By Lesliane E. Castro-Santana (auth.), Néstor P. Sánchez (eds.)
Atlas of Dermatology in inner Medicine is the one concise text-atlas to hide the commonest and most crucial cutaneous manifestations of systemic sickness in teenagers and adults. It gains greater than a hundred and fifty medical photos which are followed by way of format-driven, clinically targeted textual content at the analysis and administration of cutaneous manifestations of connective tissue, pulmonary, renal, GI, endocrine, malignant, infectious, and HIV sickness. there's additionally a separate bankruptcy on epidermis illnesses as a rule obvious within the ICU. a different characteristic is its systematic insurance of clinically proper dermatopathology. The publication is a precious instrument for physicians and trainees in inner medication, kin drugs, pediatrics, emergency medication, and significant care drugs, in addition to kinfolk, emergency, and significant care nurse practitioners.
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The tubercle bacilli cannot penetrate intact skin, thus only after the patient suffers some sort of skin trauma or minor abrasion can the organism infiltrate and cause infection. It has also been reported to occur postmouth-to-mouth resuscitation, jail-house tattooing, circumcision, piercings, and in health care workers [49, 72]. The chancre appears 2–4 weeks after inoculation as a reddish-brown papulonodular lesion, which quickly grows and erodes [49, 59]. The resultant shallow ulcer is painless, with an indurated granular base.
The lesions of LS usually appear on the trunk and proximal extremities as asymptomatic, lichenoid, firm follicular, and parafollicular papules. Micropustules and central adherent crust may also be present, but scaling is minimal or absent. Lesions may coalesce to form annular or discoid plaques . The papules have a yellow-brown or pink color [7, 42, 49, 60, 78]. Upon histologic evaluation, there is evidence of dermal non-caseating granulomas around the hair follicles and sweat ducts. These lesions heal spontaneously without scarring after several months [49, 59, 74].
Int J Dermatol. 1982;21:563–72. 44. Kremer JM, Lee JK. The safety and efficacy of the use of methotrexate in long-term therapy for rheumatoid arthritis. Arthritis Rheum. 1986;29:822–31. 45. Segal R, Caspi D, Tishler M, et al. Accelerated nodulosis and vasculitis during methotrexate therapy for rheumatoid arthritis. Arthritis Rheum. 1988;31:1182–5. 46. Cunnane G, Warnock M, Fye KH, Daikh DI. Accelerated nodulosis and vasculitis following etanercept therapy for rheumatoid arthritis. Arthritis Rheum.
Atlas of Dermatology in Internal Medicine by Lesliane E. Castro-Santana (auth.), Néstor P. Sánchez (eds.)