Department of Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, 110 002, India.
Indian J Dermatol Venereol Leprol. 2010 Jul-Aug;76(4):341-7. doi: 10.4103/0378-6323.66576.
Although erythroderma is a well-recognized entity in the adult age groups and has been studied by various authors, there is a paucity of studies on erythroderma in the pediatric age group. It poses a greater challenge to the dermatologist and pediatrician because of its potential life threatening nature. In a study conducted by us in a large Indian hospital to delineate the causes of neonatal and infantile erythroderma, the causes identified were infections (40%), ichthyosiform erythroderma (25%), atopic dermatitis (15%), infantile seborrheic dermatitis (10%) and unidentified (10%). In another study of childhood erythroderma, etiologically, drugs (29%) showed the highest incidence, followed equally (18%) by genodermatoses, psoriasis and staphylococcal scalded skin syndrome (SSSS). The management of childhood erythroderma is mainly supportive with correction of the hematologic, biochemical and metabolic imbalance if required. In this review, the causes of childhood erythroderma, the clinical features useful to the diagnosis and management are discussed.
尽管红皮病在成年人群中是一种公认的疾病实体，并且已经被许多作者进行了研究，但在儿科年龄组中，关于红皮病的研究却很少。由于其潜在的危及生命的性质，它给皮肤科医生和儿科医生带来了更大的挑战。在我们在一家大型印度医院进行的一项研究中，为了阐明新生儿和婴儿红皮病的病因，确定的病因是感染（40%）、鱼鳞样红皮病（25%）、特应性皮炎（15%）、婴儿脂溢性湿疹（10%）和未明原因（10%）。在另一项儿童红皮病的研究中，病因上，药物（29%）的发病率最高，其次是遗传皮肤病（18%）、银屑病和葡萄球菌性烫伤样皮肤综合征（SSSS）。儿童红皮病的治疗主要是支持性的，如有需要，纠正血液学、生化和代谢失衡。在这篇综述中，讨论了儿童红皮病的病因，以及对诊断和治疗有用的临床特征。
