Study - A study of mortality in dermatology

BACKGROUND AND AIMS: Certain dermatological conditions are life-threatening and can cause mortality. The aim of this study is to find out the dermatological diseases leading to death in our indoor patients.
METHODS: A record-based retrospective descriptive study of dermatology cases who died during the period of 1995 to 2001.
RESULTS: The total number of cases analyzed was thirty-seven. There were 24 males and 13 females. The maximum number of deaths occurred in the age group 61-70. Vesiculobullous disorders were the commonest cause of death, found in 18 cases (48.6%), followed by drug reactions in 5 (13.5%), malignancies in 5 (13.5%) and collagen vascular disease in 2 cases ((5.40%). Pemphigus was the commonest fatal vesiculobullous disorder (13 cases - 35.13%), and toxic epidermal necrolysis the commonest drug reaction (3 cases - 8.10%).
CONCLUSION: Area of skin involvement, electrolyte imbalance and septicemia were important factors leading to death in pemphigus and toxic epidermal necrolysis. We advocate that such patients should be managed in burns unit or ICU units.