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More than 10 years ago, I had the chance to visit the university
hospital in Munster, Germany. At the outpatient clinic there, I
accidently met a young dermatologist who was devoted to the study
of the quantification of irritated skin during his busy daily
clinical work. I sensed immediately that this Dr. P. Frosch was
conducting his research with the ideals and enthusiasm which were
so familiar to me. Soon we found that we shared a similar past
experience; we both had begun our careers in dermatological
investigation with the same mentor. For me it was more than 25
years ago that I first met Dr. Kligman, Professor at the University
of Pennsylvania in Philadelphia, USA. I reminisced that I had been
greatly shocked by his initial question ''As a dermatologist, do
you want to study living or dead skin?" because, at that time and
even today, whenever we cannot collect enough information about the
skin with the naked eye, it is invasively removed is common
practice to histologically examine a skin sample that from living
tissue. Many dermatologists still would never think of studying the
living intact skin itself noninvasively with the aid of existing
advanced technologies to assess its structural and functional
properties. At that time Dr. Kligman intended to build up a system
of evaluating the skin from various aspects, using methods that had
been unduly neglected in the past and introducing various
technological instruments.
This is an "old-fashioned" book in the best sense of the term: It
is written by one man, and it is scholarly, complete, thorough, and
thoughtful. It is, in fact, a magnum opus wherein every aspect is
not only touched, but handled to perfec- tion. This is a treatise
that deserves careful reading by that increasing cadre of medical
specialists who understand the many ways in which mycoses threaten
human health and happiness, viz, the veterinarian, pharmaceutical
chemist, general practitioner, pharmacologist, and entire
consortium of researchers who study the biology, epidemiology,
pathogenesis, and treatment of fungus infec- tions. Mycoses
encompass a vast spectrum of diseases from trivial superficial skin
infections (tinea versicolor), troublesome ringworm infections (the
tineas of skin, hair, and nails), yeast infections (candidosis),
the systemic mycosis (cryptococcosis, histoplasmosis), and even the
deep-seated infections due to molds and saprophytic fungi
(aspergillosis). It is precisely because of the great variety of
causative organisms that the imidazoles deserve a special treatise.
They provide the first class of drugs with therapeutic activity
against all the important fungi which infect humans and animals.
Accordingly, their medical significance is great and the
possibilities endless. Morever, the imidazoles are the first
effective drugs whose antimicro- bial activities extend beyond the
usual designation of "broad-spectrum. " Broad-spectrum antibiotics,
for example, are either antifungal or antibacterial, not both as
the imidazoles are. To be sure, there have been other chemothera-
peutic compounds which inhibit bacteria and fungi.
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