A Case of Psoriatic Erythroderma That Improved by Dental Therapy and Antibiotics

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  • MIHARA Yuko
    Department of Dermatology, Shimane Prefectural Central Hospital
  • TAKAGAKI Kenji
    Department of Dermatology, Shimane Prefectural Central Hospital
  • ISHITOBI Tomoko
    Department of Dermatology, Shimane Prefectural Central Hospital
  • OBARA Seiji
    Department of Dental and Oral Surgery, Shimane Prefectural Central Hospital
  • OONUMA Hideyuki
    Department of Dental and Oral Surgery, Shimane Prefectural Central Hospital
  • TSUJINO Yoshio
    Department of Pathohistology, Shimane Prefectural Central Hospital

Bibliographic Information

Other Title
  • 抗生剤と歯科治療併用で改善した乾癬性紅皮症の1例
  • 症例 抗生剤と歯科治療併用で改善した乾癬性紅皮症の1例
  • ショウレイ コウセイザイ ト シカ チリョウ ヘイヨウ デ カイゼン シタ カンセンセイコウ ヒショウ ノ 1レイ

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Abstract

An 85-year-old man was treated for psoriasis vulgaris by application of steroid ointment and administration of etretinate for 10 years. He visited our office three times due to erythroderma. On the first visit, we considered a focal infection based on an increase in white blood cells, neutrophils, and C-reactive protein. His skin condition improved after treatment with antibiotics and application of steroid and vitamin D ointments. On the second visit, he had to be admitted. Due to infection in the periodontal area, his teeth were pulled out, and he was treated for periodontal disease. He was also treated with application of steroid and vitamin D ointments. Subsequently, his general and skin conditions improved. On the third visit,he presented with periodontal disease and a painless inflammation of the gallbladder. After treatment of the periodontal disease with antibiotics and application of steroid and vitamin D ointments, the skin condition and the painless inflammation of the gallbladder improved. Subsequently, he continued to visit our office for treatment of periodontal disease with antibiotics,and external application of steroid and vitamin D ointments ; his skin condition has improved. Thus, we have reported a case of psoriatic erythroderma that improved after dental therapy and antibiotics. The importance of treating bacterial infections in psoriatic erythroderma should be recognized.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 76 (2), 80-84, 2014

    Western Division of Japanese Dermatological Association

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