Medica Skin Clinic: Clinical Dermatology 3rd Edition – Five years is a long time in modern medicine, and we feel that the moment has come for Clinical Dermatology to move into its third edition. As before, every chapter has been updated extensively, but our aim is still the sameato create an easily read text that will help family doctors to get to grips with a subject many still find confusing, despite the increasingly stodgy sets of guidelines that now land regularly on their desks.
We have selected the best elements of these guidelines for our new sections on treatment, which are therefore much more ‘evidence based’. However, if we had to include only treatments based on flawless evidence, we would have to leave out too many old favourites that have stood the test of time, but have still not been evaluated properly. Next time perhaps.
We have also reacted to a survey of our readers, which showed that most of them spend little time on the chapters devoted only to the structure, function and immunology of the skin. We have pruned these back, but have put more physiology and pathology into the relevant clinical chapters where it should be of more use to a doctor struggling through a busy surgery
Other changes too have been prompted by the helpful comments of our readers. They include a new chapter on regional dermatology, dealing with the special problems of areas such as the mouth and the genitalia; the replacement of several unloved clinical photographs; the insertion of a list of suggestions for further reading at the end of each chapter; more discussion of the ageing skin and of quality of life issues; and more emphasis on the types of surgery that can easily be undertaken by family doctors. More power to their elbows.
Finally, many important recent advances have entered every chapter on their own merits. Dermatoscopy, the expanding role of lasers, ‘sun sense’, and the drug treatment of AIDS are good examples of these. In addition, some new subjects, such as cutaneous anthrax, have been forced into the new edition by outside events. We welcome you to our third edition.
Medica Skin Clinic: Clinical Dermatology 3rd Edition