dermatologic disorders
Erythroderma
Treatment of Erythroderma
Treatment of the underlying disorder Supportive care (eg, rehydration, treatment for electrolyte abnormalities) Topical care (eg, emollients) Sometimes topical or systemic corticosteroids Possibly stopping or changing any drug that may be the cause Comprehensive skin care is indicated. Any known cause is treated. Supportive care consists of correction of dehydration, correction of electrolyte abnormalities and nutritional deficiencies, and comprehensive wound care and dressings to prevent bacterial superinfection. Skin care is with emollients and colloidal oatmeal baths. Weak topical corticosteroids (eg, 1 to 2.5%hydrocortisoneointment) are often used. Systemic corticosteroids (eg,prednisone40 to 60 mg orally once a day for 10 days, then tapered) are often used for severe disease. However, although topical or systemic corticosteroids can help relieve symptoms, they should be used cautiously because they can exacerbate certain disorders that could be the cause of erythroderma. Because a drug reaction often cannot be ruled out by history alone, it may be necessary to stop all drugs or the most suspect ones. 