Asian Journal of Research in Dermatological Science

Dermatological Emergencies of a University Hospital Center of Rabat, Morocco

Amani Fliti *

Department of Dermatology and Venerology, University Hospital Center Ibn Sina, University of Mohamed V, Rabat, Morocco.

Meryem Elomari Alaoui

Department of Dermatology and Venerology, University Hospital Center Ibn Sina, University of Mohamed V, Rabat, Morocco.

Mariame Meziane

Department of Dermatology and Venerology, University Hospital Center Ibn Sina, University of Mohamed V, Rabat, Morocco.

Nadia Ismaili

Department of Dermatology and Venerology, University Hospital Center Ibn Sina, University of Mohamed V, Rabat, Morocco.

Laila Benzekri

Department of Dermatology and Venerology, University Hospital Center Ibn Sina, University of Mohamed V, Rabat, Morocco.

Karima Senouci

Department of Dermatology and Venerology, University Hospital Center Ibn Sina, University of Mohamed V, Rabat, Morocco.

*Author to whom correspondence should be addressed.

---

Abstract

Introduction: Dermatological emergency is defined as any acute dermatological disorder that develops and worsens in less than 5 days. 

Aims of Study: The aim of our study is to identify the main dermatological emergencies consultations, establish a demographic and clinical profile of the reasons for dermatological consultations, and review the various diagnostic and therapeutic difficulties encountered by interns and/or residents.

Materials and Methods: We conducted a prospective study in the dermatology department of the Ibn Sina University Hospital in Rabat between June 2022, and May2023. Excel and Statistical Package for the Social Sciences (SPSS Inc., version 15.0 for Windows) were used for data entry andanalysis.                                                                                                                                                                  Results: 1,321 urgent dermatology consultations were received during this period. The sex ratio was 0.89, and the average age was 45.6 years (01months-95years). The reasons for consultation were: infectious pathologies in 47% (Erysipelas in the lead), inflammatory pathologies in 24%, toxidermia in 7%, autoimmune bullous dermatosis in 4%, tumor pathologies in 3%, and others in 15% of cases. 79 cases (5,9%) were hospitalized as emergencies and while the others (94,1%) only needed an ambulatory care.

Conclusion: The pathologies encountered in dermatological emergencies are very diverse dominated by infectious diseases. However, the majority of patients do not require an emergency consultation.

Keywords: Dermatological emergency, emergency, skin diseases, dermatological consultations

---

---

---

References

Kilic D, Yigit O, Kilic T, Buyurgan CS, Dicle O. Epidemiologic Characteristics of Patients Admitted to Emergency Department with Dermatological Complaints; A Retrospective Cross sectional Study. Arch Acad Emerg Med. 2019 Aug19;7(1):e47. PMID: 31602430; PMCID: PMC6785214.

Yasmina El Arabi, Fouzia Hali, Hayat Dahbi Skali, Soumiya Chiheb, Dermatological emergencies: A Moroccan retrospective case series over a period of two years,PAMJ – 2022;41(348).

Anushka Kedia PSS, Ranugha, Gurumurthy Santhebachalli Chethana Garehatty Rudrappa Kanthraj,2023,”Severity grading of dermatological emergencies based on comorbidities and systemic involvement: An observational study”, Archives of Dermatological Research,315:2333–2338.

Murr D, Bocquet H, Bachot N, Bagot M, Revuz J, Roujeau JC. Intérêt d'une consultation hospitalière d'urgences dermatologiques [Medical activity in a emergency outpatient department dermatology]. Ann Dermatol Venereol. 2003 Feb;130(2 Pt 1):167-70. French. PMID: 12671577.

Pelloni L, Cazzaniga S, Naldi L, Borradori L, Mainetti C. Emergency Consultations in Dermatology in a Secondary Referral Hospital in Southern Switzerland: A Prospective Cross-Sectional Analysis. Dermatology. 2019;235(3):243-249. DOI: 10.1159/000498850. Epub 2019 Mar 28. PMID: 30921799.

Isnard C, Ingen-Housz-Oro S, Fardet L, Matteodo E, Duval S, Hemery F, Khellaf M, Duong TA, Chosidow O, Wolkenstein P. Dermatological emergencies: Evolution from 2008 to 2014 and perspectives. J Eur Acad Dermatol Venereol. 2017 Feb;31(2):274-279. DOI: 10.1111/jdv.13860. Epub 2016 Sep 29. PMID: 27681584.

Gupta S, Sandhu K, Kumar B. Evaluation of emergency dermatological consultations in a tertiary care centre in North India. J Eur Acad Dermatol Venereol. 2003 May;17(3):303-5.

DOI: 10.1046/j.1468-3083.2003.00690.x. PMID: 12702071.

Demirel Öğüt N, Gülseren D, Yalıcı-Armağan B, Akdoğan N, Günaydın SD, Elçin G, Karaduman A, Ersoy-Evans S. Dermatology consultation requests from a university hospital's pediatric and adult emergency departments: A 5-year retrospective analysis. Am J Emerg Med. 2022 Mar;53:112-117.

DOI: 10.1016/j.ajem.2021.12.068. Epub 2022 Jan 4. PMID: 35016092.

Bancalari-Díaz D, Gimeno-Mateos LI, Cañueto J, Andrés-Ramos I, Fernández-López E, Román-Curto C. Dermatologic emergencies in a tertiary hospital: A descriptive study. Actas Dermosifiliogr. 2016 Oct;107(8):666-73. English, Spanish.

DOI: 10.1016/j.ad.2016.05.001. Epub 2016 May 26. PMID: 27238743.

Alpalhão M, Uva L, Soromenho G, Filipe P. Dermatological emergencies: One-year data analysis of 8,620 patients from the largest Portuguese tertiary teaching hospital. Eur J Dermatol. 2016 Oct 1;26(5):460-464. DOI: 10.1684/ejd.2016.2825. PMID: 27297693.

Cydulka RK GB. Dermatological presentations. In: John A, Marx M, editors. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7nd Ed. Philadelphia: Mosby Elsevier; 2010;1529. [Google Scholar] [Ref list]