Athlete's foot physical examination: Difference between revisions
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{{Athlete's foot}} | {{Athlete's foot}} | ||
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== | ====Interdigital tinea pedis==== | ||
*Most common type of athlete's foot is interdigital tinea pedis infection. | |||
*It is characterised by [[maceration]], [[Scaling skin|scaling]], peeling of skin.<ref name="pmid26461834">{{cite journal| author=Canavan TN, Elewski BE| title=Identifying Signs of Tinea Pedis: A Key to Understanding Clinical Variables. | journal=J Drugs Dermatol | year= 2015 | volume= 14 | issue= 10 Suppl | pages= s42-7 | pmid=26461834 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26461834 }} </ref> | |||
*Secondary [[bacterial infections]] are common. | |||
====Vesicolobullous tinea pedis==== | |||
*Bullae or tense [[Vesicle|vesicles]] are seen over the anterior [[plantar]] surface. | |||
*[[Pain]] is often an accompanying symptom. | |||
*Vesicles appear in a symmetric fashion and may mimic [[Dyshidrosis|pompholyx]] ([[dyshidrosis]]). | |||
*Dermatophytid reactions or identity reactions are most commonly seen in this type. | |||
*Secondary bacterial infections of ruptured bullae/vesicles may lead to ulcerative tinea pedis. | |||
====Chronic hyperkeratotic tinea pedis==== | |||
*Diffuse [[hyperkeratosis]] is the defining feature of chronic infection.<ref name="pmid2953766">{{cite journal| author=Greer DL, Gutierrez MM| title=Tinea pedis caused by Hendersonula toruloidea. A new problem in dermatology. | journal=J Am Acad Dermatol | year= 1987 | volume= 16 | issue= 5 Pt 2 | pages= 1111-5 | pmid=2953766 | doi=10.1016/s0190-9622(87)70144-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2953766 }} </ref> | |||
*Skin is [[Erythema|erythematous]] and has silvery scales. | |||
*Moccasin like distribution over the feet is seen, thus chronic intertriginous tinea is also called "moccasin" tinea pedis. | |||
====Ulcerative tinea pedis==== | |||
*This type is usually seen in [[diabetic]] patients. | |||
*It is characterised by [[ulcer]]s, vesicles, [[pustule]]s which begin in the interdigital web spaces which spread rapidly and may lead to a secondary bacterial infection. | |||
*[[Cellulitis]], [[lymphangitis]], [[edema]] are commonly seen with this type. | |||
<gallery> | |||
Image:Tinea pedis01.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis02.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis03.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis04.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis05.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis06.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis07.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis08.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis09.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis10.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis11.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis12.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis13.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis14.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis15.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis16.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis17.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis18.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis19.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis20.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis21.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis22.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis23.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis24.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis25.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis26.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis27.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis28.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis29.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis30.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis31.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis32.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis33.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis34.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis35.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis36.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis37.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis38.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Tinea pedis39.jpg|Tinea pedis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
==References== | |||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs content]] | |||
[[Category:Disease]] | |||
[[Category:Dermatology]] | |||
[[Category:Infectious skin diseases]] | |||
[[Category:Fungal diseases]] | [[Category:Fungal diseases]] | ||
[[Category:Foot diseases]] | [[Category:Foot diseases]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Latest revision as of 18:35, 27 July 2020
Athlete's foot Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Sanjana Nethagani, M.B.B.S.[3]
Interdigital tinea pedis
- Most common type of athlete's foot is interdigital tinea pedis infection.
- It is characterised by maceration, scaling, peeling of skin.[1]
- Secondary bacterial infections are common.
Vesicolobullous tinea pedis
- Bullae or tense vesicles are seen over the anterior plantar surface.
- Pain is often an accompanying symptom.
- Vesicles appear in a symmetric fashion and may mimic pompholyx (dyshidrosis).
- Dermatophytid reactions or identity reactions are most commonly seen in this type.
- Secondary bacterial infections of ruptured bullae/vesicles may lead to ulcerative tinea pedis.
Chronic hyperkeratotic tinea pedis
- Diffuse hyperkeratosis is the defining feature of chronic infection.[2]
- Skin is erythematous and has silvery scales.
- Moccasin like distribution over the feet is seen, thus chronic intertriginous tinea is also called "moccasin" tinea pedis.
Ulcerative tinea pedis
- This type is usually seen in diabetic patients.
- It is characterised by ulcers, vesicles, pustules which begin in the interdigital web spaces which spread rapidly and may lead to a secondary bacterial infection.
- Cellulitis, lymphangitis, edema are commonly seen with this type.
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
-
Tinea pedis. Adapted from Dermatology Atlas.[3]
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Tinea pedis. Adapted from Dermatology Atlas.[3]
References
- ↑ Canavan TN, Elewski BE (2015). "Identifying Signs of Tinea Pedis: A Key to Understanding Clinical Variables". J Drugs Dermatol. 14 (10 Suppl): s42–7. PMID 26461834.
- ↑ Greer DL, Gutierrez MM (1987). "Tinea pedis caused by Hendersonula toruloidea. A new problem in dermatology". J Am Acad Dermatol. 16 (5 Pt 2): 1111–5. doi:10.1016/s0190-9622(87)70144-3. PMID 2953766.
- ↑ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35 3.36 3.37 3.38 "Dermatology Atlas".