TY - CHAP M1 - Book, Section TI - Chapter 156. Erythroderma A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. PY - 2013 T2 - The Color Atlas of Family Medicine, 2e AB - A 34-year-old man presented with red skin from his neck to his feet for the last month (Figure 156-1). He was having a lot of itching and his skin was shedding so that wherever he would sit, there would be a pile of skin that would remain. He denied fever and chills. He admitted to smoking and drinking heavily. The patient's vital signs were stable with normal blood pressure and he preferred not to be hospitalized. He had some nail pitting but no personal or family history of psoriasis. The presumed diagnosis was erythrodermic psoriasis but a punch biopsy was done to confirm this. A complete blood count (CBC) and chemistry panel were ordered in anticipation of the patient needing systemic medications. A purified protein derivative (PPD) was also placed. The patient was started on total body 0.1% triamcinolone under wet wrap overnight and given a follow-up appointment for the next day. The patient was also counseled to quit smoking and drinking. The following day his labs showed mild elevation in his liver function tests (LFTs) only. The following day his PPD was negative and he was already feeling a bit better from the topical triamcinolone. Cyclosporine was started and the patient improved rapidly. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/08 UR - accessmedicine.mhmedical.com/content.aspx?aid=57680459 ER -