He speaks at the annual meeting of the American Academy of Dermatology on topics ranging from complex eczema to techniques in dermatologic surgery. His articles have been published in dermatology and plastic surgery textbooks as well as a number of medical research journals. Uliasz is a clinical instructor of dermatology at Mount Sinai and has published numerous articles and chapters in leading dermatology journals and textbooks, and regularly presents her research at national conferences throughout the country.
Uliasz specializes in both medical and cosmetic dermatology with a special interest in acne, psoriasis, and skin cancer.
Dermatology (Adult & Paediatric)
Blisters occasionally occur. Patients may also have malaise and fever. Simple cellulitis without systemic symptoms can be managed in the community with oral antibiotics. More complex cellulitis with systemic upset or other comorbidity, such as peripheral vascular disease, chronic venous disease, diabetes or obesity, may require IV antibiotics.
Eczema herpeticum Eczema herpeticum is eczema infected by herpes simplex virus. Facial involvement is the most common presentation, especially around the eyes.
However, it can affect any dermatitic area and can also affect atopic patients. Rarely, the condition can disseminate to other sites leading to keratoconjunctivitis, encephalitis, hepatitis or even death.
Acute management includes treatment of the herpetic infection, the eczema and any bacterial infection. In severe cases, hospital admission for IV antivirals and antibiotics may be needed, but in milder cases oral therapy in the community may be appropriate. Meningococcal septicaemia Neisseria meningitidis, a Gram-negative diplococcus, is present in some healthy nasopharyngeal carriers.
It may also be acquired from an infected contact. The infection disseminates and penetrates vascular epithelial cells causing vasculitis, leading to disseminated intravascular coagulation.
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Patients can present with respiratory symptoms and systemic upset. Skin signs include purpura, most commonly on the lower extremities and trunk, and haemorrhagic lesions. If the diagnosis is suspected clinically, the patient should be treated immediately. Blood cultures should be taken before giving antibiotics, but should not delay treatment because the mortality rate of meningitis presenting with purpuric skin lesions is more than 40 per cent.
Emergency Dermatology - CRC Press Book
A consultant in community disease control should be contacted for advice on contact tracing and prophylactic antibiotics for close contacts. Necrotising fasciitis Necrotising fasciitis, a rapidly progressive skin infection, can deteriorate to a fatal condition within hours. It is more common in the immunocompromised. The initial lesion is a local-ised, painful erythematous swelling that progresses over a matter of hours to become cyanotic, blistered and necrotic, with deep gangrene. Patients typically present with systemic involvement, including high fever, tachycardia, hypotension and septic shock.
Management is in secondary care and involves IV antibiotics, fluid resuscitation and aggressive surgical debridement if the infection is progressing. Customers who bought this item also bought. Page 1 of 1 Start over Page 1 of 1.
Lauren Kahl. Product description Review I have not seen a book cover this specific topic before and it does it very well This adds to the usefulness of an interesting and educational book and I am sure if you are involved in the management of a patient who has an emergency dermatology issue, then this book could be very helpful indeed Dr Harry Brown, Glycosmedia. Not Enabled. No customer reviews. Share your thoughts with other customers. Write a product review.