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Erythrodermic Psoriasis and Staph-Infective Endocarditis-A Conundrum in Succession
Arti Patel1, Frederick Venter1, Kulraj Grewal1
1Department of Internal Medicine, Kern Medical, Bakersfield, CA, USA.
Abstract:
Erythrodermic psoriasis is a rare subtype of psoriasis vulgaris that presents with diffuse erythema and desquamation over greater than 75% of the body's surface area. We present a case of a 57-year-old male who was admitted with a diffuse, erythematous scaly rash covering his entire body, with associated subjective fevers. Skin biopsy revealed erythrodermic psoriasis, and blood cultures were positive for methicillin-sensitive Staphylococcus aureus. Echocardiogram revealed a mitral valve vegetation. Clinical improvement was achieved with intravenous antibiotic administration and topical corticosteroids without the use of immunomodulators.
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