An interval of 13 years separates the second from the first edition. Though new material has been added and about an equal amount deleted, the two editions have much content in common. In the general format, the discussion of each disease includes a definition and clinical description and in many instances a heading on the histology. Much of the text on treatment has been deleted in the second edition. The author has a fluent and engaging style of writing, but the outstanding attribute of the book is the photographs, especially the clinical and gross pictures. The microscopic illustrations are generally excellent, but some are poorly chosen and show poor contrast (keratoacanthoma and pseudo-Darier's disease). A minor irritation is the frequent necessity to shuffle pages to correlate pictures and text.
The book remains a highly personal work, and consequently many debatable opinions are expressed without due regard to the majority opinion