An Atlas of Psoriasis, Second Edition by Lionel Fry PDF
By Lionel Fry
Thoroughly revised, this moment variation is a whole replace of the the world over acclaimed first variation of An Atlas of Psoriasis, written through Lionel Fry, one of many world's so much exotic dermatologists. Copiously illustrated in colour, together with new top of the range visible imagery only in the near past on hand, the atlas is designed to switch the outdated version at the cabinets of dermatologists and dermatopathologists around the globe. just like the past version, the e-book presents an authoritative evaluation of psoriasis, together with medical beneficial properties, websites and scientific styles, differential analysis, psoriatic arthropathy, and remedy.
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Additional info for An Atlas of Psoriasis, Second Edition
An unusual presentation 31 7 Sites and clinical patterns This is the commonest form of psoriasis, and is the type seen in approximately 90% of patients. Plaque psoriasis is the usual form of presentation in adults. 5 to 30 cm or more (Figures 32–38). If the disease is active, the plaques will merge to form large confluent areas of psoriasis (Figures 39–43). The commonest sites for psoriasis are the extensor surfaces of the elbows (Figures 27 and 28), knees (Figures 29 and 30) and scalp, but the skin on any part of the body may be involved, either with or without lesions elsewhere.
Sometimes there is no definite edge to the affected area, and it is mainly a collection of pustules with associated scaling and erythema. Localized pustular psoriasis may affect both palms and soles (in the same individual) or only the palms or soles. It is usually bilateral and symmetrical (Figure 65), but unilateral presentation may also occur. It is a very persistent condition; the lesions cleared in only one-third of patients in a 10-year follow-up study. 44 The relationship of localized pustular psoriasis to other forms of psoriasis is still unsettled.
The commonest site of involvement of the scalp is behind the ears (Figures 83 and 84). Psoriasis of the 51 AN ATLAS OF PSORIASIS scalp may present as discrete red raised scaly plaques, as found elsewhere on the trunk and limbs, or it may show diffuse scaling, or may present as very thick plaques of keratin with the scales growing along the hair shafts (Figure 85). Hair loss with psoriasis of the scalp (Figure 86) is the exception rather than the rule. It does, however, occur with severe psoriasis, particularly the erythrodermic form of the disease.
An Atlas of Psoriasis, Second Edition by Lionel Fry