Dermatological Emergencies

Question 1

Sezary Syndrome is characterised by

Answer 1

T cell lymphoma + Eryhtroderma

Question 2

What is Erythroderma

Answer 2

Intense, widespread reddening of the skin
• Associated with exfoliation (skin peeling off in scales or layers)

Question 3

Tx of eryhtroderma

Answer 3

Admission
• Identify and treat the underlying cause ( 30% are Idiopathic)
• Basic supportive measures;
• Oil-based emollient, Warmth, Fluid (IV if necessary

Question 4

Tx of Eczema herpeticum

Answer 4

IV Acyclovir
+/- penicillin for secondary infection
Ophthalmological opinion

Question 5

Tx of immunobullous emergency

Answer 5

Basic supportive measures;
• Oil-based emollient, warmth, oral care +/- feeding measures, IV fluids

Question 6

Treatment of acute pustular psoriasis

Answer 6

Ciclosporin, acitretin, biological

Question 7

Tx of Toxic Epidermal necrolysis

Answer 7

Admit ITU and stop causative agent
• Basic supportive measures;
• Oil-based emollient, Warmth, Fluid (IV if
• necessary)
• Exclude infection
• Prednisolone, IVIg, Biological agent