Erythrodermic psoriasis manifests with erythematous skin finely desquamating and more or less edematous.
The erythrodermic psoriasis, also known as exfoliative psoriasis, generally represents the complication of psoriasis vulgaris due to the assumption of drugs (NSAIDs, beta-blockers, lithium salts and antimalarials), or to an abrupt discontinuation of a topical therapy with corticosteroids (or to a non-tolerated topical therapy that determines a generalized Koebner phenomenon) or systemic therapy.
This form of psoriasis presents with erythematous skin, finely desquamating and more or less edematous. The patient's general condition may be seriously affected with superficial lymphadenitis, fever and thermoregulation disorders, intestinal disorders, oliguria, slimming. The patient has itching or a burning sensation.
The erythrodermic psoriasis is one of the most severe forms of psoriasis. It develops in 1 to 3% of cases and represents 20% of erythroderma. Patients experience acute or subacute flares of erythematous, desquamative plaques that compromise 70% or more of the body surface. It is a serious form of life-threatening disease with high morbidity and unpredictable development. The skin loses its barrier function and therefore, the control of temperature and the balance of liquids and electrolytes are affected. The patients behave as if they were burned, from the point of view of hemodynamics, and secondary infections may appear.
Erythrodermic psoriasis: Causes
The real causes of this severe form of psoriasis are unknown, but there are some of the so-called factors that can trigger and/or aggravate the disease.
The most frequent cause is the use of potent steroids in large areas of the body surface or the administration of steroids injected or orally. Abrupt suspension of a systemic therapy such as cyclosporine or methotrexate can also trigger erythrodermic psoriasis. It can also occur as a complication of phototherapy.
It requires hospitalization, correction of hydroelectrolytic balance, hyperproteic diet to restore protein loss due to peeling skin, skin treatment with moisturizing and emollient creams and systemic treatment according to laboratory parameters.
The use of the Psotherapy Body Wash and the Psotherapy Moisturizing and Regenerating Cream could be very useful for the treatment of erythrodermic psoriasis due to their emollient and moisturizing properties. In addition, it is a natural medicine with no adverse effects reported.
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