Atopic erythroderma Hill

Atopic erythroderma Hill is an uncommon and severe form of atopic dermatitis characterized by generalized skin involvement. It most frequently develops in children under the age of 3, accounting for 1.6%–8.7% of cases in this age group, although it may also occur in adolescents.

The widespread inflammatory process is accompanied by persistent, intense pruritus, symptoms of intoxication, impaired thermoregulation, cutaneous signs of autonomic dysfunction, lymphadenopathy, and frequent secondary infections. Exacerbation of concomitant allergic respiratory diseases is also common.

This article presents a case of erythroderma Hill in a 13-year-old child with a personal and family history of atopic diseases. The condition developed following a psychotraumatic event and was not immediately diagnosed. Positive clinical dynamics with gradual regression of skin symptoms were observed following systemic antibiotic therapy, desensitizing and antihistamine treatment, along with topical glucocorticoids and emollients.

Timely recognition of atopic dermatitis as the underlying cause of erythroderma, especially in late-onset presentations, is crucial for initiating appropriate anti-inflammatory therapy and preventing recurrences. Patient education on lifestyle modification and early intervention at the onset of exacerbations is essential.