Erythroderma: the modern questions of diagnostics and treatment

Abstract


This article considers the modern approaches to terminology, classification, diagnosis, clinical manifestation and the treatment of the erythroderma. Authors touch upon questions about the meaning of the terminology “erythroderma”, with understanding pathogenesis, methods of making diagnosis and the treatment of the erythroderma.

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About the authors

Denis Vladimirovich Zaslavsky

Saint-Petersburg State Pediatric Medical University

Email: venereology@gmail.com
MD, PhD , Dr Med Sci, Professor. Department of Dermatovenerеology

Roman Anatolievich Ravodin

Kirov Military Medical Academy

Email: rracad@mail.ru
MD, PhD, Assistant Professor, Department of General and Military Epidemiology

Oksana Borisovna Tatarskaya

Saint-Petersburg State Pediatric Medical University

Email: tatarskayaoksana@mail.ru
Normal physiology Department, Postgraduate Student

Akmal Abdikacharovich Sidikov

Saint-Petersburg State Pediatric Medical University

Email: dr.sidikov@yahoo.com
Dermatovenerеology Department, Postgraduate Student

Mihail Georgievich Khvedelidze

Saint-Petersburg State Pediatric Medical University

Email: Venerology@gmail.com
Public Health and Health Care Department, Postgraduate Student

References

  1. Дарье Ж. Основы дерматологии. Пер. с фран. - Москва-Ленинград: Государственное издательство, 1930. - 503 c.
  2. Короткий Н. Г., Дворникова Т. В., Уджуху В. Ю. Современные подходы к лечению псориатической эритродермии // Рос. журн. кож. и венер. болезней. - 2001. - N 1. - C. 7-14.
  3. Куклин И. А. Диагностика и лечение больных с эритродермическими формами злокачественной Т-клеточной лимфомы кожи: Автореф. дис… канд. мед. наук. - СПб., 2005. - 172 c.
  4. Матыцин В. О. Показания к применению методов экстракорпоральной гемокоррекции у больных тяжелыми хроническими дерматозами: Автореф. дис… канд. мед. наук. - СПб., 1997. - 165 c.
  5. Михеева В. Г. Состояние тромбоцитарно-сосудистого гемостаза у больных Т-клеточными лимфомами кожи низкой степени злокачественности: Автореф. дис… канд. мед. наук. - СПб., 2007. - 156 c.
  6. Молочков В. А., Ковригина А. М., Овсянникова Г. В. Т-клеточные лимфомы кожи: современные подходы к клинико-морфологической диагностике согласно классификации WHO/EORTC (2006) Часть I // Рос. журн. кож. и вен. бол. - 2009. - T. 2. - C. 4-15.
  7. Родин Ю. А. Гистологическая реакция замедленного типа при вторичных эритродермиях // Вестн. дерматол. и венерологии. - 1969. - T. 8. - C. 16-19.
  8. Родионов А. Н. Эритродермическая лимфома кожи. - Л.: ВМедА, 1989. - 68 c.
  9. Скрипкин Ю. К. и др. Случай успешного лечения методом фотохимиотерапии псориатической эритродермии, вызванной общим ультрафиолетовым облучением // Вестн. дерматол. и венерологии. - 1982. - T. 9. - C. 40-42.
  10. Abrahams I., McCarthy J. T., Sanders S. L. 101 cases of exfoliative dermatitis // Arch. Dermatol. - 1963. Vol. 87, N 1. - P.96-101.
  11. Boyd A. S., Menter A. Erythrodermic psoriasis // J. Am. Acad. Dermatol. - 1989. - Vol. 21, N 8. - P. 985-991.
  12. Burg G., Kempf W. Cutaneous lymphomas. - Boca Raton: Taylor & Francis Group, 2005. - 556 p.
  13. Burns T. et al. Rook’s textbook of dermatology. 8 ed. - Oxford: Willey-Blackwell, 2010. - Vol. 4. - P. 4432.
  14. Christoph Sch., Ochsenbein A., Kaelin U., Akmal S. Hassan., Robert E. Hunger., Yawalkar N. High numbers of CD209/DC-Sign+ dendritic cells in lesional skin of cutaneous T-cell lymphoma // J. Am. Acad. Dermatol. 2010. - Vol. 62. - P. 995-1004.
  15. Cordel N. et al. Usefulness of cutaneous T-cell clonality analysis for the diagnosis of cutaneous T-cell lymphoma in patients with erythroderma // Arch. Pathol. Lab. Med. - 2005. - Vol.129, N 3. - P. 372-376.
  16. Fierro M. T. et al. Expression pattern of chemokine receptors and chemokine release in inflammatory erythroderma and Sezary syndrome // Dermatology. - 2006. - Vol. 213, N 2. - P. 284-292.
  17. Fierro M. T. et al. Heterogeneity of circulating CD4+ memory T-cell subsets in erythrodermic patients: CD27 analysis can help to distinguish cutaneous T-cell lymphomas from inflammatory erythroderma // Dermatology. - 2008. - Vol. 216, N 2. - P. 213-221.
  18. Hasan T., Jansen C. T. Erythroderma: a follow-up of fifty cases // J. Am. Acad. Dermatol. - 1983. - Vol. 27, N 8. - P.836-840.
  19. Morice W. G. et al. A comparison of morphologic features, flow cytometry, TCR-Vß analysis, and TCR-PCR in qualitative and qualitative assessment of peripheral blood involvement by Sezary syndrome // Am. J. Clin. Pathol. - 2006. - Vol. 125, N 3. - P. 364-374.
  20. Nicolis G. D., Helwig E. B. Exfoliative dermatitis: a clinico-pathologic study of 135 cases // Arch. Dermatol. 1973. - Vol. 108, N 5. - P. 788-797.
  21. Papadavid E. et al. The relevance of peripheral blood T-helper 1 and 2 cytokine pattern in the evaluation of patients with mycosis fungoides and Sezary syndrome // Br. J. Dermatol. - 2003. - Vol. 148, N 4. - P. 709-718.
  22. Ponti R. et al. T-cell receptor gamma gene rearrangement by multiplex polymerase chain reaction/heteroduplex analysis in patients with cutaneous T-cell lymphoma (mycosis fungoides/Sezary syndrome) and benign inflammatory disease: correlation with clinical, histological and immunophenotypical findings // Br. J. Dermatol. - 2005. - Vol. 153, N 3. - P. 565-573.
  23. Revuz J., Roujeau J-C., Kerdel F. A. Life-threatening dermatoses and emergencies in dermatology. - Berlin: Springer-Verlag, 2009. - P.79-87.
  24. Rothe M. J., Bernstein M.L., Grant-Kels J. M. Life-threatening erythroderma: diagnosing and treating the «red man» // Clinics in Dermatology. - 2005. - Vol. 23, N 2. - P. 206-217.
  25. Shuster S. Metabolic and haemodynamic effects of skin disease // An. Clin. Res. - 1971. - Vol. 3, N 1. - P. 135-142.
  26. Sigurdsson V. et al. Erythroderma: a clinical and follow-up study of 102 patients with special emphasis on survival // J. Am. Acad. Dermatol. - 1996. - Vol. 35, N 1. - P. 53-57.
  27. Sigurdsson V. et al. Interleukin 4 and interferon-gamma expression of the dermal infiltrate in patients with erythroderma and mycosis fungoides. An immuno-histochemical study // J. Cutan. Pathol. - 2000. - Vol. 27, N 3. - P. 429-435.
  28. Sigurdsson V. et al. Expression of VCAM-1, ICAM-1, E-selectin, and P-selectin on endothelium in situ in patients with erythroderma, mycosis fungoides and atopic dermatitis // J. Cutan. Pathol. - 2000. - Vol. 27, N 3. - P. 436-440.
  29. Sigurdsson V., Steegmans H. A., Vloten W. A. The incidence of erythroderma: A survey among all dermatologists in The Netherlands // J. Am. Acad. Dermatol. - 2001. - Vol. 45, N 5. - P. 675-678.
  30. Tomi N. S., Kränke B., Aberer E. Staphylococcal toxins in patients with psoriasis, atopic dermatitis, and erythroderma, and in healthy control subjects // J. Am. Acad. Dermatol. - 2005. - Vol. 53, N 1. - P. 67-72.
  31. Vonderheid E. C. et al. Update on erythrodermic cutaneous T-cell lymphoma: report of the international society for cutaneous lymphomas // J. Am. Acad. Dermatol. - 2002. - Vol. 46, N 1. - P. 95-106.
  32. Walsh N. M. G. et al. Histopathology in erythroderma: review of a series of cases by multiple observers // J. Cutan. Pathol. - 1994. - Vol. 21, N 3. - P. 419-423.
  33. Wolf K. et al. Fitzpatrick’s dermatology in general medicine. 7 ed. - New York: McGraw-Hill, 2007. - P. 225-232.
  34. Worn A. M. et al. Destribution and degradation of albumin in extensive skin disease // Br. J. Dermatol. - 1981. - Vol. 104, N 4. - P. 389-396.

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Copyright (c) 2014 Zaslavsky D.V., Ravodin R.A., Tatarskaya O.B., Sidikov A.A., Khvedelidze M.G.

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