Original Article
Clinical Presentation and Etiological Profile of Exfoliative Dermatitis: An Observational Study at a Tertiary Care Hospital
Author Details
1. Apollo Imperial Hospital, Chattogram, Bangladesh.
2. 250 Beded General Hospital, Jashore, Bangladesh.
3. Medix (United Health Care), Dhaka, Bangladesh.
4. Community Based Medical College, Mymensingh, Bangladesh.
5. Bangladesh Medical College and Hospital, Dhaka, Bangladesh.
6. Mirsharari Upazila Health Complex, Chattogram, Bangladesh.
7. Kushtia Medical College Hospital, Kushtia, Bangladesh.
Abstract Exfoliative dermatitis (erythroderma) is a severe inflammatory skin disorder characterized by erythema and scaling involving more than 90% of the body surface area. It is associated with significant morbidity and systemic complications. This cross-sectional observational study was conducted on 64 patients with exfoliative dermatitis at the Department of Dermatology and Venereology, Chittagong Medical College Hospital. Clinical data were collected using a structured questionnaire, and relevant examinations were performed. The mean age was 44.8 ± 11.3 years. Males predominated (75%; M:F = 3:1). Psoriasis was the leading cause (60.9%) followed by drug reactions (15.6%) and atopic dermatitis (10.9%). All patients presented with generalized erythema and scaling; 48.4% had itching, 85.9% sparse body hair, and 57.8% loss of scalp hair. Nail changes such as shiny nails (65.6%), thick nails (51.6%), and subungual hyperkeratosis (53.1%) were common. Winter was the most frequent aggravating factor (32.8%). Psoriasis remains the most common cause of exfoliative dermatitis in our population. Early recognition of clinical features and identification of underlying causes are essential for proper management. Keywords: Exfoliative dermatitis; Erythroderma; Psoriasis. |
Keywords: Exfoliative Dermatitis; Erythroderma; Psoriasis