Boyd A S, Menter A
Psoriasis Center, Baylor University Medical Center, Dallas, TX 75246.
J Am Acad Dermatol. 1989 Nov;21(5 Pt 1):985-91.
Erythroderma represents the most severe form of psoriasis. In addition to its morbidity and severe discomfort, erythrodermic psoriasis also may be potentially life-threatening. We present demographic, clinical, and laboratory findings of 50 patients with psoriatic erythroderma seen at our day-care center during a 9 1/2-year period. Precipitating factors included administration of systemic corticosteroids and the excessive use of topical steroids, phototherapy complications, severe emotional stress, and preceding illness. Treatment options are discussed on the basis of an average follow-up period of 34 months. There appears to be a certain subgroup of patients with highly unstable psoriasis for whom appropriately planned therapeutic regimens are essential.
红皮病型银屑病是银屑病最严重的类型。除了发病率高和严重不适外，红皮病型银屑病还可能危及生命。我们介绍了在9年半的时间里，在我们日间护理中心就诊的50例红皮病型银屑病患者的人口统计学、临床和实验室检查结果。诱发因素包括全身使用糖皮质激素、过度使用外用糖皮质激素、光疗并发症、严重的情绪压力和前驱疾病。根据平均34个月的随访期讨论了治疗方案。似乎有一部分银屑病高度不稳定的患者，对他们来说，制定适当的治疗方案至关重要。
