When Dermatology Turns Deadly

Dermatologic emergencies can evolve quickly, becoming lethal in the absence of prompt diagnosis and appropriate treatment. Will you save the day?

Answers to June “Picture This” (Clinician Reviews. 2018;28[6]:e10): 1b, 2d, 3c, 4a

Question 1 of 4

Eight days after a trip-and-fall accident, a 35-year-old afebrile woman presents with increasing pain, loss of appetite, and substantial fracture blisters over the dorsal area of the foot that extend to the lateral leg. Mild erythema extends to the midcalf, and distal leg, ankle, and foot swelling is apparent. Further examination reveals malodorous draining abscesses consistent with deeper infection at the medial and dorsolateral foot, lateral ankle, and leg region.

1. Eight days after a trip-and-fall accident, a 35-year-old afebrile woman presents with increasing pain, loss of appetite, and substantial fracture blisters over the dorsal area of the foot that extend to the lateral leg. Mild erythema extends to the mid Credit: Case text and photograph courtesy Am J Orthop. 2014;43(5):230-233.

Match the diagnosis to the photo by letter

Meningococcemia

Stevens-Johnson syndrome

Necrotizing fasciitis

Rocky Mountain spotted fever

Clinician Reviews. 2018 July;28(7):e16

This quiz is not accredited for CME.

More from Picture This

QUIZ

Not-So-Mellow Yellow
Lesions Sing the Blues
Leaves of Three
A Paler Patch of Skin
The Kiss That Keeps on Giving
Reading Between the Lines
Of Macules and Melanocytes
What Do You See in This ECG?
The Pimple That Wasn’t
Marks of Devotion
So Much For That Pregnant “Glow”
A Tale of Tortured Toes
Classic Childhood Exanthems