红皮病120例病因分析

目的：探讨红皮病的病因及并发感染的情况。方法：回顾性分析120例红皮病患者的临床资料。结果：120例患者中73．3％红皮病继发于原有皮肤病，其他致病原因依次为药物过敏、肿瘤，部分原因不明。28．3％并发感染的红皮病患者中，41～60岁组和〉60岁年龄组的感染率高于≤40岁年龄组，差异有统计学意义（P均〈0．05）；血浆白蛋白降低组患者感染率高于血浆白蛋白正常组患者，差异亦有统计学意义（P〈0．01）。结论：红皮病病因多种多样，不能忽视非常见病因的存在。随着年龄的增长和血浆白蛋白的降低，红皮病患者的感染率增加，应注意皮肤护理及早期支持治疗。

Analysis of etiology of 120 cases of erythroderma

Objective: To explore the etiology and complicated infection of erythroderma. Methods: Clinical data from 120 cases of erythroderma were retrospectively analyzed. Results: The most frequent cause of erythroderma was the exacerbation of the previous skin diseases (73.3%), followed by drug reactions, malignancies and unknown-origin. 28.3% of 120 patients were complicated with infections. The infection rate of the group who was younger than 40 was lower than the 40-60 and older than the 60 groups, respectively, the difference was significant (P < 0.05). The infection rate of the group with hypoalbuminemia was higher than that of the group whithout hypoalbuminemia, the difference was significant (P < 0.01). Conclusion: Erythroderma is a syndrome of various causes. Infrequent cause of erythroderma should not be neglected. Along with the increase of the age and the decrease of plasma albumin level,the rate of infectin rate of the patients with erythroderma increases. Skin care and early nutrition supplement are very important in the treatment of erythroderma.