Color Atlas and Synopsis of PEDIATRIC DERMATOLOGY
Color Atlas and Synopsis of PEDIATRIC DERMATOLOGY
Fourth Edition
Sandipan Dhar MBBS MD DNB FRCP (Edin)
Professor and Head Department of Pediatric Dermatology Institute of Child Health (ICH)
Kolkata, West Bengal, India
Sahana M Srinivas MBBS DNB DVD FRGUHS (Pediatric Dermatology)
Consultant Pediatric Dermatologist and Head Department of Pediatric Dermatology Indira Gandhi Institute of Child Health (IGICH)
Bengaluru, Karnataka, India
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Color Atlas and Synopsis of Pediatric Dermatology
First Edition: 2003
Second Edition: 2008
Third Edition: 2015
Fourth Edition: 2021
9788194709060
Printed at:
All those innocent children who bear
the stigma of untouchability of skin diseases,
silently tolerating the humiliation and
ostracism of the civilized society…in whom
the blemish disappears with time
but the scar lingers on the mind…
Sandipan Dhar
Sahana M Srinivas
The entire world has been going through a very trying period of COVID-19 pandemic. We have been contemplating to start working on the fourth edition of the book for quite some time. The locked down period brought our extremely busy and dynamic life to a complete standstill. We envisaged this crisis as an opportunity and started working for the book. The third edition of the book has evoked spontaneous and overwhelming response, much more than the first two editions. We have received innumerable e-mails containing valuable feedback about the book from various pediatricians and dermatologists across the country. In fact, the book ran out of print and a huge void was felt. These have inspired us to update the book and come up with the fourth edition. In this edition, we have introduced four new chapters—skin and systemic diseases and cutaneous malignancies, psychodermatoses, primary immunodeficiency disorders and skin, and principles of vaccination in immunosuppressed children. The topic of ‘patient/parents’ education and counseling’ has been elaborated further. About 100 new entities and 1000 new illustrations have been added to it. The ‘Suggested Reading’ has been added and the ‘Index’ has been updated. Altogether, a new set of quotable quotes cater to more than 500 pages of the book. We are sure, now the book will be even more useful to the pediatricians, dermatologists and all those involved in pediatric skin care. We believe still that there is scope of further improvement of this book. We will appreciate feedback (doctorsandipan@gmail.com/sahana.bmc@gmail.com) from the readers.
Sandipan Dhar
Sahana M Srinivas
Preface to the First Edition
Dermatology in relation to children has far-reaching new connotations. There have been extensive research and rapid developments in the field of pediatric dermatology in the last two decades. It is now recognized as a separate subspecialty in most countries. Nearly 50% of all skin problems pertain to pediatric age group.
Diseases like atopic dermatitis, vitiligo and other pigmentary disorders are to be seen in a different light in relation to children as they are not intellectually mature to deal with the psychological aspect of the diseases. The concept of pediatric dermatology is a unifying one where the subjects of pediatrics and dermatology shake their hands for a better understanding of the skin diseases in infants, children and adolescents. There are a number of textbooks and color atlases on pediatric dermatology published from UK and USA which obviously do not address the difference in presentation of pediatric dermatoses in types IV and V skins. Therefore, there has been a growing need for such a color atlas in Indian context among the pediatricians in particular (as I have been insisted by my pediatrician friends and colleagues). That is why I have taken up this endeavor.
The chapters compiled in this book make an attempt to give a visual impression and important clues to diagnose a dermatosis. Most of the common (and some rare) skin diseases have been incorporated.
This book is basically meant for the pediatricians, beginners in dermatology and all those involved in the care of children. I am sure that the book will serve its purpose. The ‘quotable quotes’ have been incorporated to provide relief in-between the serious readings. Despite my best possible efforts, there may be some unwanted errors and some shortcoming in this book, which I promise to rectify in its future edition.
You may give your valuable feedback about this book to me (e-mail: babyd@vsnl.net).
Sandipan Dhar
Acknowledgments
We are deeply indebted to a host of individuals who have made innumerable contributions towards the completion of this book, some identified below and others, with apologies, perhaps unwittingly overlooked.
I (SD) want to record my deep respect and gratitude for (Late) Dr Surinder Kaur, and Dr AJ Kanwar, for evoking my interest in the subject of Pediatric Dermatology.
We express our sincere thanks to all friends and colleagues who were kind enough to contribute some of the topics and illustrations for this book. I sincerely acknowledge the contribution of Drs Arun Inamadar, Koushik Lahiri, Rashmi Sarkar, Priyankar Pal {Institute of Child Health (ICH)}, Abhijit Saha, Bharati Sahu, Ramesh {Pediatric Radiologist, Indira Gandhi Institute of Child Health (IGICH)} and Nagalakshmi.
Special thanks are due to following colleagues: Dr Samujjala Deb, for her contribution on the topic ‘patient/parents’ counseling’, Drs Rashmi Agarwal and Nishant Agarwal, for their contribution in the text and Dr Priya Jeevamani C (Bangalore Baptist Hospital) for helping us in proof correction.
Dr Mandira Roy and Mr Debraj Roy have compiled a huge set of interesting ‘Quotable quotes’ for the book; our sincere thanks to them.
I (SD) like to convey my warm regards and sincere thanks to Dr Apurba Ghosh, Professor of Pediatrics and Director, Institute of Child Health, Kolkata, West Bengal, for giving me all liberty to preach and practice pediatric dermatology. Many of the illustrations in this book are contributed by him. I hereby gratefully acknowledge Drs Maya Mukhopadhyay, Ritabrata Kundu, Nupur Ganguly, Arunaloke Bhattacharya, Swapan Roy, Jaydeep Chowdhury of ICH, Kolkata, for always being kind and supportive to me.
We would like to extend our gratitude to all our colleagues and friends in Indian Society for Pediatric Dermatology, particularly (SD) Founder of Society, Dr Deepak Parikh and my colleagues Drs Raghubir Banerjee, Rajib Malakar, Manish Shah and Rajesh Jadhav. Special thanks to ever-inspiring, (Late) Dr AK Bajaj and ever-supportive, Mr Tapas Kayal for me (SD).
My (SD) family is my strength. Heartfelt thanks to my wife Subhra and daughter Sharvi, for providing me all succour, support and personal sacrifice for this venture of mine.
I (SMS) am eternally grateful to Dr Sandipan Dhar, for giving me the opportunity to co-author this book and for his immense belief and trust in my abilities.
My (SMS) sincere thanks to Dr Sanjay KS, Professor of Pediatrics and Director, Indira Gandhi Institute of Child Health (IGICH), for supporting me. I also acknowledge all the faculties and staffs of Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, for their support.
My (SMS) deep and sincere gratitude to my mentor Dr Sacchidanand S for guiding and supporting me through all my endeavors. I also sincerely thank Dr Deepak Parikh for his encouragement always.
I (SMS) am forever indebted to my parents, my family for the support given which has made me who I am today.
Finally we would like to sincerely thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director–Content Strategy), Ms Pooja Bhandari (Production Head), Ms Prerna Bajaj (Development Editor), Mr Sabyasachi Hazra (Commissioning Editor, Kolkata Branch) and entire team of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their relentless dedicated work to make this book a state-of-the-art one.
Sandipan Dhar
Sahana M Srinivas