Erythroderma refers to any inflammatory skin disease affecting either sex or any age group resulting in erythema and exfoliation that affects more than 90% of the body surface. It may result from a pre-existing dermatoses or underlying lymphoma, drug eruption, hereditary causes eg: ichthyosiform erythroderma. Hence it is mandatory to establish the cause in order to facilitate its management.Since it is a complex disorder, the patient should preferably be hospitalized for evaluation and treatment. To study the clinical profile of patients with erythroderma and to identify the aetiological factors of erythroderma and its histopathological correlation and also it's associated systemic complication. A total number of 57 clinically diagnosed cases of erythroderma attended the department during the period from 2012 to 2014 and were taken up for the clinio-aetiopathological evaluation. Males outnumbered females with a ratio of 1.48:1. Predominant symptoms were erythroderma (96.49%), exfoliation (100%), itching (100%). Nail change were seen in 75.43% of patients. The most common underlying etiology observed was psoriasis (43.85%) followed by drug inducted erythroderma (36.84%). The most common reaction pattern observed was psoriasiform pattern (59.6%). In 16 (33.33%) patients biopsy helped in reaching the diagnosis.Erythroderma can be fatal, even when properly managed, primarily because of its metabolic complications. Hence it is mandatory to establish its aetiopathology in order to facilitate more practiced management apart from the routine basic management.
Cutaneous metastases from endometrial adenocarcinoma are ominous and are seldom seen, though metastases occurring at the local sites, such as pelvic and para-aortic lymph nodes, vagina, peritoneum, and lungs are well recognized. The zosteriform pattern of lesions is even more rare. Here, we describe an interesting case of a 60-year-old female with carcinoma endometrium, presenting with zosteriform cutaneous metastasis.
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