What is included in the emergency department (ED) workup of exfoliative dermatitis?

Updated: Aug 15, 2019
  • Author: David Vearrier, MD, MPH; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

The primary emergency department role in the workup of exfoliative dermatitis is evaluation for systemic derangements as a result of increased insensible fluid loses, changes in fluid distribution, and disturbed thermoregulation. While the underlying cause of some cases of exfoliative dermatitis (eg, drug-induced or generalization of a preexisting dermatitis) may be presumptively identified in the emergency department, identification and/or confirmation of the underlying condition is typically beyond the scope of emergency department care. Therefore, appropriate follow up with a dermatologist for further testing such as skin biopsy and/or lymph node biopsy is critical.


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