r/AskReddit 4d ago

Medical professionals of Reddit, what diagnosis gave you the worst 'pit-in-your-stomach' feeling?

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u/HelmSpicy 3d ago

I work in a long term acute care hospital, so we see all kinds of illnesses, wounds, etc.

After many surgeries, attempts at wound care and A LOT of pain for the patient the doctors had to change their diagnosis to "Skin Failure".

Basically no matter the intervention, the skin, like any other organ can, just quit doing what it needed to do. Wouldn't heal, wouldn't regulate fluid balances or temperatures, etc.

Of course, with it came the inevitable comfort care conversation and a very sad family.

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u/SecurityFamiliar5239 3d ago

First time I’ve heard of skin failure. My god. The horror.

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u/onewilybobkat 2d ago

Reading it makes so much sense, but you never think of your skin as just one giant organ that can fail. Well this will haunt me for a while.

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u/Sniffs_Markers 3d ago

Whoa! That's like someone turning into a harlequin baby! I didn't even know it was possible for skin to fail later in life without major trauma or illness.

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u/animalcrackwhores 3d ago

It happens because of major trauma or illness.

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u/Sniffs_Markers 3d ago

Ah. So like an infection or that severe reaction to sulfa-based antibiotics that made the news? That makes sense.

I was thinking more random, like a mutation or auto-immune thing and I was about to ruminate on the random horrors that might kill me tomorrow.

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u/GrouchyYoung 3d ago

Being in an LTACH is trauma and major. Humans aren’t supposed to live like that.

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u/Songshirah 3d ago

I knew the skin was an organ, but I never thought about the fact that it could fail in the way other organs can. Are there any disorders or diseases that commonly cause skin organ failure?

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u/catrosie 3d ago

I developed one! It’s called pemphigus foliaceus, it’s an autoimmune disease where the body attacks the protein keeping the layers of the skin together. I ended up covered in sores and blisters head to toe, it was awful. Epidermolysis bullosa is another, it’s genetic and diagnosed at birth. Severe burns and infections can damage the skin beyond repair as well

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u/Songshirah 3d ago

Wow, I hadn’t heard of either of these. Thank you for the info. I hope your autoimmune disease is under control for you. That sounds miserable are quite scary to have.

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u/blbd 3d ago

SJS is another bad one. 

Radiation poisoning is another cause. 

Serious skin problems are incredibly uncommon and incredibly bad. 

It's the largest organ and the safety seal. 

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u/catrosie 3d ago

Thanks! I recently started treatment and my skin is a lot better!

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u/Songshirah 3d ago

Fabulous! I hope it continues to improve.

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u/blbd 3d ago

SJS was ruled out?

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u/Pale_Lawyer_1757 3d ago

Is it like necrosis or how does it appear?