A 74-year-old man with a history of chills and worsening widespread, confluent redness and scaling of the face, neck, trunk, arms, legs, and feet. The patient had received treatment with prednisone and short courses of triamcinolone 0.1% cream.
. 2021;11:59-73. doi: 10.2147/PTT.S288345
This patient had erythroderma, which involves widespread erythema and scaling of the majority of the skin. Erythroderma can be caused by severe variants of several skin disorders, including atopic dermatitis, contact dermatitis, and psoriasis.
The patient described here was hemodynamically stable and was allowed to initiate wet pajama wrap therapy at home while awaiting initiation of adalimumab as an outpatient. He has improved dramatically with adalimumab given subcutaneously every 2 weeks.Photos and text for Photo Rounds Friday courtesy of Jonathan Karnes, MD . Dr. Karnes is the medical director of MDFMR Dermatology Services, Augusta, ME.
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