By Martin M. Black MD FRCP FRCPath, Christina Ambros-Rudolph MD, Libby Edwards MD, Peter J. Lynch MD
Hugely counseled, Dermatology, BMA Awards 2009 thoroughly up-to-date throughout-and nonetheless the single reference of its kind-the re-creation of this well-respected source provides you with a realistic consultant for the review, analysis, and administration of an entire diversity of universal and unusual obstetric and gynecologic epidermis problems. multiplied coverage-including chapters on vulval vaginal ailment assist you meet extra scientific demanding situations, whereas greater than 460 illustrations emphasize pathologic and scientific appearances of dermatologic difficulties, offering crucial visible tips for the main knowledgeable diagnoses. greater easy dermatologic details, comparable to basic introductions to remedy, therapies, and rashes, makes this an outstanding advisor for dermatologist and non-dermatologists, in addition to obstetricians and gynecologists. A CD-ROM-new to this edition-provides handy entry to the entire book's photos to your own use.Features the contributions of a crew of foreign specialists who supply an international viewpoint on cutting-edge top practices.Provides remarkable visible tips of either obstetric and gynecologic dermatoses, making this a handy one-stop session reference.Includes greater than 460 illustrations that make clear the major gains of illnesses and supply a better "true-life" perform point of view for making actual diagnoses.Covers an entire spectrum of stipulations, together with vulvar dermatoses, dermatoses of being pregnant, influence of being pregnant on different epidermis issues, and extra, that can assist you meet a whole variety of scientific demanding situations for varied sufferer populations. offers new info and illustrations in an accelerated vulval part that equip you with a much wider variety of gynecologic dermatoses and treatments in your such a lot difficult scientific instances. encompasses a bonus CD-ROM supplying handy entry to all the book's pictures to your own use.Features the contributions of 2 new across the world well-known editors-known for his or her paintings in genital dermatology-who expand the worldwide charm and relevance of the insurance.
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Additional resources for Obstetric and Gynecologic Dermatology, Third Edition
Example text
These changes are most prominent in patients with darkly pigmented skin, although they occur to some degree in fair-skinned individuals. Perhaps the most familiar example is the darkening of the lower abdominal midline, the linea alba. This is described in obstetric textbooks as an early change of pregnancy, but it may not be apparent until several months’ gestation, especially in a first pregnancy. 4). It tends to appear earlier in subsequent pregnancies. 5). 6), but this gradually fades postpartum, along with other pigmentary changes.
Progression to clustered vesicobullous lesions on erythematous skin usually occurs within days to weeks of the initial onset of pruritus. Bullae may appear de novo on otherwise clinically uninvolved skin. Blisters are usually tense and contain serous fluid; however, pustules may be seen, albeit rarely. 8)3. 9) and oral mucosa are usually spared. The blisters tend to resolve first, with the plaques of erythema persisting longer. In the absence of secondary infection, resolution usually occurs without scarring.
8 Erythema multiforme. s pontaneous remissions occurring. Two-thirds of patients have been exposed to exogenous progesterone in the form of the oral contraceptive pill prior to the eruption15. Typically the dermatosis appears to flare during the second half of The mechanism by which women become sensitive to their own progesterone is not known. One frequently quoted hypothesis is that previous use of exogenous progestogens induces allergy to endogenous progesterone. It is suggested that synthetic progesterone is sufficiently antigenic to act as a stimulus for antibodies which then cross-react with natural progesterone and perpetuate the immune response premenstrually15.