dermatological emergencies Flashcards
when can we consider the condition a dermatological emergency
when the basic functions of the skin are disturbed
either barrier function
or thermoregulation
loss of barrier function leads to
fluid loss
hyponatraemia
infection
hypermetabolic state
cardiac failure
loss of thermoregulatory function
leads to hypothermia
prognosis of skin failure
depends on the % of BSA affected
age
co morbidities
causes of skin failure
- Erythroderma
- Blistering
- Pustulation
- Infection
erythroderma associated with ?
exfoliation , skin peeling off in layers
causes of eryhtroderma
inflammatory
psoriasis - after withdrawal of steroids
Drug
malignancy
what are the inflammatory causes of erythroderma
contact dermatitis
sebohrreic ddemratitis
statis dermatitis
staphylococcal scalded skin syndrome
malignancy associated with eryhthroderma ?
sezary syndrome - t cell lymphoma
drugs that are associated with eeryhtroderma
ACE inhibitors,
Anti convulsants,
NSAIDs< Antibiotics
Antidepressants
treatment of erythroderma
- Admission
- Identify and treat the underlying cause ( 30% are Idiopathic) * Basic supportive measures;
- Oil-based emollient, Warmth, Fluid (IV if necessary)
- Treat infection
eczema herpeticum
Herpes simplex type 1 or 2 in a child with atopic dermatitis / eczema
Tx for eczema herpeticum
Hospital Admission
IV Acyclovir
+/- penicillin for secondary infection
Ophthalmological opinion
type of immuno-bullous in dermatological emergencies
pemphigus > pemphigoid
pemphigus vulgaris is often fatal without treatment
Tx of immuno-bullos
- Admit
- Basic supportive measures;
- Oil-based emollient, warmth, oral care +/- feeding measures, IV fluid.
- Treat Infection
