RESUMEN
Medical emergencies may occur in any setting, including dermatology offices. We examined the incidence of medical emergencies in a survey of 34 dermatologists northeast Ohio. Fifty-five events occurred over 565 combined years of clinical practice, an incidence of 1 episode every 10.3 years. We also review options for better preparedness for medical emergencies in dermatology practices, ranging from an emergency action plan for emergency personnel, basic life support (BLS) certification, advanced cardiac life support (ACLS) certification, and on-site automatic electronic defibrillators (AEDs).
Asunto(s)
Urgencias Médicas , Servicios Médicos de Urgencia/organización & administración , Manejo de Atención al Paciente/organización & administración , Consultorios Médicos/organización & administración , Enfermedades de la Piel/diagnóstico , Adulto , Anciano , Dermatología/métodos , Interacciones Farmacológicas , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Enfermedades de la Piel/epidemiología , Enfermedades de la Piel/terapia , Enfermedades Cutáneas Bacterianas/diagnóstico , Estados Unidos/epidemiología , Adulto JovenRESUMEN
A 4-month-old girl had a proliferating hemangioma of infancy (infantile hemangioma) affecting the chest wall. The lesion had appeared 1 week after birth, demonstrating both superficial and deep components, and was rapidly enlarging. It had become painful and superficially eroded. Treatment with topical 5% imiquimod cream three times a week was associated with signs of involution after 10 days, and complete resolution after 10 weeks of therapy. The treatment was well tolerated.
Asunto(s)
Aminoquinolinas/uso terapéutico , Antineoplásicos/uso terapéutico , Hemangioma/tratamiento farmacológico , Neoplasias Cutáneas/tratamiento farmacológico , Administración Tópica , Femenino , Humanos , Imiquimod , LactanteRESUMEN
Sweet's syndrome (or acute febrile neutrophilic dermatosis) is a rare inflammatory disease that is characterized by fever, neutrophilia, and painful erythematous plaques that histologically show a dense dermal infiltrate of neutrophils without associated vasculitis. We describe 2 neonates (10 and 15 days of age) with Sweet's syndrome; to our knowledge, this is the first reported case of siblings with Sweet's syndrome.
Asunto(s)
Síndrome de Sweet/congénito , Resultado Fatal , Glucocorticoides/uso terapéutico , Humanos , Recién Nacido , Masculino , Prednisona/uso terapéutico , Síndrome de Sweet/tratamiento farmacológico , Síndrome de Sweet/patologíaRESUMEN
Eruptive vellus hair cysts (EVHCs) are small, cystic papules that usually occur on the chest and proximal extremities of children and adults. The etiology is unknown. EVHCs of the eyelids have been reported infrequently. We describe a 13-year-old boy who presented with symptomatic EVHCs in a periorbital distribution.
