Exfoliative dermatitis (Erythroderma)

Question 1

manif as

Answer 1

extensive erythema and scaling.
entire body is dull scarlet and covered by small, laminated scales tagt exfoliate profusely.
extensive telogen effluvium may be noted.

Question 2

what secondary infections affect

Answer 2

S aureaus

strep infections

Question 3

mortality rate

Answer 3

7%

Question 4

etio

Answer 4

Exacerbation if pre existing dermatosis as AD psoriasis.

Question 5

histo

Answer 5

retain histo features of orig disease process.

Question 6

tx

Answer 6

target primary cause of tx. medium strength steroid after soaking and occlusion under a sauna suit are helpful.

acitretin, cyclosporine, methotrexate useful in psoriatic erythroderma.

TNF alpha agents- avoid if dx in question. lead to sig worsening or CTCL.