Dermatology by Ronald Marks

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By Ronald Marks

2 hundred randomly awarded scientific circumstances masking such a lot features of dermatology to mirror actual lifestyles perform, designed not just to check the facility of the reader but in addition to coach and inform.

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Iii. Briefly outline the management. 71 i. What are the causes of acquired immunosuppression? ii. What specific skin problems may be encountered by someone who has had a renal transplant? iii. Briefly describe the dermatological management of a patient who has had a renal transplant. 63 69–71: Answers 69 i. The disorder is lichen planus. The flat-topped, often polygonal-shaped, mauve papules are typical of this disease. Lesions can occur anywhere, but are particularly common on the front of the wrist and over the back.

The crease lines on the forehead and the nasolabial folds can be reduced by intracutaneous injection of botulinum toxin, which paralyses the facial muscles so that the skin flattens as the muscles relax; this effect remains for 3–5 months. Intracutaneous injection of inert dermal ‘fillers’ (often based on hyaluronic acid) can also be used to reduce the contours. iii. There are numerous lifts, nips, and tucks that experienced skin surgeons use to reduce facial lines and wrinkles. 44 i. The diagnosis is pitted keratolysis (the older term was keratoma plantare sulcatum).

It has been present for the past 6 months and is slowly spreading. i. What is the likely diagnosis? ii. Briefly describe the possible disorders that may cause this appearance. iii. Briefly outline the plan for management of this patient. 68 68 A female presents with a brown–black patch which has become increasingly noticeable in the past 5 years. It is covering an increasing area on her left cheek and is becoming darker in some places (68). i. What is the diagnosis? ii. What treatments are available for this disease?

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