Etiologies and management of cutaneous flushing : Nonmalignant causes - 12/08/17

Doi : 10.1016/j.jaad.2016.12.031

Azeen Sadeghian, MD ^a, Hailey Rouhana, MD ^b,^⁎ , Brittany Oswald-Stumpf, MD ^a, Erin Boh, MD, PhD ^a
^a Department of Dermatology, Tulane University, New Orleans, Louisiana
^b Department of Dermatology, Louisiana State University Health Sciences Center, New Orleans, Louisiana

^∗Correspondence to: Hailey Rouhana, MD, Department of Dermatology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Suite 639, New Orleans, LA 70112.Department of DermatologyLouisiana State University Health Sciences Center1542 Tulane Ave, Suite 639New OrleansLA70112

Abstract

The flushing phenomenon may represent a physiologic or a pathologic reaction. Although flushing is usually benign, it is prudent that the physician remains aware of potentially life-threatening conditions associated with cutaneous flushing. A thorough investigation should be performed if the flushing is atypical or not clearly associated with a benign underlying process. The diagnosis often relies on a pertinent history, review of systems, physical examination, and various laboratory and imaging modalities, all of which are discussed in the 2 articles in this continuing medical education series. This article reviews flushing associated with fever, hyperthermia, emotions, menopause, medications, alcohol, food, hypersensitivity reactions, rosacea, hyperthyroidism, dumping syndrome, superior vena cava syndrome, and neurologic etiologies.

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Key words : blushing, climacterium, dumping syndrome, emotional flushing, fever, flushing, hot flush, hypersensitivity reactions, hyperthermia, hyperthyroidism, menopause, rosacea, SVC syndrome

Plan

	Drs Sadeghian and Rouhana are cofirst authors.
	Funding sources: None.
	Conflicts of interest: None declared.
	Reprints not available from the authors.
	Date of release: September 2017
	Expiration date: September 2020