Download An Atlas of Vulval Diseases: A Combined Dermatological, by Michèle Leibowitch, Richard Staughton, Sallie Neill, Simon PDF

By Michèle Leibowitch, Richard Staughton, Sallie Neill, Simon Barton, Roger Marwood

This very popular atlas has been revised and up-to-date, with 60 new color illustrations highlighting key medical issues

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Extra info for An Atlas of Vulval Diseases: A Combined Dermatological, Gynaecological and Venereological Approach

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56 Koebner phenomenon. Psoriasis often emerges in areas of damaged skin, here in a surgical wound. 57 Evidence of psoriasis in the nails, with thimble pitting, onycholysis and dystrophy, should be sought. 58 Histology of vulval psoriasis. (a) There is papillomatosis, parakeratosis, neutrophil exocytosis and spongiform pustules (H & E, X40). (b) Enlargement shows neutrophil exocytosis and spongiform pustules in more detail (H & E, X83). (a) Neutrophil exocytosis and spongiform pustules 50 AN ATLAS OF VULVAL DISEASE Lichen planus (papular variety) Management Cutaneous papular lichen planus is an inflammatory skin condition causing intensely pruritic violaceous shiny papules distributed widely on the skin.

A) There is papillomatosis, parakeratosis, neutrophil exocytosis and spongiform pustules (H & E, X40). (b) Enlargement shows neutrophil exocytosis and spongiform pustules in more detail (H & E, X83). (a) Neutrophil exocytosis and spongiform pustules 50 AN ATLAS OF VULVAL DISEASE Lichen planus (papular variety) Management Cutaneous papular lichen planus is an inflammatory skin condition causing intensely pruritic violaceous shiny papules distributed widely on the skin. Similar papules can occur on the vulval skin.

60, on the shaft of the penis. 62 Typical papular lichen planus affecting the labia majora. Note the violaceous colour and white Wickham's striae. 63 Lichen planus. An Arabian woman with two areas of cutaneous papular lichen planus. Note the upper lesion spreading onto the vestibular surface; the lower lesion has a typical annular configuration. Histology was characteristic. 63). 65 Lichen planus nail dystrophy. Nails showing longitudinal ridging. 66 Lichen planus nail dystrophy. A more advanced case showing scarring, with pterygium deformity.

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