Erythroderma: analysis of 247 cases
Autor(a) principal: | |
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Data de Publicação: | 1995 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/24107 |
Resumo: | The profile of 247 patients with erythroderma during a 23 year period from January, 1962 through March, 1985, with a follow-up period ranging from 1 to 26 years were analysed. The patients presented with diffuse erythema, scaling and pruritus of more than 2 months' duration, and the age ranged from 16 to 60 years. Psoriasis was the most frequent underlying disease with an estimated frequency of 44.9%, the reaction to the use of drugs appeared in 7.3% of total cases and association with reticulosis showed a frequency of 4.1%. The cause of the erythroderma could not be determined in 29.2% of the cases. Sex differences in terms of underlying diseases were not observed. One or more skin biopsies along with the clinical findings were diagnostic or suggestive of the underlying disease in 63.6% of the cases. Repeated skin biopsies are recommended as the best method for etiologic diagnosis of erythroderma. At P=0.05 significance level, masculine/feminine ratio of 2 : 1 was found. The question arises wether causal agent of erythroderma may not be somehow related to different exposure by sex to environmental antigens. |
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Erythroderma: analysis of 247 cases Dermatite esfoliativa^i2^sepidemioloIncidênciaDermatitisexfoliative^i1^sepidemiolincidence The profile of 247 patients with erythroderma during a 23 year period from January, 1962 through March, 1985, with a follow-up period ranging from 1 to 26 years were analysed. The patients presented with diffuse erythema, scaling and pruritus of more than 2 months' duration, and the age ranged from 16 to 60 years. Psoriasis was the most frequent underlying disease with an estimated frequency of 44.9%, the reaction to the use of drugs appeared in 7.3% of total cases and association with reticulosis showed a frequency of 4.1%. The cause of the erythroderma could not be determined in 29.2% of the cases. Sex differences in terms of underlying diseases were not observed. One or more skin biopsies along with the clinical findings were diagnostic or suggestive of the underlying disease in 63.6% of the cases. Repeated skin biopsies are recommended as the best method for etiologic diagnosis of erythroderma. At P=0.05 significance level, masculine/feminine ratio of 2 : 1 was found. The question arises wether causal agent of erythroderma may not be somehow related to different exposure by sex to environmental antigens. Foi analisado o perfil de 247 doentes com eritrodermia em um período de 23 anos, de Janeiro de 1962 a março de 1985, com o período de seguimento variando de 1 a 26 anos. Os doentes se apresentavam com eritema universal, descamação e prurido com mais de 2 meses de duração e a idade variava de 16 a 60 anos. A psoríase foi a doença associada mais freqüente, com uma proporção estimada de 44,9%, as reações cutâneas ao uso de drogas contribuíram com 7,3% do total de casos e a associação com reticuloses mostrou uma proporção de 4,1%. A eritrodermia permaneceu como de causa desconhecida em 29,2% dos casos. Não foram observadas diferenças entre os sexos no que diz respeito à doença associada. Um ou mais resultados anátomo patológicos das biópsias de pele, em conjunto com o quadro clínico, foi diagnóstico ou sugestivo do diagnóstico da doença associada em 63,6% dos casos. Recomendam-se biópsias de pele seriadas como o melhor método para a elucidação diagnostica da eritrodermia. Ao nível de significância P=0,05, foi encontrada uma proporção homem/mulher de 2 : 1. Especula-se se o agente causal da eritrodermia estaria relacionado à exposição diferenciada entre os sexos a antígenos do meio ambiente. Universidade de São Paulo. Faculdade de Saúde Pública1995-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2410710.1590/S0034-89101995000300004Revista de Saúde Pública; Vol. 29 No. 3 (1995); 177-182 Revista de Saúde Pública; Vol. 29 Núm. 3 (1995); 177-182 Revista de Saúde Pública; v. 29 n. 3 (1995); 177-182 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/24107/26072Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessVasconcellos, CidiaDomingues, Paula P.Aoki, ValériaMiyake, Ricardo K.Sauaia, NaimMartins, José Eduardo C.2012-05-29T16:28:04Zoai:revistas.usp.br:article/24107Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T16:28:04Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Erythroderma: analysis of 247 cases |
title |
Erythroderma: analysis of 247 cases |
spellingShingle |
Erythroderma: analysis of 247 cases Vasconcellos, Cidia Dermatite esfoliativa^i2^sepidemiolo Incidência Dermatitis exfoliative^i1^sepidemiol incidence |
title_short |
Erythroderma: analysis of 247 cases |
title_full |
Erythroderma: analysis of 247 cases |
title_fullStr |
Erythroderma: analysis of 247 cases |
title_full_unstemmed |
Erythroderma: analysis of 247 cases |
title_sort |
Erythroderma: analysis of 247 cases |
author |
Vasconcellos, Cidia |
author_facet |
Vasconcellos, Cidia Domingues, Paula P. Aoki, Valéria Miyake, Ricardo K. Sauaia, Naim Martins, José Eduardo C. |
author_role |
author |
author2 |
Domingues, Paula P. Aoki, Valéria Miyake, Ricardo K. Sauaia, Naim Martins, José Eduardo C. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Vasconcellos, Cidia Domingues, Paula P. Aoki, Valéria Miyake, Ricardo K. Sauaia, Naim Martins, José Eduardo C. |
dc.subject.por.fl_str_mv |
Dermatite esfoliativa^i2^sepidemiolo Incidência Dermatitis exfoliative^i1^sepidemiol incidence |
topic |
Dermatite esfoliativa^i2^sepidemiolo Incidência Dermatitis exfoliative^i1^sepidemiol incidence |
description |
The profile of 247 patients with erythroderma during a 23 year period from January, 1962 through March, 1985, with a follow-up period ranging from 1 to 26 years were analysed. The patients presented with diffuse erythema, scaling and pruritus of more than 2 months' duration, and the age ranged from 16 to 60 years. Psoriasis was the most frequent underlying disease with an estimated frequency of 44.9%, the reaction to the use of drugs appeared in 7.3% of total cases and association with reticulosis showed a frequency of 4.1%. The cause of the erythroderma could not be determined in 29.2% of the cases. Sex differences in terms of underlying diseases were not observed. One or more skin biopsies along with the clinical findings were diagnostic or suggestive of the underlying disease in 63.6% of the cases. Repeated skin biopsies are recommended as the best method for etiologic diagnosis of erythroderma. At P=0.05 significance level, masculine/feminine ratio of 2 : 1 was found. The question arises wether causal agent of erythroderma may not be somehow related to different exposure by sex to environmental antigens. |
publishDate |
1995 |
dc.date.none.fl_str_mv |
1995-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/24107 10.1590/S0034-89101995000300004 |
url |
https://www.revistas.usp.br/rsp/article/view/24107 |
identifier_str_mv |
10.1590/S0034-89101995000300004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/24107/26072 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 29 No. 3 (1995); 177-182 Revista de Saúde Pública; Vol. 29 Núm. 3 (1995); 177-182 Revista de Saúde Pública; v. 29 n. 3 (1995); 177-182 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221777114169344 |