What Is Erythrodermic Psoriasis?
Red skin psoriasis is caused by improper treatment of psoriasis, especially the application of hormone drugs in the acute stage of psoriasis vulgaris, or the long-term use of corticosteroid drugs, withdrawal or improper dosage reduction methods. In addition, pustular psoriasis can also present with joints during the resolution of pustules. This disease accounts for about 1% of psoriasis.
Erythrodermic psoriasis
- Chinese name
- Erythrodermic psoriasis
- Foreign name
- Erythrodermic psoriasis
- Alias
- psoriasis
- Country of Citizenship
- China
- Occupation
- Psoriatic Savior
- graduated school
- Changchun Huashan Dermatology
- representative work
- Psoriasis Buster Experience
- Red skin psoriasis is caused by improper treatment of psoriasis, especially the application of hormone drugs in the acute stage of psoriasis vulgaris, or the long-term use of corticosteroid drugs, withdrawal or improper dosage reduction methods. In addition, pustular psoriasis can also present with joints during the resolution of pustules. This disease accounts for about 1% of psoriasis.
Clinical manifestations of erythrodermic psoriasis
- Erythrodermic psoriasis often affects more than 75% of body expression, and unstable psoriasis vulgaris
- Erythrodermic psoriasis
- (1) Systemic symptoms: Patients with erythrodermic psoriasis may have discomfort such as fever, chills, headaches, fatigue, and subcutaneous lymph nodes may be enlarged. The whole body's skin is in the process of active inflammation, so some complications caused by pathophysiological changes and metabolic abnormalities should be paid attention to, especially elderly patients should pay special attention to cardiac function, dehydration, anemia and hypoproteinemia. Patients may also develop liver and kidney dysfunction.
- (2) Skin damage: If it is changed from the common type, the original original skin lesions appear flushed and rapidly expand. Finally, the whole body skin is diffuse red or dark red, and the inflammation is obvious; a few of them are diffuse throughout the body. Symptoms of erythema due to flushing and desquamation, there are a large number of bran-like scales on the skin surface, which are constantly falling off. Normal skin is distributed between the lesions like islands. Patients with hand and foot involvement can often see exfoliation of the entire keratin, nails are often involved, and they are cloudy, hypertrophy, deformed, and even peeled off. The oral cavity, nasal cavity, pharynx mucosa, and eye conjunctiva can be congested and red, and the oral cavity can have infiltrated patches of gray and white.
Causes of red skin psoriasis
- 1. Red skin psoriasis is often caused by certain stimulating factors of psoriasis in the acute stage, such as strong external irritation or inappropriate drugs;
- 2. A few can evolve by themselves from psoriasis vulgaris;
- 3. After a long period of large-scale application of corticosteroids, such as sudden withdrawal or reduction too quickly, and the symptoms recurred and increased dramatically;
- 4. Pustular psoriasis may also cause lesions during the resolution of pustules.
Red skin psoriasis disease description
- Red skin psoriasis is also known as psoriasis exfoliative dermatitis. This is a rare psoriasis that is more severe than the common type of psoriasis, accounting for about 1% of patients with psoriasis. It is more common in adults and rarely affects children.
Red skin psoriasis prone areas
- Red skin psoriasis can occur on the skin throughout the body, but it is more common on the scalp, back, and limbs. The morphology of psoriasis lesions in different parts may have different manifestations.
- Scalp: large flaky, thick scales, clusters of hair, sometimes covered with yellow thick palate similar to seborrheic dermatitis.
- Face: It usually appears as drips, or looks like seborrheic dermatitis, or has a butterfly shape.
- Calf: skin lesions are prone to infiltration and hypertrophy, accompanied by lichenification, which is similar to chronic eczema.
- Palmoplantar: Excessive keratosis, or diffuse palmoplantar erythematous keratosis.
- Flexion: The distribution of skin lesions in some patients is mainly flexion, accounting for about 2.8% -6% of the total number of patients. It mainly affects the groin, armpits, sub-breasts and other flexed parts. Skin lesions tend to be less scaly, smooth on the surface, and well-defined.
Red skin psoriasis disease harm
- Among the four types of psoriasis, the effect of this disease is more serious than others, and it will cause different degrees of harm in other parts of the body.
- 1. Gastrointestinal tract, such as erosive gastritis and hypertrophic gastritis.
- 2. Cardiovascular complications, prone to hypertension, coronary heart disease, etc. In addition, there are more changes in blood rheology and high blood lipids.
- 3. Liver damage can be caused by certain drugs such as methotrexate, Baixuening, vitamin A acid, PUVA, etc., or by psoriasis itself.
- 4, eye disease, the incidence rate is 10% -51.8%, eyelids, conjunctiva, cornea, lens, retina, etc. can be affected. Such as blepharitis, conjunctivitis, cloudy lens, refractive error, glaucoma and retinitis.
- 5. Nephropathy, such as glomerulonephritis, nephrotic syndrome, etc. Renal damage occurs when psoriasis develops or worsens, and when psoriasis improves or heals, kidney disease also improves or relieves. Abnormal lung function. Bladder damage. Synovial joint damage.
- 6. Isomorphic reaction refers to the occurrence of psoriasis damage on the damaged part of the skin. It often occurs in the acute, active, progressive phase.
Characteristics of erythrodermic psoriasis
- One of the characteristics of erythrodermic psoriasis: flushing occurs in the original psoriasis skin lesions, which quickly spreads into a large area, and finally the whole body shows diffuse flushing infiltration.
- Red skin psoriasis features two: a large number of scales fall off every day during the onset of disease, and the scalp has thick scales. Extensive skin exfoliation in the hands and feet.
- Red skin psoriasis characteristics three: refers to (toe) nail turbid hypertrophy, deformation, nail can fall off.
- Red skin psoriasis features four: redness in the mouth, pharynx, nasal cavity, and conjunctiva. It is often accompanied by fever, chills, headaches, and general malaise.
- Five features of erythrodermic psoriasis: superficial lymphadenopathy, increased white blood cell count.
- Red-skinned psoriasis is stubborn in nature and is more likely to recur after healing. People with arthritis are more severe. Due to long-term delay and recurrent episodes, patients with psoriasis gradually weaken, which is more likely to cause various comorbidities and cause adverse consequences.
Red skin psoriasis disease treatment
- 1. Strengthen the psychological treatment of patients with erythrodermic psoriasis, relieve the burden of thought, and improve the confidence of healing.
- 2. Remove suspicious inducements, prevent trauma, and avoid abuse of drugs or prescriptions with toxic and side effects.
- 3. The treatment method for psoriasis vulgaris is simple, safe and non-toxic. Traditional Chinese medicine with psoriasis vulgaris is safe and effective, and the treatment principles can be dredging wind, cooling blood, and relieving liver qi. Winter psoriasis can be treated with hot water bath-tar-UV triple therapy.
- 4. For external use, hormone-free drugs, such as vitamin A acid ointment or fensulfurol, should be used during the ongoing period. When the condition is stable, you can choose: 3% salicylic acid ointment; 5% pine oil or coal tar emulsion.
- 5. The treatment of pustular, erythematous, and arthritic types is difficult, and appropriate drugs can be selected according to the patient's constitution. Blood, urine routine and liver function must be checked frequently. Patients with erythrodermic psoriasis cannot be discontinued abruptly after recovery to prevent recurrence.
Red skin psoriasis disease care
- 1. Patients with erythrodermic psoriasis should also pay attention to psychological care on the basis of dermatology general nursing routine.
- 2. Patients with red skin psoriasis should bathe frequently. Patients with severe heads should not have long hair.
- 3. Red skin type, systemic pustular type, and arthritis type psoriasis should be intensified.
Red skin psoriasis health tips
- Patients with red-skinned psoriasis should not eat spicy and irritating foods and fatty taste, and do not eat high-calorie animal foods such as cattle, sheep, chicken, fish, shrimp and so on. Quit alcohol and don't smoke. Eat more fresh vegetables and fruits.
Typical cases of erythrodermic psoriasis
- I got erythrodermic psoriasis three months ago. I haven't been in iron therapy for more than three months. Now I finally know one thing: the effect of pine cream on erythrodermic psoriasis is not ideal. Such. I don't know what to do now. Do you know any medicines that are effective for erythrodermic psoriasis? Give some advice, I am grateful for this.
- Patients' comments: Strengthen the psychological treatment of patients with red skin psoriasis, relieve the burden of thought, and improve confidence in healing. 2. Remove suspicious inducements, prevent trauma, and avoid abuse of drugs or prescriptions with toxic and side effects. 3. The treatment method for psoriasis vulgaris is simple, safe and non-toxic. Traditional Chinese medicine with psoriasis vulgaris is safe and effective, and the treatment principles can be dredging wind, cooling blood, and relieving liver qi. Winter psoriasis can be treated with hot water bath-tar-UV triple therapy. 4. For external use, hormone-free drugs, such as vitamin A acid ointment or fensulfurol, should be used during the ongoing period.
- When the condition is stable, you can choose: 3% salicylic acid ointment; 5% pine oil or coal tar emulsion. 5. The treatment of pustular, erythematous, and arthritic types is difficult, and appropriate drugs can be selected according to the patient's constitution. The blood, urine routine and liver function must be checked frequently. Patients with erythrodermic psoriasis cannot be discontinued abruptly after recovery to prevent recurrence.
Red skin psoriasis diet note
- Diet is very important for patients with erythrodermic psoriasis. What you can eat but not what you eat must be clear. What can't I eat from psoriasis? Patients look below and keep in mind.
- Meat: such as beef, lamb, dog, chicken and duck, pigeon meat.
- Fish and seafood: crab, catfish, shrimp, etc.
- Seasoning: Aniseed, pepper, pepper, hot sauce, hot pot seasoning, instant noodle seasoning, ginger, spring onion, garlic, etc.
- Deep-fried foods: such as fritters, oil cakes, and 5 fragrant foods.
- Alcoholic beverages: liquor, beer, wine, strong tea, coffee, mung bean soup, etc.
Red skin psoriasis treatment options
- Treatment with Chinese medicine is better. First, grasp the key factor of liver yin deficiency. By using Xiaotong Capsules, nourishing yin and nourishing blood,
- (1) Closely observe the condition and check the body carefully
- Patients with erythrodermic psoriasis are often accompanied by systemic symptoms such as fever and joint pain during the acute rash, and they are at risk of inducing heart failure. During the illness, they should closely observe the changes in the condition, and timely check and deal with the symptoms of discomfort. Prevent complications.
- (2) Supplement nutrition and reasonable diet
- Patients should supplement protein in time, limit sodium intake, observe blood pressure, body temperature, water, electrolyte balance, etc., keep warm, prevent large loss of body fluids and heat due to skin vasodilation, and add folic acid, vitamin C, iron, zinc Wait. Avoid spicy spicy foods, fishy seafood and fatty foods, and give easy-to-digest semi-liquid or liquid food to reduce the metabolic burden of each organ.
- (3) Strengthen nursing and avoid irritation
- Strengthen skin care to prevent secondary infections and give antibiotics if necessary. High-concentration, irritating topical medicines are prohibited, large-scale topical corticosteroids or salicylic acid are avoided, and adverse reactions caused by skin absorption of the medicines are prevented. Hot water scalding and PUVA are prohibited during the acute rash period. The number of baths should be reduced. The temperature of the water should not be too high during the bath, and the skin lesions should not be rubbed vigorously, so as not to aggravate the disease.
- (4) Comprehensive analysis of the condition and rational drug use
- Erythrodermic psoriasis often develops on the basis of psoriasis vulgaris. When selecting a drug for treating erythrodermic psoriasis, care should be taken to avoid adverse reactions caused by single use or excessive doses, which will affect future For the treatment of type psoriasis, the best treatment plan should be selected according to the specific situation of the patient. Meridian holographic heat shock therapy is a combination of traditional Chinese medicine fumigant steam therapy and UVB optical therapy. It uses the characteristics of UVB optical therapy to quickly heal skin lesions and quickly stop itching and scaling, so as to achieve the effect of "treatment". From the characteristics of the two-dimensional penetration of the surface and the internal and internal organs, gradually adjust the mid-segmentation and epidermal replacement cycle of psoriasis lesion cells, while adjusting the qi and blood to restore normal immune function, and achieve the purpose of "remove the root cause".