By Daniel Creamer
Makes a speciality of dermatoses with a surprising onset, fast development or with neighborhood or systemic morbidity. This name covers quite a few 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
IMMEDIATE MANAGEMENT Topical therapy • General emollient therapy. 30 30 Palmar psoriasis. Severe, symmetrical, and confluent inflammation with hyperkeratosis of the palms. Palmar and plantar involvement is often functionally disabling. Note the sharp line of delineation at the wrists, typical for psoriasis. 31 Flexural psoriasis. In flexural skin, psoriasis is nonscaly and clearly delineated. 32 Scalp psoriasis. There is erythema and hyperkeratosis of the scalp with scale caught up in the hair.
COMPLICATIONS • Nausea and vomiting. • Diarrhoea. • Anaphylaxis (bronchospasm, laryngeal oedema, hypotension, cardiac dysrhythmia). INVESTIGATIONS • The diagnosis is usually made clinically. • Complement C3, C4 (C4 is lowered in hereditary and acquired C1 esterase inhibitor deficiency). If C4 is low, confirm C1 esterase inhibitor deficiency by specific quantitative and functional assays. C1q is also reduced in acquired C1 esterase inhibitor deficiency. g. ACE inhibitor). g. cetirizine 10 mg once daily or levocetirizine 5 mg once daily).
Urticarial vasculitis 63 75 Urticarial vasculitis. These persistent weals in a patient with SLE showed the features of vasculitis on skin biopsy. The patient described burning, rather than itching. 75 76 Urticarial vasculitis. The legs of the same patient in 75. The weals in urticarial vasculitis resemble those in ordinary urticaria, but they persist for more than 24 hr and resolve with bruising.