By Daniel Creamer
Specializes in dermatoses with a surprising onset, swift development or with neighborhood or systemic morbidity. This name covers a variety of universal inflammatory and infective dermatoses, rarer stipulations: rashes, tumours, connective tissue ailment, travelllers' dermatoses and drug eruptions.
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Additional info for Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook
Oxygen. LONG-TERM MANAGEMENT ISSUES Chronic urticaria, which is often an autoimmune disorder, is defined as the continued development of weals for more than 6 weeks. Patients need to be under the care of a dermatologist for further investigation and second-line therapy, which may include a combination of H1 antihistamines, H2 antihistamines, montelukast, and immunosuppressants. Patients who develop acute urticaria to a specific trigger should be encouraged to wear an appropriately marked medical alert amulet.
Multiorgan failure. 37 Generalized pustular psoriasis. This patient was extremely ill with a high fever and malaise. Generalized pustular psoriasis 33 INVESTIGATIONS • Blood count (commonly neutrophilia and anaemia). • Basic chemistry (renal impairment may occur). • Liver function tests (commonly hypoalbuminaemia and elevated transaminases). • Calcium and phosphate (serum calcium may drop suddenly). • Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) (elevated). • Skin swabs for microbiology (to exclude bacterial or candidal infection).
Erythrodermic involvement can occur rapidly and may be accompanied by a range of constitutional symptoms associated with total skin inflammation (see Chapter 4) (49). Palmo-plantar involvement produces a thick orange–yellow hyperkeratosis (keratoderma) (49). Involvement of the nails is characterized by subungual hyperkeratosis, dystrophy, and splinter haemorrhages. DIFFERENTIAL DIAGNOSIS • Any cause of erythroderma (p. 51, complete, confluent skin involvement by any dermatosis). • Plaque psoriasis (p.
Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook by Daniel Creamer