By Lionel Fry
Thoroughly revised, this moment variation is a whole replace of the the world over acclaimed first version of An Atlas of Psoriasis, written by way of Lionel Fry, one of many world's such a lot unusual dermatologists. Copiously illustrated in colour, together with new top of the range visible imagery just recently to be had, the atlas is designed to switch the previous variation at the cabinets of dermatologists and dermatopathologists around the globe. just like the earlier variation, the booklet offers an authoritative evaluate of psoriasis, together with scientific gains, websites and medical styles, differential prognosis, psoriatic arthropathy, and remedy.
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Extra info for An Atlas of Psoriasis, Second Edition
Some reports have claimed that, although the rash in infancy disappears, it is a form of psoriasis and that there is a higher incidence of psoriasis in later life. However, this has been disputed in other reports. In addition, one study has shown that incidence of HLA antigens B13, B17 and B37 is no higher in infants with diaper ‘psoriasis’ compared to normal individuals. The word psoriasis should Figure 74 Patch of psoriasis under the breast 49 AN ATLAS OF PSORIASIS Figure 75 Psoriasis localized to the intertriginous area of the groin Figure 76 Discrete patch of psoriasis in the axilla Figure 77 Psoriasis of the genitalia and pubic area, common sites in children Figure 78 Psoriasis of the natal cleft (a common site in children), with surrounding plaques 50 SITES AND CLINICAL PATTERNS Figure 79 Acral psoriasis with nail involvement, a not uncommon presentation in childhood therefore not be used for this type of eruption; a more appropriate term is seborrheic eczema of infancy.
It consists of a generalized eruption of sudden onset, with erythema and pustules (Figures 59–61). There is constitutional upset and a leukocytosis. The pustules are often superseded by sheets of scaling. The eruption lasts for a few weeks and then tends to revert to its previous state or it may transform into erythrodermic psoriasis (Figure 62). Subsequent episodes of generalized pustulation may follow. An annular form of generalized pustular psoriasis may occur in which the pustules form in the periphery of red annular lesions.
An exanthematic form of generalized pustular psoriasis tends to occur after a viral infection and consists of widespread pustules with generalized plaque psoriasis. However, unlike the von Zumbusch pattern, there is no constitutional upset and the disorder tends not to recur. A localized area of pustulation may occur in plaque psoriasis on the trunk and limbs (Figure 63) (distinct from the chronic form on the palms and soles). g. dithranol, or following the withdrawal of potent topical steroids.
An Atlas of Psoriasis, Second Edition by Lionel Fry