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January 11, 1980

Dermatology in Internal Medicine

Author Affiliations

University of Illinois Medical Center Chicago

JAMA. 1980;243(2):169. doi:10.1001/jama.1980.03300280059035

In this text Dr Shuster chose sparingly from a plethora of material, that which was of interest to him. The result is a book modest only in size and price. Those who have heard Dr Shuster or have read his interesting articles should enjoy this text as much as I did. His dynamism, unabashed enthusiasm, and fearless speculation bring alive the essence of pathogenetic mechanisms of certain diseases of the skin.

The first chapter consists of an introduction to cutaneous anatomy, relating structure to function. In the second chapter, diseased skin is discussed in a general way, making some strong points against the notion that most cutaneous disorders are psychogenic. Shuster also believes many skin diseases have no systemic cause. I am not as certain as he appears to be about the independence of the skin from other organs. Evidence has begun to incriminate inadequate cellular immunity in even such