OLDER ADULT WITH ERYTHRODERMA, A MEDICAL EMERGENCY. CASE REPORT

Jenny Paola Rodriguez Angel; Diego Andres Chavarro Carvajal; Elly Morros-González; Maria Paula Vargas-Beltran

doi:10.15446/cr.v10n1.104636

OLDER ADULT WITH ERYTHRODERMA, A MEDICAL EMERGENCY. CASE REPORT

Jenny Paola Rodriguez Angel, Diego Andres Chavarro Carvajal, Elly Morros-González, Maria Paula Vargas-Beltran

Producción: Contribución a una revista › Artículo › revisión exhaustiva

Resumen

Introducción. La eritrodermia es un síndrome inflamatorio cutáneo grave que afecta
más del 90% de la superficie corporal. Sus causas más frecuentes incluyen psoriasis,
antecedente de enfermedades dermatológicas y reacciones a ciertos medicamentos.
Se considera una emergencia médica debido al elevado riesgo de disfunción de la
barrera cutánea por la magnitud del compromiso epidérmico. Este riesgo es mayor
en personas mayores, en quienes la eritrodermia puede exacerbar el deterioro
funcional generando problemas nutricionales y alteraciones del estado de ánimo.
Estas complicaciones están relacionadas con una mayor probabilidad de infecciones
sistémicas, deshidratación y trastornos hidroelectrolíticos, condiciones que pueden
ser agudas y potencialmente mortales.
Presentación del caso. Hombre de 76 años que ingresó al servicio de urgencias del
Hospital Universitario San Ignacio de Bogotá (Colombia) por lesiones cutáneas
older adult with erythroderma, a medical emergency
3 pruriginosas, eritematosas, dolorosas y descamativas que aparecieron un año y
medio antes en miembros inferiores y se diseminaron por todo el cuerpo ocasionando compromiso sistémico. El paciente fue hospitalizado con diagnóstico
de eritrodermia secundaria a psoriasis. Se realizó biopsia cutánea cuyo resultado
reportó dermatitis atópica crónica no específica. A través de una valoración geriátrica integral se estableció tratamiento centrado en controlar la progresión de la
enfermedad y minimizar el riesgo de complicaciones sistémicas asociadas, con lo
cual el paciente tuvo una evolución satisfactoria.
Conclusiones. Las enfermedades dermatológicas en adultos mayores tienden a
ser subvaloradas debido a los cambios cutáneos asociados al envejecimiento. Sin
embargo, afecciones como la eritrodermia deben ser sospechadas debido al alto
riesgo de fracaso cutáneo agudo y las complicaciones asociadas. En estos pacientes
es crucial implementar estrategias óptimas basadas en su funcionalidad y con un
enfoque en el manejo nutricional, mental y social. La valoración geriátrica integral
es fundamental para determinar los objetivos del tratamiento, garantiza

Idioma original	Inglés
Número de artículo	4
Páginas (desde-hasta)	1
Número de páginas	10
Publicación	Case reports
Volumen	10
N.º	1
DOI	https://doi.org/10.15446/cr.v10n1.104636
Estado	Publicada - may. 2024

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@article{2a239284f8f6461987ed1d9e40fc3b1e,

title = "OLDER ADULT WITH ERYTHRODERMA, A MEDICAL EMERGENCY. CASE REPORT",

abstract = "Introduction: Erythroderma is a severe inflammatory skin syndrome that affects more than 90% of the body{\textquoteright}s surface area. The most common causes include psoriasis, a history of dermatological disease, and the use of certain medications. Due to the extent of skin involvement, it is considered a medical emergency because of the high risk of skin barrier dysfunction. This risk is exceptionally high in older adults, in whom the onset of erythroderma can exacerbate functional decline, lead to nutritional impairment, and cause mood disturbances. These complications are associated with an increased likelihood of developing systemic infections, dehydration, and electrolyte imbalances, which are acute and potentially life-threatening conditions. Case presentation: A 76-year-old male patient was admitted to the emergencydepartment of the Hospital Universitario San Ignacio de Bogot{\'a} (Colombia) due to a one-and-a-half-year history of pruritic, erythematous, painful, and scaly skin lesions on the lower limbs, which later spread throughout the body, causing systemic involvement. The patient was admitted to the hospital with a diagnosis of erythroderma secondary to psoriasis. A skin biopsy showed nonspecific chronic dermatitis. A comprehensive geriatric assessment led to the establishment of a treatment focused on controlling disease progression and minimizing the risk of associated systemic complications, which resulted in the satisfactory recovery of the patient. Conclusions: Dermatologic diseases in older adults are often underestimated due to the skin changes associated with aging. However, conditions such as erythroderma should be suspected considering the high risk of acute skin failure and associated complications. In these patients it is critical to implement optimal strategies based on functional status, with an emphasis on nutritional, mental, and social management.Comprehensive geriatric assessment is essential to determine treatment goals,ensure proper adherence to treatment, and improve the patients{\textquoteright} quality of life.",

author = "{Rodriguez Angel}, {Jenny Paola} and {Chavarro Carvajal}, {Diego Andres} and Elly Morros-Gonz{\'a}lez and Vargas-Beltran, {Maria Paula}",

note = "Rodr{\'i}guez-{\'A}ngel JP, Morros-Gonz{\'a}lez EA, Vargas-Beltr{\'a}n MP, Chavarro-Carvajal DA. Adulto mayor con eritrodermia, una emergencia m{\'e}dica. Reporte de caso. Case reports [Internet]. 20 de mayo de 2024 [citado 12 de diciembre de 2024];10(1). Disponible en: https://revistas.unal.edu.co/index.php/care/article/view/104636",

year = "2024",

month = may,

doi = "10.15446/cr.v10n1.104636",

language = "English",

volume = "10",

pages = "1",

journal = "Case reports",

issn = "2462-8522",

publisher = "Universidad Nacional de Colombia",

number = "1",

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TY - JOUR

T1 - OLDER ADULT WITH ERYTHRODERMA, A MEDICAL EMERGENCY. CASE REPORT

AU - Rodriguez Angel, Jenny Paola

AU - Chavarro Carvajal, Diego Andres

AU - Morros-González, Elly

AU - Vargas-Beltran, Maria Paula

N1 - Rodríguez-Ángel JP, Morros-González EA, Vargas-Beltrán MP, Chavarro-Carvajal DA. Adulto mayor con eritrodermia, una emergencia médica. Reporte de caso. Case reports [Internet]. 20 de mayo de 2024 [citado 12 de diciembre de 2024];10(1). Disponible en: https://revistas.unal.edu.co/index.php/care/article/view/104636

PY - 2024/5

Y1 - 2024/5

N2 - Introduction: Erythroderma is a severe inflammatory skin syndrome that affects more than 90% of the body’s surface area. The most common causes include psoriasis, a history of dermatological disease, and the use of certain medications. Due to the extent of skin involvement, it is considered a medical emergency because of the high risk of skin barrier dysfunction. This risk is exceptionally high in older adults, in whom the onset of erythroderma can exacerbate functional decline, lead to nutritional impairment, and cause mood disturbances. These complications are associated with an increased likelihood of developing systemic infections, dehydration, and electrolyte imbalances, which are acute and potentially life-threatening conditions. Case presentation: A 76-year-old male patient was admitted to the emergencydepartment of the Hospital Universitario San Ignacio de Bogotá (Colombia) due to a one-and-a-half-year history of pruritic, erythematous, painful, and scaly skin lesions on the lower limbs, which later spread throughout the body, causing systemic involvement. The patient was admitted to the hospital with a diagnosis of erythroderma secondary to psoriasis. A skin biopsy showed nonspecific chronic dermatitis. A comprehensive geriatric assessment led to the establishment of a treatment focused on controlling disease progression and minimizing the risk of associated systemic complications, which resulted in the satisfactory recovery of the patient. Conclusions: Dermatologic diseases in older adults are often underestimated due to the skin changes associated with aging. However, conditions such as erythroderma should be suspected considering the high risk of acute skin failure and associated complications. In these patients it is critical to implement optimal strategies based on functional status, with an emphasis on nutritional, mental, and social management.Comprehensive geriatric assessment is essential to determine treatment goals,ensure proper adherence to treatment, and improve the patients’ quality of life.

AB - Introduction: Erythroderma is a severe inflammatory skin syndrome that affects more than 90% of the body’s surface area. The most common causes include psoriasis, a history of dermatological disease, and the use of certain medications. Due to the extent of skin involvement, it is considered a medical emergency because of the high risk of skin barrier dysfunction. This risk is exceptionally high in older adults, in whom the onset of erythroderma can exacerbate functional decline, lead to nutritional impairment, and cause mood disturbances. These complications are associated with an increased likelihood of developing systemic infections, dehydration, and electrolyte imbalances, which are acute and potentially life-threatening conditions. Case presentation: A 76-year-old male patient was admitted to the emergencydepartment of the Hospital Universitario San Ignacio de Bogotá (Colombia) due to a one-and-a-half-year history of pruritic, erythematous, painful, and scaly skin lesions on the lower limbs, which later spread throughout the body, causing systemic involvement. The patient was admitted to the hospital with a diagnosis of erythroderma secondary to psoriasis. A skin biopsy showed nonspecific chronic dermatitis. A comprehensive geriatric assessment led to the establishment of a treatment focused on controlling disease progression and minimizing the risk of associated systemic complications, which resulted in the satisfactory recovery of the patient. Conclusions: Dermatologic diseases in older adults are often underestimated due to the skin changes associated with aging. However, conditions such as erythroderma should be suspected considering the high risk of acute skin failure and associated complications. In these patients it is critical to implement optimal strategies based on functional status, with an emphasis on nutritional, mental, and social management.Comprehensive geriatric assessment is essential to determine treatment goals,ensure proper adherence to treatment, and improve the patients’ quality of life.

U2 - 10.15446/cr.v10n1.104636

DO - 10.15446/cr.v10n1.104636

M3 - Article

SN - 2462-8522

VL - 10

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JO - Case reports

JF - Case reports

IS - 1

M1 - 4

ER -

OLDER ADULT WITH ERYTHRODERMA, A MEDICAL EMERGENCY. CASE REPORT

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