{"id":8101,"date":"2020-04-27T04:10:25","date_gmt":"2020-04-27T07:10:25","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/psoriasis-eritrodermica\/"},"modified":"2020-04-27T14:54:31","modified_gmt":"2020-04-27T17:54:31","slug":"psoriasis-erythroderma-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-eritrodermica\/","title":{"rendered":"Erythrodermic psoriasis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-eritrodermica\/#Que-es-eritrodermia\" >What is erythroderma?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-eritrodermica\/#Psoriasis-eritrodermica\" >Erythrodermic psoriasis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-eritrodermica\/#%C2%BFQue-causa-la-psoriasis-eritrodermica\" >What Causes Erythrodermic Psoriasis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-eritrodermica\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-psoriasis-eritrodermica\" >What are the clinical features of erythrodermic psoriasis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-eritrodermica\/#%C2%BFCual-es-el-tratamiento-para-la-psoriasis-eritrodermica\" >What is the treatment for erythrodermic psoriasis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-eritrodermia\"><\/span>What is it <span class=\"term\" data-term-id=\"91\">erythroderma<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erythroderma is a <span class=\"term\" data-term-id=\"308\">generalized<\/span> redness of the skin. It is a very serious skin condition that can be fatal. It may be the result of many <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> skin conditions, drugs and malignancies, but in one third of cases it is due to psoriasis.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Psoriasis-eritrodermica\"><\/span>Erythrodermic psoriasis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps-e1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1812199-7610508' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps-e1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1812199.jpg'>\n<\/div>\n<p class=\"p-small\">Erythrodermic psoriasis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps-e2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-2320478-7596773' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps-e2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-2320478.jpg'>\n<\/div>\n<p class=\"p-small\">Erythrodermic psoriasis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps-e4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildzd-1075808-1231966' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps-e4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDZd-1075808.jpg'>\n<\/div>\n<p class=\"p-small\">Erythrodermic psoriasis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps-e3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildjd-7212945-7279448' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps-e3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDJd-7212945.jpg'>\n<\/div>\n<p class=\"p-small\">Erythrodermic psoriasis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps-e5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildezmv0-6705267-5242903' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps-e5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDEzMV0-6705267.jpg'>\n<\/div>\n<p class=\"p-small\">Erythrodermic psoriasis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='psorederm__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-7628885-1640240' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/psorederm__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-7628885.jpg'>\n<\/div>\n<p class=\"p-small\">Erythrodermic psoriasis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-psoriasis-eritrodermica\"><\/span>What Causes Erythrodermic Psoriasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erythrodermic psoriasis can be <span class=\"term\" data-term-id=\"1497\">precipitate<\/span> by:<\/p>\n<ul>\n<li>Infections<\/li>\n<li>Low in calcium<\/li>\n<li>Withdrawal of oral corticosteroids (prednisone)<\/li>\n<li>Withdrawal of excessive use of strong <span class=\"term\" data-term-id=\"1330\">current<\/span> corticosteroids\n<\/li>\n<li>Strong coal tar preparations<\/li>\n<li>Certain medications including lithium, antimalarials, and <span class=\"term\" data-term-id=\"915\">interleukin<\/span> II<\/li>\n<li>Excessive alcohol consumption.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-psoriasis-eritrodermica\"><\/span>What are the clinical features of erythrodermic psoriasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erythrodermic psoriasis usually occurs in the setting of known worsening or unstable psoriasis, but it can be the first presentation of psoriasis. Onset can occur acutely over a few days or weeks, or progress gradually over several months from pre-existing psoriasis.<\/p>\n<p><span>The characteristics are those of any form of <\/span>erythroderma<span> (red and dry skin all over the body). <\/span><\/p>\n<p>Complications include:<\/p>\n<ul>\n<li>Dehydration<\/li>\n<li>Heart failure<\/li>\n<li><span class=\"term\" data-term-id=\"145\">Infection<\/span><\/li>\n<li>Hypothermia<\/li>\n<li>Protein loss and malnutrition.\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"201\">Edema<\/span> (swelling), particularly of the legs<\/li>\n<li>Death<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-psoriasis-eritrodermica\"><\/span>What is the treatment for erythrodermic psoriasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Treating erythrodermic psoriasis can be difficult. Management includes:<\/p>\n<ul>\n<li>Hospitalization for supportive care, including IV fluids and temperature regulation.<\/li>\n<li>Nice <span class=\"term\" data-term-id=\"1888\">emollients<\/span> and cool wet dressings<\/li>\n<li>Bed rest<\/li>\n<li>Treatment of complications (eg, antibiotics, diuretics (water tablets), nutritional support)<\/li>\n<li>Low-dose methotrexate, cyclosporine, or acitretin\n<\/li>\n<li>Individual cases have been reported to have successful results with biological agents, including the TNF-alpha inhibitors adalimumab, etanercept, and infliximab, and the IL12 \/ 23 inhibitor, ustekinumab.<\/li>\n<\/ul>\n<p>Oral corticosteroids should be avoided if possible because withdrawal runs the risk of worsening erythrodermic status and may cause generalization <span class=\"term\" data-term-id=\"792\">pustular<\/span> psoriasis. However, sometimes they are the only treatment that helps.<\/p>\n<p>Topical tar preparations and phototherapy should also be avoided in the early treatment of erythrodermic psoriasis, as they can make the condition worse.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es eritrodermia? La eritrodermia es un generalizado enrojecimiento de la piel. Es una afecci\u00f3n cut\u00e1nea muy grave que puede ser fatal. Puede ser el resultado de muchos inflamatorio afecciones&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8101","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8101","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8101"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8101\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8101"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}