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Research ArticleOriginal Article
Open Access

Dermatological conditions in the intensive care unit at a tertiary care hospital in Riyadh, Saudi Arabia

Ghida S. Altammami, Sarah K. Alswayed, Mohammed I. AlJasser and Rayan A. Alkhodair
Saudi Medical Journal August 2024, 45 (8) 834-839; DOI: https://doi.org/10.15537/smj.2024.45.8.20240479
Ghida S. Altammami
From the College of Medicine (Altammami, Alswayed, AlJasser, Alkhodair), King Saud bin Abdulaziz University for Health Sciences, from the Department of Dermatology (AlJasser, Alkhodair), King Abdullah International Medical Research Center, from the Division of Dermatology (AlJasser), Ministry of National Guard Health Affairs, and from the Division of Pediatric Dermatology (Alkhodair), Department of Pediatrics, King Abdullah Specialist Children’s Hospital, Riyadh, Kingdom of Saudi Arabia.
Roles: Medical Student
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  • ORCID record for Ghida S. Altammami
Sarah K. Alswayed
From the College of Medicine (Altammami, Alswayed, AlJasser, Alkhodair), King Saud bin Abdulaziz University for Health Sciences, from the Department of Dermatology (AlJasser, Alkhodair), King Abdullah International Medical Research Center, from the Division of Dermatology (AlJasser), Ministry of National Guard Health Affairs, and from the Division of Pediatric Dermatology (Alkhodair), Department of Pediatrics, King Abdullah Specialist Children’s Hospital, Riyadh, Kingdom of Saudi Arabia.
Roles: Medical Student
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Mohammed I. AlJasser
From the College of Medicine (Altammami, Alswayed, AlJasser, Alkhodair), King Saud bin Abdulaziz University for Health Sciences, from the Department of Dermatology (AlJasser, Alkhodair), King Abdullah International Medical Research Center, from the Division of Dermatology (AlJasser), Ministry of National Guard Health Affairs, and from the Division of Pediatric Dermatology (Alkhodair), Department of Pediatrics, King Abdullah Specialist Children’s Hospital, Riyadh, Kingdom of Saudi Arabia.
MBBS, FRCPC
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Rayan A. Alkhodair
From the College of Medicine (Altammami, Alswayed, AlJasser, Alkhodair), King Saud bin Abdulaziz University for Health Sciences, from the Department of Dermatology (AlJasser, Alkhodair), King Abdullah International Medical Research Center, from the Division of Dermatology (AlJasser), Ministry of National Guard Health Affairs, and from the Division of Pediatric Dermatology (Alkhodair), Department of Pediatrics, King Abdullah Specialist Children’s Hospital, Riyadh, Kingdom of Saudi Arabia.
MBBS, FRCPC
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    Figure 1

    - Top dermatological conditions among intensive care unit patients.

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    Figure 2

    - Top dermatological conditions among patients aged 0-17 years.

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    Figure 3

    - Top dermatological conditions among patients aged 18 years or above.

Tables

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    Table 1

    - Categories of dermatological conditions among intensive care unit patients (N=365).

    Categoriesn (%)
    Infections71 (19.5)
    Inflammatory and autoimmune diseases66 (18.1)
    Drug reactions62 (17.0)
    Dermatoses due to exogenous factors50 (13.7)
    Vascular and coagulopathies43 (11.8)
    Congenital and neonatal skin disorders38 (10.4)
    Miscellaneous28 (7.7)
    Neoplasms4 (1.1)
    Unclear diagnosis3 (0.8)
    • Vlaues are presented as numbers and percentages (%).

    • View popup
    Table 2

    - All dermatological conditions among intensive care unit patients (N=365).

    Categoriesn (%)% all dermatological conditions
    Inflammatory and autoimmune diseases
    Dermatitis or eczema14 (28.0)3.8%
    Intertrigo9 (18.0)2.5%
    Prurigo7 (14.0)1.9%
    Urticaria4 (8.0)1.1%
    Folliculitis3 (6.0)0.8%
    Alopecia areata2 (4.0)0.5%
    Panniculitis2 (4.0)0.5%
    Acne vulgaris2 (4.0)0.5%
    Erythema multiforme1 (2.0)0.3%
    Pyoderma gangrenosum1 (2.0)0.3%
    Erythroderma1 (2.0)0.3%
    Id reaction1 (2.0)0.3%
    Lichen planus1 (2.0)0.3%
    Psoriasis1 (2.0)0.3%
    GVHD1 (2.0)0.3%
    Connective tissue diseases
    Lupus erythematosus4 (66.7)1.1%
    Dermatomyositis1 (16.7)0.3%
    Mixed connective tissue disease1 (16.7)0.3%
    Immunobullous
    Bullous pemphigoid7 (70.0)1.9%
    Epidermolysis bullosa acquisita3 (30.0)0.8%
    Infections
    Bacterial
    Cellulitis4 (22.2)1.1%
    Ecthyma or ecthyma gangrenosum3 (16.7)0.8%
    Bullous impetigo2 (11.1)0.5%
    Skin abscesses2 (11.1)0.5%
    Staphylococcal scalded skin syndrome2 (11.1)0.5%
    Necrotizing fasciitis1 (5.6)0.3%
    Toxic shock syndrome1 (5.6)0.3%
    Unclassified bacterial infection3 (16.7)0.8%
    Fungal
    Candidiasis14 (66.7)3.8%
    Dermatophytosis5 (23.8)1.4%
    Unclassified fungal infection2 (9.5)0.5%
    Viral
    Herpes zoster17 (54.8)4.7%
    Herpes simplex virus9 (29.0)2.5%
    Warts2 (6.5)0.5%
    Viral exanthem2 (6.5)0.5%
    Cutaneous CMV1 (3.2)0.3%
    Parasitic
    Scabies1 (100)0.3%
    Drug reactions
    Severe cutaneous drug adverse reactions
    SJS/TEN7 (50.0)1.9%
    Acute generalized exanthematous pustulosis5 (35.7)1.4%
    DRESS syndrome2 (14.3)0.5%
    Other drug reactions
    Morbilliform drug eruption25 (52.1)6.8%
    Drug induced acne6 (12.5)1.6%
    Bullous drug eruption3 (6.3)0.8%
    SDRIFE2 (4.2)0.5%
    Fixed drug eruption1 (2.1)0.3%
    Toxic erythema of chemotherapy1 (2.1)0.3%
    Warfarin necrosis1 (2.1)0.3%
    Unclassified drug reaction9 (18.8)2.5%
    Categoriesn (%)% all dermatological conditions
    Dermatoses due to exogenous factors
    Contact dermatitis23 (46.0)6.3%
    Bed sores8 (16.0)2.2%
    Trauma induced ulcer or blister7 (14.0)1.9%
    Pressure induced alopecia4 (8.0)1.1%
    Hematoma2 (4.0)0.5%
    Burn2 (4.0)0.5%
    Extravasation2 (4.0)0.5%
    Pressure induced erythema1 (2.0)0.3%
    Trauma induced nail dystrophy1 (2.0)0.3%
    Vascular and coagulopathies
    Vasculitis20 (46.5)5.5%
    Purpura due to thrombocytopenia14 (32.6)3.8%
    DIC, purpura fulminans4 (9.3)1.1%
    Ischemic skin changes or necrosis3 (7.0)0.8%
    Superficial thrombophlebitis1 (2.3)0.3%
    Lymphedema1 (2.3)0.3%
    Congenital and neonatal skin disorders
    Infantile hemangioma10 (26.3)2.7%
    Port wine stain8 (21.1)2.2%
    Aplasia cutis congenita4 (10.5)1.1%
    Nevus sebaceous4 (10.5)1.1%
    Ichthyosis3 (7.9)0.8%
    Collodion baby2 (5.3)0.5%
    Mongolian spots2 (5.3)0.5%
    Acrodermatitis enteropathica -like eruption1 (2.6)0.3%
    Klippel-Trenaunay syndrome1 (2.6)0.3%
    Neonatal cephalic pustulosis1 (2.6)0.3%
    Stiff skin syndrome1 (2.6)0.3%
    Subcutaneous fat necrosis of the newborn1 (2.6)0.3%
    Neoplasms
    Kaposi sarcoma1 (25.0)0.3%
    Lymphoma1 (25.0)0.3%
    Seborrheic keratosis1 (25.0)0.3%
    Squamous cell carcinoma1 (25.0)0.3%
    Miscellaneous
    Miliaria7 (25.0)1.9%
    Edema bullae6 (21.4)1.6%
    Xerosis5 (17.9)1.4%
    Calcinosis cutis3 (10.7)0.8%
    Hyperkeratosis3 (10.7)0.8%
    Acquired perforating dermatosis2 (7.1)0.5%
    Bullosis diabeticorum1 (3.6)0.3%
    Post inflammatory pigmentary changes1 (3.6)0.3%
    Unclear diagnosis3 (100)0.8%
    • Values are presented as numbers and percentages (%). CMV: cytomegalovirus,

    • DIC: disseminated intravascular coagulation, DRESS: drug reaction with eosinophilia and systemic symptoms, GVHD: graft-versus-host disease, SDRIFE: symmetrical drug-related intertriginous and flexural exanthema, SJS/TEN: Stevens-Johnson syndrome/toxic epidermal necrolysis

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Dermatological conditions in the intensive care unit at a tertiary care hospital in Riyadh, Saudi Arabia
Ghida S. Altammami, Sarah K. Alswayed, Mohammed I. AlJasser, Rayan A. Alkhodair
Saudi Medical Journal Aug 2024, 45 (8) 834-839; DOI: 10.15537/smj.2024.45.8.20240479

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Dermatological conditions in the intensive care unit at a tertiary care hospital in Riyadh, Saudi Arabia
Ghida S. Altammami, Sarah K. Alswayed, Mohammed I. AlJasser, Rayan A. Alkhodair
Saudi Medical Journal Aug 2024, 45 (8) 834-839; DOI: 10.15537/smj.2024.45.8.20240479
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Keywords

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  • skin diseases
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