Fitzpatrick was born in Madison, Wisconsin, on December 19, 1919. He earned a bachelor's degree from the University of Wisconsin. He then received an M.D. degree from Harvard Medical School, where he became interested in the relatively new specialty of dermatology. After an internship at Boston City Hospital he went to the University of Minnesota for a Ph.D. in pathology. After two years at the Army Medical Center during World War II, he trained in clinical dermatology at the University of Michigan and the Mayo Clinic.

For nearly half a century Fitzpatrick's has been recognized worldwide as the field of dermatology's cornerstone text. This trusted classic covers all of the essentials, from the basic science of the skin to the day-to-day clinical issues of managing common skin disorders. Backed by the expertise of more than 500 world-renowned contributors, it is the reference of choice for clinicians, students, and educators. Fitzpatrick's skillful blending of science and clinical medicine is matched only by its scope, level of detail, and quality of presentation.


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Fitzpatrick's Dermatology in General Medicine has long been a standard dermatological textbook. As a medical intern, I acquired the fifth edition and was impressed by its thorough and detailed reviews. At the time, it was the only the comprehensive dermatology textbook.

Times have changed and the dermatology textbook edited by Jean Bolognia and her collaborators (Dermatology), with its nifty color graphics and USA today-like format, has leapt to the top of the reading lists of dermatology residents. I suppose, to join the Web 2.0 world the publishers of Fitzpatrick's decided to totally revamp their text. With the passing of Irwin Freedberg, several new editors, including Amy Paller and David Leffell, have joined the masthead. The new seventh edition of Fitzpatrick looks nothing like its last three predecessors. Fitzpatrick's 7th edition now occupies a niche between the Andrew's Diseases of the Skin: Clinical Dermatology and Jean Bolognia's Dermatology textbooks. The E-BOOK DOWNLOAD option for the entire text, which includes the ability to search and annotate content and download images into your own presentations, is included in your purchase. Interestingly most of the footnotes are not in the textbook, but on a website (books.mcgraw-hill.com/medical/digma7/).

In summary, if you liked the old versions of Fitzpatrick's dermatology textbook, the new one will appeal to you. It lacks some of the comprehensiveness and the snappy tables of the Bolognia text (The second edition is coming out in 2008.) and the brevity of the Andrews text. Fitz the 7th strikes a middle ground. Which text will residents gravitate toward? This is a question that Drs. Wolff, Goldsmith, Katz, Gilcrest, Paller, and Lefell are eager to have decided in their favor.

Fitzpatrick's Dermatology in General Medicine has long been a standard dermatological textbook. As a medical intern, I acquired the fifth edition and was impressed by\n its thorough and detailed reviews. At the time, it was the only the comprehensive dermatology textbook.\n

Times have changed and the dermatology textbook edited by Jean Bolognia and her collaborators (Dermatology), with its nifty color graphics and USA today-like format, has leapt to the top of the reading lists of dermatology residents.\n I suppose, to join the Web 2.0 world the publishers of Fitzpatrick's decided to totally revamp their text. With the passing\n of Irwin Freedberg, several new editors, including Amy Paller and David Leffell, have joined the masthead. The new seventh\n edition of Fitzpatrick looks nothing like its last three predecessors. Fitzpatrick's 7th edition now occupies a niche between\n the Andrew's Diseases of the Skin: Clinical Dermatology and Jean Bolognia's Dermatology textbooks. The E-BOOK DOWNLOAD option for the entire text, which includes the ability to search and annotate content and\n download images into your own presentations, is included in your purchase. Interestingly most of the footnotes are not in\n the textbook, but on a website (books.mcgraw-hill.com/medical/digma7/).\n

In summary, if you liked the old versions of Fitzpatrick's dermatology textbook, the new one will appeal to you. It lacks\n some of the comprehensiveness and the snappy tables of the Bolognia text (The second edition is coming out in 2008.) and the\n brevity of the Andrews text. Fitz the 7th strikes a middle ground. Which text will residents gravitate toward? This is a question\n that Drs. Wolff, Goldsmith, Katz, Gilcrest, Paller, and Lefell are eager to have decided in their favor.\n

Dermatology Online Journal is an open-access, refereed publication intended to meet reference and education needs of the international dermatology community\n since 1995. Dermatology Online Journal is supported by the Department of Dermatology UC\n Davis, and by the Northern California Veterans Administration.

Her clinical interests include general and medical dermatology (including skin cancer screenings, acne, psoriasis, rosacea, atopic dermatitis and other types of eczema, warts, and other conditions) as well as skin conditions during pregnancy and lactation.

Dr. Fitzpatrick graduated magna cum laude from Princeton with an A.B. in English and creative nonfiction writing. A former staff writer/reporter for TIME magazine, she earned her medical degree from Weill Cornell Medicine. Dr. Fitzpatrick completed an internship in internal medicine at The Mount Sinai Hospital and pursued her dermatology residency at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, where she was selected to serve as Academic Chief Resident in her final year.

Dr. Ashli Fitzpatrick earned her undergraduate degree from the University of Mississippi in Oxford, Mississippi. She then went on to receive her medical degree from the University of Mississippi School of Medicine in Jackson. Dr. Fitzpatrick completed her internship at Massachusetts General Hospital in Boston, Massachusetts and dermatology residency at Vanderbilt University Medical Center in Nashville, Tennessee where she served as chief resident. Dr. Fitzpatrick is board certified in dermatology. In her free time, she enjoys exploring the Nashville food/drink scene, playing tennis, and spending time with her husband and cat, Gully.

Most dermatology literature is found on the library shelves under the WR call number. However, relevant material may be located in other places in the library because dermatology is a multi-disciplinary field of study.

At $20/pound, this book is worth the investment. The previous edition was published in 2012 and a lot has changed in our field. I love this book. If you are going to add one giant powerhouse dermatology reference to your library, this is the one to own.

The primary use of sunscreens is to protect the skin from theshort-term and long-term effects of ultraviolet radiation. In today'sscenario of procedure-centered dermatology, sunscreens have become anindispensable part of every patient's post-procedure skin care routine.The characteristics of an ideal sunscreen are listed in [Table 1]. The commonindications for the use of sunscreens in dermatology are in the preventionand management of: [sup][1]{Table 1}

3. Lim HW. Photoprotection and sun-protective agents. In: Wolff K,Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors.Fitzpatrick's dermatology in general medicine. 7 [sup]th ed. New York:McGraw-Hill; 2008. p. 2137-41.

7. Lim HW, Naylor M, Honigsmann H, Gilchrest BA, Cooper K, MorisonW, et al . American academy of dermatology consensus conference on UVAprotection of sunscreens: Summary and recommendations. J Am Acad Dermatol2001;44:505-8.

14. Young AR, Walker SL. Acute and chronic effects of ultravioletradiation on the skin. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA,Paller AS, Leffell DJ, editors. Fitzpatrick's dermatology in generalmedicine. 7 [sup]th ed. New York: McGraw-Hill; 2008. p. 2137-41.

M. P. S. Sawhney, R. AnandDepartments of Dermatology and STD and Obstetrics and Gynaecology, Command Hospital (EC), Kolkata-700027, India. 

 Address for correspondence: Lt. Col. M. P. S. Sawhney, Base Hospital, Barrackpore-700120, India. E-mail: mpssawhney@hotmail.comCode Number: dv03023Sir,Melasma is a photosensitive dermatosis of the sun-exposed areas of the face, characterized by light or gray brown pigmentation.1 The exact cause of this dermatosis is not known in a large proportion of cases. The majority of cases are considered to arise in pregnancy2 and in patients on oral contraceptives.3 The infrequency of melasma in post-menopausal women on oestrogen replacement therapy suggests that it aloneis not the causative factor, although some of the patients on combination therapy with progesterone and oestrogen have been found to develop melasma.1 Though, some of the patients of idiopathic melasma had mildovarian dysfunction4, plasma concentration of b-melanocytic-stimulating-hormonein these patients and those on oral contraceptives have been foundto be normal.4,5 Genetic factors, thyroid dysfunction, cosmetics,phototoxic and antiseizure drugs have been implicated as other etiologicalfactors.1 It was further shown by the study ofSawhney6 at high altitudes, where the levels of UVB were 250% of thoseat sea level at mid noon, that melasma develops as a protective mechanism toeither high levels of UVB or in those with photosensitive skin. Although it isseen predominantly in females, women even at high altitudes had a slightly higherincidence of melasma thanmen.6 The question that needs to be answered is what makes the skinin females more photosensitive than in males. This study was thus designed togo into the details of thehistory and examination in cases of melasma in females.A study was conducted in 127 cases of melasma in women who reported to the dermatology OPD from Jan to Mar 2003, to find out the possible underlying cause of this photosensitive disorder. The average age of the patients was 34.29 (range 19-65) years and the average duration of melasma was 45.72 (range 1-204) months. Seventy (55.12%) patients had received some form of topical therapy from a qualified dermatologist for an average duration of 4.28 (range 1-24) months with temporary/incomplete relief.Seventy four (60.63%) patients of melasma had evidence of chronic pelvic inflammatory disease (PID), in 35 (27.56%) of them in association with Fitz-Hugh-Curtis (FHC) syndrome. The average age and duration of melasma in patients with FHC syndrome, PID alone and only melasma with no clinical evidence of PID was 37.06 (SD 8.49) and 48.77 (SD 57.56); 34.77 (SD 7.54) and 43.64 (SD 43.91); and 32.06 (SD 7.56) years and 38.79 (SD 38.00) months respectively. Patients with melasma with FHC syndrome were found to be significantly older (p < 0.05) than those with only melasma. Three (2.36%) had Reiter's syndrome, 2 (1.57%) conjugal melasma and 1 (0.79%) each had primary and secondary infertility.Melasma was found in only 4 (3.15%) cases during pregnancy and in one with history suggestive ofantepartum PID.This study highlights that melasma in women is possibly due to photosensitivity in patients with chronic PID in a majority of cases. The association of melasma with pregnancy and oral contraceptives reported earlier was possibly due to increase proliferation of chlamydia during pregnancy due to lowered body immunity and milder nature of PID in those on oral contraceptives,7 respectively.References Mosher DB, Fitzpatrick TB, Ortonne JP, Hori Y. Hypomelanosis and Hypermelanosis. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, et al, editors, Fitzpatrick's Dermatology in general medicine. 5th ed. New York: McGraw-Hill; 1999. p. 945-1018.  Winton GB, Lewis CU. Dermatoses of pregnancy. J Am Acad Dermatol 1982;6:977-8.  Rasnik S. Melasma induced by oral contraceptive drugs. JAMA 1967;199:95-9.  Perez M, Sanchez JL, Aguito F. Endocrinological profile of patients with idiopathic melasma. J Invest Dermatol 1981;81:543-5.   Smith AG, Shuster S, Thody AJ, Peberdy M. Chloasma, oral contraceptives, and plasma b-melanocytic-stimulating-hormone. J Inves Dermatol 1977;68:169-70.  Sawhney MPS. Chronic actinic dermopathy - A clinical study in Ladakh. Indian J Dermatol Venereol Leprol 2002;68:38-9.   Wolner-Hanssen P. Oral contraceptive use modifies the manifestations of pelvic inflammatory disease. Br J Obstet Gynaecol 1986;93:619-24. Copyright 2003 - Indian Journal of Dermatology, Venereology & Leprology.Free full text also available from: e24fc04721

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