By Daniel Creamer
Makes a speciality of dermatoses with a surprising onset, speedy development or with neighborhood or systemic morbidity. This identify covers a variety of universal inflammatory and infective dermatoses, rarer stipulations: rashes, tumours, connective tissue ailment, travelllers' dermatoses and drug eruptions.
Read or Download Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook PDF
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Makes a speciality of dermatoses with a surprising onset, fast development or with neighborhood or systemic morbidity. This name covers numerous universal inflammatory and infective dermatoses, rarer stipulations: rashes, tumours, connective tissue affliction, travelllers' dermatoses and drug eruptions.
Extra resources for Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook
Graft-versus-host disease (p. 218, widespread erythema following haematopoietic allogeneic stem cell transplantation). • Paraneoplastic erythroderma (widespread erythema associated with underlying tumour). COMPLICATIONS • Fever, malaise, fatigue. • Hypo- and hyperthermia. • Weight loss and malabsorption. • Lymphadenopathy. • Secondary bacterial infection leading to systemic sepsis. • Tachycardia, hypotension, and cardiac failure. • Acute renal failure. • Liver dysfunction. • Thromboembolic disease.
IMMEDIATE MANAGEMENT Topical therapy • General emollient therapy. • Corticosteroid ointment, twice per day (use for a restricted period): trunk, limbs: moderately potent. ) Systemic therapy • EITHER methotrexate 5 mg one dose, second dose in 5–7 days. • OR ciclosporin 3–5 mg/kg/day in two divided doses. g. infliximab IV infusion 5 mg/kg over 2–3 hr). • Acitretin 25 mg once daily can control GPP (acitretin has a relatively delayed onset of action and therefore other drugs should be considered initially).
70 71 Angio-oedema. Angio-oedema can be unilateral. 71 60 CHAPTER 5 Urticaria The physical urticarias In the physical urticarias weals develop following exposure to an environmental trigger. A range of physical stimuli can provoke urticaria including pressure, heat, cold, and UV irradiation. Weals develop within minutes of provocation and resolve after 1–2 hr. The exception to this is delayed pressure urticaria in which lesions take longer to develop and fade. If the stimulus is sufficiently great, or the patient is particularly sensitive, angio-oedema and/or systemic features may occur.
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