28: Psoriasis Flashcards
What is the significance of HLA-Cw6 in the epidemiology of psoriasis?
HLA-Cw6 is associated with an earlier age of onset of psoriasis and is linked to a positive family history. It is particularly relevant in Type I psoriasis, which occurs in individuals with an age of onset <40 years.
What are the characteristics of Psoriasis vulgaris?
Psoriasis vulgaris is the most common form of psoriasis, affecting 90% of patients. It is characterized by red plaques with a white scaly surface and can exhibit the Auspitz sign.
What is the Koebner phenomenon in relation to psoriasis?
The Koebner phenomenon refers to the traumatic induction of psoriasis on nonlesional skin, typically occurring 7-14 days after injury.
What are the main features of erythrodermic psoriasis?
Erythrodermic psoriasis is characterized by erythema as the most prominent feature, with superficial scaling. It can lead to hypothermia and lower extremity edema.
What are the complications associated with generalized pustular psoriasis (von Zumbusch)?
Complications include fever, hypocalcemia, bacterial superinfection, sepsis, and dehydration.
What distinguishes inverse psoriasis from other types of psoriasis?
Inverse psoriasis is distinguished by its localization in major skin folds, where scaling is minimal or absent.
What is the typical age of onset for pustulosis palmaris et plantaris, and what are its associations?
Pustulosis palmaris et plantaris typically has an age of onset around 47 years and is more common in females. It is associated with psoriatic arthritis and smoking.
What are the characteristics of napkin psoriasis?
Napkin psoriasis typically appears in infants aged 3-6 months, manifesting as a confluent red area in the diaper region.
What is the clinical significance of the Woronoff ring in psoriasis?
The Woronoff ring is a hypopigmented ring that surrounds individual psoriatic lesions, indicating inhibition of prostaglandin synthesis.
A patient with a history of streptococcal throat infection develops small papules on their upper trunk. What type of psoriasis is most likely?
Guttate psoriasis, which is strongly associated with HLA-Cw6 and streptococcal throat infection.
A patient presents with thickly scaling, large plaques on their lower extremities. What subtype of psoriasis might this be?
Elephantine psoriasis, characterized by thickly scaling, large plaques on the lower extremities.
A pregnant woman in her third trimester develops pustules on a ring-like erythema. What condition might this indicate?
Impetigo herpetiformis, a form of pustular psoriasis associated with pregnancy.
A 47-year-old female smoker presents with pustules on her palms and soles. What type of psoriasis is this likely to be?
Pustulosis palmaris et plantaris, which is more common in females and associated with smoking.
A patient presents with erythematous plaques and greasy scales localized to seborrheic areas. What is the likely diagnosis?
Sebopsoriasis, characterized by erythematous plaques with greasy scales in seborrheic areas.
A 6-month-old infant presents with confluent red areas in the diaper region and small red papules on the trunk. What is the likely diagnosis?
Napkin psoriasis, which typically appears in the diaper area.
A patient with psoriasis is experiencing hypothermia and lower extremity edema. What type of psoriasis might this indicate?
Erythrodermic psoriasis, which can cause hypothermia and lower extremity edema.
A patient with psoriasis develops pustules that coalesce to form lakes of pus and experiences nail loss. What condition is this?
Acrodermatitis continua of Hallopeau, a form of pustular psoriasis.
What is the Koebner phenomenon, and how is it related to psoriasis?
The Koebner phenomenon is the traumatic induction of psoriasis on nonlesional skin, usually occurring 7-14 days after injury.
A patient with psoriasis is found to have hypocalcemia and bacterial superinfection. What type of psoriasis might this be?
Generalized pustular psoriasis (von Zumbusch), which can lead to hypocalcemia and bacterial superinfection.
What is the Woronoff ring, and in which condition is it observed?
The Woronoff ring is a hypopigmented ring surrounding psoriatic lesions.
A patient with psoriasis develops widespread pustules after a viral infection. What type of pustular psoriasis is this?
Exanthematic pustular psoriasis, which occurs after a viral infection.
What is the primary environmental factor that interacts with genetic predisposition in psoriasis?
UV light exposure is a major environmental factor interacting with genetic predisposition in psoriasis.
A patient with psoriasis has erythematous plaques localized to the axillae and genitocrural region. What type of psoriasis is this?
Inverse psoriasis, characterized by glossy, sharply demarcated erythema in major skin folds.
What is the difference between Type I and Type II psoriasis based on age of onset?
Type I psoriasis has an onset before 40 years and is HLA-associated, while Type II occurs after 40 years.