Distributive Shock in Erythrodermic Psoriasis Treated With Norepinephrine and Vasopressin: A Case Report

Cureus. 2023 Apr 17;15(4):e37728. doi: 10.7759/cureus.37728. eCollection 2023 Apr.

Abstract

Distributive shock and hypothermia are two unusual and potentially fatal complications of erythroderma, a rare complication of psoriasis. Very few cases of erythrodermic psoriasis have been reported, particularly in the United States, which may pose a diagnostic challenge for internists. We present a case report of distributive hemodynamic instability and hypothermia in a 61-year-old female who initially presented with acute altered mental status thought to be related to an infectious etiology.

Keywords: cerebrospinal fluid (csf); computed tomography (ct); erythrodermic psoriasis (ep); human immunodeficiency virus (hiv); intensive care unit (icu); interleukin (il); magnetic resonance imaging (mri); norepinephrine (ne); total body surface area (tbsa).

Publication types

  • Case Reports