The flushing patient: differential diagnosis, workup, and treatment.

Abstract:

UNLABELLED:Cutaneous flushing-a common presenting complaint to dermatologists, allergists, internists, and family practitioners-results from changes in cutaneous blood flow triggered by multiple conditions. Most cases are caused by very common, benign diseases, such as rosacea or climacterum, that are readily apparent after a thorough taking of history and physical examination. However, in some cases, accurate diagnosis requires further laboratory, radiologic, or histopathologic studies to differentiate several important clinicopathologic entities. In particular, the serious diagnoses of carcinoid syndrome, pheochromocytoma, mastocytosis, and anaphylaxis need to be excluded by laboratory studies. If this work-up is unrevealing, rare causes, such as medullary carcinoma of the thyroid, pancreatic cell tumor, renal carcinoma, and others, should be considered. LEARNING OBJECTIVE:At the completion of this learning activity, participants should be familiar with the mechanisms of flushing, its clinical differential diagnosis, the approach to establish a definitive diagnosis, and management of various conditions that produce flushing.

journal_name

J Am Acad Dermatol

authors

Izikson L,English JC 3rd,Zirwas MJ

doi

10.1016/j.jaad.2005.07.057

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

193-208

issue

2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(05)02383-2

journal_volume

55

pub_type

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