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Erythrodermic Psoriasis: Life Threatening but Treatable


Erythrodermic psoriasis is an extreme inflammatory type of psoriasis that may affect any area of the skin. It is not uncommon that this disease covers a major portion of the skin. It is possible that this disease is associated with anyone who has pustular psoriasis or plaque psoriasis, and may sometimes be complications of these illnesses, or, in some few instances, the first manifestation of psoriasis. The symptoms reflect a reddening and shedding of the skin, which accompanies very severe and painful itching. Even though this disease is rare, there are some who develop major complications with this disease.

Patients who are affected with this type of psoriasis are advised to see a doctor immediately. A physician can diagnose the disease just by looking at the affected area. One should not take this skin disease lightly. Erythrodermic psoriasis is serious, and it can cause a

  • loss of protein and fluid in the body, which may result in extreme situations like malnutrition and hypothermia, edemas and heartfailure.
  • The body may also become dehydrated.
  • There can be an onset of infection as well as a
  • swelling of the ankles.
  • The body can experience shivering due to low body temperature and
  • heart failure is also one complication of this skin disease. This type of life threatening psoriasis requires hospitalization.


  • Triggers

    Known triggers of erythodermic psoriasis include abrupt withdrawal of treatment with systemic steroids (Prednisone or Predisolone); an allergic, drug-induced rash that brings on the Koebner response (a tendency for psoriasis to appear on the site of skin injuries); and severe sunburn.

    Other triggers are:

  • Infections
  • Low calcium
  • Withdrawal of excessive use of strong topical corticosteroids
  • Strong coal tar preparations
  • Certain medications including lithium, antimalarials and interleukin II


  • Treatment

    Severe cases of erythrodermic psoriasis require supportive care from a hospital, which may include intravenous fluids and the regulation of body temperature.

    Initial treatment usually includes medium-potency topical steroids and moisturizers, combined with wet dressings, oatmeal baths and bed rest.

    Antibiotics may also be used if skin is infected, or the skin disease has manifested due to infection somewhere else in the body. Careful attention is paid to restoring and maintaining fluids in the body.

    In addition, methotrexate , Soriatane or cyclosporine are frequently required to bring severe cases under control.

    Use of systemic steroids for erythrodermic psoriasis is controversial, and if used, they should be tapered off very slowly. Stopping them suddenly can trigger a flare of psoriasis.

    Topical coal tar preparations and phototherapy are not recommended treatments of erythrodermic psoriasis in its earliest stage because these might just worsen the inflammation, but they may be used when the intitial redness has subsided.

    At the onset of erythrodermic psoriasis , it may be best to use a medium potency steroid cream , moisturizers, cool wet dressing, resting in bed and an oatmeal bath to stop the itching.

    Nutritional intake should be monitored carefully, and patient should have lots of rest and maintain body fluid.

    Using herbal products that are natural will provide a milder way to treat erythrodermic psoriasis. Natural herbal remedies do help to alleviate most skin conditions, and this type of psoriasis is no exception. This skin condition is not life threatening unless it is extreme, so trying herbal remedies for healing of this disease may be very useful.

    Try using topical moisturizers that soothe the skin. Your best option will be Tamanu Oil. It has anti inflammatory and anti infectious action, as well as being a good moisturizer. It will soothe and greatly ameliorate the condition.

    Other natural methods of treatment are essential oils and herbal remedies.

    What treatment you select will depend on how severe the skin condition is and how sensitive your skin is to different medications. If the disease has spread to cover large areas, the topical treatment may be impractical, as it will be difficult to cover the whole area. Herbal remedies and essential oils will then be very useful and get the condition under control. This treatment may be very good on its own, or as a support for the doctors treatment.

    Severe cases would call for all three strategies; tamanu oil providing topical treatment, and essential oils and herbal remedies representing the systemic treatment. Thus one may treate the disease both internally and externally with excellent, effective remedies.

    The herbal medicine Skin Dr. is known to bring all psoriatic skin manifestations to silence for long periods.

    If emotional symptoms of stress are predominant, and cause aggravations, consider Mind Soothe as well.





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