TY - CHAP M1 - Book, Section TI - Erythroderma A1 - Henderson, David A1 - Wong, Tiffanie C. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 34-year-old man presented with red skin from his neck to his feet for the last month (Figure 162-1). He was having a lot of itching, and his skin was shedding so that wherever he would sit, there would be a pile of skin that would remain. He denied fever and chills. He admitted to smoking and drinking heavily. The patient's vital signs were stable with normal blood pressure, and he preferred not to be hospitalized. He had some nail pitting but no personal or family history of psoriasis. The presumed diagnosis was erythrodermic psoriasis, but a punch biopsy was performed to confirm this. A complete blood count (CBC) and chemistry panel were ordered in anticipation of the patient requiring systemic medications. A purified protein derivative (PPD) was also placed at this time. The patient was then started on total body 0.1% triamcinolone under wet wrap overnight and given a follow-up appointment for the next day. The patient was also counseled to quit smoking and drinking. The following day his labs only revealed mild elevation in his liver function tests (LFTs). Two days following initial presentation, his PPD was negative and he was already feeling a bit better from the topical triamcinolone. Cyclosporine was promptly initiated, and the patient improved rapidly as a result. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - dermatology.mhmedical.com/content.aspx?aid=1164360709 ER -