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Activate your access atexpertconsult.com1 REGISTER Visit expertconsult.com. Click “Register Now”. Fill in your user information. Click “Create Account”.2 ACTIVATE YOUR BOOK Scratch off your Activation Code below and enter it intothe “Add a title” box. You’re done! Click on the book’s title under “My Titles”.For technical assistance, email online.help@elsevier.com or call800-401-9962 (inside the US) or 1-314-995-3200 (outside the sbn 9780723435419&elsca1 doodys&elsca2 PDF&elsca3 Habif9780723435419&elsca4 frontmatter

QUICK REFERENCE FORMULARY(Topical corticosteroids are listed on the inside back cover)ACNE MEDICATIONS: RetinoidsProductBaseConcentrationPackagingRetin-A (Tretinoin)CreamGel0.025%, 0.05%, 0.1%0.01%, 0.025%20, 45 gm15, 45 gmRetin-A Micro (Tretinoin)Gel0.1%, 0.04%20, 45, 50 gm pumpTazorac (Tazarotene)GelCream0.1%, 0.05%0.1%, 0.5%30, 100 gm30, 60 gmDifferin (Adapalene)GelCream0.1%, 0.3%0.1%45 gm45 gmEpiduoGel0.1% adapalene 2.5% benzoyl peroxide45 gmACNE MEDICATIONS: Topical AntibioticsProductAntibioticsPackagingAczone5% dapsone30, 60 gm gelBenzaclin1% clindamycin 5% benzoyl peroxide25 gm, 50 gm gel, pumpBenzamycin3% erythromycin 5% benzoyl peroxide23.3, 46.6 gm gelCleocin T1% clindamycin30, 60 ml liquid, 30, 60 gm gel, 60 ml lotionDuac gel1% clindamycin 5% benzoyl peroxide45 gm gelKlaron 10%10% sodium sulfacetamide4 oz bottleClenia5% sulfur, 10% sodium sulfacetamide1 oz emollient creamSulfacet-R lotion5% sulfur, 10% sodium sulfacetamide25 ml, larger in genericAVAR cleanser5% sulfur, 10% sodium sulfacetamide8 oz pumpACNE MEDICATIONS: Oral AntibioticsGenericPreparationAdult dosage (mg unless noted)Doxycycline50, 75, 100, 150 mgEvery day, twice/dayMinocycline50, 75, 100 mgEvery day, twice/dayMinocycline extended release tablets(Solodyn)45 mg (90-131 lb), 90 mg (132-199 lb), 135 mg(200-300 lb)1 tablet every day (1 mg/kg/day)ANTINEOPLASTIC AGENTS: TopicalProductPackagingAldara5% imiquimodBox of 12 or 24 packetsCarac0.5% fluorouracil30 gm tubeFluoroplex1% fluorouracil30 ml solution, 30 gm creamEfudex2% or 5% fluorouracil5% fluorouracil10 ml liquid25 gm isbn 9780723435419&elsca1 doodys&elsca2 PDF&elsca3 Habif9780723435419&elsca4 frontmatterii

ANTIPRURITIC CREAMS AND LOTIONSProductActive ingredientPackagingEucerin itch reliefMenthol 0.15%6.8 oz sprayNeutrogena anti-itch moisturizerCamphor 0.1%, dimethicone 0.1%10.1 ozPrameGel1% pramoxine, 0.5% mentholSarna original0.5% each of camphor, menthol7.5 oz bottleSarna sensitive anti-itch lotionPramoxine HCL7.5 ozSarna Ultra anti-itch creamMenthol 0.5% and pramoxine2 ozZonalon5% doxepin45 gmATOPIC DERMATITIS: Nonsteroidal Barrier CreamsAtopiclair100 gmEletone100 gmEpiceram90 gmMimyx140 gmPSORIASIS: Topical Vitamin D3 AnalogsBrand nameActive ingredientPackagingDovonex creamCalcipotriene30, 60, 100 gm tubesVectical ointmentCalcitriol100 gm tubeTaclonex ointment, scalpCalcipotriene betamethasone60 gm, 60 mlROSACEA: Topical MedicationsBrand nameGeneric namePackagingAvar5% Sulfur, 10% sodium sulfacetamide45 gm aqueous gelAvar Green5% Sulfur, 10% sodium sulfacetamide45 gm aqueous gel with green color masks rednessClenia5% Sulfur, 10% sodium sulfacetamide1 oz cream, 6 oz, 12 oz foaming washFinacea 15%Azelaic acid30 gm gelKlaron 10%10% sodium sulfacetamide4 ozGeneric gel, cream, lotion 0.75%Metronidazole45 gm, 45 gm, 120 mlMetrogel 1%Metronidazole45 gmNoritate cream 1%Metronidazole30 gm tubeSulfacet-R lotion5% Sulfur, 10% sodium sulfacetamide25 gm bottleSKIN BLEACHES AND DEPIGMENTING AGENTSBrand nameActive ingredientPackagingGeneric4% Hydroquinone1 oz, 2 oz jarTriLuma4% Hydroquinone, 0.01% fluocinolone acetonide, 0.05% tretinoin30 n 9780723435419&elsca1 doodys&elsca2 PDF&elsca3 Habif9780723435419&elsca4 frontmatteriii

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CLINICALDERMATOLOGYFIFTH EDITIONA COLOR GUIDE TO DIAGNOSIS AND THERAPYThomas P. Habif, MDAdjunct Professor of Medicine (Dermatology)Dartmouth Medical SchoolHanover, NH, USAAcquisitions Editor: Claire BonnettDevelopment Editors: Sven Pinczewski and Louise CookEditorial Assistant: Kirsten LowsonProject Manager and Layout Design: Jeanne GenzCover and Page Designer: Charles GrayCompositors: Graphic World, Inc.Gary Clark, CSR; Lyn Watts, Michele Margenau, Victoria BrownImage Processing: Graphic World, Inc.Mark Lane, Tom LaneIllustrators: Graphic World, Inc.Gwen Gilbert, Trese Gloriod, Patty BassmanProject Organization: Laura A. McCannCopyeditor: Beth WelchProofreader: Denise L. DavisProduction Assistant: Natalie JacksonIndexer: Razorsharp CommunicationsPrinter: C&C Offset Printing Company, Ltd.Medical Photography: Alan N. Binnick, MD;Thomas P. Habif, MD; Lawrence B. Meyerson, MDMoral Support: Dorothy, David, and TommyActivate your access to additional online content at com/product.jsp?isbn 9780723435419&elsca1 doodys&elsca2 PDF&elsca3 Habif9780723435419&elsca4 frontmatter

MOSBY is an affiliate of Elsevier Inc 2010, Elsevier Inc. All rights reserved.First published 2010First edition published 1984Second edition published 1990Third edition published 1996Fourth edition published 2004No part of this publication may be reproduced or transmitted in any form or by any means,electronic or mechanical, including photocopying, recording, or any information storage andretrieval system, without permission in writing from the publisher. Permissions may be soughtdirectly from Elsevier’s Rights Department: phone: ( 1) 215 239 3804 (US) or ( 44) 1865 843830(UK); fax: ( 44) 1865 853333; e-mail: healthpermissions@elsevier.com. You may also completeyour request on-line via the Elsevier website at http://www.elsevier.com/permissions.ISBN: 978-0-7234-3541-9British Library Cataloguing in Publication DataHabif, Thomas P.Clinical dermatology. - 5th ed.1. Dermatology - Atlases 2. Skin - Diseases - Diagnosis Atlases 3. Skin - Diseases - Treatment - AtlasesI. Title616.5NoticeMedical knowledge is constantly changing. Standard safety precautions must be followed, but asnew research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current productinformation provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on experience and knowledge of the patient, to determine dosagesand the best treatment for each individual patient. Neither the Publisher nor the author assumesany liability for any injury and/or damage to persons or property arising from this publication.Printed in ChinaLast digit is the print number: 9 8 7 6 5 4 3 2 1http://www.us.elsevierhealth.com/product.jsp?isbn 9780723435419&elsca1 doodys&elsca2 PDF&elsca3 Habif9780723435419&elsca4 frontmatter

PrefaceClinical Dermatology is intended to be a practical resourcefor the clinician. Over 1500 illustrations are combinedwith disease descriptions and current and comprehensivetherapeutic information. Bold headings are used to facilitate rapid access to information.RAPID ACCESS TO THE TEXT1. Disorders Index: A list of diseases with page referencesis located inside the front cover. This is the best placeto start if you know the diagnosis.2. Chapter 1—Regional Differential Diagnosis Atlas: New tothe fifth edition, this very large section with page references will help you to narrow the differential diagnosis.3. A list of topical corticosteroids can be found on the inside back cover.4. The complete Dermatologic Formulary, previously inthe book, can now be found online (using your logindetails), and we are able to offer updates. However, aQuick Reference Formulary to the most commonly useddrugs is on pp. ii-iii.PMID numbers (PubMed identificationnumbers)References are no longer placed at the end of the chapter.They have been replaced by PMID numbers (blue lettersand numbers) and are embedded in the text. Go toPubMed’s home page. Be sure the search box is empty.There should be no limits set on the left-hand limits tab.Type in just the number in the search line and click on Go.You will be taken to the paper and abstract. Classic references and PMID numbers are found in tables and boxes.Web-based textThe book with extra images and a mannequin-based aid todiagnosis are provided.Web-based formularyNew therapeutic agents often become available. Therefore,the Dermatologic Formulary has been moved online. Theformulary may be printed and kept as a separate document. The formulary will be updated regularly.Text organization and contentThe classic method of organizing skin diseases is used.Common diseases are covered in depth. Illustrations ofclassic examples of these disorders and photographs ofvariations seen at different stages are included. Theoreticalinformation, disease mechanisms, and rare diseases arefound in comprehensive textbooks.HOW TO USE THIS BOOKStudents in the classroomStudents should learn the primary and secondary lesionsand look at every page in the Regional Differential DiagnosisAtlas at the end of Chapter 1. Select a few familiar diseasesfrom each list and read about them. Obtain an overview ofthe text. Turn the pages, look at the pictures, and read thecaptions.Students in the clinicYou see skin abnormalities every day in the clinic. Try toidentify these diseases, or ask for assistance. Study all diseases, especially tumors, with a magnifying glass or anocular lens. Read about what you see and you will rapidlygain a broad fund of knowledge.Study Chapters 20 (Benign Skin Tumors), 21 (Premalignant and Malignant Nonmelanoma Skin Tumors), and22 (Nevi and Malignant Melanoma). Skin growths arecommon, and it is important to recognize their features.House officers are responsible for patient management.Read Chapter 2 carefully, and study all aspects of the use oftopical steroids. These agents are used to treat a variety ofskin conditions. It is tempting to use these agents as a therapeutic trial and ask for a consultation only if therapy fails.Topical steroids mask some diseases, make some diseasesworse, and create other diseases. Do not develop bad habits;if you do not know what a disease is, do not treat it.The diagnosis of skin disease is deceptively easy. Do notmake hasty diagnoses. Take a history, study primary p?isbn 9780723435419&elsca1 doodys&elsca2 PDF&elsca3 Habif9780723435419&elsca4 frontmattervii