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Dermatology · Dermatologic emergencies: erythroderma
Sample itemA patient has diffuse erythema and scale over more than 90% of body surface area, tachycardia, and chills. What is the appropriate level of concern?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Urgent assessment for erythroderma and systemic complications
Erythroderma causes widespread skin-barrier failure with risk of hypothermia, fluid loss, high-output cardiac strain, and infection. It requires urgent identification of cause and supportive management.
Option by option
A. Simple acne follow-up
Acne does not cause generalized exfoliative erythema.
B. Urgent assessment for erythroderma and systemic complications (correct)
Correct. Extensive inflammatory skin involvement can cause life-threatening systemic effects.
C. Routine cosmetic advice only
Cosmetic advice alone is inadequate for skin failure.
D. No evaluation unless painful
Systemic complications can occur even without severe pain.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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