Dermatologic emergencies

Dermatologic emergencies (From: CMAJ 2005;173(11):1317-9. Photo Dr. Brenda Moroz)Which dermatologic emergency does this picture represent?

Freiman A, Borsuk D, Sasseville D

[CMAJ 2005;173(11):1317-9 (November 22)]

When I studied medicine, our lecturer once said that he would encourage us to specialize in dermatology if we preferred to sleep well at night. Skin diseases are most often not life-threatening, but still, every doctor knows that once in a while, a dermatologic condition might also require immediate action. I remember very well the first time one of my patients died because of a dermatologic emergency - it was during my internship, and the patient had a urinary tract infection complicated with Stevens-Johnson's syndrome.

This article presents diagnosis and treatment for the following dermatologic emergencies:

· Staphylococcal toxic shock syndrome
· Angioedema
· Exfoliative erythroderma
· Necrotizing fasciitis
· Meningococcemia
· Stevens–Johnson syndrome and toxic epidermal necrolysis
· Rocky Mountain spotted fever

You've probably already guessed which dermatologic emergency the picture above represents. Nevertheless, take a look at the source article in the Canadian Medical Association Journal (CMAJ):

Dermatologic emergencies


Presented by: Arne Westgaard, 02.01.2006

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