ABC of Dermatology with CD-ROM by Paul K. Buxton

By Paul K. Buxton

This can be an advent to dermatology that assumes a basic realizing of medication, yet no professional wisdom. The publication presents the basic middle of information to which extra distinct info should be additional. it may be used for reference through basic practitioners and medical professionals in different specialties. The dialogue of universal stipulations sooner than introducing extra advanced ailments makes it very appropriate for educating clinical and nursing scholars.

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Treatment of occupational dermatitis The exact cause of the dermatitis should be identified as far as possible. It is important to ascertain exactly what an individual’s job entails; for example, a worker in a plastics factory had severe hand dermatitis but the only positive result on patch testing was to nickel. On visiting the factory it became clear that the cause was a nickel plated handle that he used several thousand times a day and not the plastic components that the machine was making. It is also important to assess the working environment because exposure to damp and irritants (for example, on an oil rig or in a coal mine) can irritate the skin.

The oral mucosa may be affected. The condition is usually benign. Dermatitis herpetiformis Dermatitis herpetiformis Dermatitis herpetiformis Dermatitis herpetiformis occurs in early and middle adult life and is characterised by symmetrical, intensely itching vesicles on the trunk and extensor surfaces. The vesicles are superficial. The onset is gradual, but may occur rapidly. The distribution is shown in the diagram. Variants of dermatitis herpetiformis are larger blisters forming bullae and erythematous papules and vesicles.

If the condition generally clears during holidays and when away from the workplace, this suggests an occupational cause, but chronic irritant dermatitis may persist when the patient is away from the workplace. • If there is exposure to substances that are known to induce dermatitis and protective measures are inadequate at the workplace then an occupational cause is likely. • If secondary infection is present, this can keep a dermatitis active even when away from the workplace and sometimes allergen exposure continues at home; for example, an allergy 22 Contact with irritant Progression of acute and chronic dermatitis Time Eczema and dermatitis to rubber gloves at work will also occur when rubber gloves are used for domestic work at home.

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