Dermatology in practice - 2004


Comment: Some age-old therapy
Neil H Cox
pp 4-4
I was pleasantly surprised last year to be given a copy of Copland’s 1844 Medical Dictionary, a three-part general medical text. I’m no historian, but some of the old dermatological material is fascinating.
Essential clinical anatomy for cutaneous surgery: Part 1. Surgical planning and anaesthesia
Andrew Morris and Richard Motley
pp 6-8
This two-part article gives a broad overview of the anatomy relevant to cutaneous surgery and highlights its three main clinical applications: Use of surface anatomy during scar planning to optimise cosmetic results, using knowledge of the sensory nerve supply to achieve effective anaesthesia, and identifying any ‘at risk’ areas that are likely to fall within the operative field, thus reducing the risk of damage to vital structures such as the facial nerve (discussed in Part 2).
Recognising and treating cutaneous anthrax
Manjunatha Kalavala and Neill C Hepburn
pp 10-11
Anthrax is an extremely rare, but often fatal, bacterial infection caused by the Gram-positive, spore-forming organism Bacillus anthracis (B. anthracis). It has recently become important because of its use, by terrorists, as a biological weapon. It responds to antibiotics, provided they are given early – so prompt recognition is essential. Dermatologists played a vital role in diagnosis of the initial three cases of cutaneous anthrax in New York City in October 2001.
The perils of contact dermatitis for hairdressers
John SC English
pp 12-13
It is well recognised that contact dermatitis is extremely common among hairdressers. This is because their exposure to a variety of potentially irritant hair-care products such as shampoos, perming solutions, colourants and bleaches is so great. They are also exposed to several potential allergens. Dermatitis predominantly affects apprentices, and atopy is a recognised risk factor, associated with a poor prognosis. Hairdressing tends to be an industry composed of small businesses where there is very little opportunity for occupational health advice and there is a substantial turnover of junior staff in hairdressing salons. However, colleges that run hairdressing courses are becoming more aware of the health hazards involved in hairdressing.
The dermatological features of skin tags
Susan Lipscombe
pp 14-14
Skin tags, also known as acrochordons, papillomas or (more correctly) fibroepithelial polyps, are small, brown or flesh-coloured flaps of skin that commonly appear under the arms, at the top of the inner thigh or in the groin, around the neck, or on the eyelids. Many of these areas tend to be hot and moist, or they are areas where clothes may rub.
Getting results from emollient therapy on atopic eczema
Michael J Cork, John Timmins, Catherine Holden, Sue Young, Julie Carr, Catherine McManus, Rachid Tazi-Ahnini and Simon J Ward
pp 16-20
A birth cohort study revealed a prevalence of 5.1% in children in the UK born in 1946, 7.3% in those born in 1958 and 12.2% in the 1970 cohort. In twins in Denmark, the proportion who developed atopic eczema rose significantly from 3% in the 1960–64 cohort to 10% for the 1970–74 cohort. The point prevalence of eczema in Leicester, UK, in 1995 was reported as 14%, with 27% of parents reporting that their children had eczema at some time. A Japanese study reported a prevalence of atopic dermatitis of 15% in 1985, increasing to 24.1% in 1993, but levelling off thereafter.
How nurse prescribing fits into dermatology care
Neil H Cox and Yvonne Walton
pp 22-23
The process of introducing a formal system for prescribing by nurses has evolved rapidly over the last few years. A brief update on issues for dermatology treatment in both primary and secondary care follows.
The treatment of moderateto-severe atopic eczema
Thomas F Poyner
pp 24-26
Most GPs enjoy dermatology and are enthusiastic to improve their skills and knowledge in order to manage common skin diseases in primary care. The most common dermatological consultation they are faced with is paediatric atopic eczema. This is also reflected in secondary care, with atopic eczema being the most common referral among children. Although most cases of atopic eczema are mild, 14% are moderate and 2% are severe.
Index: Dermatology in Practice Volumes 9–12
Megan Dixon and Neil Cox
pp 28-30
Article index by subject for Dermatology in Practice Volumes 9-12.
Monk's moments: What's in a name?
Barry Monk
pp 31-31
Eponyms, of course, have a hallowed place in medicine. We honour the great physicians and surgeons of the past by giving their names to the disorders they described: Hodgkin’s disease, Bell’s palsy, Spitz nevus (the only example I can find named after a lady) and the rest.