Name of the Condition

• Exfoliation due to erythematous condition involving 10-19 percent of body surface
• Sometimes referred to as exfoliative dermatitis or erythroderma when severe.

Summary

• This condition involves the peeling or shedding of the outer skin layer over a moderate portion of the body surface. It is associated with an underlying erythematous (red) condition.

Causes

• It can be caused by various factors including autoimmune diseases, adverse reactions to medications, or underlying skin conditions such as psoriasis or eczema.

Risk Factors

• Risks include a history of skin disorders, taking certain medications, or having conditions that predispose to inflammation of the skin.

Symptoms

• Symptoms include widespread redness, scaling, and exfoliation of the skin, which can be accompanied by itching or discomfort.

Diagnosis

• Diagnosis is often based on clinical examination and patient history. In some cases, skin biopsy or blood tests may be conducted to ascertain underlying causes.

Treatment Options

• Treatment focuses on addressing the underlying cause and providing symptomatic relief:
  • Topical corticosteroids to reduce inflammation.
  • Emollients to alleviate dryness.
  • Systemic medications, such as immunosuppressants, if an underlying autoimmune disorder is present.

Prognosis and Follow-Up

• Prognosis varies depending on the underlying cause. Regular follow-up is necessary to monitor skin condition and adjust treatment as needed.

Complications

• If untreated, it can lead to infection, dehydration, or systemic effects due to impaired skin barrier function.

Lifestyle & Prevention

• Preventive measures include avoiding known triggers, maintaining a regimen of moisturizing the skin, and managing stress.

When to Seek Professional Help

• Seek medical advice if there is extensive skin peeling, signs of infection, or significant discomfort affecting daily life.

Additional Resources

• American Academy of Dermatology (AAD)
• National Eczema Association for patient support and information on related conditions.

Tips for Medical Coders

• Ensure accurate documentation of the percentage of the body surface area involved.
• Cross-reference with additional diagnoses or conditions that may have led to exfoliation.