Dr Richard Carr

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General (Algorithmic) Approach <strong>Dr</strong> A. Bernard Akerman c/o <strong>Richard</strong> Perry/The New York Times 6
Akerman: Algorithmic Approach • Identify one of the (nine) patterns • Refer to the algorithm for that pattern • Follow the branches of the algorithm to a specific diagnosis • Read up the features of the diagnosis and correlate with clinical and histological details of the case. • If the diagnostic criteria are not fulfilled go back to the algorithm and start again
Page 1 and 2: Histological Approach to the Diagno
Page 3 and 4: •Definitions •General Approach
Page 5: Definititions: Psoriasiform Epiderm
Page 9 and 10: Diagnostic Approach to Inflammatory
Page 11 and 12: Diagnostic Approach to Inflammatory
Page 13 and 14: LEARNING POINTS Dermatologists rare
Page 21 and 22: Lever • Mutli-author has it’s d
Page 23 and 24: Mckee & Calonje 4 th 2012 • Clini
Page 27 and 28: Excoriation only...
Page 29 and 30: Lichenification (Lichen Simplex Chr
Page 31 and 32: Lichen Simplex Chronicus • Locali
Page 33 and 34: Nodular Prurigo / Pseudoepithelioma
Page 35: F86 Left ankle lesion. Biopsy prove
Page 40 and 41: Diagnosis Polypoid eccrine poroma w
Page 42 and 43: Spongiotic Dermatoses 42
Page 44 and 45: Eczematous (Spongiotic) Dermatitis
Page 46 and 47: Eczematous (Spongiotic) Dermatitis:
Page 48 and 49: Subacute/Chronic Spongiotic Psorias
Page 50 and 51: M85. Raised annular patch with cent
Page 52 and 53: Discoid (Nummular) Dermatitis • S
Page 54 and 55: Acute spongiotic vesicular dermatos
Page 56 and 57:
Autosensitization (Id) Reaction •
Page 58 and 59:
Learning Points • Dermatologist u
Page 60 and 61:
Mounds of parakeratosis (with neutr
Page 62 and 63:
Seborrhoeic Dermatitis 2 • Sharpl
Page 64 and 65:
M63. Two year hx itchy rash. Improv
Page 66 and 67:
RAC3257
Page 68 and 69:
Multiple levels examined Serum extr
Page 70 and 71:
Contact Dermatitis Suggested by his
Page 72 and 73:
Other Conditions with • Pityriasi
Page 74 and 75:
Layered parakeratosis with neutroph
Page 76 and 77:
Diagnosis Dermatophytosis PAS
Page 78 and 79:
Spongiotic: Variants 1. Eosinophili
Page 80 and 81:
F80. Urticated blistering eruption,
Page 82 and 83:
Neutrophilic Spongiosis • Irritan
Page 84 and 85:
• PROBLEM • Psoriasis (Reiter
Page 86 and 87:
Layered parakeratosis Increased & m
Page 88 and 89:
F57. Trunk. Generalised pustular ra
Page 90 and 91:
Generalised (eruptive / pustular)
Page 92 and 93:
F61. Hip. Small areas of itchy red
Page 94 and 95:
Not suggestive or eczematous or DH
Page 96 and 97:
Psoriasis Early • Parakeratotic m
Page 98 and 99:
Layered parakeratosis Absent granul
Page 100 and 101:
Psoriasis v’s Eczematous Acral /
Page 102 and 103:
RAC2963
Page 104 and 105:
Diagnosis Chronic hyperplastic muco
Page 106 and 107:
Psoriasis: Differential Diagnosis
Page 108 and 109:
Focal parakeratosis Intact granular
Page 110 and 111:
Pityriasis Rubra Pilaris • Burnin
Page 112 and 113:
PRP: Follicular Papules • Conical
Page 114 and 115:
M65. Ankle. Chronic liver disease.
Page 116 and 117:
“Marked hyper- and parakeratosis
Page 118 and 119:
Acrodermatitis Enteropathica (Zinc
Page 120 and 121:
Necrolytic Migratory Erythema Rev.
Page 122 and 123:
Thank-You • Dr Phillip Mckee •
Page 124 and 125:
• PAS for fungi Special Stains
Page 126 and 127:
Immunos • Pan-keratin for macular
Page 128:
Tips • Artefacts may dominate app
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Dr Richard Carr

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