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Dermatological
Differential Diagnosis and Pearls
By H. Eliot Y. Ghatan, 320 pp, with illus, $29.95, Pearl River,
NY, Parthenon Publishing, 1994.
As an encyclopedia
manual of differential diagnosis of skin lesions, Ghatan's Dermatological
Differential Diagnosis and Pearls is an extremely useful softcover
reference for both practicing dermatologists and dermatology residents
faced with the arduous task of classifying cutaneous diseases into
clinical groups. Practitioners can use this book for expanding any
differential diagnosis, especially in difficult cases where initial
management is unsuccessful. Residents will also find this book beneficial
as part of an organized study plan and in the preparation of differential
diagnoses for those classic patient conferences.
To facilitate
ease of use as a reference, the author maintains alphabetical order
throughout. Part one devotes itself to the art of differential diagnoses
and is subdivided into five sections according to the following
scheme: primary lesion, secondary features, morphological eruptions,
regional eruptions, and pediatric differential diagnosis. Subclassifications
are presented according to the mnemonic. "Vitamin HC"
(vascular, infectious, traumatic, allergic, medications/metabolic,
idiopathic, hematologic, congential), making memorization even easier.
Part two contains
a listing of important facts presented in eight exhaustive and innovatively
organized sections. Among the listings are drug eruptions by morphology
and cause, cutaneous signs of internal disease, dermatopathologic
pearls, nutritional disorders, dermatoses of pregnancy, "old
age and the skin," as well as "body systems and skin disorders,"
to name a few. An abundance of important clinical information is
succinctly and logically summarized in this user-friendly book.
Compared with
other compendia of its sort, I have found this source to be complete,
very well-organized, and extremely versatile. As a "book of
lists," one would not be inclined to read this manual from
cover to cover. Its utility as a reference source rapidly becomes
clear to the user who will want to consult it regularly for patient
care, especially in a tertiary care setting; however, its greatest
value is as an aid for resident teaching and dermatology board review.
Charles R.
Taylor, MD
Boston, Mass
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