Indonesian Journal of Case Reports
Vol. 1 No. 1 (2023): August 2023

An Intriguing Case of Erythroderma Possibly Related to Psoriasis Vulgaris

Nanda Earlia (Department of Dermatology and Venereology, Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia
Department of Dermatology and Venereology, Dr. Zainoel Abidin Hospital, Banda Aceh, Aceh, Indonesia)

Menul Ayu Umborowati (Department of Dermatology and Venereology, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia
Department of Dermatology and Venereology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia)

Aqil Yuniawan Tasrif (Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia)
Aldilla Pradistha (Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia)
Mahda Rizki Liana (Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia)
Mikyal Bulqiah (Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia
Dr. Zainoel Abidin Hospital, Banda Aceh, Aceh, Indonesia)



Article Info

Publish Date
09 Aug 2023

Abstract

Erythroderma or generalized exfoliating dermatitis is an inflammatory disease characterized by erythema and thickened scales. A woman, 34 years old, was consulted with complaints of red spots accompanied by blisters and peeling skin almost all over her body for 4 days. Complaints are accompanied by itching and burning sensations. The patient had experienced complaints like this 5 months ago and had been treated at three different hospitals. Physical examination found in the facial region, thorax, superior and inferior right and left extremities, erythematous patches with diffuse borders, thick scales, erosions, and a generalized distribution. The patient's fingernails were found to have a change in shape (pitting nails). Examination of the ANA profile was negative, IgE atopy did not show an allergic reaction to a specific allergen, and histopathological examination was within normal limits. The patient was diagnosed with erythroderma based on psoriasis vulgaris. Treatment includes injection of methylprednisolone, cetirizine 10 mg tablets, and wound care with wet gauze and topical cream. After giving therapy, the patient's clinical improvement. Erythroderma occurs because of an underlying condition and cannot be prevented by itself. Erythroderma because of an underlying inflammatory skin condition usually resolves with treatment but can recur at any time. Overall, the prognosis for erythroderma depends on the underlying cause and is generally good if the underlying disease can be treated effectively.

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Journal Info

Abbrev

ijcr

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience Public Health

Description

The journal aims to present challenging and stimulating cases in an educational format, enabling readers to engage as if they are actively collaborating with caring clinician scientists in patient management. Topics of this journal includes, but not limited to Exploration of new diseases and their ...