Andrews’ Diseases of the Skin: Clinical Dermatology 20th Edition – Andrews’ remains as it was from the beginning: an authored text whose one volume is filled with clinical signs, symptoms, diagnostic tests, and therapeutic pearls. The authors have remained general clinical dermatologists in an era of subspecialists in academia. They are committed to keeping Andrews’ as an excellent tool for anyone who needs help in diagnosing a patient with a clinical conundrum or treating a patient with a therapeutically challenging disease
Andrews’ is primarily intended for the practicing dermatologist. It is meant to be used on the desktop at his or her clinic, giving consistent, concise advice on the whole spectrum of clinical situations faced in the course of a busy workday. While we have been true to our commitment to a single-volume work, we provide our text in a convenient online format as well. Because of its relative brevity but complete coverage of our field, many find the text ideal for learning dermatology for the first time. It has been a mainstay of the resident yearly curriculum for many programs. We are hopeful that trainees will learn clinical dermatology by studying the clinical descriptions, disease classifications, and treatment insights that define Andrews’. We believe that students, interns, internists or other medical specialists, family practitioners, and other health professionals who desire a comprehensive dermatology textbook will find that ours meets their needs. Long-time dermatologists will hopefully discover Andrews’ to be the needed update that satisfies their lifelong learning desires. On our collective trips around the world, we have been gratified to see our international colleagues studying Andrews’. Thousands of books have been purchased by Chinese and Brazilian dermatologists alone.
Many major changes have been made to this edition. Bill James, Tim Berger, and Dirk Elston, three great friends of over three decades, have worked closely to continue to improve the quality of our text. The surgical chapters have been updated and expanded by Isaac Neuhaus. He has added videos of some of the most common procedures, which are available online. We thank him for his continued work to improve this portion of our textbook. Robert Micheletti expertly updated Chapters 29 and 35. He is an internist/dermatologist with superior writing skills whose contributions are most appreciated. We have tried to ensure that each entity is discussed only once, in a complete yet concise manner. In order to do this we have had to make decisions regarding the placement of disease processes in only one site. Clearly, neutrophilic eccrine hidradenitis, for example, could be presented under drug eruptions, neutrophilic reactive conditions, infection or cancer-associated disease, or with eccrine disorders. The final decisions are a team effort and made in the interest of eliminating redundancy. This allows us to present our unified philosophy in treating patients in one dense volume. Andrews’ Diseases of the Skin: Clinical Dermatology 20th Edition
Medical science continues to progress at breakneck speed. Our understanding of the etiology of certain conditions has now led us to recategorize well-recognized disease states and dictated the addition of many newly described entities. Molecular investigative techniques, technologic breakthroughs, and designer therapeutics lead the way in providing advances in our specialty. We cover the new understanding following from such innovations by discussing the mechanisms at work in genetic diseases, covering the latest in dermatopathologic staining and analysis, and enlarging the therapeutic recommendations to include our expanded therapeutic options, such as biologic response modifiers and biologically engineered targeted medications. We have attempted to define therapeutics in a fashion that emphasizes those interventions with the highest level of evidence, but also present less critically investigated therapeutic options. To care for our patients we need a large array of options. Not all are fully supported by formal evidence, yet are helpful to individual patients Andrews’ Diseases of the Skin: Clinical Dermatology 20th Edition
Extensive revisions were necessary to add this wealth of new information. We selectively discarded older concepts. By eliminating older, not currently useful information we maintain the brief but complete one-volume presentation that we and all previous authors have emphasized. Additionally, older references have been updated. The classic early works are not cited; instead we have chosen to include only new citations and let the bibliographies of the current work provide the older references as you need them. A major effort in this edition was to reillustrate the text with hundreds of new color images. Many have been added to the printed text; you will also find a number only in the online version. Enjoy! We have looked to our own collections to accomplish this. These are the result of many hours of personal effort, the generosity of our patients, and a large number of residents and faculty of the programs in which we currently work or have worked in the past. Additionally, friends and colleagues from all parts of the globe have allowed us to use their photographs. They have given their permission for use of these wonderful educational photos to enhance your understanding of dermatology and how skin diseases affect our patients. We cannot thank them enough. Andrews’ Diseases of the Skin: Clinical Dermatology 20th Edition
All of the authors recognize the importance of our mentors, teachers, colleagues, residents, and patients in forming our collective expertise in dermatology. Dirk, Tim, and Bill were all trained in military programs, and our indebtedness to this fellowship of clinicians is unbounded. The many institutions we have called home, from the East Coast of Walter Reed, the University of Pennsylvania, and Geisinger Medical Center, to the West Coast of the University of California at San Francisco, and many in between, such as Brooke in San Antonio and the Cleveland Clinic, nurtured us and expanded our horizons. Our friendship goes well beyond the limits of our profession; it is wonderful to work with people you not only respect as colleagues, but also enjoy as closely as family. Barbara Lang and Laura Beckerman provided expert assistance throughout the revision process to Bill and Tim, respectively. We are indebted to their hard work. Finally we are proud to be a part of the Elsevier team and have such professionals as Ailsa Laing, John Casey, and Russell Gabbedy supporting us every step of the way
Medica Skin Clinic: Andrews’ Diseases of the Skin: Clinical Dermatology 20th Edition