Dermatologic Urgencies and Emergencies: What Every Pathologist Should Know.
* Context.--Fatal dermatologic diseases and ones with high morbidity can occur in the inpatient setting. In such cases, prompt and accurate assessment of a bedside skin biopsy is required. This may be challenging for many pathologists who are not familiar with the complexity of skin pathology and sk...
| Published in: | Archives of Pathology & Laboratory Medicine Vol. 143; no. 8; pp. 919 - 943 |
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| Main Authors: | , , , , |
| Format: | pictorial review Journal Article |
| Published: |
College of American Pathologists
Aug2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137772338&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137772338 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Aug2019 vid: 143 iid: 8 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 137772338 137772338 137772338 10.5858/arpa.2018-0239-RA 137772338 ppf: 919 ppct: 24 formats: fmt: @attributes: type: P tig: atl: Dermatologic Urgencies and Emergencies: What Every Pathologist Should Know. aug: au: Abate, Mallory S. Battle, Laura R. Emerson, Ashley N. Gardner, Jerad M. Shalin, Sara C. affil: Department of Dermatology, Saint Louis University, St Louis, Missouri sug: subj: Mycoses Diagnosis Stevens-Johnson Syndrome Diagnosis Epidermal Necrolysis, Toxic Diagnosis Staphylococcal Scalded Skin Syndrome Diagnosis Graft Versus Host Disease Diagnosis Pemphigoid, Bullous Diagnosis Calciphylaxis Diagnosis Sweet's Syndrome Pyoderma Gangrenosum Vasculitis Peer Review Life Experiences Cell Transplantation Collaboration Dermatology Patient Care Communication Dermatologists ab: * Context.--Fatal dermatologic diseases and ones with high morbidity can occur in the inpatient setting. In such cases, prompt and accurate assessment of a bedside skin biopsy is required. This may be challenging for many pathologists who are not familiar with the complexity of skin pathology and skin terminology within the fields of dermatopathology and dermatology. Objective.--To provide the pathologist with a practical, up-to-date, and "must-know" reference guide on dermatologic urgencies and emergencies from a real-world perspective, highlighting diagnostic pearls, diagnostic pitfalls, and commonly encountered practice gaps. This review will focus on key diseases with which every pathologist should be familiar, including angioinvasive fungal infections, Stevens-Johnson syndrome/toxic epidermal necrolysis, staph-scalded-skin syndrome, acute graftversus- host disease, bullous pemphigoid, calciphylaxis, Sweet syndrome and its histiocytoid variant, pyoderma gangrenosum, and leukocytoclastic vasculitis, as well as those in their clinical and histopathologic differential. Data Sources.--This review is based on peer-reviewed literature and our personal experiences with these diseases at major academic institutions, including one where a large number of stem cell transplants are performed. This review is unique as it represents collaborative expert opinion from both a dermatopathology and a dermatology standpoint. Conclusions.--This review outlines the critical role that the pathologist plays in the outcomes of patients with dermatologic urgencies and emergencies. Improved patient care will result from prompt and accurate histopathologic diagnoses as well as an open line of communication with the dermatologist. pubtype: Academic Journal doctype: pictorial review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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