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.
Saudi Med J. 2024 Aug;45(8):834-839. doi: 10.15537/smj.2024.45.8.20240479.
To evaluate the various skin conditions diagnosed in intensive care unit (ICU) patients.
This is a descriptive retrospective study of all adults, pediatric, and neonatal patients who were admitted to the ICU and had a dermatological manifestation during hospital stay or patients who had dermatological condition that requires ICU admission. All skin conditions were categorized and analyzed.
A total of 344 ICU patients with 365 different dermatological conditions were included in the study. The age of patients ranged from less than 1-96 years, with a mean age of 43.6±30.1 years. Of the patients, 189 (54.9%) were males. The top 3 general disease categories observed were skin infections, inflammatory and autoimmune diseases, and drug reactions. The most commonly reported dermatological disorders included morbilliform drug eruption (6.8%), contact dermatitis (6.3%), vasculitis (5.5%), herpes zoster (4.6%), purpura due to thrombocytopenia (3.8%), dermatitis/eczema (3.8%), candidiasis (3.8%), infantile hemangioma (2.7%), unclassified drug reaction (2.5%), intertrigo (2.5%), and herpes simplex virus (2.5%).
Dermatological disorders can occur at various levels of severity in the ICU. Skin infections, inflammatory and autoimmune diseases, and drug reactions were found to be the most prevalent conditions.
评估重症监护病房（ICU）患者的各种皮肤状况。
这是一项对所有入住 ICU 并在住院期间出现皮肤表现或有需要 ICU 入住的皮肤状况的成人、儿科和新生儿患者进行的描述性回顾性研究。所有皮肤状况均进行分类和分析。
共纳入 344 例 ICU 患者，共计 365 种不同的皮肤科疾病。患者年龄从 1 岁以下到 96 岁不等，平均年龄为 43.6±30.1 岁。其中 189 例（54.9%）为男性。观察到的前 3 种一般疾病类别为皮肤感染、炎症和自身免疫性疾病以及药物反应。最常见的皮肤科疾病包括麻疹样药物疹（6.8%）、接触性皮炎（6.3%）、血管炎（5.5%）、带状疱疹（4.6%）、血小板减少性紫癜性紫癜（3.8%）、皮炎/湿疹（3.8%）、念珠菌病（3.8%）、婴儿血管瘤（2.7%）、未分类药物反应（2.5%）、间擦疹（2.5%）和单纯疱疹病毒（2.5%）。
皮肤科疾病在 ICU 中可出现不同严重程度。皮肤感染、炎症和自身免疫性疾病以及药物反应是最常见的疾病。
