dermatology
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Introduction
The branch of medicine that focuses on diseases of the skin.
Indications
Management
- indications for urgent referral to dermatology[1][2]
- acute erythroderma: concern for:
- drug hypersensitivity reaction
- Stevens Johnson syndrome
- toxic epidermal necrolysis
- toxic shock syndrome
- Staphlococcal scalded skin syndrome
- high fever, wide spread rash: concern for:
- broad areas of skin pain out of proportion to clinical manifestations: concern for:
- widepread or dark purple areas of skin pain: concern for:
- Stevens Johnson syndrome
- toxic epidermal necrolysis
- toxic shock syndrome
- Staphlococcal scalded skin syndrome
- widespread purpura in a reticulated pattern with central necrosis (retiform purpura): concern for:
- acute vascular compromise
- disseminated intravascular coagulation
- purpura in lacey pattern: concern for:
- angulated purpura of distal extremities: concern for:
- palpable purpura: concern for:
- small vessel vasculitis from infection
- drug reaction
- autoimmune reaction
- acute widespread pustular eruption: concern for:
- acute widespread vesicles, bullae or denudation (rupture of bullae leaving exposed dermis), diffuse peeling or sloughing of skin: concern for:
- Stevens Johnson syndrome
- toxic epidermal necrolysis
- pemphgus vulgaris
- bullous pemphigoid
- immunosuppressed patients especially with febrile neutropenia & idiopathic skin lesion
- necrotic eschar in an immunosuppressed host
- concern for deep fungal infection
- rapidly growing skin lesion in an immunosuppressed host: concern for:
- mucosal inflammation, erosions or ulcerations: concern for:
- widespread blistering disease: concern for:
- worrisome pigmented lesions warrant urgent, not emergent referral & evaluation: concern for:
- acute erythroderma: concern for:
More general terms
Additional terms
- dermatologic surgery
- dermatologist
- skin disease (dermatologic disorder, dermatopathy, dermatosis)
- skin lesion
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018.
- ↑ 2.0 2.1 Usatine RP, Sandy N. Dermatologic emergencies. Am Fam Physician. 2010 Oct 1;82(7):773-80. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20879700
- ↑ Ashton RE Teaching non-dermatologists to examine the skin: a review of the literature and some recommendations. Br J Dermatol. 1995 Feb;132(2):221-5 PMID: https://www.ncbi.nlm.nih.gov/pubmed/7888358
- ↑ DermNet. Skin Disease Atlas (images) http://www.dermnet.com
- ↑ DermNet NZ (images) http://www.dermnetnz.org/sitemap.html
- ↑ Tyler KH, Zirwas MJ. Pregnancy and dermatologic therapy. J Am Acad Dermatol. 2013 Apr;68(4):663-71 PMID: https://www.ncbi.nlm.nih.gov/pubmed/23182064
- ↑ Yalcin B, Tamer E, Toy GG, Oztas P, Hayran M, Alli N The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol. 2006 Jun;45(6):672-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/16796625
- ↑ Ferner RE. Adverse drug reactions in dermatology. Clin Exp Dermatol. 2015 Mar;40(2):105-9; PMID: https://www.ncbi.nlm.nih.gov/pubmed/25622648