ABC of Dermatology, 5th Edition (ABC Series) by Paul K. Buxton, Rachael Morris-Jones

By Paul K. Buxton, Rachael Morris-Jones

Psoriasis -- administration of psoriasis -- Eczema (dermatitis) together with administration -- Urticaria and angio-oedema -- dermis and photosensitivity -- Inflammatory dermatoses : drug rashes -- Inflammatory dermatoses : immunobullous and different blistering problems -- Inflammatory dermatoses : connective tissue sickness, vasculitis and similar issues -- epidermis and systemic affliction -- Leg ulcers -- pimples and rosacea -- Bacterial infections -- Viral infections -- HIV and the surface -- Fungal infections -- Insect bites and infestations -- Tropical dermatology -- Hair and scalp / Samantha Bunting, David Fenton -- ailments of the nails / David de Berker -- Benign pores and skin tumours -- Premalignant and malignant epidermis tumours -- sensible strategies / Raj Mallipeddi -- Lasers, excessive pulsed gentle, and photodynamic remedy / Alun V. Evans -- Dressings and bandages / Judy Davids -- Formulary / Karen Watson

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Urticaria can therefore broadly be divided into ordinary/idiopathic (acute/chronic), contact allergic, cholinergic, physical or urticarial vasculitis. 2. 5). 6). 4 Ordinary urticaria on the neck. minutes to hours only and may recur over <6 weeks – acute urticaria, or attacks may become chronic (>6 weeks). In 50% of patients with ordinary urticaria no underlying cause is found. Possible triggers of acute urticaria include infections, vaccinations, medications and food. Generally the more persistent the attacks of urticaria, the less likely an underlying cause is identified; this is termed chronic idiopathic urticaria.

Classification of urticaria Urticaria is traditionally classified as acute or chronic depending on whether symptoms last for less or more than 6 weeks. Another approach is to classify urticaria according to the underlying cause, but in 50% of cases no cause is identified (idiopathic). Urticaria can therefore broadly be divided into ordinary/idiopathic (acute/chronic), contact allergic, cholinergic, physical or urticarial vasculitis. 2. 5). 6). 4 Ordinary urticaria on the neck. minutes to hours only and may recur over <6 weeks – acute urticaria, or attacks may become chronic (>6 weeks).

Causes of generalized pruritus with skin changes This occurs in more widespread inflammatory skin diseases such as widespread eczema/psoriasis, scabies, allergic drug eruptions (antibiotics, anticonvulsants), graft versus host disease (following bone marrow transplantation), prebullous pemphigoid (dermatitic eruption before blisters appear), cutaneous lymphoma (may start over the buttocks as more localized disease), parasitophobia (belief that there are parasites under the skin; excoriations are seen), body lice or pubic lice (body lice live in the clothing), viral exanthems (rashes associated with systemic viral illness), urticaria (generalized ‘hives’), xerosis (dry skin, especially in the elderly).

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