Erythroderma - exfoliative dermatitis Symptoms and Diagnosis

Erythroderma - exfoliative dermatitis
Symptoms and Diagnosis
Onset occurs in people over 40 years, except for conditions that arose after atopic dermatitis, seborrheic dermatitis, staphylococcal scalding skin syndrome or hereditary ichthyosis. Age of onset is related to etiology. Patients may present historical background of the disease, will perform a careful history to detect drug cases. The disease progresses rapidly when the drug is determined, lymphoma, leukemia or scalding skin syndrome. Evolution is gradual when it is caused by psoriasis, atopic dermatitis, or extension of underlying disease. Itching is prominent and frequent. Fever, malaise and chills may occur.
Physical examination. Patients have generalized erythema. Peeling occurs 2-6 days after rash onset, since the areas of flexion. Itching cause excoriations. When erythroderma persists weeks, hair can fall, become stiff and thickened nails. Periorbital skin can be inflamed and edematous and ectropion and lacrimation. Pigmentary changes occur in chronic cases, extensive patches of hypopigmentation. Dermatopatica Lymphadenopathy may occur and is not caused by lymphoma or leukemia. A biopsied lymph node is indicated when the observed characteristics of lymphoma. Gynecomastia is reported in all patients with erythroderma several weeks, as secondary hyperestrogenism. Hepatomegaly is seen in over 50% of patients, and splenomegaly 30%, all of these lymphomas. Steatorea can develop dermatitis tends to resolve when it is solved.
Diagnosis.
Erythroderma - exfoliative dermatitis Symptoms and Diagnosis Laboratory studies: CBC will carry the level of liver enzymes, creatinine -Urine analysis, serum albumin level, erythrocyte sedimentation rate. The differential diagnosis is made with the following conditions: erythema multiforme, Kawasaki disease, scalding skin syndrome, toxic epidermal necrolysis, toxic shock syndrome.