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T Preface 

The second edition of this Handbook still provides a practical introduc- tion to dermatology, with an emphasis on the medical aspects of the spe- cialty. Skin problems are hugely variable (>2500 diagnoses), but we hope this little book will help you to make sense of what you find and will pro- vide you with a framework for analysing clinical signs, so that you develop your diagnostic expertise. Dermatology trainees should find the book particularly useful, as may hospital doctors in other medical specialties faced with assessing skin problems, but it also includes much that will be of value to those working in the community and to medical students. 

The content has been updated, and we have tried to make it even more comprehensive. We include a new chapter on dermatogenetics and have added to other sections, particularly those on skin in infancy and childhood, cutaneous reactions to drugs, skin tumours, and skin and rheumatology. 

We discuss common and important skin problems, such as skin failure and emergency dermatology, eczema, psoriasis, blisters, vasculitis, and pustular rashes, but also include some fascinating rarities that we hope may inspire you to read more. Each topic includes answers to the clini- cal questions ‘What should I ask?’, ‘What should I look for?’, and ‘What should I do?’. Management guidelines have been incorporated, where possible. 

The expanded tumour chapter will help you to recognize and manage skin tumours, including those in immunosuppressed individuals, as well as to advise on photoprotection, but the Handbook does not include information on surgical techniques in dermatology. 

Chapters on skin problems in the medical specialties should be of par- ticular interest to physicians working in those disciplines. We introduce skin conditions that you may encounter when working in specialties such as rheumatology, haematology, nephrology, endocrinology, and gas- troenterology. The section on medical management introduces topical treatments, occlusion, and wet dressings, as well as discussing the sys- temic drugs commonly used in dermatology. 

Illustrations complement the text, but the emphasis is on enabling you to make sense of the findings using your clinical skills, rather than match- ing findings to pictures. 

We hope that you will find this book useful when you are asked to see someone with a puzzling skin problem and that there will be a place for it 

in your pocket, in the outpatient clinic, or on the ward. 

Please send back your comments or criticisms, so that we can improve 

the book in future editions. You can send your comments to us via the 

OUP website 


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