Download e-book for iPad: Diagnostic Atlas of Common Eyelid Diseases by Jonathan J. Dutton

By Jonathan J. Dutton

In contrast to the other resource at the topic, this broad-ranging advisor discusses the pathology, prognosis, and remedy of a hundred and twenty eyelid issues together with benign lesions, malignant tumors, and purchased and congenital malpositions and ailments. Written by means of major researchers practiced within the research and administration of those stipulations, this resource is a must have reference for all ophthalmologists, optometrists, dermatologists, otolaryngologists, and basic plastic and reconstructive surgeons taking care of sufferers with eyelid and ocular adnexal disorder.

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It is a histological feature prominent in lupus erythematosus, erythema multiforme, graft-versus-host disease, as well as other dermatological diseases not common to the eyelids. Hyperkeratosis Hyperkeratosis is increased thickness of the stratum corneum (horny layer) of the epidermis. Hyperkeratosis may result from orthokeratosis, parakeratosis, or a combination of these two. Refer to Orthokeratosis and Parakeratosis (below). Keratohyalin Keratohyalin is seen as darkly basophilic granules found in keratinocytes of the granular layer (stratum granulosum) of the epidermis.

EXAMINATION Examination of the eyelid includes examination of the skin, conjunctiva, eyelid margin, and eyelashes. Lesions localized to any one or several of these structures may offer appreciable diagnostic information. The distribution of lesions on the skin itself is equally important. One should first determine whether the distribution is random or whether certain areas are preferentially involved. Finally, certain distributions that suggest participation of underlying nerves or vessels (dermatomal and segmental distributions) point to specific diagnoses such as Herpes infection or oculodermal melanocytosis.

Psoriasiform Dermatitis Psoriasiform dermatitis, also known as superficial dermatitis with psoriasiform proliferation, refers to a form of epidermal thickening with uniform elongation of rete ridges that extend downward into the dermis. Parakeratosis is common. The nature of the inflammatory cells in the dermis, the presence and degree of spongiosis, and the presence of exocytosis are features that aid in rendering a more specific diagnosis. Shadow Cell Shadow cells, also known as ghost cells, are characteristic of pilomatrixomas.

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