Maculopapular - Diagnostic Algorithm
Pathophysiology:
- Catch-all term with a wide range of potential pathophysiologic mechanisms and causative etiologies.
- Any process that results in erythroderma, petechiae, or fluid-filled lesions may start as a macule or papule.
- Pathophysiology is of little guidance in this category where we must instead rely on the patient’s history and identification of red-flags to exclude dermatologic emergencies.
High-risk Features (Identified by dermatologists to stratify urgency of inpatient consultations):
- Ill-appearing, vital sign instability
- New-onset fever with rash
- Mucocutaneous or ocular lesions
- Recent introduction of anti-convulsant or sulfa-drug
- Skin pain
- Immunocompromised
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