Dermatologic Emergencies

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7. Acute Urticaria - Angioedema
One of the dermatologic emergencies mediated by drugs, (NSAIDís Penicillin), food and infections may present with generalised urticarial lesions and sudden respiratory distress due to edema of glottis.

The patient requires immediate hospitalization and Inj. Adrenaline 0.5 - 1 ml given subcutaneous followed by I.V. steroids and antihistamines. In rare instances the patient may require tracheostomy.

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Exfoliative dermatitis includes also Seborrhea for which a steroid i.e. Betamethasone Valerate 0.2% is prescribed. However a good scrubbing with bath salts, like skin-friendly Epsom Salt (Magnesium Sulphate) after a shower, will have the same temporary effect, without the nasty side-effects of Steroids. On the scalp Alcohol will prevent excessive dandruff for a day or so.


Why this difference between type 1 and type 2 reactions and why there is difference even in treatment also .

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