By Rachael Morris-Jones
A 23-year-old African Caribbean girl provides within the emergency division with an acute onset facial rash. in the course of preliminary evaluation she complains of a week historical past of basic malaise, fatigue, fever, and weight reduction. you've been assigned her examination...
100 circumstances in Dermatology provides a hundred eventualities with a dermatological manifestation quite often noticeable through scientific scholars and junior medical professionals. A succinct precis of the patient's historical past, exam and preliminary investigations, together with complete color photos displaying presentation, is through questions about the analysis and administration of every case. the reply incorporates a distinct dialogue on every one subject, with extra representation the place applicable, offering an important revision relief in addition to a pragmatic advisor for college students and junior doctors.
Making scientific judgements and selecting the simplest plan of action is without doubt one of the such a lot demanding and hard components of educating to develop into a physician. those circumstances will train scholars and junior medical professionals to acknowledge vital dermatological signs and symptoms and, the place acceptable, their courting to different health conditions, and to strengthen their diagnostic and administration skills.
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Additional resources for 100 Cases in Dermatology
Fish, garlic, onions, tomato). Autoinflammatory syndromes: There are rare causes of urticaria such as Muckle– Wells syndrome (amyloidosis, nerve deafness, and urticaria) and Schnitzler’s syndrome (fever, joint/bone pain, monoclonal gammopathy, and urticaria). Idiopathic urticaria is the descriptive term for chronic urticaria for which no precipitant can be identified. KEY POINTS • Urticaria is a cutaneous reaction pattern characterized by the degranulation of mast cells and transient wheals. • There are a number of potential precipitants, exacerbating factors and underlying causes of chronic urticaria.
He has no lymphadenopathy. 7 mmol/L 70–120 μmol/L 35–50 g/L 3–17 mmol/L 5–35 IU/L 30–300 IU/L Ͻ 20 ng/L Questions • What are these lesions? • Would you perform any further investigations? • What is their management? 1 23 ANSWER 10 These lesions represent multiple mastocytomas and the eruption is referred to as urticaria pigmentosa. Darier’s sign describes the development of a wheal and surrounding erythema in a lesion after rubbing (physical degranulation of histamine from mast cells). Mastocytosis is the abnormal accumulation of mast cells within the skin and rarely other organs (liver, spleen or lymph nodes).
Following their resolution the lesions leave no persistent skin change. Although the eruption is pruritic there is no evidence of lichenification or excoriations. Her blood pressure is 105/68 mmHg and pulse rate 102 beats/min. Examination of her cardiorespiratory system is otherwise normal. Her abdomen is soft and non-tender. You notice a degree of bilateral upper eyelid lag. She has a smoothly enlarged goitre and stretching her hands out she has a fine tremor. Examination of the remainder of the neurological system is normal.
100 Cases in Dermatology by Rachael Morris-Jones