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Atopic dermatitis

A common cause of intensely itchy erythroderma in infants and children, often with significant weeping and crusting.

Congenital candidiasis

A rare infection acquired in utero, presenting at birth with a generalized eruption of erythematous macules, papules, and pustules that can be confluent.

Congenital icthyoses

Several forms, such as lamellar ichthyosis or congenital ichthyosiform erythroderma, present at birth with generalized erythema and scale, often as a "collodion baby".

Congenital icthyosiform erythroderma

A type of ichthyosis characterized from birth by generalized redness and fine white scale, with less severe hyperkeratosis than lamellar ichthyosis.

Conradi-Hunermann-Happle syndrome

A form of chondrodysplasia punctata with a characteristic swirled or linear pattern of ichthyosiform erythroderma along Blaschko's lines.

Diffuse cutaneous mastocytosis

Presents in infancy as a thickened, doughy, yellowish erythroderma that exhibits a dramatic Darier's sign (urtication and blistering on rubbing).

Epidermolytic icythyosis

A genetic ichthyosis presenting at birth with erythroderma and blistering, which later evolves into severe, verrucous hyperkeratosis.

Netherton syndrome

A genetic disorder characterized by congenital ichthyosis, a specific hair shaft defect (trichorrhexis invaginata), and severe atopic dermatitis-like erythroderma.

Omenn syndrome

A severe combined immunodeficiency (SCID) presenting in early infancy with erythroderma, alopecia, lymphadenopathy, and failure to thrive.

Pityriasis rubra pilaris

Juvenile PRP can cause an erythroderma with a characteristic orange-red hue, islands of sparing, and follicular keratosis.

Psoriasis

Can cause erythroderma in children, appearing as generalized bright red skin, though it is less common than in adults.

Seborrhoiec dermatitis

Severe infantile seborrheic dermatitis can become generalized, leading to an erythroderma with greasy scale, particularly on the scalp and in flexures.

Staphylococcal scalded skin syndrome

A toxin-mediated disease causing diffuse, tender erythema followed by widespread superficial blistering and exfoliation of the epidermis in sheets.

Wiskott-Aldrich syndrome

An X-linked immunodeficiency with a classic triad of thrombocytopenia, immunodeficiency, and a severe, intractable eczematous rash that can become erythrodermic.

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