Psoriasis: Erythrodermic
Erythrodermic psoriasis consists of severely inflamed and reddened skin over most of the body. The skin may look burned. There is significant shedding of dry skin, usually accompanied by severe itching and pain.
About 10 percent of people with psoriasis will experience an episode of erythrodermic psoriasis at least once, and some will experience repeated bouts.
Outbreaks of erythrodermic psoriasis can be life-threatening. The damaged skin loses fluid, leading to dehydration, and is susceptible to infections. Severe cases may require hospitalization for intravenous fluids and antibiotics.
When the disorder is caught early, it may be treated with topical medications, moisturizers, oatmeal baths, and rest. More severe cases may need the use of systemic treatment, such as cyclosporine, methotrexate, or oral retinoids (Soriatane).
The most common trigger of erythrodermic psoriasis is the rapid withdrawal of oral corticosteroids (prednisone). For this reason, corticosteroids are used very carefully in people with psoriasis, and if used, withdrawn slowly.
The fingernails and toenails may be significantly deformed following an episode of erythrodermic psoriasis.
This information is for general educational uses only. It may not apply to you and your specific medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional. Communicate promptly with your physician or other health care professional with any health-related questions or concerns.
