Primary Dermatologic Care

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Author: Bonnie J. Hooper
Published: October 1998
Publisher: Elsevier Science
ISBN: 1556644124
Paperback Book
Number of Pages: 513

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Primary Dermatologic Care

The book contains predominantly color illustrations, with some black-and-white illustrations.This book uses a symptom-based approach to cover approximately 125 commonly seen disorders. Each dermatologic disorder includes the definition, etiology, pathophysiology, signs and symptoms, differential diagnosis, treatment, and patient education, along with protocols for follow-up, including expected duration of the symptoms. A color atlas is presented to provide clarity. The featured patient education materials simplify pathophysiology, etiology for the patient, and provide information on follow-up. The patient teaching guide is provided in an appendix that can be photocopied for educational use. Written by a leading dermatologist and nurse practitioner, Primary Dermatologic Care uses the one-of-a-kind approach of placing differential diagnosis tables near illustrations grouped by presenting symptoms so that you can swiftly determine an accurate clinical diagnosis. Treatment options and protocols detail the information needed to treat patients' most common disorders. Key recommendations for referral or consultation help you decide the appropriate point at which to refer patients to specialty care. Twelve broad groups of presenting symptoms and conditions cover over 100 disorders commonly seen in primary care practice. Each dermatologic disorder follows a consistent outline, including definition, etiology, pathophysiology, signs and symptoms, differential diagnosis, treatment, and patient education. This book covers common dermatologic conditions seen by a primary healthcare provider. The structure of the book is unique: chapters are organized according to presenting signs and symptoms. The purpose is to help the clinician make a dermatologic diagnosis and provide treatment guidelines. The audience is practicing clinicians in primary healthcare sites. Both editors are credible, as they are experienced dermatology specialists. This book includes information on all the common dermatologic signs and symptoms seen in general practice. Distinctive, large color photos begin each chapter, followed by extensive tables of differential diagnoses. The use of an outline format adds to the overall clarity of each section. Indications for referral are very specific and placed in shaded boxes. The book is enhanced with sidebars of bulleted highlights. Chapters on the principles of dermatopharmacology, surgery techniques, reproducible patient education materials, and a directory of patient support groups are very useful. There are a few drawbacks to it's use as a clinical tool. First, treatment guidelines are incomplete. There is often no guidance for the use of topical treatment versus systemic, as with acne, tinea corporis, and impetigo. Many of the treatment guidelines do not prioritize medications or give assistance in making treatment decisions when many choices are available. Occasionally, as with acne, there is more focus on rarer treatments and little detail on the most common. The text makes few accommodations for special populations, such as pediatrics, the elderly, and the immunosuppressed. Finally, a paragraph is repeated in multiple sections of the book. Although thephoto placements are appropriate, it would be more useful to show different photographs of the same condition, illustrating various presentations and anatomical areas. This book is a basic and convenient resource for busy primary care clinicians. Those who desire greater depth or breadth may prefer the third edition of Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology (McGraw-Hill, 1997), or the second edition of Goldstein 's Practical Dermatology (Mosby, 1997). Hooper, Bonnie J., RN, MSN, ANP (Dermatology Associates, La Jolla); Goldman, Mitchel P., MD (Dermatology Associates, La Jolla)

Table of Contents
Pt. I General Principles of Diagnosis 1
Pt. II Specific Dermatologic Disorders 9
Ch. 1 Acneiform Lesions and Pustules 11
Ch. 2 Blistering (Vesiculobullous) Lesions 51
Ch. 3 Papulosquamous Disorders 76
Ch. 4 Erythematous Disorders 143
Ch. 5 Cysts, Nodules, Papules, and Skin Cancer 201
Ch. 6 Pigmentary Disorders 267
Ch. 7 Pruritic Disorders 307
Ch. 8 Hair Disorders 351
Ch. 9 Nail Disorders 366
Ch. 10 Ulcers 390
Ch. 11 Oral Lesions 405
Ch. 12 Vascular Lesions 418
Pt. III Patient Education Materials 445
Pt. IV Directory of Support Groups 471
Pt. V Dermatopharmacology 475
Pt. VI Dermatologic Surgery Techniques 485

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