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Examination of the skin 

Examination of the skin
Examination of the skin

Susan Burge

, Rubeta Matin

, and Dinny Wallis

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date: 21 October 2020

The chapter describes how to examine the skin and make sense of your findings. Topics include magnification, and recording and interpreting the signs. Skin tumours are common, particularly in the elderly, and skin cancer is the commonest of all malignancies. The chapter explains what to look for when examining the scalp, nails, and mucosal surfaces. Topics include hair pull, hair pluck (trichogram), and signs in scarring alopecia. Tools to assess and monitor the extent and severity of skin involvement in inflammatory dermatoses are introduced, e.g. Psoriasis Area and Severity Index (PASI), Eczema Area and Severity Index (EASI), Cutaneous Lupus Disease Activity and Severity Index (CLASI), and SCORe of Toxic Epidermal Necrosis (SCORTEN). The approach to examination of patients with skin tumours is discussed in some detail, including the signs of chronic sun damage.

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