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Updated: Dec 28, 2025
11:39
The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
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Erythrodermic psoriasis secondary to systemic corticosteroids
Matthew Heinrich1, Elizabeth Cook1, Jenna Roach2
1School of Medicine, Texas Tech University Health Sciences CenterLubbockTexas.
Proceedings (Baylor University. Medical Center)
|February 18, 2020
Summary
Erythrodermic psoriasis, a severe skin reaction, can occur after abruptly stopping corticosteroid treatment in patients with psoriasis. Early diagnosis and management are crucial to prevent serious complications.
Area of Science:
- Dermatology
- Internal Medicine
Background:
- Erythroderma is a severe skin condition with multiple potential causes.
- Psoriasis is a common chronic inflammatory skin disease.
- Systemic corticosteroids are frequently used for managing moderate to severe psoriasis.
Observation:
- A 58-year-old woman with a history of psoriasis experienced abrupt discontinuation of systemic corticosteroids.
- This led to the development of erythrodermic psoriasis, characterized by widespread erythema and scaling.
- The patient required hospitalization due to the extensive body surface area involvement.
Findings:
- Abrupt cessation of systemic corticosteroids can precipitate erythrodermic psoriasis in susceptible individuals.
- Erythrodermic psoriasis presents as a critical dermatological emergency.
- This case highlights a specific trigger for a severe psoriatic manifestation.
Implications:
- Clinicians should maintain a high index of suspicion for erythrodermic psoriasis, especially in patients with psoriasis discontinuing corticosteroids.
- Timely diagnosis and prompt treatment are essential to mitigate life-threatening complications.
- Understanding medication triggers is vital for managing chronic inflammatory skin conditions like psoriasis.
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