紅皮症
WordNet
- any skin disorder involving abnormal redness
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/12/25 06:52:31」(JST)
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Erythroderma |
Classification and external resources |
ICD-10 |
L26, L53.9 |
ICD-9 |
695.9 |
DiseasesDB |
29735 |
MedlinePlus |
001610 |
eMedicine |
derm/142 |
MeSH |
D003873 |
Erythroderma (also known as "Exfoliative dermatitis," "Dermatitis exfoliativa," and "Red man syndrome") is an inflammatory skin disease with erythema and scaling that affects nearly the entire cutaneous surface.[1]:436[2]:215
In ICD-10, a distinction is made between "exfoliative dermatitis" at L26, and "erythroderma" at L53.9.
Contents
- 1 Causes
- 2 Treatment
- 3 History
- 4 References
Causes
Erythroderma is generalized exfoliative dermatitis, which involves 90% or more of the patient's skin.[3] The most common cause of erythroderma is exacerbation of an underlying skin disease, such as psoriasis, contact dermatitis, seborrheic dermatitis, lichen planus, pityriasis rubra pilaris or a drug reaction. Primary erythroderma is less frequent and is usually seen in cases of cutaneous T-cell lymphoma, in particular in Sézary's disease.[4]
The most common causes of exfoliative dermatitis are best remembered by the mnemonic device ID-SCALP. [5] . The causes and their frequencies are as follows:
- Seborrheic dermatitis - 2%
- Lymphoma and leukemia - 14%
Differential diagnosis in patients with erythroderma may be difficult.[citation needed]
Treatment
The treatment is dependent on the cause.[citation needed] Topical steroids are the primary category of medications used to treat exfoliative dermatitis (ED). A sedative antihistamine may be a useful adjunct for pruritic patients, since it helps patients to sleep at night, thus limiting nocturnal scratching and excoriations. Antimicrobial agents often are used if an infection is suspected to be precipitating or complicating exfoliative dermatitis. Other drugs specifically indicated for management of underlying etiology of exfoliative dermatitis may be necessary.6
History
The classification of exfoliative dermatitis into Wilson-Brocq (chronic relapsing), Hebra or pityriasis rubra (progressive), and Savill (self-limited) types may have had historical value, but it currently lacks pathophysiologic or clinical utility.[1]:436
References
- ^ a b Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0-07-138076-0.
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
- ^ [emedicine.medscape.com/article/1106906-overview Erythroderma (Generalized Exfoliative Dermatitis)]. August 24, 2009.
- ^ http://books.google.com/books?id=WgkZH4Hse6gC&pg=PA40&dq=erythroderma
- ^ http://emedicine.medscape.com/article/1106906-overview
Urticaria and erythema (L50–L54, 695, 708)
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Urticaria
(acute/chronic) |
Allergic urticaria
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- Urticarial allergic eruption
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Physical urticaria
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- Cold urticaria
- Primary cold contact urticaria
- Secondary cold contact urticaria
- Reflex cold urticaria
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- Heat urticaria
- Localized heat contact urticaria
- Solar urticaria
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- Dermatographic urticaria
- Vibratory angioedema
- Pressure urticaria
- Cholinergic urticaria
- Aquagenic urticaria
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Other urticaria
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- Acquired C1 esterase inhibitor deficiency
- Adrenergic urticaria
- Exercise urticaria
- Galvanic urticaria
- Schnitzler syndrome
- Urticaria-like follicular mucinosis
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Angioedema
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- Episodic angioedema with eosinophilia
- Hereditary angioedema
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Erythema |
Erythema multiforme/
drug eruption
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- Erythema multiforme minor
- Erythema multiforme major (Stevens–Johnson syndrome, Toxic epidermal necrolysis)
- panniculitis (Erythema nodosum)
- Acute generalized exanthematous pustulosis
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Figurate erythema
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- Erythema annulare centrifugum
- Erythema marginatum
- Erythema migrans
- Erythema gyratum repens
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Other erythema
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- Necrolytic migratory erythema
- Erythema toxicum
- Erythroderma
- Palmar erythema
- Generalized erythema
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noco (i/b/d/q/u/r/p/m/k/v/f)/cong/tumr (n/e/d), sysi/epon
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proc, drug (D2/3/4/5/8/11)
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Papulosquamous disorders (L40–L45, 696–697)
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Psoriasis |
Pustular |
- Generalized pustular psoriasis (Impetigo herpetiformis)
- Acropustulosis/Pustulosis palmaris et plantaris (Pustular bacterid)
- Annular pustular psoriasis
- Localized pustular psoriasis
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Other |
- Guttate psoriasis
- Psoriatic arthritis
- Psoriatic erythroderma
- Drug-induced psoriasis
- Inverse psoriasis
- Napkin psoriasis
- Seborrheic-like psoriasis
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Parapsoriasis |
- Pityriasis lichenoides (Pityriasis lichenoides et varioliformis acuta, Pityriasis lichenoides chronica)
- Lymphomatoid papulosis
- Small plaque parapsoriasis (Digitate dermatosis, Xanthoerythrodermia perstans)
- Large plaque parapsoriasis (Retiform parapsoriasis)
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Other pityriasis |
- Pityriasis rosea
- Pityriasis rubra pilaris
- Pityriasis rotunda
- Pityriasis amiantacea
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Other lichenoid |
Lichen planus |
- configuration
- morphology
- Hypertrophic
- Atrophic
- Bullous
- Ulcerative
- Actinic
- Pigmented
- site
- Mucosal
- Nails
- Peno-ginival
- Vulvovaginal
- overlap synromes
- with lichen sclerosus
- with lupus erythematosis
- other:
- Hepatitis-associated lichen planus
- Lichen planus pemphigoides
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Other |
- Lichen nitidus
- Lichen striatus
- Lichen ruber moniliformis
- Gianotti–Crosti syndrome
- Erythema dyschromicum perstans
- Idiopathic eruptive macular pigmentation
- Keratosis lichenoides chronica
- Kraurosis vulvae
- Lichen sclerosus
- Lichenoid dermatitis
- Lichenoid reaction of graft-versus-host disease
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noco (i/b/d/q/u/r/p/m/k/v/f)/cong/tumr (n/e/d), sysi/epon
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proc, drug (D2/3/4/5/8/11)
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UpToDate Contents
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English Journal
- Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS): Is cutaneous phenotype a prognostic marker for outcome? A review of clinicopathological features of 27 cases.
- Walsh S, Diaz-Cano S, Higgins E, Morris-Jones R, Bashir S, Bernal W, Creamer D.SourceDepartments of Dermatology, Histopathology, King's College Hospital, Denmark Hill, London SE5 9RS Departments of Hepatology, King's College Hospital, Denmark Hill, London SE5 9RS.
- The British journal of dermatology.Br J Dermatol.2012 Oct 3. doi: 10.1111/bjd.12081. [Epub ahead of print]
- Introduction: Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) describes a heterogenous group of severe adverse reactions to medications. The cutaneous phenotype has a number of guises, accompanied by a variety of systemic features including fever, haematological abnormalities and vi
- PMID 23034060
- Erythroderma: A Clinical and Prognostic Study.
- Li J, Zheng HY.SourceDepartment of Dermatology and Venereology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, PR China.
- Dermatology (Basel, Switzerland).Dermatology.2012 Oct 2. [Epub ahead of print]
- Background: Erythroderma is a rare skin disorder and studies on its causes and prognosis are rare in the literature. Objectives: We reviewed the clinical, laboratory and biopsy materials of 260 patients diagnosed with erythroderma who were treated in our department over an 11-year period. Patients w
- PMID 23037884
Japanese Journal
- 皮膚病性リンパ節症 (特集 見逃されやすい頸部リンパ節腫脹の原因疾患)
- 症例報告 副腎皮質ステロイド外用薬により二次性副腎皮質機能低下症を示した乾癬性紅皮症の1例
- 臨床皮膚科 = Japanese journal of clinical dermatology 69(9), 648-653, 2015-08
- NAID 40020546046
Related Links
- Erythroderma. Authoritative facts about the skin from DermNet New Zealand. ... More images of erythroderma... What causes erythroderma? Erythroderma can arise from a variety of causes, most often as an extension of a pre ...
- Sarkar R, Garg VK. Erythroderma in children. Indian J Dermatol Venereol Leprol. 2010 Jul-Aug. 76(4):341-7. [Medline]. Fraitag S, Bodemer C. Neonatal erythroderma. Curr Opin Pediatr. 2010 Aug. 22(4):438-44. [Medline]. ...
Related Pictures
![Erythroderma = الاحمرية](https://1mg.info/0/f/l/1306.jpg)
![image erythroderma_psoriasis for term side](https://1mg.info/0/f/l/1307.jpg)
![Erythroderma due to PRP](https://1mg.info/0/f/l/1308.jpg)
![Erythroderma Pictures](https://1mg.info/0/f/l/1309.jpg)
![below to delete this erythroderma in a](https://1mg.info/0/f/l/1310.jpg)
★リンクテーブル★
[★]
- 英
- erythroderma
- 同
- 剥脱性皮膚炎 exfoliative dermatitis
定義
- (1)全身(体表の80%以上)の持続性の炎症性発赤(潮紅)し、健常部皮膚を殆ど残さず、(2)粃糠様・落葉状の落屑が持続する病態
原因
起こしやすい疾患 (2009 CBT QB2 p.116)
- (%)は紅皮症に占める割合
起こしうる疾患 (NDE.122)
[★]
- 関
- erythroderma
[★]
非水疱型先天性魚鱗癬様紅皮症
- 関
- harlequin ichthyosis、lamellar ichthyosis
[★]
ウィルソン・ブロック亜急性原発性紅皮症
[★]
非水疱型先天性魚鱗癬様紅皮症