A SPINE CHILLING CASE REPORT OF ACUTE SKIN FAILURE

Acute skin failure is a state of total dysfunction of the skin resulting from different dermatological conditions. It is a dermatological emergency and should be treated promptly and appropriately to pull the patient out of crisis. We report a case of acute skin failure secondary to pustular psoriasis. A 24 years old female presented with complaints of extensive raw areas with peeling of skin over entire body surface & scalp for the past 15 days. She gave history of blisters and fever 1 month ago. Mistaking the blisters for chickenpox she has applied neem and turmeric paste all over the body following which her general condition deteriorated. Dermatological examination revealed her entire skin to be covered with dried neem-turmeric paste. she was febrile, anaemic and had bilateral pitting pedal edema. She was diagnosed as a case of acute skin failure and managed in multidisciplinary intensive care unit.