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Dermatologic Urgencies and Emergencies: What Every Pathologist Should Know.
Mallory S Abate1, Laura R Battle1, Ashley N Emerson1
1From the Department of Dermatology, Saint Louis University, St Louis, Missouri (Dr Abate); the Departments of Dermatology (Dr Battle), and Pathology (Drs Gardner and Shalin), University of Arkansas for Medical Sciences, Little Rock; and the Department of Dermatology, University of Mississippi Medical Center, Jackson (Dr Emerson).
Archives of Pathology & Laboratory Medicine
|February 21, 2019
Summary
Pathologists need a practical guide for diagnosing urgent skin conditions in hospitalized patients. This review covers critical dermatologic emergencies, improving patient outcomes through accurate diagnosis and communication.
Area of Science:
- Dermatopathology
- Clinical Dermatology
- Pathology
Background:
- Urgent and severe skin diseases require prompt bedside skin biopsy assessment in hospitals.
- Pathologists may face challenges due to unfamiliarity with complex skin pathology and terminology.
Purpose of the Study:
- To offer pathologists a practical, current reference for dermatologic emergencies.
- To highlight diagnostic pearls, pitfalls, and practice gaps for key skin conditions.
Main Methods:
- Review of peer-reviewed literature.
- Incorporation of expert opinions from dermatopathology and dermatology specialists.
- Focus on conditions encountered in academic institutions, including stem cell transplant centers.
Main Results:
- Identifies essential diseases for pathologists, such as angioinvasive fungal infections, Stevens-Johnson syndrome/toxic epidermal necrolysis, and calciphylaxis.
- Details diagnostic considerations for conditions like bullous pemphigoid, pyoderma gangrenosum, and leukocytoclastic vasculitis.
- Emphasizes differential diagnoses in both clinical and histopathologic contexts.
Conclusions:
- Pathologists play a vital role in managing patients with dermatologic emergencies.
- Accurate histopathologic diagnoses and clear communication with dermatologists are crucial for improved patient care.
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