The rash that leads to eschar formation.

Carly Dunn, Ted Rosen

Journal: Clinics in dermatology 2019;37(2):99-108

PMID: 30981299

Full Text on Elsevier Science View on PubMed

Abstract

When confronted with an existent or evolving eschar, the history is often the most important factor used to put the lesion into proper context. Determining whether the patient has a past medical history of significance, such as renal failure or diabetes mellitus, exposure to dead or live wildlife, or underwent a recent surgical procedure, can help differentiate between many etiologies of eschars. Similarly, the patient's overall clinical condition and the presence or absence of fever can allow infectious processes to be differentiated from other causes. This contribution is intended to help dermatologists identify and manage these various dermatologic conditions, as well as provide an algorithm that can be utilized when approaching a patient presenting with an eschar.

Address: Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA.; Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA. Electronic address: [email protected].

DOI: 10.1016/j.clindermatol.2018.12.003

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MeSH Terms: Anthrax, Anticoagulants, Calciphylaxis, Embolism, Cholesterol, Exanthema, Fasciitis, Necrotizing, Fournier Gangrene, Humans, Mucormycosis, Necrosis, Scrub Typhus, Sepsis, Skin, Snake Bites, Spider Bites, Surgical Flaps, Tularemia, Vibrio Infections