Steroid Induced Erythrodermic Psoriasis in a Child: a Rare Case Report
Corresponding Author(s) : Usha Kataria
ushachillar@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 11 No. 2 (2023): 2023 Volume -11 - Issue 2
Abstract
Psoriasis is an uncommon dermatosis in young children with about 1/3rd of all patients having onset of disease in the first or second decade of life.[1] Psoriatic erythroderma is very rare condition in children. Erythrodermic psoriasis is a severe cutaneous disorder, which may pose diagnostic and therapeutic challenges. Non-bullous ichthyosis, atopic dermatitis, seborrheic dermatitis, pityriasis rubra pilaris, infections, metabolic disease and drug reaction may cause erythroderma.[2-4] The therapy should be given after making the correct diagnosis. Here by, we present a case of 3 year old boy with Psoriasis, who developed erythrodermic psoriasis after an abrupt discontinuation of systemic corticosteroids.
Keywords
Erythrodermic psoriasis; Corticosteroid; Psoriasis; Children.
1.
Gaurav Chhillar, Jasmine Chhillar, Rachna Verma, Rupinder Kaur, Usha Kataria. Steroid Induced Erythrodermic Psoriasis in a Child: a Rare Case Report. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2023 May 8 [cited 2026 Apr. 27];11(2):162-5. Available from: https://ijamscr.com/ijamscr/article/view/1321
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References
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1. Dogra S, Kaur I. Childhood psoriasis. Indian J Dermatol Venereol Leprol. 2010 Jul 1;76(4):357-65. doi: 10.4103/0378-6323.66580, PMID 20657115.
2. Pruszkowski A, Bodemer C, Fraitag S, Teillac-Hamel D, Amoric JC, de Prost Y. Neonatal and infantile erythrodermas: a retrospective study of 51 patients. Arch Dermatol. 2000;136(7):875-80. doi: 10.1001/archderm.136.7.875, PMID 10890989.
3. Fraitag S, Bodemer C. Neonatal erythroderma. Curr Opin Pediatr. 2010;22(4):438-44. doi: 10.1097/MOP.0b013e32833bc396, PMID 20616730.
4. Al-Dhalimi MA. Neonatal and infantile erythroderma: a clinical and follow-up study of 42 cases. J Dermatol. 2007;34(5):302-7. doi: 10.1111/j.1346-8138.2007.00277.x, PMID 17408438.
5. Navrotski BRF, Nihi FM, Camilleri MJ, Cerci FB. Wet wrap dressings as a rescue therapy option for erythrodermic psoriasis. An Bras Dermatol. 2018;93(4):598-600. doi: 10.1590/abd1806-4841.20186414, PMID 30066777.
6. Mistry N, Gupta A, Alavi A, Sibbald RG. A review of the diagnosis and management of erythroderma (generalized red skin). Adv Skin Wound Care. 2015;28(5):228-36; quiz 237. doi: 10.1097/01.ASW.0000463573.40637.73, PMID 25882661.
7. Singh RK, Lee KM, Ucmak D, Brodsky M, Atanelov Z, Farahnik B, et al. Erythrodermic psoriasis: pathophysiology and current treatment perspectives. Psoriasis (Auckl). 2016;6:93-104. doi: 10.2147/PTT.S101232, PMID 28856115.
8. Rosenbach M, Hsu S, Korman NJ, Lebwohl MG, Young M, Bebo BF, et al. Treatment of erythrodermic psoriasis: from the medical board of the National Psoriasis Foundation. J Am Acad Dermatol. 2010;62(4):655-62. doi: 10.1016/j.jaad.2009.05.048, PMID 19665821.
9. Sarkar R, Basu S, Sharma RC. Neonatal and infantile erythrodermas. Arch Dermatol. 2001 Jun 1;137(6):822-3. PMID 11405783.
10. Kumar P, Das A, Jain S. Infantile erythrodermic psoriasis: A case report and review of the literature. Indian J Paediatr Dermatol. 2017 Jul 1;18(3):248-51. doi: 10.4103/2319-7250.193026.
11. Pruszkowski A, Bodemer C, Fraitag S, Teillac-Hamel D, Amoric JC, de Prost Y. Neonatal and infantile erythrodermas: A retrospective study of 51 patients. Arch Dermatol. 2000;136(7):875-80. doi: 10.1001/archderm.136.7.875, PMID 10890989.
12. Janniger CK, Schwartz RA, Musumeci ML, Tedeschi A, Mirona B, Micali G. Infantile psoriasis cutis. Cutis. 2005;76(3):173-7. PMID 16268259.
References
1. Dogra S, Kaur I. Childhood psoriasis. Indian J Dermatol Venereol Leprol. 2010 Jul 1;76(4):357-65. doi: 10.4103/0378-6323.66580, PMID 20657115.
2. Pruszkowski A, Bodemer C, Fraitag S, Teillac-Hamel D, Amoric JC, de Prost Y. Neonatal and infantile erythrodermas: a retrospective study of 51 patients. Arch Dermatol. 2000;136(7):875-80. doi: 10.1001/archderm.136.7.875, PMID 10890989.
3. Fraitag S, Bodemer C. Neonatal erythroderma. Curr Opin Pediatr. 2010;22(4):438-44. doi: 10.1097/MOP.0b013e32833bc396, PMID 20616730.
4. Al-Dhalimi MA. Neonatal and infantile erythroderma: a clinical and follow-up study of 42 cases. J Dermatol. 2007;34(5):302-7. doi: 10.1111/j.1346-8138.2007.00277.x, PMID 17408438.
5. Navrotski BRF, Nihi FM, Camilleri MJ, Cerci FB. Wet wrap dressings as a rescue therapy option for erythrodermic psoriasis. An Bras Dermatol. 2018;93(4):598-600. doi: 10.1590/abd1806-4841.20186414, PMID 30066777.
6. Mistry N, Gupta A, Alavi A, Sibbald RG. A review of the diagnosis and management of erythroderma (generalized red skin). Adv Skin Wound Care. 2015;28(5):228-36; quiz 237. doi: 10.1097/01.ASW.0000463573.40637.73, PMID 25882661.
7. Singh RK, Lee KM, Ucmak D, Brodsky M, Atanelov Z, Farahnik B, et al. Erythrodermic psoriasis: pathophysiology and current treatment perspectives. Psoriasis (Auckl). 2016;6:93-104. doi: 10.2147/PTT.S101232, PMID 28856115.
8. Rosenbach M, Hsu S, Korman NJ, Lebwohl MG, Young M, Bebo BF, et al. Treatment of erythrodermic psoriasis: from the medical board of the National Psoriasis Foundation. J Am Acad Dermatol. 2010;62(4):655-62. doi: 10.1016/j.jaad.2009.05.048, PMID 19665821.
9. Sarkar R, Basu S, Sharma RC. Neonatal and infantile erythrodermas. Arch Dermatol. 2001 Jun 1;137(6):822-3. PMID 11405783.
10. Kumar P, Das A, Jain S. Infantile erythrodermic psoriasis: A case report and review of the literature. Indian J Paediatr Dermatol. 2017 Jul 1;18(3):248-51. doi: 10.4103/2319-7250.193026.
11. Pruszkowski A, Bodemer C, Fraitag S, Teillac-Hamel D, Amoric JC, de Prost Y. Neonatal and infantile erythrodermas: A retrospective study of 51 patients. Arch Dermatol. 2000;136(7):875-80. doi: 10.1001/archderm.136.7.875, PMID 10890989.
12. Janniger CK, Schwartz RA, Musumeci ML, Tedeschi A, Mirona B, Micali G. Infantile psoriasis cutis. Cutis. 2005;76(3):173-7. PMID 16268259.
2. Pruszkowski A, Bodemer C, Fraitag S, Teillac-Hamel D, Amoric JC, de Prost Y. Neonatal and infantile erythrodermas: a retrospective study of 51 patients. Arch Dermatol. 2000;136(7):875-80. doi: 10.1001/archderm.136.7.875, PMID 10890989.
3. Fraitag S, Bodemer C. Neonatal erythroderma. Curr Opin Pediatr. 2010;22(4):438-44. doi: 10.1097/MOP.0b013e32833bc396, PMID 20616730.
4. Al-Dhalimi MA. Neonatal and infantile erythroderma: a clinical and follow-up study of 42 cases. J Dermatol. 2007;34(5):302-7. doi: 10.1111/j.1346-8138.2007.00277.x, PMID 17408438.
5. Navrotski BRF, Nihi FM, Camilleri MJ, Cerci FB. Wet wrap dressings as a rescue therapy option for erythrodermic psoriasis. An Bras Dermatol. 2018;93(4):598-600. doi: 10.1590/abd1806-4841.20186414, PMID 30066777.
6. Mistry N, Gupta A, Alavi A, Sibbald RG. A review of the diagnosis and management of erythroderma (generalized red skin). Adv Skin Wound Care. 2015;28(5):228-36; quiz 237. doi: 10.1097/01.ASW.0000463573.40637.73, PMID 25882661.
7. Singh RK, Lee KM, Ucmak D, Brodsky M, Atanelov Z, Farahnik B, et al. Erythrodermic psoriasis: pathophysiology and current treatment perspectives. Psoriasis (Auckl). 2016;6:93-104. doi: 10.2147/PTT.S101232, PMID 28856115.
8. Rosenbach M, Hsu S, Korman NJ, Lebwohl MG, Young M, Bebo BF, et al. Treatment of erythrodermic psoriasis: from the medical board of the National Psoriasis Foundation. J Am Acad Dermatol. 2010;62(4):655-62. doi: 10.1016/j.jaad.2009.05.048, PMID 19665821.
9. Sarkar R, Basu S, Sharma RC. Neonatal and infantile erythrodermas. Arch Dermatol. 2001 Jun 1;137(6):822-3. PMID 11405783.
10. Kumar P, Das A, Jain S. Infantile erythrodermic psoriasis: A case report and review of the literature. Indian J Paediatr Dermatol. 2017 Jul 1;18(3):248-51. doi: 10.4103/2319-7250.193026.
11. Pruszkowski A, Bodemer C, Fraitag S, Teillac-Hamel D, Amoric JC, de Prost Y. Neonatal and infantile erythrodermas: A retrospective study of 51 patients. Arch Dermatol. 2000;136(7):875-80. doi: 10.1001/archderm.136.7.875, PMID 10890989.
12. Janniger CK, Schwartz RA, Musumeci ML, Tedeschi A, Mirona B, Micali G. Infantile psoriasis cutis. Cutis. 2005;76(3):173-7. PMID 16268259.