Tag Archives for " Erythrodermic Psoriasis "
In the United States alone, of the close to 7.5 million people suffering with psoriasis, erythrodermic psoriasis afflicts just about 1 to 2 percent of them.
It afflicts older adults than younger people and it has a male to female ratio of 2:1 to 4:1. More men develop the condition than women. This form of psoriasis sometimes occurs together with pustular psoriasis and those with unstable plaque psoriasis. That shows that the lesions have no clearly defined edges to it. It could best be described as wide spread fiery red patches covering almost the entire skin surface.
Those people with erythrodermic often look like burn victims but the patches are not burns. Because of its fatal nature, doctors advise treating it as a medical emergency. The good news is that it’s very rear and only affects about 3% of those with psoriasis.
Some of the signs and symptoms of psoriasis are
-It’s highly inflammatory
-There is deep skin redness and peeling off of the red scales almost on the entire body area.
-The peeling is always in large sheets unlike small patches peeling in normal psoriasis.
-As the skin peels, it is followed by very deep pain and itching as well.
-The entire body temperature is thrown off balance; the patient’s temperature may rise at short notice.
-The patient heart rate could also spike at any time and especially if the environment around the patient is very hot.
-There could be sever protein loss
-There could also be the loss of fluid
-The loss of fluid may lead to certain areas of the body like the ankles to retain fluid unnaturally causing those areas to swell (Oedema)
– Erythrodermic Psoriasis could also lead to heart failure and pneumonia
-There could also be other infections due to the complete failure of the skins ability to protect itself.
-For those patents with a combination of erythrodermic psoriasis and pustular psoriasis; they may experience zumbusch psoriasis. This is a condition where there is a severe electrolyte imbalance in the body system.
-The imbalance will generally lead to muscle weakness, and even fever itself.
– Erythrodermic psoriasis follows the unset of plaque psoriasis especially in people whose plaque psoriasis is unstable. Though, in rear cases for some people, Erythrodermic psoriasis might be their first ever case of psoriasis eruption.
-Suddenly stopping any systemic treatments
-If there is high degree of calcium deficiency (Hypocalcaemia) in the body
-Suddenly stopping the use of strong coal tar preparations
-Suddenly stopping the excessive use of strong topical corticosteroids
-Severe sunburn could also trigger the condition
-Taking too much alcohol
-Doctors will normally take blood samples, or blood cultures to find out if there is renal failure.
-They also check for inflammatory markers too
-They also run tests to determine if there is anaemia
-Also check for hypoalbuminaemia
The treatment of Erythrodermic psoriasis could be tricky and difficult but it could be managed. The patient must be hospitalized to monitor fluid and protein losses and make sure they are stabilized by giving them intravenous fluids. And also to keep their temperature balanced.
But initially, doctors might start off treatment with the use of less strong topical steroids, moisturizers combined with wet dressings and as well as Oatmeal baths to reduce redness and swelling. This will also sooth the pain and itching. Patients will also need plenty of bed rest.
-Application of Systemic Medications
These are oral medications which are much more effective in bringing severe cases under control. The include-
-Cyclosporin, which is an anti-rejection drug which helps to slow the immune response that causes psoriasis.
-Inflimixab, this is another drug that is used to treat autoimmune diseases just like Cyclosporin above. These two drugs are fast acting drugs.
-Acitretin and cancer drug methrexate are much slow acting drugs but are equally as effective.
Words of caution in using systemic medications; these drugs have potential side effects and must be used under strict supervision. To stop using these drugs also must be gradual; suddenly stopping them can trigger a flare of psoriasis.
Sometimes it pays to combine some or all of these medications in some cases. That is a combination of topical and oral treatments. It’s been known that combining two or more medicines might be more effective than just using one.
The patient may also need to be given pain relievers for comfort, anti-depressants to help patients sleep better and have better mood. Also, doctors may prescribe drugs to help with the itching and antibiotics to help fight other infections or skin infections.
Phototherapy treatment should not be used at least in the early stages of treatment of erythrodermic psoriasis because they may well worsen the condition.
Related Erythrodermic Psoriasis Links
Table Of Contents
Just like anything in life, knowledge about problems or issues that you might have about anything; makes a great difference. The same goes for psoriasis. It is a sickness that can have major impact on the lives of patients.
So living with psoriasis can be a daunting task for most people but just a minor irritation for some. This is one illness that affects about 7million people in the United States alone and costs about 11.25 billion dollars annually in treatments.
So whichever way you look at it, knowing a bit more about psoriasis will go a long way to help you and your doctor make better decisions on the best psoriasis treatment that’s suits you. Most people actually have only one form of the disease but then after the symptoms are gone, they might experience another psoriasis trigger. Learning the different types of psoriasis will also help to know what causes psoriasis or what in effect triggers psoriasis?
So here are ways by which you can spot the 7 different types of psoriasis and the different signs and symptoms associated with each one of them.
This is the most prevalent form of psoriasis and it’s been estimated that 6 out 8 people that are afflicted with the condition has this form of psoriasis. It is characterised by red skin patches which are inflamed and are covered with silvery what scales. In some people, these patches do itch and burn at the same time. Then after a while, they may crack to become open sores and bleed.
The normally appear in the following areas-
This is a type of psoriasis that seems to cover the whole body surface leaving the whole surface looking burned and red. It is very rear and may occur just once or twice throughout the life time of psoriasis sufferers.
It most often brought about by unstable plaque psoriasis in which the lesions seem to just be all over the place.
This type of psoriasis is:
It has been noted by specialists that this kind of psoriasis could lead to serious complications as a direct result of low protein in the body and loss of fluid. Patients have also been known to experience infections, acute pneumonia and or congestive heart failure.
Erythrodermic Psoriasis triggers includes:
This is a type of psoriasis that is commonly found in children. It is the 2nd most common type of psoriasis right behind plaque psoriasis. They usually show as small reddish sports on the skin. This kind of psoriasis may disappear within a matter of weeks even without being treated. How to cure guttate psoriasis is not that difficult but first, you need to know the symptoms
The parts of the body that are most affected are
– The trunk
-Upper arms and
Guttate psoriasis triggers
The things that trigger guttate psoriasis
This could include-
Pustular psoriasis as the name implies shows up as white pustules or blisters. The pustules normally contain pus made up of white blood cells but are not infectious and also not contagious. The areas around the pustules are always surrounded by red skin.
It normally attacks much more older people and can be a direct result of the following-
-Increased heat rate
Pustular psoriasis triggers include:
-Exposure to some kinds of chemicals found in everyday products or at the work environment.
-The over use of strong topical steroids over a substantial area of the body
-If you suddenly stop any systemic treatments prescribed by your doctor
-Exposure to too much sunlight (Ultraviolet rays) with some form of sun screen protection.
-Certain kinds of stressful situations in your life and
Sometimes called intertriginous psoriasis normally appears in the folds of the skin. They are red lesions and could be smooth and shiny in some patients; sometimes the sufferers will also have other kinds of psoriasis on other parts of their body at the same time. This kind of psoriasis doesn’t produce scales, the locations on which they show up are-
-The skin folds of the genitals
-The skin folds around the buttocks
-For women, the area under the breasts
-The groin as well
This kind of psoriasis afflicts about 23% of all psoriatic patients. You will recognise it by the painful swelling in and around the joints of the body.
In fact it’s a combination of arthritis and psoriasis at the same time. It sometimes causes scally patches of the skin around those joint areas. Close to 90% of psoriatic arthritis sufferers also have nail changes too.
This type usually affects most adults, usually people who are between 30 to 50 years old. In this case, it’s usually very important to be diagnosed early to prevent deformity due to joint and tissue damage.
The common symptoms of psoriatic arthritis include:
-Discoloured warm joints
-Swelling of the fingers and the toes
This are changes to the nails of the fingers and the toes which are normally brought on by some other diseases.
Half of the folks with active psoriasis have this form of psoriasis due to severe pain especially those with psoriatic arthritis. Most times those with this form psoriasis will need to stop certain activities and worse even when combined with psoriatic arthritis. To treat nail psoriasis, one should know its symptoms.
Common symptoms of nail psoriasis include:
-The total crumbling and eventual loss of the entire nail due to weakening of the nail matrix by psoriasis.
-Pitting of the nails due to loss of parakeratotic cells from surface of nail plate.
-The nails will sometimes become tender and very painful
-The nails might turn yellowish-brown.