Clinically, psoriasis is often classified into four types: psoriasis vulgaris, erythrodermic psoriasis, pustular psoriasis, and articular psoriasis.
Erythrodermic psoriasis is a more serious type of disease. Compared to other types of psoriasis, it is more difficult to treat and is more likely to recur.
Symptoms and dangers of erythrodermic psoriasis
Erythrodermic psoriasis is a severe form of psoriasis. The rash spreads over a large area and can severely affect head, face, hands, feet, nails, trunk, and extremities. The area of skin lesions reaches even 90% of skin surface of whole body % above.
Acute stage: The skin lesions are clearly inflamed, bright red and swollen, and some folds, such as skin of armpits and groin, are cracked, and tissue fluid often oozes out! It is also accompanied by systemic symptoms such as high fever.
Chronic phase: skin becomes darker, with severe flaking, up to 20-30 grams per day, dry and tight skin all over body, unbearable itching and even eversion of eyelids, cannot be completely closed which leads to conjunctivitis. Patients are often accompanied by hair loss, nail dystrophy, or even their complete loss.
Erythrodermic psoriasis is an extremely serious form of psoriasis. If left unchecked for a long time, severe bacterial infection or even systemic infection may follow, and may also be associated with systemic organ damage such as liver and kidney damage.
In addition, massive peeling in erythrodermic psoriasis will lead to an imbalance of water, electrolytes and proteins in body, which will seriously affect health of body.
Causes of erythrodermic psoriasis
The cause of this psoriasis is mainly due to psoriasis vulgaris, and many patients are treated incorrectly during treatment, including:
1. Use more irritating drugs
Some stimulating factors in acute progressive stage of psoriasis, such as use of irritating topical preparations such as mustard oil and tar, can lead to erythrodermic psoriasis. Erythrodermic psoriasis can also occur after drug withdrawal, which is the cause of psoriasis.
2. Incorrect use of oral medications
Inadequate treatment of psoriasis, especially in psoriasis vulgaris, with use of corticosteroids or after long-term and large-scale use of corticosteroids, sudden discontinuation of drug or its too rapid reduction, a rebound phenomenon occurs, which leads to onset of erythroderma. psoriasis.
3. Psoriasis develops on its own
A small amount of erythrodermic psoriasis develops from psoriasis vulgaris. In acute stage of psoriasis vulgaris, highly irritating drugs are used, and in psoriasis vulgaris, corticosteroids are used in large quantities for a long time. Medications, drug withdrawal, or improper reduction methods can also cause erythrodermic psoriasis.