The Skin - Ian Peate - E-Book

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Ian Peate

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PEATE'S BODY SYSTEMS
THE SKIN

A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE SKIN

Each of the twelve volumes in Peate's Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.

The Skin is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in dermatological care, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.

  • Equips healthcare students and practitioners with the necessary information to provide safe and competent care
  • Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible
  • Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery
  • Contains information necessary for effective patient care of those with psoriasis, eczema, burns, and other skin diseases and conditions

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Seitenzahl: 290

Veröffentlichungsjahr: 2025

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Table of Contents

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Chapter 1 Anatomy and Physiology of the Skin

Skin

Accessory Structures of the Skin

Hair

Skin Glands

Nails

The Functions of the Skin

Excretion and Absorption

Synthesis of Vitamin D

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 2 Assessment of the Skin

Assessing the Skin

Variations in Presentations Between Dark and Light Skin

The Patient History

Exudate

Family and Social History

Physical Examination

Inspection

Skin Examination

Hair and Nail Assessment

Psychodermatology

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 3 Psoriasis

Types of Psoriasis

Pathophysiological Changes Associated with Psoriasis

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Psoriasis Area and Severity Index

Use of Photography

Investigations

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 4 Eczema

Types of Dermatitis

Atopic Dermatitis

Contact Dermatitis

Seborrhoeic Dermatitis

Pompholyx Eczema

Nummular Eczema

Venous Eczema

Pathophysiological Changes Associated with Atopic Dermatitis

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 5 Melanoma

Skin Cancer

Melanocytes

Pathophysiological Changes Associated with Melanoma

Epidemiology

Risk Factors

Clinical Presentation

ABCDE EFG and 7-Point Check List

Clinical Investigations and Diagnosis

Staging

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 6 Burns

First Aid for Burns

Classification of Burns

Complications and Associated Problems

Pathophysiological Changes Associated with Burns

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Clinical Assessment

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 7 Herpes Zoster

Herpes Infection

Pathophysiological Changes Associated with Herpes Zoster

Reactivation of the Virus

Complications

Transmission

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Vaccination

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 8 Acne Vulgaris

Acne

Pathophysiological Changes Associated with Acne Vulgaris

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Long-term Treatment Requirement

Continued Therapy

Specific Circumstances Concerning Isotretinoin

Importance of Monitoring

Long-term Remission

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Index

End User License Agreement

List of Illustrations

Chapter 1

Figure 1.1 The skin and associated structures

Figure 1.2 (a–d). The types of cells in the epidermis

Figure 1.3 Skin colour and sensitivity to ultraviolet (UV)-induced burning

Figure 1.4 The layers of the epidermis

Figure 1.5 The epidermis, dermis and subcutaneous layer

Figure 1.6 A pilosebaceous unit

Figure 1.7 A sweat gland

Figure 1.8 Nail

Chapter 2

Figure 2.1 Terminology associated with primary lesions

Figure 2.2 Terminology associated with secondary lesions

Figure 2.3 Body map

Chapter 3

Figure 3.1 Erythrodermic psoriasis.

Figure 3.2 Nail psoriasis with yellow separation and pitting of the nail.

Figure 3.3 Types of psoriasis

Figure 3.4 Psoriatic arthritis

Figure 3.5 Common locations of psoriasis

Figure 3.6 Typical plaques of psoriasis.

Figure 3.7 Guttate psoriasis: multiple small lesions.

Figure 3.8 A ruler, a magnifying glass and a dermatoscope

Figure 3.9 A head-to-toe approach

Figure 3.10 Body map

Chapter 4

Figure 4.1 Atopic dermatitis and associated conditions.

Figure 4.2 The itch–scratch–itch cycle

Figure 4.3 A stepped approach

Chapter 5

Figure 5.1 Melanocytes and exposure to ultraviolet radiation

Figure 5.2 Radial intraepidermal growth phase of melanoma (1 and 2) precedes vertical and...

Chapter 6

Figure 6.1 Wallace’s rule of nines

Figure 6.2 Lund and Browder burns assessment tool

Chapter 8

Figure 8.1 The impact of skin conditions

Figure 8.2 Acne.

Figure 8.3 The pathogenesis of acne vulgaris

List of Tables

Chapter 1

Table 1.1 Layers of the epidermis

Table 1.2 The skin’s protective functions

Chapter 2

Table 2.1 Subjective and objective data – assessing the skin

Table 2.2 Assessment of the hair and nails

Table 2.3 Characteristics, distribution and shape of lesions

Table 2.4 Lesions, terminology

Chapter 3

Table 3.1 History taking

Table 3.2 The physical examination

Table 3.3 Some topical treatment options

Chapter 4

Table 4.1 Contact dermatitis related to health and care workers

Table 4.2 Risk factors associated with atopic dermatitis

Table 4.3 A stepped approach to the treatment of atopic dermatitis

Chapter 5

Table 5.1 The Fitzpatrick scale of skin types

Table 5.2 The 7-point checklist

Table 5.3 Supporting interventions that may be used to make diagnosis of melanoma

Table 5.4 Staging of melanoma

Table 5.5 Breslow thickness

Table 5.6 TNM staging for melanoma

Table 5.7 Treatment options

Table 5.8 Self-examination to detect new moles or changes in existing ones

Chapter 6

Table 6.1 Risk factors associated with burns

Table 6.2 A summary of burn depth

Table 6.3 An overview of key aspects of the management of burn patients

Chapter 7

Table 7.1 The herpesvirus family

Table 7.2 An overview of the pathophysiological changes associated with herpes zoster

Table 7.3 Risk factors associated with herpes zoster

Table 7.4 Postherpetic neuralgia

Table 7.5 Overview of investigations that may be used in the diagnosis of herpes zoster

Table 7.6 Key aspects of health teaching needs for people with herpes zoster

Chapter 8

Table 8.1 Acne vulgaris and acne conglobate

Table 8.2 History taking – the psychological and social impact of acne

Table 8.3 Treatment overview

Table 8.4 Common myths and corresponding facts about acne vulgaris

Guide

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Begin Reading

Index

End User License Agreement

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Peate’s Body Systems

The Skin

Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM

Editor in Chief, British Journal of Nursing;

Consultant Editor, Journal of Paramedic Practice;

Consultant Editor, International Journal for Advancing Practice;

Visiting Professor, Northumbria University;

Visiting Professor, Buckinghamshire New University;

Professorial Fellow, University of Roehampton;

Visiting Senior Clinical Fellow, University of Hertfordshire

This edition first published 2025.

©2025, John Wiley & Sons Ltd

All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.

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While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging-in-Publication Data

Names: Peate, Ian, author.

Title: The skin / Ian Peate, OBE FRCN EN(G), RGN DipN(Lond), RNT Bed BEd (Hons), MA(Lond) LLM; editor in chief, British Journal of Nursing; Consultant Editor, Journal of Paramedic Practice; Consultant Editor, International Journal for Advancing Practice; Visiting Professor, Northumbria University, Visiting Professor, St Georges University of London and Kingston University London, Professorial Fellow, Roehampton University; Visiting Senior Clinical Fellow, University of Hertfordshire.

Description: Hoboken, NJ : John Wiley & Sons, 2025. | Series: Peate’s body systems | Includes bibliographical references and index.

Identifiers: LCCN 2024041162 | ISBN 9781394252626 (paperback) | ISBN 9781394252633 (epub) | ISBN 9781394252640 (adobe pdf)

Subjects: LCSH: Dermatology–Textbooks. | Skin–Anatomy–Textbooks.

Classification: LCC RL71 .P38 2025

LC record available at https://lccn.loc.gov/2024041162

Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock

Cover Design: Wiley

Preface

Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.

Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.

Purpose and Scope

The purpose of this series is to provide health and care workers with:

Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems

Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application

Structure of the Series

Each book in Peate’s Body Systems focuses on a specific body system:

The Cardiovascular System

The Respiratory System

The Digestive System

The Renal System

The Nervous System

The Endocrine System

The Female Reproductive System

The Male Reproductive System

The Musculoskeletal System

The Skin

The Ear, Nose and Throat

The Eyes

Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.

This series is tailored for:

Healthcare students: those in nursing and allied health programmes

Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care

Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers

Commitment to Excellence.

The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.

Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.

Ian Peate

London

Acknowledgements

I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.