잠시만 기다려 주세요. 로딩중입니다.

건선의 과거력이 없던 환자에서 발생한 치료저항성 홍색피부건선 1례

A Case of Recalcitrant Erythrodermic Psoriasis in a Patient without a History of Psoriasis

대한건선학회지 2020년 17권 2호 p.38 ~ 41
소속 상세정보

Abstract


Erythroderma presents with diffuse erythema and scaling involving all or most of the skin surface area. It can be caused by inflammatory dermatosis, drug reaction, internal malignancy or idiopathic way. Erythrodermic psoriasis (EP) is the most common type of erythroderma, accounting for about 25%. A 70-year-old man presented with diffuse erythematous patch and scaling on whole body for three months. The patient denied any previous history of inflammatory dermatosis or treatment. Laboratory tests and radiologic findings showed no evidence of internal malignancy or infection. Histopathologic findings revealed parakeratosis, Munro microabscess, regular acanthosis, and clubshaped epidermal ridges. Diagnosis of erythrodermic psoriasis was made based on clinicopathologic findings. The skin lesions were recalcitrant to systemic steroid and immunosuppressants. To our knowledge, EP without a history of psoriasis is rare and tends to be recalcitrant to various treatments. Herein, we report a rare case of recalcitrant EP without a history of psoriasis.

키워드

Erythroderma; Erythrodermic psoriasis; Exfoliative dermatitis

원문 및 링크아웃 정보

등재저널 정보