Hospital-Based Dermatopathology An Illustrated Diagnostic Guide

This book provides a concise reference of the histologic and clinical findings of dermatologic conditions encountered in the inpatient setting. The text is divided into twenty chapters. Histopathologic images and corresponding clinical photographs facilit

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Hospital-Based Dermatopathology

Mai P. Hoang  •  Maria Angelica Selim Editors

Hospital-Based Dermatopathology An Illustrated Diagnostic Guide

Editors Mai P. Hoang Professor of Pathology Harvard Medical School Director of Dermatopathology Massachusetts General Hospital Boston, MA USA

Maria Angelica Selim Professor of Pathology and Dermatology Director, Dermatopathology Unit Duke University Medical Center Durham, NC USA

ISBN 978-3-030-35819-8    ISBN 978-3-030-35820-4 (eBook) https://doi.org/10.1007/978-3-030-35820-4 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

To Hòa and Talya (MPH) To my family for always being there with unending support and wisdom and to my mentors and colleagues who are a source of encouragement and inspiration. I would also like to dedicate this book to you, the reader, committed to the care of patients. (MAS)

Introduction and Acknowledgments

The recent Burden of Skin Diseases Report has cited that common skin diseases represented a healthcare cost in the United States of approximately 46 billion dollars in 2013 [1], being the majority managed by non-­dermatologists. Therefore, it is not surprising that hospitalized patients with skin problems on non-dermatology inpatient services are a source of confusion for their hospitalists. Dermatologic consultations have a very large impact on the care of the hospitalized patients. In a 13-month retrospective chart review of 243 consecutive dermatology consultations by Connolly et al. [2], 77% were from the internal medicine, intensive care units, and hematology/oncology services. The common cutaneous conditions include infections (24%), drug eruption (22%), and inflammatory