can be seen occasionally on the abdomen and thighs.

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