ERITRODERMA

ERITRODERMA

DEFINITION

Skin disorder characterized the Erythema in almost the entire body, usually accompanied by skuama.

SYNONYM

Eksfoliativa Dermatitis

PATHOPHYSIOLOGY

• Depending on the cause.

• At Eritroderma an increase in epidermal turn over, so the form skuama redundant.

• Skuama mainly contain protein, nucleic acid and free amino acids.

CLINICAL SYMPTOMS

• Occurs in a short time

• Fast expand

• Fever, chills, malaise

• The skin looks shiny, eritematus, Peel, palpable heat, itch, rough and thickened.

PATHOPHYSIOLOGY

Erythema: widening blood vessels → blood flow to skin

increased heat loss increases: →

» Cold/chills Sufferers

» Hipotermi (due to an increase in skin perfusion)

» Dehydration (due to increased evaporation of fluid)

» Temperature Setting.

Skuama loss can cause loss of protein (hipoproteinemia) and oedema.

CLINICAL SYMPTOMS

• Allergy Medication systemically

     - Anamnesis: a history of medication/herbal medicine.

     - Allergies arising in acute (about 10 days).

     - A universal Erythema without skuama,

     - After recovering recently arising erythema.

• Expansion of skin diseases

  Psoriasis:

    - Due to the disease itself or pengobtan is too strong.

    - Erythema is uneven.

      (Erythema has a predilection psoriasis)

  

     Seboroika Dermatitis in infants (Leiner's disease)

     - Dermatitis seboroika which extends

     - Clearly unknown Etiology

     - Age: > > > 4 – 20 weeks.

     - KU patient well.

     - Erythema universal accompanied skuama rough.

• Systemic diseases including malignancies

     - Classified in the CTCL (Cutaneous T-Cell Lymphoma)

     - > > > on seniors.

     - Erythema universal meah smoldering + skuama and is very itchy.

     - At 1/3 the sufferer: Lymphadenopathy, splenomegaly

       superficial, alopecia, hyperpigmentation, hiperkeratotik

       distrofia palmoplantar, nails.

     - Laboratory: sezary cells called atipik Lymphoma

DIAGNOSIS

Clinical keradangan eritematus skin found along deskuamasi to ≥ 90% of the surface area of the body.

DIAGNOSIS OF APPEAL

Dermatitis, Psoriasis vulgaris, Drug Eruption, lymphoma/Leukemia, Pityriasis Rubra Pilaris, Pemfigus, Likhen Planus, Dermatofitosis, Skabies

THAT MAKES IT DIFFICULT

• Hipotermi

• Decompensation kordis

• Failure of peripheral circulation

• Tromboflebitis

• Secondary infections of the skin and the lungs

MANAGEMENT

• Fix the fluid body

• Elimination of precipitating factors

• Systemic Corticosteroids "tappering off"

• Antibiotics for secondary infections mencegaf

• Antihistamine/antipruritus

• Topical: coccos (oleum emolient, hydrocortisone 1%)

• High protein Diet