- Erythroderma
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Erythroderma Classification and external resources ICD-10 L26, L53.9 ICD-9 695.9 DiseasesDB 29735 eMedicine derm/142 MeSH D003873 Erythroderma (also known as "Exfoliative dermatitis," "Dermatitis exfoliativa," and "Red man syndrome") is an inflammatory skin disease with erythema and scaling that affects nearly the entire cutaneous surface.[1]:436[2]:215
In ICD-10, a distinction is made between "exfoliative dermatitis" at L26, and "erythroderma" at L53.9.
Contents
Historical aspects
The classification of exfoliative dermatitis into Wilson-Brocq (chronic relapsing), Hebra or pityriasis rubra (progressive), and Savill (self-limited) types may have had historical value, but it currently lacks pathophysiologic or clinical utility.[1]:436
Causes
Erythroderma is generalized exfoliative dermatitis, which involves 90% or more of the patient's skin.[3] The most common cause of erythroderma is exacerbation of an underlying skin disease, such as psoriasis, contact dermatitis, seborrheic dermatitis, lichen planus, pityriasis rubra pilaris or a drug reaction. Primary erythroderma is less frequent and is usually seen in cases of cutaneous T-cell lymphoma, in particular in Sézary's disease.[4]
The most common causes of exfoliative dermatitis are best remembered by the mnemonic device ID-SCALP. [5] . The causes and their frequencies are as follows:
- Idiopathic - 30%
- Drug allergy - 28%
- Seborrheic dermatitis - 2%
- Contact dermatitis - 3%
- Atopic dermatitis - 10%
- Lymphoma and leukemia - 14%
- Psoriasis - 8%
Differential diagnosis in patients with erythroderma may be difficult.[citation needed]Treatment
The treatment is dependent on the cause.[citation needed]
References
- ^ a b Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0071380760.
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0721629210.
- ^ [emedicine.medscape.com/article/1106906-overview Erythroderma (Generalized Exfoliative Dermatitis)]. August 24, 2009.
- ^ http://books.google.com/books?id=WgkZH4Hse6gC&pg=PA40&dq=erythroderma
- ^ http://emedicine.medscape.com/article/1106906-overview
Urticaria and erythema (L50–L54, 695, 708) Urticaria
(acute/chronic)Allergic urticariaUrticarial allergic eruptionPhysical urticariaCold urticaria (Familial) · Primary cold contact urticaria · Secondary cold contact urticaria · Reflex cold urticariaVibratory angioedema · Pressure urticariaAquagenic urticariaOther urticariaAcquired C1 esterase inhibitor deficiency · Adrenergic urticaria · Exercise urticaria · Galvanic urticaria · Schnitzler syndrome · Urticaria-like follicular mucinosisEpisodic angioedema with eosinophilia · Hereditary angioedemaErythema Erythema multiforme minor · Erythema multiforme major (Stevens–Johnson syndrome, Toxic epidermal necrolysis) · panniculitis (Erythema nodosum) · Acute generalized exanthematous pustulosisFigurate erythemaOther erythemaNecrolytic migratory erythema · Erythema toxicum · Erythroderma · Palmar erythema · Generalized erythemaPapulosquamous disorders (L40–L45, 696–697) Psoriasis PustularGeneralized pustular psoriasis (Impetigo herpetiformis) · Acropustulosis/Pustulosis palmaris et plantaris (Pustular bacterid) · Annular pustular psoriasis · Localized pustular psoriasisOtherParapsoriasis Pityriasis lichenoides (Pityriasis lichenoides et varioliformis acuta, Pityriasis lichenoides chronica) · Lymphomatoid papulosis · Small plaque parapsoriasis (Digitate dermatosis, Xanthoerythrodermia perstans) · Large plaque parapsoriasis (Retiform parapsoriasis)Other pityriasis Other lichenoid configuration: Annular lichen planus · Linear lichen planus
morphology of lesion: Hypertrophic lichen planus · Atrophic lichen planus · Bullous lichen planus · Ulcerative lichen planus · Lichen planus actinicus · Lichen planus pigmentosus
site of involvement: Mucosal lichen planus · Lichen planus of the nails · Peno-gingival syndrome · Vulvovaginal gingival syndromeoverlap: Lichen planus–lichen sclerosus overlap syndrome · Lichen planus–lupus erythematosus overlap syndrome
special forms: Hepatitis-associated lichen planus · Lichen planus pemphigoidesOtherungrouped lichenoid eruptions: Erythema dyschromicum perstans · Idiopathic eruptive macular pigmentation · Keratosis lichenoides chronica · Kraurosis vulvae · Lichen sclerosus · Lichenoid dermatitis · Lichenoid reaction of graft-versus-host diseaseThis cutaneous condition article is a stub. You can help Wikipedia by expanding it.