INTRODUCTION OF SKIN DISEASES
Dr. K.K. LO
CHAPTER 1
The art of diagnosis in dermatology in the past was particularly emphasized by the visual experience of the skin and the skin lesions. The story of arriving a dermatological diagnosis even when the patient has not the time tosit down is less true nowadays for a careful dermatologist. It is a good wayto impress the neophyte dermatologist but it is not the rule. It is true thatsome skin lesions can be diagnosed on sight with a high degree of confidence but even in such cases a systematic approach is indispensable for a good dermatologist not to miss other important skin lesions. Whendermatology first evolved from general internal medicine in the nineteenthcentury, the principle of diagnosis in medicine still held valid till today evenin the highly specialized specialty: dermatology. Hence, detailed systematichistory with good physical examination, supplemented by appropriateinvestigations will be the golden rule for the correct approach in thediagnosis of skin conditions. The old days of when you can recognize thelesion and so the lesion can recognize you will only be true for some senior dermatologists but it will not be seen again in modern dermatology.
1. SKIN FUNCTION AND STRUCTURE OF SKIN
1.1. Skin Function
Skin is actually the largest organ in the body. Its wet weight can be as heavyas 4 kg and covers an area of 1.4 to 2 sq metres. It also plays manyimportant functions in the body as summarized in Table I.
Table I: Function of the Skin
FunctionStructureProtection from harmful agents of external environment: biological germs,ultraviolet light & chemicalsEpidermisPreservation of a balanced internalenvironmentEpidermisShock absorberSubcutaneous fat
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