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exfoliative dermatitis afp20120201p271-uf1 - Coggle Diagram
exfoliative dermatitis 
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Causes
pre-existing skin disorders (e.g. atopic dermatitis, contact dermatitis, seborrheic dermatitis, psoriasis, pityriasis rubrapilaris)
use of drugs (e.g. penicillin, sulphonamides, isoniazid, phenytoin, barbiturates)
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cancer (e.g. lymphoma, mycosis fungoides, leukemia, and rarely adenocarcinomas)
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pathophysiology
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As cells move toward the periphery, they become well-keratinized.
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This process requires approximately 10-12 days,
However, common to all conditions that cause exfoliative dermatitis is an increased rateof skin turnover.
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The pathophysiologic processes resulting in exfoliative dermatitis vary with the underlying disorder responsible for the dermatitis.
Treatment
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topical care (e.g. emollients, colloidal oatmeal baths)
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Nursing management
encourage the patient to bath in warm water using mild soap, then air dry the skin and gently pat to dry.
usually application of topical steroids cream and ointments is twice a day, spread thinly and sparingly.
prepare the patient for phototherapy because this method uses ultraviolet A or B light waves to promote healing of the skin.
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encourage the patient to keep the skin clean, dry and well lubricated to reduce skin trauma and risk for infection.
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references
Akhyani M, Ghodsi ZS, Toosi S, Dabbaghian H. Erythoderma: a clinical and etiology study of 97 cases. BMC Dermatol. 2005 May 09;5:5. [PMC free article]