Dermoscopy in Darker Skin Manas Chatterjee, Biju Vasudevan, Shekhar Neema, Subrata Malakar, Disha Dabbas
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fm1DERMOSCOPY in Darker Skinfm2
fm3DERMOSCOPY in Darker Skin
Editors-in-Chief Manas Chatterjee MD DNB (DVL) Senior Adviser, Professor and Head Department of Dermatology INHS Asvini Mumbai, Maharashtra, India Shekhar Neema MD (Dermatology) Assistant Professor Department of Dermatology Command Hospital Kolkata, West Bengal, India Subrata Malakar MD (Dermatology) Director Rita Skin Foundation Kolkata, West Bengal, India Assistant Editors Biju Vasudevan MD (Dermatology) Associate Professor Department of Dermatology Base Hospital Barrackpore, West Bengal, India Disha Dabbas MD (Dermatology) Department of Dermatology Military Hospital Meerut, Uttar Pradesh, India Foreword Thomas Ruzicka
fm4
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Dermoscopy in Darker Skin
First Edition: 2017
9789386322678
fm5Dedicated to
My family, especially Dr Mrs Vibhu Chatterjee, my wife and Dr Miss Puja Chatterjee, my daughter as well as my parents, without whose support nothing in my life is ever possible
Manas Chatterjee
My parents—Late Shri Krishnadasji Neema and Mrs Pushpa Neema, for their unconditional love and support
My teachers—for being my inspiration
My wife Sweta and my children Advait and Avantika—my source of joy
Shekhar Neema
My late parents, to my late wife Dr Rita Shah Malakar and my son Surit Malakar who constantly encourages me, for doing innovative things
Subrata Malakarfm6
fm7Contributors
  • Balachandran S Ankad MD
  • Professor and Head
  • Department of Dermatology
  • SN Medical College
  • Bagalkot, Karnataka, India
  • Barnali Chowdhury MD
  • Consultant Dermatologist
  • Rita Skin Foundation
  • Kolkata, West Bengal, India
  • Biju Vasudevan MD (Dermatology)
  • Associate Professor
  • Department of Dermatology
  • Base Hospital
  • Barrackpore, West Bengal, India
  • BS Chandrashekar MD (Dermatology) DNB
  • Chief Dermatologist
  • Cutis Academy of Cutaneous Sciences
  • Bengaluru, Karnataka, India
  • Biswanath Behera MD
  • Senior Resident
  • Department of Dermatology
  • Jawaharlal Institute of Postgraduate
  • Medical Education and Research
  • Puducherry, India
  • Disha Dabbas MD (Dermatology)
  • Department of Dermatology
  • Military Hospital
  • Meerut, Uttar Pradesh, India
  • Laxmisha Chandrashekar MD
  • Additional Professor
  • Department of Dermatology
  • Jawaharlal Institute of Postgraduate
  • Medical Education and Research
  • Puducherry, India
  • Manas Chatterjee MD (Dermatology) DNB
  • Senior Adviser, Professor and Head
  • Department of Dermatology
  • INHS Asvini
  • Mumbai, Maharashtra, India
  • Nilendu Sarma MD FAAD
  • Associate Professor and Head
  • Department of Dermatology
  • Dr BC Roy Post Graduate Institute of Pediatric Sciences
  • Kolkata, West Bengal, India
  • Nirmal B MD
  • Assistant Professor
  • Department of Dermatology
  • Christian Medical College
  • Vellore, Tamil Nadu, India
  • Niti Khunger MD DDV DNB
  • Professor and Consultant Dermatologist
  • VM Medical College and Safdarjang Hospital
  • New Delhi, India
  • Protibha Pradhan DNB
  • Consultant Dermatologist
  • Rita Skin Foundation
  • Kolkata, West Bengal, India
  • Purva Mehta DNB
  • Consultant Dermatologist
  • Rita Skin Foundation
  • Kolkata, West Bengal, India
  • Rahul Arora MBBS MD DNB
  • Consultant Dermatologist
  • Arora Nursing Home
  • Shalimar Bagh, New Delhi, India
  • Samipa S Mukherjee DDV DDVL FRGUHS (Ped Dermatology)
  • Dermato-trichologist and Pediatric Dermatologist
  • Cutis Academy of Cutaneous Sciences
  • Bengaluru, Karnataka, India
  • Shekhar Neema MD (Dermatology)
  • Assistant Professor
  • Department of Dermatology
  • Command Hospital
  • Kolkata, West Bengal, Indiafm8
  • Shubhangi Mahajan MD
  • Speciality Medical Officer
  • Department of Dermatology
  • Seth GS Medical College and KEM Hospital
  • Mumbai, Maharashtra, India
  • Subrata Malakar MD (Dermatology)
  • Director
  • Rita Skin Foundation
  • Kolkata, West Bengal, India
  • Sukesh MS MD
  • Consultant Dermato-trichologist and
  • Hair Transplant Surgeon
  • Bengaluru, Karnataka, India
  • Surit Malakar MBBS
  • Rita Skin Foundation
  • Kolkata, West Bengal, India
  • Uday Khopkar MD
  • Professor and Head
  • Department of Dermatology
  • Seth GS Medical College and KEM Hospital
  • Mumbai, Maharashtra, India
fm9Foreword
The textbook Dermoscopy in Darker Skin by Dr Manas Chatterjee, Dr Shekhar Neema and Dr Subrata Malakar is an illustrated guide to the practical use of this diagnostic tool in the types of skin prevalent predominantly in the Indian subcontinent. Its utility lies in its simplicity of format in which chapters are structured based on the images of the various conditions and their descriptions rather than text, to make this book a handy tool in the clinic of the busy dermatologists, in this part of the world where the large number of patients makes it impossible for a detailed reading during clinic/hospital hours.
The book emphasizes on areas of dermoscopic practice, which are more relevant to the Indian skin such as dermoscopy in pigmentary disorders, melasma and nonmelasma facial pigmentation of the face, granulomatous and other infectious disorders and vitiligo. The arrangement of the various chapters ensures that the clinician is quickly able to find the images that are relevant to the patient in front of him, increasing the immediate value of the book in his clinic.
It is indeed heartening to note that this book is a watershed in the literature on this speciality in India and surrounding countries and would be of value wherever in the world specialists are called upon to manage conditions in similar skin types. It is after long that a comprehensive set of images with descriptions and supporting text have been prepared in this readily readable and understandable form for its ready application in day-to-day practice. I am sure, this book will find its niche in the increasing amount of literature that is available to the practitioner looking after these patients and make a difference in the way he or she looks at dermoscopy as a diagnostic tool in his workplace scenario. The increased utility of this tool would, I am sure, improve patient-care delivery in large parts of the world.
Thomas Ruzicka
Professor and Head
Department of Dermatology and Allergy
Ludwig Maximilian University
Munich, Germanyfm10
fm11Preface
This text on dermoscopy is an attempt to address those conditions in the type of skin found in the Indian subcontinent as well as in several other parts of the world, rather than in disorders which are not of day-to-day relevance in the types of patients we deal with. To this extent, we have attempted to illustrate those conditions that the reader who deals with patients of similar nature would have to assess and take a decision on diagnosis and therapy in his outpatient department/clinic every day. The format of the book has been kept as practical and user-friendly as possible with maximum emphasis on annotated images which would help the reader identify the specific diagnostic points in the dermoscopic images, which are from the personal collections of the editors and authors. Text has been kept to the barest minimum and only that which is relevant to the description of the dermoscopy images so that the book is kept of appropriate size and volume of material filtered to that which can be read even as the dermatologist is examining the patient so that the correct diagnosis and treatment can be administered in the same sitting as reviewing the contents of this treatise. The chapters also have been designed such that those of immediate relevance have been preferred to the esoteric for our routine clinical practice.
It is expected that the beginners as well as those in the regular practice of this fascinating diagnostic modality, which has the potential of being not only a supplement but also a supplant to dermatopathology in certain circumstances going ahead, are able to benefit from the typical as well as images of dermoscopic variants that adorn the pages of this book. We hope that with this illustrative text as we prefer to call it, dermoscopy is able to find its place in the routine diagnostic armamentarium in the hands of dermatology residents and consultants in several countries where we look at this amazing and simple instrument to be of utility beyond the confirmation and exclusion of melanoma.
We are thankful to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President) and the editorial team of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, especially Mr Sabyasachi Hazra (Kolkata Branch), for printing and helping us with editing of this book.
Manas Chatterjee
Shekhar Neema
Subrata Malakar