title: Psoriatic erythroderma coexisting with erythema multiforme-like lesions induced by retinoids or retinoids combined with an antibiotic: case report.
abstract: Psoriasis is currently considered a multifactorial disease, which can coexist with many somatic and psychological disorders. We present the case of a 50-year-old woman referred to our department due to erythroderma with concomitant peculiar violaceous, polycyclic lesions most likely induced by medications. Past medical history revealed numerous systemic disorders, including metabolic syndrome, hypertension, cardiac insufficiency, obesity, and depression. Additional examinations and consultations demonstrated dyslipidemia, xanthelasma, incomplete block of the right branch of His bundle, thyreocardiac syndrome, benign adrenal tumor, and delusions. Recently, psoriasis has been intensively studied. We present the case in which erythroderma was most likely triggered by acitretin combined with ceftriaxone. Treatment of many diseases and psychiatric disturbances coexisting with psoriasis is extremely difficult and requires cooperation of various specialists.
authors.affiliation: Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin. aldonkapietrzak@tlen.pl
authors.forename: Aldona
authors.initials: A
authors.lastname: Pietrzak
authors.forename: Grażyna
authors.initials: G
authors.lastname: Chodorowska
authors.forename: Iwona
authors.initials: I
authors.lastname: Jazienicka
authors.forename: Paweł
authors.initials: P
authors.lastname: Osemlak
authors.forename: Bartłomiej
authors.initials: B
authors.lastname: Wawrzycki
authors.forename: Piotr
authors.initials: P
authors.lastname: Terlecki
authors.forename: Jolanta
authors.initials: J
authors.lastname: Mieczkowska
authors.forename: Jerzy
authors.initials: J
authors.lastname: Mosiewicz
authors.forename: Tomasz
authors.initials: T
authors.lastname: Zubilewicz
authors.forename: Franciszek
authors.initials: F
authors.lastname: Szubstarski
authors.forename: Witold
authors.initials: W
authors.lastname: Krupski
authors.forename: Jana
authors.initials: J
authors.lastname: Hercogova
authors.forename: Jacek C
authors.initials: JC
authors.lastname: Szepietowski
authors.forename: Torello
authors.initials: T
authors.lastname: Lotti
mesh_terms: D017255:Acitretin / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D002443:Ceftriaxone / Q000009:adverse effects*; D015897:Comorbidity; D003873:Dermatitis, Exfoliative / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D003875:Drug Eruptions / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D004892:Erythema Multiforme / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007641:Keratolytic Agents / Q000009:adverse effects*; D008875:Middle Aged; D011565:Psoriasis / Q000150:complications / Q000188:drug therapy*; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents; D007641:Keratolytic Agents; D002443:Ceftriaxone; D017255:Acitretin