Transcript 15.SKIN Hope

Skin Clues to
Emergencies
Maculopapular rash
Urticaria
Scarlet Fever
Scarlet Fever
Scarlet Fever
Acute Erythema, MaculoPapular, Pustular
Rash
Acute generalized exanthematous
pustulosis (AGEP)
Varicella Gangerosum
HSP
Rickettsia conorii
Rickettsia
Purpuric rash
Courtesy – American Academy of Pediatrics
Meningococcemia
Courtesy – American Academy of Pediatrics
Peripheral gangrene
MRSA/MSSA/Dangerous area
Impetigo
SSS
Early Dengue
Dengue Peripheral Edema
Dengue - Purpura
Kawasaki
Infantile Tremor
Exfoliation
Steven Johnson
Steven Johnson
Ectheyma Gangerosum
Skin clues to serious illness
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Maculopapular rash
Purpuric rashes
Vesiculobulous and vesiculopustular
Pustular
Desquamative
Conclusions
• All purpuric, some vesicobullous lesions esp those
involving the mucocutanous junctions,a handful of
characteristic maculopapular and pustular lesions
rashes should be referred
• In all skin lesions with fever, carefully assess the
perfusion
• Early clues to dengue ,septic shock will reduce
morbidity and mortality
Skin clues to serious illness
• Important - recognize two groups
1.
Life threatening dermatosis needing urgent
treatment and admission to PICU
2.
Dermatosis which are potentially life threatening in
the absence of adequate treatment or delay in
diagnosis.
Triage
Life threatening dermatosis needing urgent treatment
and admission to PICU
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Acute sepsis - Purpura fulminans
Ecthyma gangreosum
Multiple abscess
Toxic shock
Anaphylactic reaction
Skin clues to serious illness
Dermatosis which are potentially life threatening in the
absence of adequate treatment or delay in diagnosis
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Severe visceral or skin lesions - S. Aureus
Drug reaction
Inflammatory Disorders - Kawasaki Disease
Hematologic Disorders - Thrombocytopenia