Practical Skin Pathology

This engaging new text teaches students, residents, and practitioners of all ages how to use insights from both pathologists and dermatologists to improve their comprehension of skin disorders. It is meant to bridge the gap between dermatology and dermapa

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Diya F. Mutasim

Practical Skin Pathology

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Diya F. Mutasim Dept. of Dermatology and Dermatopathology University of Cincinnati College of Medicine Cincinnati Ohio USA

ISBN 978-3-319-14728-4    ISBN 978-3-319-14729-1 (eBook) DOI 10.1007/978-3-319-14729-1 Library of Congress Control Number: 2015930839 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 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, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

To my sons Danny and Adam

Preface

Why This Book? “As is your pathology, so is your medicine,” William Osler

The father of modern American medicine acknowledged that a practitioner’s medical practice is as good as their knowledge of pathology. It is with his spirit that this book was conceived and with his wisdom that its goals were identified. As a dermatologist, a dermatopathologist, and a teacher of both disciplines, I have faced questions from residents and practitioners that have no straightforward answers in published textbooks of clinical dermatology and dermatopathology. This book was written to answer these questions and as a supplement to major textbooks on clinical and histological diagnosis of skin disorders. The goal of this book is to help students of dermatology and practitioners cross the space between clinical dermatology and dermatopathology in order to improve their comprehension of skin disorders and further help manage their patients. The book is divided into two parts. The first part addresses histological diagnoses that do not have single and specific clinical counterparts, for example, psoriasiform dermatitis, lichenoid dermatitis, atypical melanocytic hyperplasia, pseudolymphoma, etc. The second part addresses ways to use the clinical and histological findings to arrive at the best diagnosis in a patient presenting with: • A certain lesion morphology, for example, eczematous, papulo-squamous, nodu