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Presume not that I am the thing I was.
Shakespeare, Henry IV
Skin lesions, like people, change with time. A biopsy of a particular lesion captures only "point-in-time" histology. Too often we are taught characteristic histologic features of mature or well-established clinical lesions. Evolving or regressing lesions may show considerable histologic variance from that which is generally deemed "classic." This concept is now new, but, according to the authors, it is inadequately dealt with in most textbooks of dermatopathology. The Lives of Lesions is an attempt to correct that deficiency. In this book, more appropriately designated an atlas than as textbook, Drs Ackerman and Ragaz examine the clinical and histologic evolution of 25 cutaneous entities—14 inflammatory diseases and 11 tumors. Each section begins with three beautiful color photographs depicting early, mature, and late clinical lesions. The illustrations are accompanied by a single page of text describing the evolutionary stages of
Hood AF. The Lives of Lesions: Chronology in Dermatopathology. Arch Dermatol. 1985;121(6):809. doi:10.1001/archderm.1985.01660060123040