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CLINICAL IMAGE
Year : 2019  |  Volume : 150  |  Issue : 2  |  Page : 206-207

Erythroderma secondary to pityriasis rubra pilaris


Department of Dermatology, Hospital Regional Universitario de Málaga, Málaga, Spain

Date of Submission09-Feb-2018
Date of Web Publication18-Oct-2019

Correspondence Address:
Elisabeth Gomez-Moyano
Department of Dermatology, Hospital Regional Universitario de Málaga, Málaga
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_294_18

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How to cite this article:
Gomez-Moyano E, Crespo-Erchiga A. Erythroderma secondary to pityriasis rubra pilaris. Indian J Med Res 2019;150:206-7

How to cite this URL:
Gomez-Moyano E, Crespo-Erchiga A. Erythroderma secondary to pityriasis rubra pilaris. Indian J Med Res [serial online] 2019 [cited 2019 Nov 13];150:206-7. Available from: http://www.ijmr.org.in/text.asp?2019/150/2/206/269536

†Patient's consent obtained to publish clinical information and images.


A 67 yr old woman presented in the department of Dermatology at Hospital Regional Universitario of Malaga, Spain, in November 2017 with a three-week history of generalized redness and scaling of the skin, hyperthermia and severe pruritus. The disease began with red and orange plaques on the head and chest spread caudally with islands of sparing [Figure 1]. On clinical examination, palmer waxy keratoderma [Figure 2] was observed. Dermoscopic evaluation showed orange perifolicullar keratotic papules surrounded by erythema with some linear vessels [Figure 3]. No visceral enlargement or adenopathies were noted. All laboratory blood tests were within normal ranges. Skin biopsy demonstratedirregular acanthosis and diffused compact hyperkeratosis with spotted parakeratosis [Figure 4]. With the diagnosis of pytiriasis rubra pilaris, the patient was treated with acitretin with improvement in the erythroderma after 16 weeks.
Figure 1: Orange plaques on the trunk (A) and on the legs (B) with islands of sparing.

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Figure 2: Waxy keratoderma of palms.

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Figure 3: Orange perifollicular papules surrounded by erythema with some linear vessels under dermoscope (arrows).

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Figure 4: Histology showing acanthosis and diffuse compact hyperkeratosis (red arrow) with spotted parakeratosis (black arrow) (Hematoxylin and eosin, ×200).

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Erythroderma has multiple aetiologies. This disease can represent a serious problem, and hospitalization may be required. One must look for the specific findings of the underlying disease, start the correct treatment and avoid the systemic complications of erythroderma.




    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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