**11.2 Dermatologic conditions that require burn center management**

Historically, the spheres of the dermatologist and the burn surgeon have failed to overlap as much as the associated anatomic and physiologic considerations might lead one to believe they should. Reasons for this lack of collegiality and collaboration have included training bias (i.e., an "elixir" versus "cold steel" approach), lack of awareness of the other's expertise, and good old fashioned egos and turf wars. Thankfully, a new era of cooperation between these specialties has begun to emerge based on large part around the understanding that a multimodal, multidisciplinary approach may lead to more optimal clinical outcomes. The intersection of these two specialties may perhaps be best illustrated through several devastating dermatological conditions that involve the acute and extensive necrosis of cutaneous tissue, leading to catastrophic deterioration of the affected patient and a clinical picture that closely resembles a large thermal burn.
