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. 2024 Nov;8(4):388-390.
doi: 10.5811/cpcem.24854.

A Case of Severe Erythroderma in a Patient with Pustular Psoriasis

Joshua Berko  1 , Christine Raps  1 , Quinlan Cacic  1 , Robert Stephen  1 , Megan Fix  1 , Allison M Beaulieu  1
Affiliations

A Case of Severe Erythroderma in a Patient with Pustular Psoriasis

Joshua Berko et al. Clin Pract Cases Emerg Med. 2024 Nov.

Abstract

Case presentation: A female patient with a known history of pustular psoriasis presented with sub-acute development of diffuse erythema and scaling of the skin with areas of exfoliation consistent with erythroderma. She was ill appearing and required admission and aggressive treatment with steroid-impregnated wet dressings, topical emollients, analgesics, and systemic immunosuppressants.

Discussion: Erythroderma is a dermatologic emergency characterized by diffuse erythema and scaling spanning greater than 90% of skin surfaces and is associated with a mortality rate as high as 64%. It is initially a clinical diagnosis and needs to be recognized and aggressively treated expeditiously to improve chances of a good outcome.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Sloughing, scaling, and erythrodermic skin breakdown of the right arm in the setting of pustular psoriasis.
Image 2
Image 2
Diffuse scaling overlying erythrodermic reaction of the bilateral lower extremities.
Image 3
Image 3
Pustular psoriatic lesions on an erythematous base on the skin of the back.
See this image and copyright information in PMC

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