RT Book, Section A1 Wolff, Klaus A1 Johnson, Richard Allen A1 Saavedra, Arturo P. A1 Roh, Ellen K. SR Print(0) ID 1140789617 T1 THE ACUTELY ILL AND HOSPITALIZED PATIENT T2 Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259642197 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1140789617 RD 2024/03/28 AB EES is a serious, at times life-threatening, reaction pattern of the skin characterized by a uniform redness, infiltration, and scaling, which involves practically the entire skin*.It is associated with fever, malaise, shivers, and generalized lymphadenopathy.Two stages, acute and chronic, merge one into the other. In the acute and subacute phases, there is rapid onset of generalized vivid red erythema and fine branny scales; the patient feels hot and cold, shivers, and has a fever. In chronic EES, the skin thickens, and scaling continues and becomes lamellar.There may be loss of scalp and body hair, and the nails become thickened and separated from the nail bed (onycholysis).There may be hyperpigmentation or patchy loss of pigment in patients whose normal skin pigmentation is brown or black.The most frequent preexisting skin disorders are (in order of frequency) psoriasis, atopic dermatitis, adverse cutaneous drug reaction, lymphoma, allergic contact dermatitis, seborrheic dermatitis, and pityriasis rubra pilaris.