The skin in rheumatic disease

The so-called 'connective tissue disorders' hold a particular fascination to both the rheumatologist and the dermatologist, and the diagnosis of, sometimes subtle, changes in the skin can often be difficult. This book aims to give a succinctaccount ofcutaneous manifestations of the major connective tissue diseases, including the cutaneous side effects of anti-rheumatic therapy, and the main diagnostic and prognostic features and guides to their management. Although the book is intended primarily for dermatologists and rheumatologists, it will also be of value to general physicians and general practitioners. We would like to express our thanks to our colleagues in the Medical Photography Department at the Royal United Hospital, Bath, especially Tim Browne and AnnabelHancock, and to Hilary Woolf for painstakingly typing the manuscript. We would like also to thank the following who have generously allowed us to reproduce their clinical and pathological photographs. Dr T. I. MacLeod (Figs. 2.2, 2.6, 3.1, 5.7, 7.2, 9.20, 11.6(b)); Dr S. O'Loughlin (Figs 3.2(b) and (e)); Dr R. S-H. Tan (Figs 3.4, 11.6(a)); Dr C. T. C. Kennedy (Figs 3.6, 4.1, 6.14); Dr T. Provost (Fig. 3.12(a)); Dr R. Front Matter....Pages i-x The clinical approach to the patient....Pages 1-7 Scleroderma....Pages 8-26 Cutaneous manifestations of lupus erythematosus....Pages 27-48 Dermatomyositis and overlap syndromes....Pages 49-56 Vasculitis....Pages 57-67 The spondyloarthropathies (psoriatic, enteropathic and other seronegative arthropathies)....Pages 68-82 The skin in rheumatoid arthritis....Pages 83-91 Infections....Pages 92-102 Miscellaneous disorders affecting skin and joints....Pages 103-122 Cutaneous side-effects of antirheumatic therapy....Pages 123-132 Common diagnostic problems....Pages 133-143 Back Matter....Pages 145-148