Surprising Cause of Erythroderma in an Adult Patient

Abstract

A 54-year-old male patient presented to the dermatology clinic complaining of itching. Dermatological examination showed eczematous lesions all over the body. Also, the erythematous background was detected. These erythematous lesions were involved more than 90% of the body’s surface area, therefore the existence of erythroderma was thought. When evaluated laboratory data, there was eosinophilia and increased IgE level in peripheral blood. Histopathologic examination revealed hyperkeratosis, parakeratosis and loss of granular layer in the epidermis. Accompanied eosinophil leukocytes a mixed type of inflammatory cell infiltration was observed in perivascular and periadnexial areas in the dermis. Atopic dermatitis should be kept in mind in cases of erythroderma especially, developing at early ages. Atopic dermatitis should be kept in mind in erythrodermic children and young adults. Clinicopathological correlation is important to determine the etiology of erythroderma.