Erythrodermic Psoriasis

In erythrodermic psoriasis, you will see redness and scaling over most of your skin surface.

• When you lose the normal protective functions of your skin, it means that medical support is required to maintain body temperature, fluid level and electrolyte balance.
• Good nutrition is essential, as there is a risk of becoming anemic.
• Be aware that this generalized reaction is often due to systemic steroids or potent topical corticosteroids being withdrawn too quickly; infections or burns from phototherapy can also initiate this generalized response.
• Bed rest is essential
• You should use emollients very frequently.
• You should use only mild topical corticosteroids (for example, hydrocortisone ointment).
• Be aware of symptoms relating to infection and shock (record your urine output, BP, and daily weight).
• To control this disease you may require systemic therapy.
• If you are a man, or a woman who is not in the childbearing age range, you can take acitretin, your doctor should begin treatment at 25mg and increase the dosage if necessary.
• Methotrexate could be initiated at a dose of 15mg weekly and it can be increased.
• Cyclosporine can be given at a dose of 4-5 mg/kg a day.
• Maintenance may be achieved with mild topical steroids and/or careful use of UVB.