Important Dermatologic Conditions in the Emergency Department

Aka: Important Dermatologic Conditions in the Emergency Department, Serious Acute Rashes

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II. Causes: Significant Dermatologic Conditions to Recognize in the Emergency Department

  1. See Life-Threatening Drug-Induced Rashes
  2. Exfoliative Dermatitis
    1. Stevens-Johnson Syndrome
    2. Toxic Epidermal Necrolysis
    3. Staphyococcal Scalded Skin Syndrome (under age 2 years)
    4. Cutaneous T-Cell Lymphoma
    5. Toxic Shock Syndrome
    6. May also be an exacerbation of pre-existing dermatitis (e.g. Eczema, Psoriasis)
  3. Edematous conditions
    1. Urticaria with Anaphylaxis
    2. Angioedema
  4. Bullous Conditions
    1. Pemphigus Vulgaris
    2. Bullous Pemphigoid
  5. Tick-Borne Illness
    1. Lyme Disease (Erythema Migrans)
    2. Rocky Mountain Spotted Fever
    3. Ehrlichiosis
    4. Babesiosis
  6. Petechiae or Purpura
    1. Meningococcemia
    2. Henoch Schonlein Purpura
    3. Immune Thrombocytopenic Purpura
    4. Hemolytic-Uremic Syndrome or Thrombotic Thrombocytopenic Purpura
  7. Necrotizing Soft Tissue Infections
    1. Necrotizing Fasciitis
    2. Fournier's Gangrene

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