| ID | 208 |
|---|---|
| Name | EXFOLIATIVE DERMATITIS (Erythroderma) |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | This is a form of itching dermatosis characterised by generalised erythema & exfoliation of the skin involving more than 90% of the body surface. |
| Management | Management: 1. General management: Rest in bed, high protein diet, iv fluid if severe dehydration present, hot & humid room, use of blanket, daily bath with warm water. 2. Find out the underlying cause & treat properly. 3. The offending drugs should be stopped. 4. Emollients. 5. Antihistamines and vitamines. 6. If the cause is idiopathic, first observe then give systemic steroid for a prolong period in tappering doses. 7. Steroid may be given locally in the form of ointment or cream with emollients. 8. If infection-give antibiotics. 9. Methotraxate-if due to psoriasis. |
| Introduction | |
| History | |
| Etiology | Etiology: A Primary or congenital - 1. Dermatitis exfoliativa neonatorum. 2. Erythroderma desquamativum. 3. Congenital ichthyosiform erythroderma. B. Secondary or acquired - 1. Idiopathic. 2. Due to dermatoses: Psoriasis, lichen planus, contact dermatitis, seborrheic dermatitis, pityriasis rosea, ichthyosis vulgaris, scabies, pemphigus foliaceous etc. 3. Due to drugs: Heavy metals, barbiturates, sulphonamides, penicillin, INK etc. 4. Due to internal malignancy: Hodgkin’s disease, leukemia, mycosis fungoid. |
| Clinical Features | Clinical features: 1. Generalised exfoliation (scaliness) from head to feet. 2. Thickening of the skin (lichenification). 3. Erythema. 4. Oedema may be present. 5. Itching may be present. 6. Chilliness. 7. Hairless. |
| Preventions | |
| Treatment | |
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