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Psoriasis Treatment:
 

Erythrodermic Psoriasis

In erythrodermic psoriasis, you will see redness and scaling over most of your skin surface.

  • When you lose the normal protective functions of your skin, it means that medical support is required to maintain body temperature, fluid level and electrolyte balance.
  • Good nutrition is essential, as there is a risk of becoming anemic.
  • Be aware that this generalized reaction is often due to systemic steroids or potent topical corticosteroids being withdrawn too quickly; infections or burns from phototherapy can also initiate this generalized response.
  • Bed rest is essential
  • You should use emollients very frequently.
  • You should use only mild topical corticosteroids (for example, hydrocortisone ointment).
  • Be aware of symptoms relating to infection and shock (record your urine output, BP, and daily weight).
  • To control this disease you may require systemic therapy.
  • If you are a man, or a woman who is not in the childbearing age range, you can take acitretin, your doctor should begin treatment at 25mg and increase the dosage if necessary.
  • Methotrexate could be initiated at a dose of 15mg weekly and it can be increased.
  • Cyclosporine can be given at a dose of 4-5 mg/kg a day.
  • Maintenance may be achieved with mild topical steroids and/or careful use of UVB.