Exfoliative dermatitis generalisata subacuta L30.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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So-called Alterserythrodermie. Erythrodermy of unclear genesis with cachexia, pigmentation, swelling of lymph nodes, hair loss and nail growth disorders. The independence of this clinical picture is increasingly doubtful, as this clinical picture is usually associated with different clinical pictures, such as lymphoma, cutaneous T-cell lymphoma and erythroderma.

Therapy
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Treatment of an underlying disease, otherwise symptomatic.

External therapy
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Greasing, nourishing and hydrating external agents (Ungt. emulsif. aq., 5% urea cream R102, linola fat, eucerin cum aq.), additional oil baths such as Balneum Hermal Plus, oil bath Cordes, linola fat oil bath. Good effects can be achieved by phototherapy as UV-B monotherapy or PUVA therapy. S.a.u. Erythrodermie.

Internal therapy
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If necessary, glucocorticoids in medium dosage such as prednisolone (e.g. Decortin H) 60-80 mg/day. Anti-itching antihistamines such as Desloratadine (e.g. Aerius 1-2 tbl/day). At night, 25 mg hydroxyzine (e.g. Atarax) if necessary.

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Last updated on: 29.10.2020