Dermatologic Emergencies in a Tertiary Hospital: A Descriptive Study

Bancalari-Díaz, D.; Gimeno-Mateos, L. I.; Cañueto, Javier; Andrés-Ramos, I.; Fernández‐López, Emilia; Román-Curto, Concépción

doi:10.1016/j.adengl.2016.07.014

Cited by 7 publications

(24 citation statements)

References 13 publications

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“…This female predominance was obvious for all age groups except for patients aged between 41 and 60 years. This observation is in line with previous studies showing that female patients exhibit greater unease and concern with skin-related disorders [10, 15, 16]. …”

Section: Discussionsupporting

confidence: 82%

“…Although our findings confirm previous studies suggesting that a significant number of dermatological emergencies are not life-threatening [3, 8, 12, 15-17], there are several conditions with high morbidity and mortality. Severe drug reaction, such as Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), acute urticaria with angioedema, as well as both bacterial and viral infections, autoimmune blistering diseases or erythoderma need to be promptly recognized and managed to avoid serious complications and/or to install appropriate preventive measures [7, 18].…”

Section: Discussionsupporting

confidence: 81%

“…In agreement with other surveys, our prospective cross-sectional study in a secondary referral center shows that infectious diseases and flares of eczema are the most common conditions leading to an emergency consultation (Table 3) [3, 8, 12, 15-17]. These findings support the idea that targeted training with continuous medical education in these domains may significantly contribute to an improvement of management by either ED or primary care physicians in case that dermatologists are not available.…”

Section: Discussionsupporting

confidence: 76%

“…Among the latter, the most common diagnoses were benign and malignant melanocytic and nonmelanocytic tumors, as well as localized inflammatory conditions such as acne. It is noteworthy that age, gender and dermatological conditions of patients with routinely scheduled dermatology encounters were similar to those published elsewhere, an observation providing indirect validation to our findings [15]. …”

Section: Discussionsupporting

confidence: 75%

“…Furthermore, in southern Switzerland, most dermatological private practices are closed on Thursday afternoon, making access to specialized care more difficult. In apparent contrast to previous studies [5, 10, 15], Monday was the weekday with the smallest number of emergency visits. It is conceivable that this is related to the possibility to be examined either as emergency in our referral center during the weekend or in private practices of dermatology rapidly after the weekend.…”

Section: Discussioncontrasting

confidence: 48%

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Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis

et al. 2019

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Background/Aims: The spectrum of dermatological emergencies is broad. Only a few studies have assessed the profile of dermatological conditions resulting in an emergency visit in a referral hospital. We sought to assess the conditions prompting an urgent dermatological visit and to compare the diagnoses with those made during the regular scheduled encounters. Methods: We performed a cross-sectional study of all patients with a cutaneous problem attending our emergency consultation during a 7-month period. The study variables were gender, age, duration of symptoms, diagnosis, need for hospitalization and/or follow-up. We further evaluated patients attending scheduled visits to compare the demographic characteristics and diagnoses between the two groups. Results: Six hundred fifty-two consecutive patients with an urgent dermatological consultation were included. Three hundred sixty (55.2%) were women and 292 (44.8%) were men. Infectious diseases (32.8%) as well as various forms of eczema (24.8%) constituted the most frequent causes for an emergency visit. Approximately 40% of emergency visits took place more than 1 week after the development of the cutaneous manifestations. The most frequent disorders seen in the 1,738 control patients included benign melanocytic and nonmelanocytic tumors (27.2%) and malignant skin lesions (11.5%). Conclusions: Our study indicates that the dermatological diagnoses in the emergency visits significantly differ from those of the routinely scheduled appointments. In a significant portion of patients, the use of an emergency consultation was not justified. This study provides support to the idea that a specific training is required to manage dermatological emergencies and that efforts should be made to reduce unjustified emergency visit use.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 75%

Section: Discussioncontrasting

confidence: 48%

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Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis

et al. 2019

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Global incidence and prevalence of bullous pemphigoid: A systematic review and meta‐analysis

Chen

et al. 2022

J of Cosmetic Dermatology

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Background Integrated information on the global prevalence and incidence of bullous pemphigoid (BP) is lacking. Objective To estimate the incidence and prevalence of BP in a systematic review and meta‐analysis. Methods Observational studies were included by using databases of Medline, EMBASE, and Cochrane Library. Subgroup analysis was by continent, age, sex, and country income level. Random‐effects model was used. Between‐study heterogeneity was assessed using the I2 statistic. Results The global incidence was 0.0419 per 1000 person‐years (95% CI: 0.0414–0.0424). The incidence was 0.047 per 1000 person‐years (95% CI: 0.0462–0.0477), 0.0419 per 1000 person‐years (95% CI: 0.0411–0.0426), 0.0072 per 1000 person‐years (95% CI: 0.0067–0.0078), 0.003 per 1000 person‐years (95% CI: 0.0023–0.0039) in North America, Europe, Asia, and Africa, respectively; 0.0202 per 1000 person‐years (95% CI: 0.0196–0.0208) and 0.0181 per 1000 person‐years (95% CI: 0.0175–0.0188) females and males; 0.001 per 1000 person‐years (95% CI: 0.001–0.001), 0.002 per 1000 person‐years (95% CI: 0.001–0.002), 0.004 per 1000 person‐years (95% CI: 0.004–0.004); 0.007 per 1000 person‐years (95% CI: 0.007–0.008), 0.011 per 1000 person‐years (95% CI: 0.011–0.012), 0.017 per 1000 person‐years (95% CI: 0.015–0.018) for age <50, 50–59, 60–69, 70–79, 80–89, and ≥90 years; 0.0038 per 1000 person‐years (95% CI: 0.0036–0.004112) (I2 = 99%, p < .05) and 0.0456 per 1000 person‐years (95% CI: 0.0450–0.0462) (I2 = 100%, p < .05). The pooled clinic‐based prevalence was 0.79% (95% CI: 0.75%–0.84%), 1.13% (95% CI: 1.06%–1.21%), 0.21% (95% CI: 0.17%–0.26%), and 0.13% (95% CI: 0.1%–0.15%) for Asia, Africa, and Europe. Conclusions This study identified the global incidence and prevalence of BP in terms of spatial and population distributions and among various income level. A relatively higher incidence was in Europe, females, older people, and high‐income level country. The prevalence was higher in Asia. These findings should be interpreted with caution due to high heterogeneity of included studies.

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Dermatological emergencies: a Moroccan retrospective case series over a period of two years

Arabi¹,

Hali²,

Skali³

et al. 2022

Pan Afr Med J

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Dermatologic Emergencies in a Tertiary Hospital: A Descriptive Study

Cited by 7 publications

References 13 publications

Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis

Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis

Global incidence and prevalence of bullous pemphigoid: A systematic review and meta‐analysis

Dermatological emergencies: a Moroccan retrospective case series over a period of two years

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