ISSN: 1755-5310 (Electronic)1755-5302 (Print)

Interventional Cardiology

Research Articles On Emergency Dermatology

 Emergencies in dermatology are rare, but when they occur, dermatologists or other health care professionals need to act fast. Dr. Ramos-e-Silva, professor and chair of the University Hospital and Federal University School of Medicine, Rio de Janeiro, Brazil, discussed this at the European Academy of Dermatology and Venereology Congress in Paris on Friday. Indeed, “most of the patients who go to the E.R with skin diseases don’t need to go to the E.R., and only a limited number of diseases are responsible for most of the true dermatological emergencies.” This is an international problem; “what we see is almost the same all over the world.” Common skin disorders should be managed on an outpatient basis and general practitioners should be able to treat them. According to Dr. Ramos-e-Silva, the role of dermatologists should be more valued for their ability to provide a differential diagnosis and to distinguish a true emergency from a commonly presenting problem. She thinks that this should be better taught starting in medical school and residency programs. True dermatological emergencies are caused by allergic reactions or infections (bacterial or viral). Rapid management may be required in the case of severe drug reactions, infections, allergic reactions and flares of inflammatory dermatoses. She reviewed some of the most severe cutaneous adverse reactions: erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, Dress syndrome, and Staphylococcal Scalded Skin Syndrome.   

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