A severe case of erythrodermic psoriasis associated with advanced nail and joint manifestations: a case report

<p>Abstract</p> <p>Introduction</p> <p>Erythrodermic psoriasis is a rare generalized clinical presentation of psoriasis in children and adults. Its systemic involvement and a diverse range of clinical findings in the joint and nails are commonly described. A high index...

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Bibliographic Details
Main Authors: Balderrama Carola, Teran-Escalera Carlos N, Teran Carlos G
Format: Article
Language:English
Published: BMC 2010-06-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/4/1/179
Description
Summary:<p>Abstract</p> <p>Introduction</p> <p>Erythrodermic psoriasis is a rare generalized clinical presentation of psoriasis in children and adults. Its systemic involvement and a diverse range of clinical findings in the joint and nails are commonly described. A high index of suspicion and an exhaustive differential diagnosis involving other causes of erythroderma should be initially considered.</p> <p>Case presentation</p> <p>We present the case of a 9-year-old native Hispanic girl with severe erythrodermic psoriasis associated with uncommon advanced nail and joint manifestations. Our patient showed an excellent response to methotrexate medication.</p> <p>Conclusion</p> <p>This case shows clinical features not commonly described or reported in severe cases of erythrodermic psoriasis, including severe and rare nail and arthritic findings in a pediatric scenario.</p>
ISSN:1752-1947