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Life-Threatening Skin Rashes - An Insight

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Rashes are frequent conditions caused by a range of factors. Most rashes are not hazardous and are only a bother.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Dhepe Snehal Madhav

Published At December 11, 2023
Reviewed AtJanuary 18, 2024

Introduction

A broad outbreak of skin lesions is referred to as a rash. This medical phrase is quite wide. The appearance of rashes can vary greatly, and their causes might include everything from insect stings to HIV and adverse drug responses. A rash may just cover a small region of the body, or it may spread widely. In addition, rashes might be bumpy, smooth, cracked, or blistering. They may cause discomfort, itchiness, and color changes. Some rashes may go away independently, and some will improve with home cures, but certain rashes may indicate a more serious condition that requires medical attention.

What Are the Diseases That Cause Life-Threatening Skin Rash?

Life-threatening skin rash is the main symptom of the following five potentially fatal diseases:

  • PV (Pemphigus vulgaris).

  • Stevens-Johnson disease (SJS).

  • TEN (toxic epidermal necrolysis).

  • Syndrome of toxic shock (TSS).

  • Scalded skin syndrome (SSS) due to staphylococci.

What Are the Causes of Life-Threatening Skin Rashes?

1. PV (Pemphigus Vulgaris)

An autoimmune disorder, Pemphigus vulgaris is a condition that affects the immune system. The body's normal immune system wrongly recognizes proteins in the skin as foreign by creating antibodies to fight the foreign invader, as is the case with all autoimmune illnesses.

These antibodies are directed against a protein called desmoglein 3, a component of a desmosome, the target of Pemphigus vulgaris. Desmosomes maintain cell adhesion in epidermal tissues.

Several drugs, including D-penicillamine, Captopril, Enalapril, Penicillin, interleukin 2, Nifedipine, and Rifampicin, have been related to the onset of Pemphigus vulgaris.

Skin and mucous membrane blisters are a symptom of pemphigus. The blisters readily break, leaving unprotected wounds that might leak and develop an infection. Cutaneous or vaginal mucous membrane blisters, as the initial symptoms of pemphigus vulgaris, frequently follow blisters in the mouth. Usually painful but not itchy, blisters are uncomfortable.

Pemphigus may have the following side effects:

  • Skin infection.

  • Sepsis is an infection that spreads to the bloodstream.

  • Malnutrition since it is hard to eat while suffering from severe mouth sores.

  • Medication adverse effects, including high blood pressure and infection.

  • Untreated pemphigus can be fatal.

2. Stevens-Johnson Disease (SJS)

A dangerous skin disorder that results in blisters, rashes, and peeling of the skin is Stevens-Johnson syndrome (SJS), also known as toxic epidermal necrolysis (TEN). Additionally impacted are the mucous membranes of the mouth, genitalia, and eyes. Individuals will probably be hospitalized if they develop this illness.

Some people see SJS and TEN differently than others, who believe they are two separate forms of the same illness. Compared to TEN, SJS is less severe. Both ailments, nevertheless, carry a chance of death.

Some elements, including a genetic predisposition, influence the emergence of these illnesses. The gene may get activated as a result of environmental influences. Specific human leukocyte antigens (HLAs), which may raise one's chance of developing SJS or TEN, are one of these hereditary variables.

Stevens-Johnson syndrome signs and symptoms include:

  • Skin ache.

  • Fever.

  • Body pains.

  • A red rash or skin spots that are red.

  • Cough.

  • Blisters and sores on the skin, as well as those on the mucous membranes of the eyes, mouth, throat, and genitalia.

  • Skin peeling.

  • Drooling (because it hurts to close one's mouth).

  • Eyes closed (because of swelling and blisters).

Death is the most serious side effect of SJS and TEN. Death occurs in 10 percent of SJS patients and 50 percent of TEN cases. Pneumonia, sepsis (massive bacterial infections), shock, and multiple organ failure are possible consequences.

3. Syndrome of Toxic Shock (TSS).

Certain bacterial strains that generate toxins (poisons) can induce toxic shock syndrome (TSS), an uncommon but potentially fatal illness. These toxins may impact the heart, liver, and kidneys once they enter the circulation. Tampon use during menstrual periods is frequently linked to it. But anybody, regardless of age, can have TSS. The likelihood of the illness developing might be boosted by skin injuries such as wounds, surgical incisions, nasal packing, scrapes, burns, or other damaged skin regions. TSS symptoms develop suddenly and swiftly deteriorate. If TSS is identified and treated right away, the majority of patients do, however, recover. Depending on the kind of bacteria creating the toxins, the symptoms of toxic shock syndrome may change.

They may consist of:

  • Flu-like symptoms include a sudden high temperature, chills, body pains, etc.

  • Vomiting or nausea.

  • Diarrheal diarrhea.

  • Fainting.

  • Dizziness.

Toxic shock syndrome is critical and potentially fatal. Quick treatment is required since symptoms might worsen fast. Without treatment for toxic shock syndrome, shock, organ failure, amputation of limbs, and death may ensue.

4. Scalded Skin Syndrome

Infants and young toddlers under six are most frequently affected by the dangerous skin illness staphylococcal scalded skin syndrome (SSSS). A particular staphylococcal aureus strain is the culprit behind this illness. In elderly adults with renal failure or those with compromised immune systems, it also seldom happens. Skin redness and fever are frequently the first symptoms of staphylococcal scalded skin syndrome.

Occasionally, blisters will develop, burst, and leave behind damp skin. Weakness and fluid loss might be additional signs. Chills, painful red patches near the infection site, and the skin's outermost layer that peels off with mild pressing or pressure. The prognosis for a staphylococcal scalded skin condition is favorable, with complete healing often occurring within ten days without leaving any scars. However, potential consequences may result in scarring, paralysis, or even death.

Conclusion

These illnesses are all lethal, and there are little resources for home care. The only appropriate responses are early recognition of the symptoms and prompt medical attention. Many sufferers of any of these conditions may pass away if left untreated. Prevention is sometimes challenging since few distinct causes have been identified for any of these disorders.

Numerous infections believed to be the root of many of these ailments are almost invariably innocuous and very hard to prevent. If these illnesses are not treated, there is a significant danger that they will cause mortality. The likelihood of survival is significantly increased by receiving hospital or intensive care unit treatment and care quickly.

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Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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