Eksematoznaya erythroderma: treatment, prognosis, symptoms, diagnosis, causes

Representing a serious skin lesion, accompanied by rapid aggravation of the pathological process and the seizure of all new skin areas, eczematous erythroderma( erythroderma) can become a danger to the health of the patient. This is due to the high rate of spread of the inflammatory process, the ability of the disease to slowly cure. In this case, often on the skin are traces of lesions that negatively affect the appearance of the skin.

Eczematous erythroderma is accompanied by significant changes in the upper layer of the epidermis, aggravation of the symptoms of the disease. The likelihood of its manifestation is great for both women and men. At the same time, according to medical statistics, more serious manifestations of this skin disease are observed in men at a later age - probably because of their greater adherence to bad habits. However, women can also suffer from the affected skin lesions.

Features of the disease

Symptomatic disease is pronounced, which makes it possible to identify it at the earliest stages of development. Rapidly moving to a more in-depth stage, eczematous erythroderma can go into a form that is less amenable to medical treatment with the manifestation of positive symptoms. Therefore, timely diagnosis with a careful attitude to their own health will prevent the possible aggravation of the pathological process and the seizure of the disease by new areas of healthy skin.

Methods for diagnosing such a skin pathology as eczematous erythroderma are now diverse, however, it is often sufficient to look at the affected areas and describe patients subjective sensations that will indicate the presence of this pathology. As methods to confirm the initial diagnosis, the use of laboratory tests of skin samples in the areas of its damage, as well as blood and urine tests, representing the most complete picture of the current disease.

As the disease worsens, not only the increase in the inflammatory process in the upper layer of the epidermis, but also a significant deterioration in the condition of nails and hair, which become more brittle, subject to mechanical influences. On the damaged skin there are numerous cracks, there are eruptions of a different nature with or without contents. This skin condition attracts attention, because even with the use of conventional drugs, the result and the positive dynamics of the treatment are extremely slow.

Classification of eczematous erythroderma

The classification technique allows to classify the revealed skin lesion to a certain type, and also to start the treatment that will be most effective. The modern methodology for the classification of eczematous erythroderma is as follows:

  • The primary variant of pathology involves the formation of a rash of a different nature on unchanged skin that has natural( natural) protective properties and functions;
  • secondary eczematous erythroderma is accompanied by the initial appearance of dermatoses, which became the root cause of skin disease;
  • erythroderma, accompanied by malignant course.

Secondary benign erythroderms, in turn, are divided into the following varieties that have characteristic manifestations in the course and symptoms:

  1. The psoriatic variety of erythroderma is expressed in the complicated course of psoriasis and can be accompanied by total inflammation of the skin.
  2. Ichthyosimorphous variety - it is divided into lamellar, bullous and non-bulbous
  3. Brood's Erythroderma , accompanied by total hyperkeratosis.
  4. Drug-induced erythroderma , caused by irrational drug use.

Being manifested as a severe course of eczema, eczematous erythroderma has the appearance of total inflammation of the skin, in which there is a significant reduction in the protective qualities of the epidermis, a deterioration in its appearance, and a swelling of the tissues.

Symptoms of

The manifestations of eczematous erythroderma do not differ significantly between adults and children. The site of localization of affected areas in adults is mainly located in places of deep skin folds, in which a secondary infection that worsens the course of the disease develops in the process of aggravation of the pathological process.

In adults

Adult patients report negative changes in skin condition in the appearance of inflamed patches in the skin folds, which are constantly increasing in size. The skin acquires an inflamed appearance, its redness appears in the lesions, while the areas with pronounced lesions begin to peel off. The process of skin peeling also attracts attention due to the formation of not small dry particles, but whole plates that reduce the sensitivity of the skin in the lesions.

As the disease progresses, a secondary infection appears, which quickly penetrates through the cracks into the damaged skin, exacerbating the negative manifestations in it. The puffiness of the tissues increases, the rashes become more numerous. The patient feels general fatigue, weakness.

In children

Due to the sensitivity of the skin to any type of exposure, the symptomatology of the disease in this case is more obvious: the skin becomes hyperemic, inflammation foci are formed on it, which in the absence of timely medical treatment increase in size. The child can rise body temperature, increases weakness, there is irritability. The quality of sleep deteriorates, the mood can change drastically.

In childhood, this disease is rapidly progressing, and the most rapid manifestations of the disease require the fastest possible adequate treatment.


For the preliminary diagnosis diagnosis, the dermatologist examines the damaged skin areas, reveals negative changes in it. Since the symptomatology of this disease is characteristic, identifying it is not particularly difficult.

However, in order to clarify the diagnosis, a series of laboratory tests of urine and blood tests should be conducted, which will show changes in the body's condition( the presence of an inflammatory process in it, a decrease in the level of immunity), and also examination of skin samples in affected areas. Differential diagnostic methods make it possible to exclude skin diseases such as eczema, dermatitis, chicken pox, urticaria.

Since the choice of a definite method of treatment and its effectiveness depends on the correctly diagnosed diagnosis, the diagnostic methods should be chosen the most informative. For example, analyzing a skin sample from an affected area does not always give a complete picture of the disease and can show the presence of contact dermatosis or urticaria. Therefore, the use of methods of differential diagnosis will avoid erroneously diagnosed.

Treatment of

Treatment methods for detecting such a dermatological lesion, as eczematous erythroderma, may differ in the detection of disease in adulthood and childhood. For children, lower dosages of selected medications should be used, the treatment process should be constantly monitored to prevent possible side effects, to which the skin of the child is more prone because of their increased sensitivity.

The duration and dosage of the chosen medication or therapeutic treatment should be determined by the attending dermatologist, who can also introduce certain corrections into it.

Therapeutic method of

The use of the therapeutic method consists in the absence of contact of the patient with water, since when it hits the affected areas, the skin is likely to aggravate the pathological process in the epidermis.

By medicamentous method

To remove the most obvious symptomatology of the disease, medicines are used that eliminate the increased itching and burning of the skin, softening the skin and relieving the inflammatory process on it. Means with antihistamine action( for example, Suprastin) relieve manifestations of allergic reactions, stabilizing the processes in the skin.

Also in the complex effect in the treatment of eczematous erythroderma, drugs that stabilize the skin condition are used. These are corticosteroids, anticoagulants, antibiotics, cytotoxic agents, enterosorbents. The most pronounced positive result of the treatment is given by drugs in their complex application.

Prevention of the disease

To prevent the risk and the further aggravation of eczematous erythroderma, continuous monitoring of the skin, its condition and degree of functionality is recommended. In case of any changes and irregularities, a full examination should be carried out by a dermatologist, as well as using the recommended treatment.

Complications of

If the treatment is insufficient or completely absent, a gradual aggravation of the pathological process is likely, which leads to total damage to the skin.


Insufficient treatment can lead to death. Therefore, timely diagnosis will avoid complications and preserve the health and life of the patient.

  • Share