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Article
June 1963

Dermatologic Differential Diagnosis

Arch Dermatol. 1963;87(6):789-790. doi:10.1001/archderm.1963.01590180117027

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Abstract

"Gross morphology remains the hard core of dermatologic diagnosis" say Fitzpatrick and Walker in their preface to this unique new book. The book itself is an impressive accumulation of solid morphologic data designed to aid in the difficult dermatologic diagnosis. Most of the work is in tabular or outline form, with lists of diseases responsible for various lesions. Lesions are classified by regional distribution, pattern of configuration, and precise morphology.

For instance, one can look up the discussion of "EARS" and find the following: (commonest diseases indicated by boldface type)

"MACULES: Seborrheic dermatitis, scaling Lupus erythematosus Ochronosis (blue or slate color, in cartilage)

PLACQUES: Lupus erythematosus Psoriasis Polymorphous light eruption (males) Sarcoid (bluish red, ``apple-jelly'' nodules) Lupus erythematosus (bluish red)

NODULES OR TUMORS: Carcinoma Melanocytic nevi Keloids Gout (tophus) Lupus vulgaris Leprosy (especially localized in the lobes) Chondrodermatitis nodularis chronica helicis

SCALES: Subacute eczematous dermatitis Seborrheic dermatitis"

and so on

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