Having red psoriasis all over the body is worrisome?

Erythrodermic psoriasis is a severe form of psoriasis caused by inadequate treatment, however this form is uncommon. In Vietnam, the incidence of psoriasis is about 5-7% of the total number of dermatological patients visiting dermatology clinics.

Erythrodermic psoriasis, also known as generalized exfoliative dermatitis, is a severe form of psoriasis. The common form is uncommon and accounts for only 1%. Generalized erythrodermic psoriasis has the following characteristics:
The skin of the whole body is bright red Edema Balloon Contaminated, tight With pus discharge Cracked, painful. The cause of systemic erythematous psoriasis is often due to inappropriate treatment such as intramuscular, oral or topical corticosteroid use. Using herbal medicine to treat skin psoriasis incorrectly can easily lead to an intense flare-up of the disease, causing pustular psoriasis or red skin all over the body. Also, can progress to globular psoriasis.

2.1 Skin manifestations Patients often have typical skin manifestations such as:
Red skin >90% body surface Psoriasis : usually begins in the interstitial areas. Scales red like bran or flake off in large patches Edema: swelling of the face, disfiguring like thick skin, rolling eyelids and rolling like a lion's face. Edema can occur in the lower extremities or the whole body. Vesicles appear on an erythematous, non-exudative or exudative background Pigmentation disorder: may be hypopigmentation or hyperpigmentation in the skin. Hyperkeratosis on palms, feet, peeling in patches. Fingers crack, dry, painful and cause limitation of movement Mucosal damage: glossitis, stomatitis, conjunctivitis Loss of hair, eyebrows, eyelashes, possibly thickening of nails. 2.2 Systemic symptoms Patient has high fever, chills, digestive disorders. Then gradually exhausted can die from a certain infection.

Chronic erythrodermic psoriasis, if not properly treated, will lead to complications including:
Skin infections Complications due to prolonged lying: pneumonia, scabs, thrombosis Heart failure Other complications : irritant or eczematous dermatitis

Depending on the cause and extent of the disease, the doctor will recommend the appropriate treatment. Topical treatment for dry psoriatic redness, using topical psoriasis emollients such as 10% urea, lake water, zinc oil, 5-10% salicyle ointment. For psoriasis, wet skin, vesicles, exudates, and edema should be treated like burn patients. In addition, the doctor will prescribe antibiotics to prevent superinfection, consider the advantages and disadvantages of using corticosteroids in severe cases.
For patients, it is necessary to pay attention to the following issues:
Do not arbitrarily use topical and oral drugs for the whole body Hospitalization and comprehensive treatment A diet high in protein and vitamins In summary, Generalized erythrodermic psoriasis is a severe and uncommon form, caused by complications of inappropriate treatment. Patients present with systemic redness, high fever, gastrointestinal disturbances, exhaustion and possibly death from secondary infections. Therefore, when having symptoms, patients are not allowed to buy topical drugs on their own. Go to a medical facility immediately for a comprehensive examination and treatment.