Advances in Diagnosis and Management of Cutaneous Adverse Drug Reactions

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Author :
Publisher : Springer
ISBN 13 : 9811314896
Total Pages : 307 pages
Book Rating : 4.8/5 (113 download)

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Book Synopsis Advances in Diagnosis and Management of Cutaneous Adverse Drug Reactions by : Neil H. Shear

Download or read book Advances in Diagnosis and Management of Cutaneous Adverse Drug Reactions written by Neil H. Shear and published by Springer. This book was released on 2018-10-19 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: This resource guides prescribers, pharmacists, and regulators with an update on the recent expansion of basic and clinical knowledge that forms a framework for understanding cutaneous reactions. This understanding will lead, in turn, to better outcomes and decisions in treatment and management, both in the clinic and in the life cycle of drug development. The skin is a common target for adverse drug events and even mild rashes can be part of life-threatening syndromes. Patients and practitioners often face important decisions about therapy after a drug eruption, including treatment, cross-reactivity with future pharmaceuticals, genetic considerations and dealing with long-term sequelae after a reaction. An international team of experts and leaders in the field share their story and insights into the scientific details and relevant clinical context.

Adverse Cutaneous Drug Eruptions

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Author :
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805599714
Total Pages : 255 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Adverse Cutaneous Drug Eruptions by : L.E. French

Download or read book Adverse Cutaneous Drug Eruptions written by L.E. French and published by Karger Medical and Scientific Publishers. This book was released on 2012-05-07 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: The skin is one of the most frequently involved organs in adverse drug reactions. Occurring with an incidence of 1-5% for certain types of drugs, cutaneous drug eruptions are mostly benign in nature, and comprise the maculopapular type of eruption and urticaria. However, about one third of them require hospital treatment, leading to a considerable burden for the health care system.In this book, a selected group of experts provide an up-to-date, condensed and clinically relevant overview of the field of cutaneous drug eruptions, ranging from epidemiology and genetic predisposition to available therapeutic measures, including rapid drug desensitization. Reflecting the great progress made in recent years in this field, this publication will be a useful tool for a better understanding, diagnosis and management of cutaneous drug eruptions, not only for general physicians, dermatologists and clinical allergologists, but also for nurses and scientists.

Cutaneous Drug Eruptions

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Author :
Publisher : Springer
ISBN 13 : 1447167295
Total Pages : 456 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Cutaneous Drug Eruptions by : John C. Hall

Download or read book Cutaneous Drug Eruptions written by John C. Hall and published by Springer. This book was released on 2015-08-21 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​The burden of cutaneous drug reactions is significant, in both outpatient and inpatient settings, and can result in morbidity and even mortality. This book is unique in its approach to this problem. This text is divided into basic principles, common drug reactions, skin conditions mimicked by drug reactions, drug reactions to the skin appendages, life-threatening drug reactions, less common drug reactions, and special groupings of drug reactions. For the clinician, the skin can only morphologically react in to many limited ways. This is also true for the pathologist. Combining these two forever linked specialties is a synergistic paradigm that greatly enhances diagnosis, and ultimately therapy, for these pernicious conditions. Drug reactions in the skin remain a common complication of therapy. True incidences of drug reactions are not available. For general discussion, the rule of 3% can be applied with reasonable assuredness. Approximately 3% of all hospitalized patients develop an adverse cutaneous drug reaction. Approximately 3% of these reactions are considered severe. Outpatient data is even more obscure, but at least 3% of dermatology clinic outpatient visits are due to a drug reaction. Cutaneous drug reactions compromise approximately 3% of all drug reactions. Even more challenging is the fact that the most vulnerable populations to drug reactions are increasing and include the elderly patients on prolonged drug therapy, and patients that use multiple drugs at the same time.

Litt's Drug Eruption & Reaction Manual

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Author :
Publisher : CRC Press
ISBN 13 : 1000364461
Total Pages : 1960 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Litt's Drug Eruption & Reaction Manual by : Neil H. Shear

Download or read book Litt's Drug Eruption & Reaction Manual written by Neil H. Shear and published by CRC Press. This book was released on 2021-01-18 with total page 1960 pages. Available in PDF, EPUB and Kindle. Book excerpt: Internationally relied upon by medical practitioners for its unparalleled focus on adverse effects and cutaneous reactions, Litt’s Drug Eruption & Reaction Manual is a succinct clinical reference and essential drug-safety tool for patient care. This 27th edition is a comprehensively revised and updated quick reference, and each entry includes: * Quantitative summaries of reports and incidence for reactions * Drug–drug interactions * Categories of adverse drug reactions, eruptions, and cutaneous reaction patterns * Essential reference information on prescription and over-the-counter drugs as well as herbals and supplements The book contains... * A to Z listing of the 1500 most consulted drug and herbal profiles, including generic name and trade names; pharmaceutical company; indications; half-life; and pregnancy category * Over 31,000 adverse reactions and drug-eruption listings * Includes supplements, vaccines, and botanicals * Clinical definitions of common and severe adverse reactions * List of drugs that cause severe adverse reactions * List of main classes of drugs as a quick clinical reference guide * 27 tables of members of a class of drugs (such as statins or monoclonal antibodies), enabling clinicians to see at a glance whether a reaction is common to all drugs included in that class, or to a majority of them, or is known in only a handful—information that is critical for an informed decision to change drugs within the same class * 2 extensive tables showing reported genetic associations with cutaneous adverse drug reactions and recommendations regarding genetic screening to prevent cutaneous adverse drug reactions * A concordance of synonyms and trade names for ease of cross-reference Markets: Dermatologists, Neurologists, Oncologists, Psychiatrists, Pharmacists, Family Physicians, and those caring for patients on multiple medications, such as Geriatricians and Hospital Generalist Physicians. Litt’s Drug Eruption & Reaction Manual is a succinct clinical reference derived from Litt’s Drug Eruption & Reaction Database, located at www.drugeruptiondata.com, which currently holds over 1750 drug profiles with almost 70,000 documented drug reactions, as evidenced by well over 145,000 references on PubMed. Quick and easy access via the Litt app provides real time access to the most up-to-date drug safety information to a busy practitioner on-the-go. Subscribers to the database benefit from: * Easy access via the Litt app, ideal for working across a number of work-places * Full drug profiles with a wealth of information including category, half-life, indications, drug-drug interactions, and known adverse reactions * Links to PubMed abstracts * Searching a class of drugs for a specific reaction * Searching by adverse reaction pattern * Searching by indication for a drug * Searching by drug name (generic name/brand name) as well as by pharmaceutical company or drug class * Searching herbal medicines and supplements * Diagnosing the cause of reactions in patients on multiple drugs by selecting the adverse reaction(s) experienced and the drug(s) the patient is taking * Comparing reaction profiles for up to four drugs in a customized chart that can be saved for future reference * Descriptions of reaction patterns * Photographs of adverse reactions * Access via a computer, tablet, or smartphone * Regular updates To learn more, and to subscribe to the database, visit www.drugeruptiondata.com.

Fitzpatrick's Dermatology, 9e

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Publisher :
ISBN 13 : 9780071837811
Total Pages : 2272 pages
Book Rating : 4.8/5 (378 download)

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Book Synopsis Fitzpatrick's Dermatology, 9e by : Sewon Kang

Download or read book Fitzpatrick's Dermatology, 9e written by Sewon Kang and published by . This book was released on 2019 with total page 2272 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Drug Allergy Testing

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323497071
Total Pages : 289 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Drug Allergy Testing by : David Khan

Download or read book Drug Allergy Testing written by David Khan and published by Elsevier Health Sciences. This book was released on 2017-07-05 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: With a focus on improving diagnosis and treatment, Drug Allergy Testing is your new go-to resource for understanding various drug allergies and testing methods, the epidemiology of and economic impact of drug allergies, and new drug and allergy developments. - Features a wealth of up-to-date information for allergists, immunologists, and primary care physicians who diagnose and treat patients with drug allergies and hypersensitivity. - Covers the basics of drug allergy evaluation and management as well as specific drugs including antibiotics, ASA/NSAIDs, chemotherapeutic agents and monoclonal antibodies.

Skin and the Heart

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Publisher : Springer Nature
ISBN 13 : 3030547795
Total Pages : 494 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Skin and the Heart by : Carmen Salavastru

Download or read book Skin and the Heart written by Carmen Salavastru and published by Springer Nature. This book was released on 2021-03-10 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the relationship of the skin with cardiovascular disease. It details the variety of genetic, autoimmune, metabolic and endocrine factors that link the two disciplines. Recognition of one sign or symptom in dermatology can lead to the investigation and discovery of an important related cardiac condition, the recognition of which is important to prevent cardiovascular complications. Similarly, a cardiac condition may be related to an underlying skin condition that requires treatment. Genetic examples of such instances included within the book include: pseudoxanthoma elasticum, epidermolysis bullosa with desmosome defects and plectin defects; Marfan syndrome; Autoimmune conditions include vasculitis, sarcoidosis, lupus; metabolic conditions include insulin resistance, eruptive xanthomas with hypertriglyceridemias and elevated cholesterol; endocrine disorders include thyroid acropachy with atrial fibrillation; insulin resistance with coronary artery disease and psoriasis or hidradenitis suppurativa. Skin and the Heart reviews the effects of genetic, autoimmune and endocrine diseases with connections between skin and heart. It is therefore a key reference for all practitioners and researchers working in both disciplines.

Adverse Cutaneous Drug Reactions to Cardiovascular Drugs

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Author :
Publisher : Springer
ISBN 13 : 1447165365
Total Pages : 268 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Adverse Cutaneous Drug Reactions to Cardiovascular Drugs by : Esen Özkaya

Download or read book Adverse Cutaneous Drug Reactions to Cardiovascular Drugs written by Esen Özkaya and published by Springer. This book was released on 2014-11-15 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adverse cutaneous drug reactions (ACDR) are among the most frequent events in patients receiving drug therapy. Cardiovascular (CV) drugs are an important group of drugs with potential risk of developing ACDR especially in elderly as marketing of more new drugs and their prescription continue to increase. However, like with most other drugs the exact incidence of cutaneous side effects from CV drugs is difficult to estimate due to sporadic reporting. Moreover, a reliable designation of a certain drug as the cause of a certain type of reaction can rarely be made. Apart from the well-known angioedema/urticaria from ACE inhibitors, lichen planus / lichenoid reaction from beta adrenergic blockers and photosensitivity from thiazid diuretics, ACDR from CV drugs might be seen in a wide spectrum extending to rare but life-threatening conditions such as erythroderma, Stevens-Johnson syndrome, toxic epidermal necrolysis or drug hypersensitivity syndrome. In this comprehensive review, the reported types of ACDR to CV drugs will be discussed according to drug class and the type of dermatologic reaction with special emphasize on cross-reactions and the role of patch testing in diagnosis.

Treatment of Skin Diseases

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Publisher : Springer
ISBN 13 : 3319895818
Total Pages : 547 pages
Book Rating : 4.3/5 (198 download)

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Book Synopsis Treatment of Skin Diseases by : Zohra Zaidi

Download or read book Treatment of Skin Diseases written by Zohra Zaidi and published by Springer. This book was released on 2018-10-24 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book summarises the key clinical features and their treatment across a range of skin diseases and describes the decision-making process when referring patients to specialists. It describes how treatment of the skin is often very different to other specialities, as both topical and systemic medications are used, and reviews the clinical signs, investigation and diagnostic approaches to skin diseases. Treatment of Skin Diseases: A Practical Guide principally aids primary care physicians, trainee dermatologists and dermatology nurse practitioners, but it is also a convenient management guide for allied health professionals, students and hospital-based physicians. A concise atlas of diagnostic photographs is included and incorporated with a simple set of common differentials to provide a useful reference for primary care readers and those training in dermatology. The book also contains information on the management of common skin problems, together providing a comprehensive introduction to the treatment of skin diseases. The treatment options for secondary and tertiary care are also included to provide a thorough picture of the spectrum of dermatologic therapeutics.

Dermatology Made Easy

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Publisher : Scion Publishing Ltd
ISBN 13 : 1911510118
Total Pages : 438 pages
Book Rating : 4.9/5 (115 download)

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Book Synopsis Dermatology Made Easy by : Amanda Oakley

Download or read book Dermatology Made Easy written by Amanda Oakley and published by Scion Publishing Ltd. This book was released on 2017-05-06 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise overview of the common dermatological conditions most likely to present in general medicine From reviews: "... a perfect solution to the constant struggle that dermatology diagnosis presents to primary care physicians and other providers... This well-formatted book covers a vast array of topics ranging from common to rare skin disorders. The pictures are immensely helpful in the understanding of various skin rashes...." Fam Med 2019;51(5):451–452. “... easy to read and informative. One cannot emphasise enough the quality and comprehensive nature of the photographic content.... As someone who was interested in dermatology even as a medical student my only regret is that this book was not around when I was a student as it would have very adequately guided me into my beloved subspecialty.” Ulster Med J 2017;86(3):1–1. “The introduction outlines dermatological conditions by symptom, morphology and body site, providing an excellent index prior to delving into greater detail in the following chapters. The logical approach and level of detail make this text perfect for medical students, interns/residents, primary care physicians and other specialists who wish to quickly identify differential diagnoses or refresh their knowledge of dermatological conditions.” A Lecturer in Dermatology Dermatology Made Easy is based on the hugely popular DermNet New Zealand website and is designed to help GPs, medical students and dermatologists diagnose skin conditions with confidence. The book starts by providing a series of comprehensive tables, complete with over 500 thumbnail photos, to aid diagnosis according to symptoms, morphology, or body site. Once you have narrowed down the diagnosis, cross-references then guide you to more detailed descriptions, and another 700 photographs, covering: common infections inflammatory rashes non-inflammatory conditions skin lesions Every section provides consistent information on the disorder: who gets it and what causes it? what are the clinical features and does it cause any complications? how do you diagnose it? how do you treat it and how long does it take to resolve? The book concludes with a comprehensive section on further investigations and treatment options. Dermatology Made Easy combines the essential focus of the Made Easy book series with the authority and knowledge base of DermNet New Zealand’s unparalleled resources. Printed in full colour throughout.

Dermatological Emergencies

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Publisher : CRC Press
ISBN 13 : 135116502X
Total Pages : 1296 pages
Book Rating : 4.3/5 (511 download)

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Book Synopsis Dermatological Emergencies by : Rajesh Verma

Download or read book Dermatological Emergencies written by Rajesh Verma and published by CRC Press. This book was released on 2019-05-20 with total page 1296 pages. Available in PDF, EPUB and Kindle. Book excerpt: ‘Dermatological Emergencies’ aims to cover aspects of situations and their management when they present in a Dermatology setup. This includes severe drug reactions, bullous disorders, erythroderma, infections, vasculitis and systemic emergencies presenting with skin signs. This book guides the reader to recognize such emergencies, helps to approach the initial phase of management, identifies the investigations, thus leading to a holistic management of the scene. Case scenarios are used in all chapters with logical flow of text, flowcharts, algorithms and representative clinical and laboratory images for better understanding of the readers. Key Features Details all dermatological emergencies Discusses manifestation of these emergencies with unique algorithms and flowcharts Examines case scenarios for first-hand experience Consists of Do's and Don'ts for effective management of cases Uses high quality clinical images for clarity

Atlas of Dermatoses in Pigmented Skin

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Publisher : Springer Nature
ISBN 13 : 9811554838
Total Pages : 1048 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Atlas of Dermatoses in Pigmented Skin by : Ranthilaka R. Ranawaka

Download or read book Atlas of Dermatoses in Pigmented Skin written by Ranthilaka R. Ranawaka and published by Springer Nature. This book was released on 2020-12-23 with total page 1048 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the representation of dermatological diseases in pigmented skin, fills an important gap in the literature, and facilitates better dermatological diagnosis when dealing with patients of various ethnicities. It discusses over 400 diseases and their representations with the help of over 2000 high-quality images and illustrations. This book elaborates on each single disease using easy-to-follow schematics and a focused approach to facilitate reader learning. Pursuing a comprehensive, the book covers not only common skin diseases such as psoriasis, lichen planus, eczema, erythrasma, cutaneous tuberculosis, leprosy, leishmaniasis and oral submucous fibrosis, but also rare tropical diseases such as sporotrichosis, mycetoma, rhinosporodiosis, lobomycosis, mucormycosis and subcutaneous zygomycosis. It also addresses aesthetic concerns by covering hypopigmented and hyperpigmented disorders in pigmented skin such as guttate hypomelanosis, vitiligo, progressive macular hypomelanosis, chemical or physical induced depigmentation, melasma, sebo-melanosis, lichen and macular amyloidosis. Offering comprehensive coverage of dermatological disorders and diseases in pigmented skin, the book is a must-have resource for dermatology trainees and practitioners who treat or care for pigmented skin patients.

Drug Hypersensitivity

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Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805582692
Total Pages : 440 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Drug Hypersensitivity by : Werner J. Pichler

Download or read book Drug Hypersensitivity written by Werner J. Pichler and published by Karger Medical and Scientific Publishers. This book was released on 2007-01-01 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approaches the phenomenon of drug hypersensitivity in a comprehensive manner. Besides epidemiological aspects, it addresses the immunological mechanisms underlying these complicated reactions which go far beyond the IgE-mediated drug allergies also considered in this book. The book also covers clinical manifestations and new diagnostic methods, and introduces some recetly established animal models. Many topics are treated from multiple perspectives, and the 33 chapters are thoroughly cross-referenced.

Inpatient Dermatology

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Publisher : Springer
ISBN 13 : 3319184490
Total Pages : 373 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Inpatient Dermatology by : Misha Rosenbach

Download or read book Inpatient Dermatology written by Misha Rosenbach and published by Springer. This book was released on 2018-11-03 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​​​ Inpatient Dermatology is a concise and portable resource that synthesizes the most essential material to help physicians with recognition, differential diagnosis, work-up, and treatment of dermatologic issues in the hospitalized patient. Complete with hundreds of clinical and pathologic images, this volume is both an inpatient dermatology atlas and a practical guide to day-one, initial work-up, and management plan for common and rare skin diseases that occur in the inpatient setting. Each chapter is a bulleted, easy-to-read reference that focuses on one specific inpatient dermatologic condition, with carefully curated clinical photographs and corresponding histopathologic images to aid readers in developing clinical-pathologic correlation for the dermatologic diseases encountered in the hospital. Before each subsection the editors share diagnostic pearls, explaining their approach to these challenging conditions. This book is structured to be useful to physicians, residents, and medical students. It spans dermatology, emergency medicine, internal medicine, infectious disease, and rheumatology. Inpatient Dermatology is the go-to guide for hospital-based skin diseases, making even the most complex inpatient dermatologic issues approachable and understandable for any clinician.

Immunology of the Skin

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Publisher : Springer
ISBN 13 : 4431558551
Total Pages : 505 pages
Book Rating : 4.4/5 (315 download)

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Book Synopsis Immunology of the Skin by : Kenji Kabashima

Download or read book Immunology of the Skin written by Kenji Kabashima and published by Springer. This book was released on 2016-03-10 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews the role of each cell subset in the skin, providing the basics for understanding skin immunology and the mechanisms of skin diseases. The skin is one of the immune organs and is continually exposed to foreign antigens and external stimuli that must be monitored and characterized for possible elimination. Upon exposure to foreign antigens, the skin can elicit a variety of immune responses in harmony with skin components that include keratinocytes, dendritic cell subsets, mast cells, basophils, fibroblasts, macrophages, gamma-delta T cells, neutrophils, myeloid-derived suppressor cells, vascular and lymphatic cells, hair follicles, platelets, and adipose tissues, among others. In the past 10 years, knowledge of immunology has expanded drastically in areas such as innate immunity (Toll-like receptors, C-type lectins), and host defenses to bacteria and viruses, and this increased knowledge has led to the development of more effective treatment of psoriasis and other skin diseases. This book provides updates on the mechanisms of skin diseases including contact dermatitis, atopic dermatitis, psoriasis, urticaria, drug eruption, bullous diseases, anaphylaxis, graft-versus-host disease, rosacea, lymphoma, photodermatology, and collagen vascular diseases. Understanding the basics of skin immunology will help clinicians and dermatologists use new therapeutics such as biologics efficiently. Serving as an intermediary between basic science and clinical medicine, this book gives readers the opportunity to understand and marvel at the mystery and fascination of skin immunology.

Patch Testing and Prick Testing

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Publisher : Springer Science & Business Media
ISBN 13 : 3540928057
Total Pages : 203 pages
Book Rating : 4.5/5 (49 download)

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Book Synopsis Patch Testing and Prick Testing by : Jean-Marie Lachapelle

Download or read book Patch Testing and Prick Testing written by Jean-Marie Lachapelle and published by Springer Science & Business Media. This book was released on 2009-02-23 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: Knowledge in the field of allergic contact dermatitis has grown to a great extent, due to recent advances in the chemical, immunological and clinical fields. These advances include the improved techniques of patch testing and prick testing, e.g. additional tests such as open, semi-open, repeated open application test (ROAT) and use tests, photopatch tests, atopy patch tests and provocative tests. Further, due to the ongoing changes in our environment, the series of patch tests – the so-called standards – are also regularly renewed. This new edition is completely revised, updated and expanded, with more colour illustrations. It is a universally useful and superb guide in the management of positive and negative patch test and prick test reactions, for all practicing dermatologists, from the beginner to the well-trained expert.

Andrews' Diseases of the Skin

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323551882
Total Pages : 1109 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Andrews' Diseases of the Skin by : William D. James

Download or read book Andrews' Diseases of the Skin written by William D. James and published by Elsevier Health Sciences. This book was released on 2019-01-18 with total page 1109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in a fully revised thirteenth edition, Andrews' Diseases of the Skin remains your single-volume, must-have resource for core information in dermatology. From residency through clinical practice, this award-winning title ensures that you stay up to date with new tools and strategies for diagnosis and treatment, new entities and newly recognized diseases, and current uses for tried-and-true and newer medications. It's the reference you'll turn to again and again when faced with a clinical conundrum or therapeutically challenging skin disease. - Utilizes a concise, clinically focused, user-friendly format that clearly covers the full range of common and rare skin diseases. - Provides outstanding visual support with 1,340 illustrations – more than 500 new to this edition. - Presents comprehensively updated information throughout, including new and unusual clinical presentations of syphilis, new diagnostic classifications and therapies for vascular anomalies, and an updated pediatric and genodermatosis review. - Covers new and evolving treatments for inflammatory, neoplastic, and blistering skin diseases among others. New biologics and phosphodiesterase inhibitors for psoriasis and atopic dermatitis, JAK inhibitors for alopecia areata and vitiligo, immune checkpoint inhibitors for melanoma and rituximab for pemphigus are all covered. - Features a revised and revamped cutaneous adverse drug reaction section, including novel eruptions from new and emerging chemotherapeutic agents and small molecule/targeted inhibitors. - Discusses new and emerging viruses including Zika and human polyomaviruses.