Severity Grading of Dermatological Emergencies Based on Comorbidities and Systemic Involvement: An Observational Study

    Anushka Kedia, P S S Ranugha, Gurumurthy Santhebachalli Chethana, Garehatty Rudrappa Kanthraj
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    TLDR Skin emergency severity rises with other health issues and affects multiple organs; a new grading system can improve patient care.
    The observational study involved 202 patients requiring urgent dermatological interventions, with the most common emergency being acute urticaria (25.24%). The severity of these emergencies was found to increase with the presence of comorbidities and systemic involvement. A grading system was proposed to help assess this severity, with Grade I representing no comorbidity or systemic involvement, and Grade IV representing more than 2 comorbidities or multiorgan involvement. The most common comorbidity was diabetes mellitus. The study also noted an increase in hair disorders such as telogen effluvium and alopecia areata during the COVID-19 pandemic. The mortality rate was 1.98%. The researchers concluded that the proposed grading system could help triage patients and plan urgent interventions.
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