Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

147 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for fluid pockets under skin in an elderly person

Answered by
Dr.
Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1546 Questions

default
Posted on Tue, 27 Oct 2015 in Skin Hair and Nails
Question: I have just seen a 97 year old lady with profound fluid pockets in both arms under her epidermis. They look like burn blisters. Her skin is fragile and her last INR was 4.2 and coumadin on hold. She is a delight but this showed up in her adult family home residence and the right upper arm is beginning to seep. I am a wound nurse and have not seen such profound fluid collection like this. For now, over the area seeping I have a piece of Xeroform and pads to collect fluid. Her arms are wrapped from wrists to axilla in Kerlex and I hesitate to apply compression until I investigate further. Any ideas?


I am thinking it might be toxic epidermal necrosis?
doctor
Answered by Dr. Deepak Sundriyal 8 hours later
Brief Answer:
It is an emergency. Gear up please.

Detailed Answer:
Hello dear.
I have seen the images. You are right. On clinical grounds it appears toxic necrolysis. There is risk of secondary bacterial or fungal infections. She requires immediate admission in a high dependency unit and all supportive measures to be given.

Thanks and regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Medical Topics ,  

Recent questions on  Epidermis

doctor1 MD

Hi Doc, I am a 17 years old male. I have a wheatish complexion and am a bit dark. Is there anything you can suggest so that I become a bit fairer?

doctor1 MD

I have been taking capecitabine++500MG (4000MG per day) for 3 months after healing from XXXXXXX surgery having the right half of my colon removed. My hands and feet have lost al the epidermis and are as red as beets. They are very sensitive. Lines...

doctor1 MD

any hiv hep b,c risk when an open cut touched a shopping bag from a store

doctor1 MD

hi my name is Ajmat khan i have been sufeering from epidermis orchitis on both side .Though i am getting medical treatment the result is not satisfactory .as per guide line from our medical doctor am taking medicine stiil i am paining and swelling remains unchanges

doctor1 MD

i am taking treatment from aiims ,but doctor was not there to chek my report,and now i am givinng you my skin report so please tell me about my report and further solution. Material;-biopsy,sample excision\skin bx from papule on leg- H AND E REPORT;- SKIN BIOSPY FROM LEG SHOWS HYPERKERATOSIS ,PARAKARATOSIS OF THE EPIDERMIS WITH PERIVASCULAR AND PERI-APPEDDAGEAL CHRONIC INFLAMMATION IN THE DERMIS . THERE IS FOCAL SUPRA BASAL EPIDERMAL DEMAGE .FEATURES ARE SUGGESTIVE OF DARRIER'S DISEASE.