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Chapter 11 – Erythroderma

Wolfram Sterry,
Chalid Assaf

Synonyms
      Exfoliative dermatitis ▪ Exfoliative erythroderma
      Red man syndrome

Key features

      Erythroderma is defined clinically as generalized redness and scaling of the skin
      Systemic manifestations include peripheral edema, tachycardia, loss of fluid and proteins, and disturbances in thermoregulation
      Erythroderma has multiple etiologies; the most common causes are psoriasis, atopic dermatitis, cutaneous T-cell lymphoma (CTCL) and drug reactions
      Establishing the correct diagnosis requires consideration of initial sites of involvement, additional clinical findings, histologic and molecular features, and associated systemic abnormalities, as well as a complete medical history
      Despite an intensive evaluation, the cause remains unknown (idiopathic) in 25-30% of patients; some of these patients eventually develop CTCL
      Treatment strategies should address the dermatologic disease as well as the underlying etiology and the systemic complications of the …