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A study of mortality in dermatology
Pradeep S Nair1, Prasanna K Moorthy, K Yogiragan
1Department of Dermatology, Medical College Hospital, Trivandrum--695 011, India. sysantosh@yahoo.com
Indian Journal of Dermatology, Venereology and Leprology
|January 6, 2006
Summary
Vesiculobullous disorders, particularly pemphigus, were the leading cause of death among dermatology patients. Management in specialized units like burn units or ICUs is recommended for severe cases like pemphigus and toxic epidermal necrolysis.
Area of Science:
- Dermatology
- Internal Medicine
- Pathology
Background:
- Life-threatening dermatological conditions can lead to mortality.
- Understanding causes of death in dermatology inpatients is crucial for improving care.
Purpose of the Study:
- To identify dermatological diseases causing mortality in indoor patients.
- To analyze demographic and etiological factors of death in dermatology cases.
Main Methods:
- Retrospective descriptive study of dermatology cases.
- Data collected from 1995 to 2001.
- Analysis of 37 deceased dermatology patients.
Main Results:
- Vesiculobullous disorders were the most common cause of death (48.6%), followed by drug reactions and malignancies (13.5% each).
- Pemphigus was the leading fatal vesiculobullous disorder (35.13%).
- Toxic epidermal necrolysis was the most frequent fatal drug reaction (8.10%).
Conclusions:
- Skin involvement, electrolyte imbalance, and septicemia were key factors in deaths from pemphigus and toxic epidermal necrolysis.
- Patients with severe dermatological conditions require management in specialized units such as burn units or intensive care units (ICUs).
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