Erythrosis
Description:
Erythrosis — the general term relating to many damages of skin (including an erythroderma — option of the T-cellular lymphoma); generalized erubescence with the expressed macrolaminar peeling is characteristic. Frequency — 1% of all hospitalization concerning skin diseases, are ill more often than the man (2:1) 40 years are more senior.
Erythrosis symptoms:
In initial stages:
At the acute beginning or development of a disease against the background of exudative dermatitis — thinning of epidermis, an erythema, exudation with in posledstviiduyushchy formation of crusts. An exacerbation of an associated disease, then a melkoplastinchaty generalized peeling with a nekordinalny erythema and lichenification of integuments.
In the absence of an associated disease — preferential damage of skin of a trunk, crotch and head, then — generalization of defeats.
In in posledstviiduyushchy:
Severe itch, feeling of a thickening of skin, dryness of mucous membranes, dystrophy of nails, baldness; indisposition, tachycardia, fever, increase in body temperature; lymphadenopathy; increase in a liver, increase in a spleen (in the presence of the accompanying lymphoma or a leukosis; gynecomastia; steatorrhea.
Erythrosis reasons:
- Toksikodermiya
- Lymphoma
- Contact dermatitis
- Atonic dermatitis
- Cancer large intestine
- Fungus diseases
- HIV infection
- Ikhtiozoformny dermatosis
- Leukosis
- Flat deprive
- Cancer lungs
- Myeloma
- Leaflike pemphigus
- Photodermatites
- Deprive red hair
- Psoriasis
- Pyoderma
- Rayter's syndrome
- Mange
- Seborrheal dermatitis
- Syndrome of Sezary
- Disease Laila
- Congestive dermatitis
- HARD CURRENCY
- Toxic epidermal necrolysis.
Genetic aspects. 2 inherited forms are so far identified (173200, ED, pityriasis rubra pilaris; 270300, р, inborn exfoliative keratosis).
Treatment of the Erythrosis:
Cancellation of the products causing an aggravation of skin process;
Treatment of associated diseases, antibiotics or antifungal means — at superinfection;
At the obscure etiology — symptomatic therapy; possibly unexpected treatment.
Medicinal therapy:
Glucocorticoids, for example Prednisolonum of 40 mg/days inside, in the absence of effect increase a dose by 20 mg/days each 3 — 4 days (no more than 100 mg/days). Further the dose is reduced to a podderzhivayushcheyglyukokortikoida locally — at the localized defeats.
Glucocorticoids should be used with discretion at the exfoliative dermatitis caused by atonic or seborrheal dermatitis.
Contraindications — exfoliative dermatitis at psoriasis.
Antihistamines — for removal of an itch.
At an erythrosis owing to psoriasis — a methotrexate, этретинат, phototherapy and other specific methods of treatment.
At the erythrosis caused by fungoid mycosis - photochemotherapy.
At the erythrosis caused by red hair it is deprived — изотретиноин.
