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Emergency: requires immediate attention
Erythrodermic psoriasis in Child
Other Resources UpToDate PubMed
Emergency: requires immediate attention

Erythrodermic psoriasis in Child

Contributors: Craig N. Burkhart MD, Dean Morrell MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Erythrodermic psoriasis (EP) is an acute life-threatening complication of psoriasis. It is the least common form of psoriasis, but it occurs in all ages, from infancy through adulthood. It can occur suddenly, as the first sign of psoriasis, but more commonly develops as a complication of sun exposure, steroid withdrawal, drugs, or an illness in those with known plaque (common) psoriasis or in those with difficult-to-control psoriasis. Additionally, erythroderma may occur from generalized pustular psoriasis. Dehydration and temperature control problems are significant morbidities necessitating hospitalization for fluid management as well as treatment of disease.

Immunocompromised Patient Considerations:
HIV-associated psoriasis is often severe and refractory to treatment. This is interesting, because HIV is a disease of T-lymphocyte depletion and psoriasis is a disease of cytokine-mediated T-lymphocyte proliferation. Psoriasis is nonetheless exacerbated by HIV.

Codes

ICD10CM:
L40.8 – Other psoriasis

SNOMEDCT:
200977004 – Erythrodermic psoriasis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

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Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:09/22/2019
Last Updated:03/05/2023
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Emergency: requires immediate attention
Erythrodermic psoriasis in Child
A medical illustration showing key findings of Erythrodermic psoriasis : Chills, Confluent configuration, Desquamation, Erythroderma, Widespread distribution
Clinical image of Erythrodermic psoriasis - imageId=784383. Click to open in gallery.  caption: 'Diffuse erythema and thick scales over the dorsal hand in a patient with erythrodermic psoriasis.'
Diffuse erythema and thick scales over the dorsal hand in a patient with erythrodermic psoriasis.
Copyright © 2024 VisualDx®. All rights reserved.