Erythrodermic psoriasis can be managed and treated.
Erythrodermic Psoriasis is a very rare type of psoriasis. Seek medical help immediately.
Psoriasis is called an autoimmune disease because it occurs when T-cells that usually fight viruses and bacteria in the body attack healthy cells instead. The T-cells also join with neutrophils (white blood cells) to accelerate the build-up of the warm, red skin lesions that make up psoriasis. This disease is caused by both genetics and environmental factors.
Erythrodermic psoriasis is inflammatory and can affect the entire body. It occurs in those who already have psoriasis, but it occurs in a very small percentage of those with psoriasis.
The main symptoms of erythrodermic psoriasis include fiery redness over large parts of the body, along with itching, pain, and flaking skin. Your heart rate may increase and your body temperature may fluctuate. Ankles might swell and infection could occur.
While it is not clear why erythrodermic psoriasis occurs, there are some triggers including the use and then sudden withdrawal of a systemic treatment, allergic reaction, infection, stress, and/or alcoholism.
Care for erythrodermic psoriasis includes bed rest while also using topical steroids, dressing the affected area, and oatmeal baths. Good hydration and monitoring against dehydration is also important. You might also be treated with methotrexate, acitretin, or cyclosporine. These are systemic medications and there is some controversy about using them to treat erythrodermic psoriasis. Your dermatologist might also treat with TNF-alpha blocking medications. Phototherapy might be an option once inflammation has been tamed.
Once your erythrodermic psoriasis calms down, you can expect your psoriasis to return to its normal state. However, it is crucial to contact your dermatologist as soon as you see symptoms for erythrodermic psoriasis.