Color Atlas & Synopsis of Pediatric Dermatology Sandipan Dhar
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1COLOR ATLAS AND SYNOPSIS OF PEDIATRIC DERMATOLOGY2
3COLOR ATLAS AND SYNOPSIS OF PEDIATRIC DERMATOLOGY
Third Edition
Sandipan Dhar MBBS MD DNB Professor and Head Department of Pediatric Dermatology Institute of Child Health Kolkata, West Bengal, India Forewords Celia Moss Deepak Parikh
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Color Atlas and Synopsis of Pediatric Dermatology
First Edition: 2003
Second Edition: 2008
Third Edition: 2015
9789351526322
Printed at
5Dedicated to
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 in the mind…
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7Foreword
Babies and children with skin disorders comprise a substantial proportion of a dermatologist's workload, not just in numbers but in complexity. Birthmarks come in all colors, shapes and sizes, while exanthems and papulosquamous disorders may look the same to the uninitiated. Infantile eczema turns out to be not a single condition but a heterogeneous group. Infections are theoretically straightforward but regularly trip up the unwary. Genetic disorders are the hardest of all because of their rarity and limited therapeutic options. Our priority is the child, but we also have to consider parental expectations and the influence of the extended family, benign or otherwise. Sadly, we must remain alert to the possibility that the child's skin condition may reflect damage by others.
Dr Sandipan Dhar comes to our rescue with this authoritative and richly illustrated textbook, now a classic in its third edition. In response to feedback as well as advances in the field of pediatric dermatology, he has added new conditions, new concepts and new solutions. All who have lost sleep over challenging problems in young patients will appreciate Dr Dhar's practical, balanced, holistic and thoughtful approach. How much more important for the child with vitiligo to dispel prejudice and myths about dietary restrictions than to embark on cosmetic surgery. He brings a wealth of experience and knowledge to this masterful work, which dermatologists, pediatricians and others managing the pediatric skin problems will soon learn to consult as their essential diagnostic reference, and to browse for new insights. His position as a leader in this growing subspecialty is confirmed by this masterly contribution.
Celia Moss
MBBS (London) MA DM (Oxon) MRCPCH FRCP
Consultant Dermatologist
Birmingham Children's Hospital, UK
Honorary Professor
University of Birmingham, UK
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9Foreword
Dear Readers,
We, at Indian Society for Pediatric Dermatology (ISPD), have been receiving constant request from pediatricians, post-graduates and dermatologists alike, for an ‘easy-to-read’ reference book on Pediatric Dermatology. The Indian Society for Pediatric Dermatology has decided to take such an initiative and who else other than Dr Sandipan Dhar can accomplish a major project like this! He has worked very hard to bring out the third edition of Color Atlas and Synopsis of Pediatric Dermatology. Every input, suggestions from you all have helped to make the book more user-friendly. I am sure you will receive the book with same love and affection that you all have showered on the previous two editions.
Happy reading!
Deepak Parikh MBBS MD DNB
Professor and Head
Department of Pediatric Dermatology
Wadia Hospital for Children
Mumbai, Maharashtra, India
Chairman
Indian Society for Pediatric Dermatology10
11Preface to the Third Edition
Copy from one, it's plagiarism; copy from two, it's research
—Wilson Mizner
The second edition has evoked spontaneous and overwhelming response, much more than the first edition. I have received innumerable emails 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 me to update the book and come up with the third edition. In the current edition, chapters on structure of skin, morphology of skin lesions and baby skin care, sexual abuse of children and sexually transmitted diseases have been incorporated. A very important aspect of pediatric dermatology practice is ‘patient/parents’ education and counseling. It has been included in the current edition. Approximately, 80 new entities and 450 new illustrations have been added to it. The bibliography has been updated. I am sure, now the book will be even more useful to the pediatricians, dermatologists and all those involved in pediatric skin care. I believe, still there is a lot of scope of further improvement of the book. I shall appreciate feedback (drsandipan@gmail.com) from the esteemed readers in this direction.
Happy Reading!
Sandipan Dhar12
13Preface to the First Edition
Dermatology in relation to children has far-reaching new connotations. There have been extensive researches 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 percent of all skin problems pertain to pediatric age group.
Diseases such as 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 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 the 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.
The 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, some shortcoming in this book, which I promise to rectify in its future edition.
You may give your valuable feedback about the book to me (babyd@vsnl.net).
Sandipan Dhar
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15Acknowledgments
I am deeply indebted to a host of individuals who have made innumerable contributions towards the completion of the book, some identified below and others, with apologies, perhaps unwillingly overlooked.
First, I wish to extend my sincere thanks to Subhra, my best friend and wife. But for her active support and help, the book would have remained in the realm of unreality. I sincerely thank my little daughter Mitul for being patient, understanding and holding out for me for more than one and half years.
I express my heartfelt thanks to all my friends and colleagues who were kind enough to contribute some of the topics and illustrations for the book. I sincerely acknowledge the contribution of Dr Subrata Malakar, Dr Arun Inamadar, Dr Saumya Panda, Dr Priyankar Pal (ICH), Dr Samipa Mukherjee, Dr Abhijit Saha, Dr Joly Seth, Dr Sahana Srinivas, Dr Tarang Goyal, Dr Resham Vasani and Dr Samujjala Deb.
I 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.
I like to convey my warm regards and sincere thanks to Dr Apurba Ghosh, Professor of Pediatrics and Director, Institute of Child Health (ICH), Kolkata, West Bengal, India, for giving me all liberty to work on Pediatric Dermatology. Many of the illustrations are contributed by him. I hereby gratefully acknowledge Dr (Mrs) Maya Mukhopadhyay, Dr Ritabrata Kundu, Dr Nupur Ganguly, Dr Arunaloke Bhattacharya, Dr Swapan Roy, Dr Jaydeep Chowdhury of ICH, Kolkata, West Bengal, India, for always being kind and supportive to me.
I would like to extend my gratitude to my soul-mate in Pediatric Dermatology, Dr Deepak Parikh. I have been fortunate to get a number of good friends while preaching and practicing the subject and I would like to thank Dr Raghubir Banerjee, Dr Rajib Malakar, Dr Manish Shah, Dr Rajesh Jadhav and Dr S Criton.
I take this opportunity to thank Dr AK Bajaj and Dr Koushik Lahiri for being always supportive in all my academic endeavors including this. Sincere thanks to Mr Tapas Kayal for compiling new set of ‘quotable quotes’ for the book.
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