Eritrodermia en el adulto: un enfoque práctico para el diagnóstico y tratamiento

Cuéllar-Barboza, Adrián; Ocampo‐Candiani, Jorge; Herz‐Ruelas, Maira Elizabeth

doi:10.1016/j.ad.2018.05.011

Cited by 27 publications

(17 citation statements)

References 78 publications

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“…Diagnosis can be confirmed with a rapid bedside test involving the visualization of mites, ova, or feces from skin scrapings analyzed under direct microscopy. Clinical differential diagnoses include other causes of erythroderma such as psoriasis, ichthyosis, atopic dermatitis, cutaneous lymphoma, pityriasis rubra pilaris, and severe seborrheic dermatitis [3]. To date, treatment guidelines are lacking, but based on case series, the recommended management is a combination of topical and oral agents.…”

Section: Discussionmentioning

confidence: 99%

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A case of hyperkeratotic crusted scabies

et al. 2020

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Patients who are immunocompromised or have cognitive or physical disabilities are at a higher risk of being affected with infections such as crusted scabies. This is a rare skin hyperinfestation by Sarcoptes scabiei var. hominis. The main characteristic of this dermatosis is a thick crust due to the high concentration of mites; in addition, other manifestations such as papules, excoriations, and burrows may be absent. In severe cases, thick yellowbrown crusts and plaques with deep fissures are present. Diagnosis can be made by observing mites, ova, or feces from skin scrapings. Multiple therapies can be used in patients with this condition. Management with patient isolation is important to prevent institutional outbreaks. This disease can have high mortality, primarily due to sepsis. Awareness of this condition and its serious consequences is important to reduce its mortality and morbidity.

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Section: Discussionmentioning

confidence: 99%

“…Prompt diagnosis is crucial as patients may develop secondary impetigo, cellulitis, and even sepsis. Diagnosis may be delayed by atypical or extreme clinical presentations that may resemble other causes of erythroderma that present with exuberant scale and crust [2,3].…”

Section: Introductionmentioning

confidence: 99%

A case of hyperkeratotic crusted scabies

et al. 2020

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“…The general measures for managing any case of erythroderma regardless of the cause are illustrated in Figure 4 (Boyd & Menter, 1989;Cuellar-Barboza et al, 2018;Mistry et al, 2015;Rosenbach et al, 2010;Rothe et al, 2005).…”

Section: Contraindicationsmentioning

confidence: 99%

“…Any case of erythroderma, whether treated in hospital or in the outpatient clinic, should receive topical therapies illustrated in Figure 4. High potency CCSs are to be avoided due to enhanced systemic absorption (Cuellar-Barboza et al, 2018;Mistry et al, 2015;Rosenbach et al, 2010;Rothe et al, 2005).…”

Section: Combinationsmentioning

confidence: 99%

“…Regardless of the cause of erythroderma, systemic therapies prescribed are sedating antihistamines for pruritus and antibiotics for secondary infection, sepsis, or pneumonia. In cases with dependent edema not responding to leg elevation or tubular bandages, systemic diuretics can be added cautiously to avoid hypovolemia (Cuellar-Barboza et al, 2018;Mistry et al, 2015;Rothe et al, 2005). In adults, the options for management of erythrodermic psoriasis are summarized in Table 4.…”

Section: Combinationsmentioning

confidence: 99%

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Practical compendium for psoriasis management

Ibrahim

Amer

Nofal

et al. 2020

Dermatologic Therapy

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Psoriasis management is complex and challenging. It should be tailored for each patient. Treatment strategy differs according to patient's age, sex, disease type, disease severity, burden on patient's quality of life, comorbidities, involvement of specific sites, and pregnancy. The choice of the appropriate therapeutic must take into consideration the availability, the price, and the patient's preferences. It is very important that the chosen treatment is not more unpleasant, intolerable, or dangerous than the disease itself. According to the disease type, severity, and effect on patient's quality of life, dermatologist chooses whether to start with topical therapy, phototherapy or systemic therapy, or a combination of two or more of them. Under each category, there are different types of therapies that can be the first line therapeutics, second line, or even contraindicated. In this compendium, we provide dermatologists with different treatment plans considering all the mentioned variables so that a dermatologist can choose the optimum plan for the patient.

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Chronic Erythematous and Desquamative Lesions

Aşkın

Kutlubay

2022

Clinical Cases in Exfoliative Dermatitis

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Eritrodermia en el adulto: un enfoque práctico para el diagnóstico y tratamiento

Cited by 27 publications

References 78 publications

A case of hyperkeratotic crusted scabies

A case of hyperkeratotic crusted scabies

Practical compendium for psoriasis management

Chronic Erythematous and Desquamative Lesions

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