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Erythroderma (exfoliative dermatitis) part 2 : Energy homeostasis and dietetic management strategies
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Tso, S., Moiz, H., Satchwell, F., Hari, T., Dhariwal, S., Barlow, R., Forbat, E., Blee, I. C., Tan, Y. T., Thind, C., Ilchyshyn, A., Randeva, H., Kwok, M. M., Tso, A.C Y. and Barber, Thomas M. (2021) Erythroderma (exfoliative dermatitis) part 2 : Energy homeostasis and dietetic management strategies. Clinical and Experimental Dermatology, 46 (6). pp. 1011-1015. doi:10.1111/ced.14667
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Official URL: https://doi.org/10.1111/ced.14667
Abstract
Erythroderma (exfoliative dermatitis) associates with important metabolic changes that include an enhancement in energy expenditure. The key components to total energy expenditure (TEE) include basal metabolic rate (~68% of TEE), physical activity (~22% of TEE) and thermic effect of food (~10% of TEE). In the erythrodermic state, there are likely multiple contributors to the increase in basal metabolic rate such as ‘caloric drain’ resulting from increased evaporation of water from enhanced transepidermal water loss, increased activity of the cardiovascular system (including high‐output cardiac failure), increased non‐shivering thermogenesis and hormonal changes (such as hypercortisolaemia). A change to patient’s level of physical activity and appetite as a result of ill health status may further impact on their total energy expenditure and energy consumption. In part two of this two part concise review, we explore the key constituents of energy homeostasis, the potential mechanisms impacting on energy homeostasis in erythroderma and suggest much needed dietetic management strategies for this important condition.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine R Medicine > RL Dermatology |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Skin -- Diseases, Acrodynia, Energy metabolism, Dietetics -- Study and teaching (Higher), Cardiovascular system -- Diseases -- Diet therapy, Skin -- Inflammation | ||||||||
| Journal or Publication Title: | Clinical and Experimental Dermatology | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 0307-6938 | ||||||||
| Official Date: | August 2021 | ||||||||
| Dates: |
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| Volume: | 46 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | pp. 1011-1015 | ||||||||
| DOI: | 10.1111/ced.14667 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | "This is the peer reviewed version of the following article: Tso, S., Moiz, H., Satchwell, F., Hari, T., Dhariwal, S., Barlow, R., Forbat, E., Blee, I., Tan, Y., Thind, C., Ilchyshyn, A., Randeva, H., Kwok, M., Tso, A. and Barber, T. (2021), Erythroderma (exfoliative dermatitis) part two: energy homeostasis and dietetic management strategies. Clinical and Experimental Dermatology, which has been published in final form at https://doi.org/10.1111/ced.14667. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions." | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
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