Exfoliative erythroderma - Revision history

Rossdonaldson1: /* Background */

2024-12-11T16:24:17Z

Background

← Older revision		Revision as of 16:24, 11 December 2024
Line 1:		Line 1:
	==Background==		==Background==
			{{Skin anatomy background images}}
	*Also known as exfoliative dermatitis		*Also known as exfoliative dermatitis
	*Diffuse, widespread scaly dermatitis that covers most of body surface		*Diffuse, widespread scaly dermatitis that covers most of body surface

Rossdonaldson1: /* Evaluation */

2019-12-17T19:18:46Z

Evaluation

← Older revision		Revision as of 19:18, 17 December 2019
Line 24:		Line 24:

	==Evaluation==		==Evaluation==
			===Workup===
	*CBC, CMP, ESR		*CBC, CMP, ESR
	*[[CXR]]		*[[CXR]]
	*Determine underlying cause, including evaluation for underlying malignancy and biopsy of skin		*Determine underlying cause, including evaluation for underlying malignancy and biopsy of skin

			===Diagnosis===
			{{Table of severe drug reactions}}

	==Management==		==Management==

Rossdonaldson1: /* See Also */

2019-11-26T05:00:02Z

Rossdonaldson1: /* Differential Diagnosis */

2019-11-26T04:57:41Z

Differential Diagnosis

← Older revision		Revision as of 04:57, 26 November 2019
Line 18:		Line 18:
	*[[Erythema multiforme]]		*[[Erythema multiforme]]
	*[[Stevens-Johnson syndrome and toxic epidermal necrolysis]]		*[[Stevens-Johnson syndrome and toxic epidermal necrolysis]]
	*[[Toxic shock syndrome]]
	*[[Staphylococcal scalded skin syndrome]]
	*[[Drug rash]]		*[[Drug rash]]
	*[[DRESS syndrome]]		*[[DRESS syndrome]]

Rossdonaldson1: /* Differential Diagnosis */

2019-11-26T04:57:09Z

Differential Diagnosis

← Older revision		Revision as of 04:57, 26 November 2019
Line 22:		Line 22:
	*[[Drug rash]]		*[[Drug rash]]
	*[[DRESS syndrome]]		*[[DRESS syndrome]]

			{{Erythematous rash DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Clinical Features */

2019-11-26T04:55:52Z

Clinical Features

← Older revision		Revision as of 04:55, 26 November 2019
Line 7:		Line 7:

	==Clinical Features==		==Clinical Features==
			[[File:Red (burning) Skin Syndrome - Feet Collage.jpg\|thumb\|Erythroderma]]
	*Generalized [[rash\|erythema, warmth, scaling]]		*Generalized [[rash\|erythema, warmth, scaling]]
	*Can be [[pruritus\|pruritic]] and painful		*Can be [[pruritus\|pruritic]] and painful

Rossdonaldson1 at 04:11, 26 November 2019

2019-11-26T04:11:32Z

← Older revision		Revision as of 04:11, 26 November 2019
Line 13:		Line 13:
	*Low-grade [[fever]] common		*Low-grade [[fever]] common
	*Tends to be a chronic condition, mean duration 5 years		*Tends to be a chronic condition, mean duration 5 years

	~~==Complications==~~
	*[[Hypothermia]]
	*fluid/electrolyte/protein loss
	*Invasion of bacteria and opportunistic organisms through the skin
	*[[High-output heart failure]] due to vasodilatation

	==Differential Diagnosis==		==Differential Diagnosis==
Line 44:		Line 38:
	==Disposition==		==Disposition==
	*Admit		*Admit

			==Complications==
			*[[Hypothermia]]
			*fluid/electrolyte/protein loss
			*Invasion of bacteria and opportunistic organisms through the skin
			*[[High-output heart failure]] due to vasodilatation

	==See Also==		==See Also==

Jaydengalamgam at 17:36, 31 October 2019

2019-10-31T17:36:18Z

← Older revision		Revision as of 17:36, 31 October 2019
Line 25:		Line 25:
	*[[Toxic shock syndrome]]		*[[Toxic shock syndrome]]
	*[[Staphylococcal scalded skin syndrome]]		*[[Staphylococcal scalded skin syndrome]]
	*[[Drug ~~eruption~~]]		*[[Drug rash]]
	*[[DRESS syndrome]]		*[[DRESS syndrome]]

ClaireLewis at 22:31, 27 September 2019

2019-09-27T22:31:01Z

← Older revision		Revision as of 22:31, 27 September 2019
Line 7:		Line 7:

	==Clinical Features==		==Clinical Features==
	*Generalized erythema, warmth, scaling		*Generalized [[rash\|erythema, warmth, scaling]]
	*Can be pruritic and painful		*Can be [[pruritus\|pruritic]] and painful
	*Abrupt onset if related to drug, contact allergen, or malignancy; gradual onset if related to underlying cutaneous disorder		*Abrupt onset if related to drug, contact allergen, or malignancy; gradual onset if related to underlying cutaneous disorder
	*Generally starts on face and trunk with progression to other skin surfaces		*Generally starts on face and trunk with progression to other skin surfaces
	*Low-grade [[fever]] common		*Low-grade [[fever]] common
	*Tends to be a chronic condition, mean duration 5 years		*Tends to be a chronic condition, mean duration 5 years

			==Complications==
			*[[Hypothermia]]
			*fluid/electrolyte/protein loss
			*Invasion of bacteria and opportunistic organisms through the skin
			*[[High-output heart failure]] due to vasodilatation

	==Differential Diagnosis==		==Differential Diagnosis==
Line 19:		Line 25:
	*[[Toxic shock syndrome]]		*[[Toxic shock syndrome]]
	*[[Staphylococcal scalded skin syndrome]]		*[[Staphylococcal scalded skin syndrome]]
	*Drug eruption		*[[Drug eruption]]
	*[[DRESS syndrome]]		*[[DRESS syndrome]]

Line 29:		Line 35:
	==Management==		==Management==
	*Emergent dermatology consult		*Emergent dermatology consult
	*Fluid replacement for hypovolemia, monitor fluid intake		*[[Fluid replacement]] for [[hypovolemia]], monitor fluid intake
	*Warming measures for hypothermia		*Warming measures for [[hypothermia]]
	*Wound care		*Wound care
	*Discontinue all unnecessary medications		*Discontinue all unnecessary medications
	*Systemic corticosteroids after dermatology consult		*Systemic [[corticosteroids]] after dermatology consult
	*Antibiotics if evidence of secondary infection		*[[Antibiotics]] if evidence of secondary infection

	==Disposition==		==Disposition==
	*Admit		*Admit

	~~==Complications==~~
	*[[Hypothermia]]
	*fluid/electrolyte/protein loss
	*Invasion of bacteria and opportunistic organisms through the skin
	*[[High-output heart failure]] due to vasodilatation

	==See Also==		==See Also==

Rossdonaldson1: /* Evaluation */

2016-09-27T18:22:49Z

Evaluation

← Older revision		Revision as of 18:22, 27 September 2016
Line 24:		Line 24:
	==Evaluation==		==Evaluation==
	*CBC, CMP, ESR		*CBC, CMP, ESR
	*CXR		*[[CXR]]
	*Determine underlying cause, including evaluation for underlying malignancy and biopsy of skin		*Determine underlying cause, including evaluation for underlying malignancy and biopsy of skin

← Older revision		Revision as of 05:00, 26 November 2019
Line 47:		Line 47:

	==See Also==		==See Also==
	*[[~~Rash~~]]		*[[Erythematous rash]]

	==External Links==		==External Links==