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Erythroderma in children: a clinico-etiological study
R Sarkar1, R C Sharma, R V Koranne
1Department of Dermatology and Sexually Transmitted Diseases, Lady Hardinge Medical College, New Delhi, India.
The Journal of Dermatology
|September 16, 1999
Summary
Erythroderma in children is uncommon, with drugs being the most frequent cause. This study highlights the clinical and etiological factors in pediatric erythroderma patients, emphasizing drug-induced cases.
Area of Science:
- Pediatric Dermatology
- Clinical Research
- Dermatology
Background:
- Erythroderma studies predominantly focus on adults, leaving a gap in understanding pediatric cases.
- A dedicated pediatric dermatology unit provides a unique opportunity to investigate childhood erythroderma.
Purpose of the Study:
- To analyze the clinical, etiological, and laboratory parameters of erythroderma in a pediatric cohort.
- To identify common causes and features of erythroderma in children.
Main Methods:
- Retrospective study of 17 pediatric erythroderma patients (1993-1998).
- Data collection included clinical presentation, onset, symptoms, cutaneous and systemic features, and etiology.
- Laboratory findings were also assessed for diagnostic contribution.
Main Results:
- The mean age of onset was 3.3 years; 47% were infants.
- Itching and burning were primary complaints; scalp involvement and alopecia were common cutaneous features.
- Drugs (29%) were the leading cause, followed by genodermatoses, psoriasis, and staphylococcal scalded skin syndrome (SSSS).
Conclusions:
- Erythroderma is rare in children, but drug-induced cases are significant.
- Clinicians should consider medications as potential triggers for erythroderma in pediatric patients.