Protein loss, heat loss, and transepidermal water loss are associated with erythroderma of any sort. A past medical history of psoriasis should lead to consideration of erythrodermic psoriasis in such patients. Emollients Tar and Anthralin Topical Steroids Calcipotriene Systemic modalities are often required for erythrodermic psoriasis. The importance of emollients in the treatment of psoriasis can sometimes be forgotten with the wealth of other therapeutic modalities from which to choose. Emollients hydrate and soften the scaly surface of psoriatic plaques.
Emollients also reduce the rate of transepidermal water loss.
They should be applied liberally at least BID, especially after bathing. Commonly used emollients include Eucerin, Lubriderm, Aquaphor, Purpose, etc. These may be applied QHS, with or without occlusion. The method of action is felt to be through inhibition of cell proliferation. Topical steroids are used commonly and are quite effective.