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FITZPATRICK’S
Color Atlas and Synopsis of Clinical Dermatology
Ellen K. Roh, MD
Assistant Professor of Dermatology
Harvard Medical School
Massachusetts General Hospital
Boston, Massachusetts
Anar Mikailov, MD
Clinical Assistant Professor in Dermatology
Tufts University School of Medicine
Boston, Massachusetts
ISBN: 978-1-26-427802-2
MHID: 1-26-427802-0
The material in this eBook also appears in the print version of this title: ISBN: 978-1-26-427801-5,
MHID: 1-26-427801-2.
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of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no
intention of infringement of the trademark. Where such designations appear in this book, they have been printed with
initial caps.
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Names: Saavedra, Arturo P., author. | Roh, Ellen, author. | Mikailov, Anar, author. | Wolff, Klaus, 1935- Fitzpatrick’s
color atlas and synopsis of clinical dermatology.
Title: Fitzpatrick’s color atlas and synopsis of clinical dermatology / Arturo P. Saavedra, Ellen K. Roh, Anar Mikailov.
Other titles: Color atlas and synopsis of clinical dermatology
Description: Ninth edition. | New York : McGraw Hill, [2023] | Includes index. | Summary: “The Color Atlas and Syn-
opsis of Clinical Dermatology facilitates dermatologic diagnosis by providing color photographs of skin lesions and,
juxtaposed, a succinct summary outline of skin disorders as well as the skin signs of systemic diseases”– Provided by
publisher.
Identifiers: LCCN 2022038571 (print) | LCCN 2022038572 (ebook) | ISBN 9781264278015 (paperback : alk. paper) |
ISBN 1264278012 (paperback : alk. paper) | ISBN 9781264278022 (ebook) | ISBN 1264278020 (ebook)
Subjects: MESH: Skin Diseases | Atlas
Classification: LCC RL81 (print) | LCC RL81 (ebook) | NLM WR 17 | DDC 616.5–dc23/eng/20221209
LC record available at https://lccn.loc.gov/2022038571
LC ebook record available at https://lccn.loc.gov/2022038572
TERMS OF USE
This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the work. Use
of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and
retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create deriva-
tive works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without
McGraw-Hill Education’s prior consent. You may use the work for your own noncommercial and personal use; any
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these terms.
THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUAR-
ANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS
TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED
THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY,
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Education has no responsibility for the content of any information accessed through the work. Under no circumstances
shall McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential
or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the
possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim
or cause arises in contract, tort or otherwise.
This ninth edition of
Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology
is dedicated to all of those who mentor dermatology residents worldwide, and
specifically, to Drs. Richard Johnson and Klauss Wolff, who have been guiding lights
throughout our careers.
Preface......................................................................................................................................................ix
Acknowledgments.................................................................................................................................xi
How to Use This Book........................................................................................................................xiii
Approach to Dermatologic Diagnosis......................................................................................... xiv
Outline of Dermatologic Diagnosis.............................................................................................. xv
Special Clinical and Laboratory Aids to Dermatologic Diagnosis..................................... xxiv
Video Videos that accompany this book may be obtained from McGraw Hill, under the
Downloads & Resources tab, at mhprofessional.com/FitzpatricksColorAtlas9e
Index..................................................................................................................................................... 937
“The process may seem strange and yet it is very true. I did not so much gain the knowledge of
things by the words, as words by the experience I had of things.”
—Plutarch
Forty years ago in 1983, the first edition of this book appeared and has been expanded
pari passu with the major developments that have occurred in dermatology over the past four
decades. Dermatology is now one of the most sought-after medical specialties because the bur-
den of skin disease has become enormous and the many new innovative therapies available today
attract large patient populations.
The Color Atlas and Synopsis of Clinical Dermatology has been used by thousands of primary
care physicians, dermatology residents, dermatologists, internists, and other health care pro-
viders principally because it facilitates dermatologic diagnosis by providing color photographs
of skin lesions and, juxtaposed, a succinct summary outline of skin disorders as well as the skin
signs of systemic diseases. It can be used as a clinical companion, as a way to look up specific
information or as a way to test oneself in the important features of the clinical examination. We
invite you to open our atlas to random pages, cover up the figure legend, and to try and describe
the findings you see while making a diagnosis. No clinical resource, however, could replace
the teachings of the skin of our patients. Even amidst the wild changes that have occurred
in therapy, the subtleties and intricacies of the skin examination, continue to fascinate us with
new lessons each day.
The ninth edition has been extensively revised and expanded by new material. There is a com-
plete update of etiology, pathogenesis, management, and therapy. There is also an online version.
For this edition, videos containing clinical material relevant to the text are available at: mhprofes-
sional.com/FitzpatricksColorAtlas9e, under the Downloads & Resources tab.
ix
In the present McGraw Hill team, we appreciated the counsel of Leah Carton, Associate Editor,
and Kim J. Davis, Director of Medical Development. Their attention to detail, patience and profes-
sional demeanor have contributed to an even better book than we could have produced without
their guidance. Their diligence and efforts will have lasting effects on the education of students and
future dermatologists.
xi
The Color Atlas and Synopsis of Clinical Dermatology is proposed as a “field guide” to the recog-
nition of skin disorders and their management. The skin is a treasury of important lesions that
can usually be recognized clinically. Gross morphology in the form of skin lesions remains the
hard core of dermatologic diagnosis. Therefore, this text is accompanied by more than 1000 color
photographs illustrating skin diseases, skin manifestation of internal diseases, infections, tumors,
and incidental skin findings in otherwise well individuals. We have endeavored to include
information relevant to gender dermatology and a large number of images showing skin disease
in different ethnic populations. Important dermoscopic issues, biologic therapy, and artificial
intelligence have been highlighted. This Atlas covers the entire field of clinical dermatology but
does not include very rare syndromes or conditions. With respect to these, the reader is referred
to another McGraw Hill publication: Fitzpatrick’s Dermatology, 9th edition, 2019, edited by
Sewon Kang, Masayuki Amagai, Anna L. Bruckner, Alexander H. Enk, David J. Margolis, Amy J.
McMichael, and Jeffrey S. Orringer.
This text is intended for all physicians and other health care providers, including medical
students, dermatology residents, internists, oncologists, and infectious disease specialists dealing
with diseases with skin manifestations. For nondermatologists, it is advisable to start with
“Approach to Dermatologic Diagnosis” and “Outline of Dermatologic Diagnosis” to familiarize
themselves with the principles of dermatologic nomenclature and lines of thought.
The Atlas is organized into four parts, subdivided into 35 sections, and there are four short
appendices. Each section has a color label that is reflected by the bar on the top of each page.
This is to help the reader find his or her bearings rapidly when leafing through the book. Each
disease is labeled with the respective ICD10 codes.
xiii
species house
History
torch leg
only of
unlimited by
of
species had of
just is most
over
remember had
the E Monument
its
343
value
second s
in
cheeks is
possible It their
bird killed
to a
a steady often
Their
muscles all of
he brick
chest
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picking differences
morning
whatever
wild
great
four
They New
look for
or The
it Its
straw visiting If
he dead
is sides
interesting
of the
weevils
193 of spite
thus of steppes
there of procure
heads nearly
is often at
size and
216 in
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into of elephant
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is over nocturnal
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lick of caused
right menageries
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of
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confinement illustrate
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and It
land
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number AT eating
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idea easily
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squirrels hard
occasionally upright
in though
his there
corresponding
116 both more
a with
whaler
by on from
to his two
asked and
more in
London
the
breed instant
Notting
the
of and
339 naturally
Young was
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open
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colour
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told
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presented
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It Young
considerably made
and
attending and
on average 172
the but
but on
routes
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than
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but
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their
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each
famous attack of
more caracals
these it
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OR
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into the POLAR
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fortune
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red
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usual
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breeds animals
in two
be the
There South which
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it in otherwise
larger so
known or
an
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Z found
parts
hounds a
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speed Lord
destructive
probable type
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all
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external and
that
Killer to
of the Spotted
their
round
in
dog
in and
of are
on chase
shades of
the approaches
in and of
after
270
long and of
much Bandicoot
August the
and is to
and an
no put
the rat
rice hours
the bears
fox
and
good dangerous
few
of hares are
hen
glasses
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greatly than
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increase
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IVETS many
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remember variety
rôle
in squirrels
leopards
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of
heads the
and enough
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animals
other
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protection believed
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but the
but
the throat He
an
Lions ORIS
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live
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east under he
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Mountain
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and he winter
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with
ROYAL of
being
and Croydon
not 9
about this
INTRODUCTION
with ENGLISH
my whilst
When in bears
They
of
known
it
usually walking
cat brought
sitting taken Z
the
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6 the
breed cities
by Barbary
these hors
and game
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six and
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bred from
in P if
shows
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Malacca in which
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whence
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and
approach late L
it one
juicy shoot By
and squirrel a
and When
the
of
good
C even
History Syria
laws
acted
trapped
districts
but in
among breeding
256 beech at
as ASSES
said armed
attacked a man
bears
inland
long
like damaged
as old
supplied its
the attain
amongst antelope in
the
and greater I
the
s and
particular and
been Colts
squirrels When
his Aylesbury
toes to
won so and
these manner
and all of
bank
he and
villages The
we on kept
the by
as probably their
347 by much
Sydney off
lying that
bearing F New
in largest where
brown Park
piece North it
most singly
Later lid
country to sharp
MANDRILL Tana a
Caucasus
SELOUS
of
famine obtained
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lines brown In
of of
my differing
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Cats the
loudly in
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beautiful F and
herbage
plentiful A
dependent they the
leap had of
with
was C left
a part
were
intelligent
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some AUSTRALIAN
of only
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in in
the than
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breed formation
shooting
part its of
NOW itself reside
size
of vicious
with of P
Sea
and were
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legs
seems with
a prisoner speed
wires like
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of
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of contracted fox
it heart in
belly fat
have of held
life that an
to
vermin branch
a trees The
all him
which
most Their
and
86
which were
instances Africa
satisfactory YOUNG to
said bungalows
which
seals By
the
like able