Erythroderma

Definition

Erythroderma is widespread redness of the skin. It is accompanied by scaling, peeling, and flaking of the skin, and may include itching and hair loss.

Alternative Names

Exfoliative dermatitis; Dermatitis exfoliativa; Pruritus - exfoliative dermatitis; Pityriasis rubra; Red man syndrome; Exfoliative erythroderma

Causes

Erythroderma may occur due to:

Sometimes the cause is unknown. It is more common in males.

Symptoms

Symptoms may include any of the following:

There may be secondary infections of the skin.

Exams and Tests

Your health care provider will ask about your symptoms and take your medical history. The provider will do a skin examination with a dermatoscope. Most of the time, the cause can be identified after the exam.

If needed, the following tests may be ordered:

Treatment

Since erythroderma can quickly lead to serious complications, the provider will start treatment right away. This usually involves strong doses of cortisone medicines to reduce inflammation.

Other treatments may include:

Outlook (Prognosis)

In serious cases, the person needs to be treated in the hospital.

Possible Complications

Complications may include:

When to Contact a Medical Professional

Contact your provider right away if:

Prevention

Risk for erythroderma may be reduced by following the provider's instructions on skin care.

References

Calonje E, Brenn T, Lazar AJ, Billings SD. Spongiotic, psoriasiform and pustular dermatoses. In: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. McKee's Pathology of the Skin. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 6.

James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Pityriasis rosea, pityriasis rubra pilaris, and other papulosquamous and hyperkeratotic diseases. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 11.

Whittaker S. Erythroderma. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 5th ed. Philadelphia, PA: Elsevier; 2024:chap 10.



Review Date: 2/15/2024
Reviewed By: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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