Author(s): Kelli L Mayo and Adarsh K Gupta
Many studies have documented the significant psychological impact of severe psoriasis. Although studies have illustrated the association of psoriasis with psychiatric conditions, including depression and anxiety, this is the first to report new onset suicidal ideations presenting concomitantly with an erythrodermic eruption of psoriasis. This novel finding highlights the need for evaluation of mental status in patients presenting with erythroderma associated with any dermatologic condition, as such an increase in dermatological severity is correlated with suicidal ideations. This case illustrates the importance of screening for depression in the management of psoriasis and specifically underscores the association of severity of disease with suicidal ideations.