Exterior scuffing and minor paper toning on page edges are the only condition issues. There is even an envelope of test sheets in the back to test yourself. The book provides problems and answers. I was much more entertained with the over 200 photos with descriptions of the diagnosis following the section. This is a great way to do some brushing up or just to learn. Published by the American Academy of Dermatology, with W. Clark Lambert as editor

Take the tests with all of your friends and have a skin disease party

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For International Buyers:  Media Mail shipments only. Please note that, although you are likely paying very high shipping costs to have this item sent to you, I am not charging those costs. In the case of books, I utilize "media mail" to get the box to the third party shipper. "Media mail" is a very SLOW speed mailing process reserved for books and records that are potentially very heavy. If you can not wait for my shipment to reach the third party shipper at a very slow pace, please contact me before purchasing and I can add a faster (and more expensive) alternative to the listing to get the item to the third party shipper. 

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  MEDIA MAIL: The USPS allows books, records and other media to be mailed at a cheaper price than typical mail. It tends to be a much slower mailing process than standard mail. In addition, any employee of the USPS can open the package at ANY time for ANY reason to verify that what is inside is what should be inside. In most cases, the item is properly repackaged but, in rare cases, it is not and an item can arrive damaged. As my feedback suggests, I package very carefully. If you receive a damaged item that has the appearance of having been poorly packaged, please contact me prior to leaving feedback so that it can be addressed.