Erythrodermic Psoriasis – Definition, Symptoms and Treatment

Inform Your Friends:

Erythrodermic Psoriasis is also known as psoriatic erythroderma which is a generalized form of psoriasis or generalized redness of the skin that is affecting 90% of your body surface, including face, hands, feet, nails, trunks and extremities.

This is a rare type of psoriasis that occurs once or more in 3% of the population affected by this kind of skin condition during their lifetime. But, erythroderma is the most common form of psoriasis that is affecting adults.

Signs and Symptoms

Erythroderma psoriasis’ can be determined, if the person with psoriasis exhibits the following signs and symptoms:

  • (+) Severe redness and shedding of your skin over a large surface of the body – usually fine and flakier rather than coarse and classic silvery scale
  • (+) Severe itchiness associated with pain
  • Skin looks as if burned
  • Heart rate increases
  • Fluctuation in body temperature usually on a very hot or cold weather

Erythroderma is not your common itchy skin disease.

It should be treated as a dermatological emergency due to the fact that a generalized redness signifies failure to the skin’s function that is manifested to many complications such as, dehydration, impaired thermoregulation and hypothermia, cardiac failure, anemia, protein loss and edema, death.

A person with severe psoriasis situation is usually required to be hospitalized due to its serious and fatal complications. And there has been no proof or evidence-based why it throws off a person’s health. However, there are known facts why it has compromise a psoriasis patient’s health. The following factors may lead to or exacerbate a flare-up:

  • Severe sunburn
  • Sudden withdrawal of systemic treatment
  • Infection
  • Alcoholism
  • Emotional Stress


Initially, erythrodermic psoriasis is treated with:

  • Topical steroids (medium-potency)
  • Moisturizers with wet dressing
  • Oatmeal baths
  • Bed rest (in a warm room 30-32⁰C)
  • Nutritional Support
  • Possible prescription of antibiotics


  • Systemic treatment: to control severe cases of psoriasis. Warning: Abrupt stopping usage triggers flare-ups
  • TNF-alpha blocking biologics: targets your immune cell known as T-cell causes to trigger inflammation

Some health professionals may prescribe pain management as the patient is in a severe painful condition and medication for pruritus may also be associated in this kind of disease.

There is no specified preventive measure, rather, optimizing one’s pre-existing condition to achieve a good prognosis. However, in case of unstable psoriasis, the course of treatment is usually prolonged and possible relapses will occur that might lead to high mortality rate.

It is always best to seek medical help in the early stage of psoriasis to avoid further injury and complications. It is vital to follow each course of treatment and avoid relapses to achieve the optimal goal of healing.