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MSRA Dermatology [3] > [19] Erythroderma > Flashcards

[19] Erythroderma Flashcards

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Dermatology Board Prep flashcards
1
Q

What is erythroderma?

A

Generalised redness of the skin that involves all, or nearly all (usually 90%) of the skin’s surface

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2
Q

What can cause erythroderma?

A
  • Eczema
  • Psoriasis
  • Lymphoma and leukaemia
  • Drugs
  • Idiopathic
  • Rare causes
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3
Q

What types of eczema can cause erythroderma?

A
  • Atopic
  • Seborrhoeic
  • Contact allergic
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4
Q

What drugs can cause erythroderma?

A
  • Sulphonamides
  • Isoniazid
  • Penicillin
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5
Q

What are the rare causes of erythroderma?

A
  • Dermatomyositis

- Pityriasis

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6
Q

What is a risk factor for erythroderma?

A

Male

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7
Q

At what speed doe erythroderma spread?

A

Quickly

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8
Q

How may the patient feel in erythroderma?

A
  • Hot to touch

- Feels cold themselves

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9
Q

What can happen to skin in erythroderma after 2-6 days?

A

Scaling and thickening of the skin

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10
Q

What can happen to the scalp in erythroderma after a few weeks?

A

Thickening and loss of hair

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11
Q

What can happen to nails in erythroderma?

A

Thickening, ridge appearance and loss

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12
Q

What can happen to the lymph nodes in erythroderma?

A

Lymphadenopathy

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13
Q

What may aid the diagnosis of erythroderma?

A

Biopsy

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14
Q

What will be required to find the underlying cause of erythroderma?

A

A thorough work up including FBC and peripheral blood film to look for abnormal cells

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15
Q

How should a presentation of erythroderma be treated?

A

As a medical emergency and discussed with a dermatologist

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16
Q

When will a patient with erythroderma need admitting?

A

If they are systemically compromised or are high risk e.g. elderly, living alone etc.

17
Q

What does management of erythroderma include?

A
  • Topical steroids
  • Large quantities of emollients
  • Stopping all non-essential medications
18
Q

What must be considered when using topical steroids in erythroderma?

A

Skin barrier function is compromised so there is larger amounts of absorption

19
Q

What are the potential complications of erythroderma?

A
  • Secondary bacterial infection
  • Dehydration
  • Impaired thermoregulation and hypothermia
  • Cardiac failure
  • Overwhelming infection
  • Protein loss and oedema
  • Death

MSRA Dermatology [3] (26 decks)

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