Some skin diseases require an emergency medical intervention. This is obvio
usly the case with several rare but life-threatening diseases including ang
ioedema, anaphylaxis, acute drug reactions with blisters, pustules, or inte
rnal involvement, such as 'hypersensitivity syndrome'/DRESS, or Kaposi-Juli
usberg syndrome. More frequently patients are seeking emergency advice for
an acute skin condition often accompanied by fever that looks dramatic to t
hem, their relatives and general practitioner. This is the case of acute ur
ticaria and acute contact dermatitis, especially on the face. For each of t
he above diseases, excluding urticaria, we will discuss the clinical presen
tation, the main differential diagnoses, the laboratory examinations that m
ay be useful in emergencies and the principles of management. (C) 2001 Edit
ions scientifiques et medicales Elsevier SAS.