5. Psoriasis

Question 1

What is Psoriasis?

Answer 1

Question 2

Answer 2

Patients with psoriasis often present with a severely pruritic, excoriated rash = FALSE

Question 3

Answer 3

= Streptococcus pyogenes

Question 4

Answer 4

= Erythrodermic psoriasis

Question 5

Psoriasis can be triggered by all of the following except:

Answer 5

= Phenothiazines

Question 6

Answer 6

= Phototherapy

Question 7

Epidemiology of Psoriasis?

Answer 7

Question 8

Clinical Features of Psoriasis
- 3 Commonly affected sites?
- Sign?
- 3 Nail features?
- PASI?

Answer 8

Question 9

List 6 Clinical variants of Psoriasis?

Answer 9

1. Scalp psoriasis
2. Guttate (drop-like) psoriasis
3. Palmplantar Pustular psoriasis
4. Chronic Plaque psoriasis
5. Inverse (Flexural) psoriasis
6. Erythrodermic psoriasis

Question 10

What is Scalp psoriasis?

Answer 10

Question 11

What is Gutatte (droplet like) psoriasis?

Answer 11

Question 12

What is Palmoplantar Pustular psoriasis?

Answer 12

Question 13

What is Chronic Plaque psoriasis?

Answer 13

Question 14

What is Inverse (Flexural) psoriasis?

Answer 14

Question 15

What is Erythrodermic psoriasis?

Answer 15

Question 16

What is the Pathogenesis of Psoriasis?
What are the Aetiological/Aggravating Factors of Psoriasis?

Answer 16

Question 17

List 7 Differential Diagnoses of Psoriasis?

Answer 17

Question 18

What is Tinea?

Answer 18

Question 19

What is Discoid Eczema?

Answer 19

Question 20

What is Pityriasis rosacea?

Answer 20

Question 21

What is Intertrigo?

Answer 21

Question 22

Which investigations would you order for psoriasis?

Answer 22

Question 23

What are the Principles of Treatment of Psoriasis?

Answer 23

Question 24

7 Lifestyle Modifications for Psoriasis management?

Answer 24

Question 25

What are the treatment options for psoriasis?

Answer 25

Question 26

What is the Prognosis of Psoriasis?

Answer 26

- Psoriasis is not a curable disease. - The treatment of this chronic condition focuses on long-term control. - The level of intervention required for psoriasis control is quite variable; episodic in some patients and constant in others. - Always warn patients that they are unlikely to see results in under 6 weeks for any treatments for psoriasis. - It is not uncommon for a course of treatment to achieve a temporary remission that may last for months, or even years, but it is very common for recurrences to occur.

Question 27

Outline the challenges and the psychological issues associated with psoriasis?

Answer 27

Question 28

What are the indications for specialist referral for psoriasis?

Answer 28

Question 29

What General Advice on Skin Care and Topical Therapy should be given to patients with psoriasis?

Answer 29

Question 30

**Topical Treatments for Psoriasis - Topical Corticosteroids** - Description? - Use? - Side effects?

Answer 30

Question 31

**Topical Treatments for Psoriasis - Tar Preparations** - Description? - Use? - Example?

Answer 31

Question 32

**Topical Treatments for Psoriasis - Calcipotriol** - Description? - Use? - Example?

Answer 32

Question 33

**Topical Treatments for Psoriasis - Dithranol** - Description? - Use? - Side Effects?

Answer 33

Question 34

2 Examples of Dithranol regimens for Psoriasis?

Answer 34

Question 35

**Topical Treatments for Psoriasis - Tazarotene** - Description? - Use? - Side Effects?

Answer 35

Question 36

**What is Erythroderma?** - 5 Causes? - Management? (4)

Answer 36

**Aetiology/Causes of Erythroderma** 1. Dermatitis 2. Psoriasis 3. Drug reactions 4. Lymphoma 5. Pityraisisrubrapilaris In 10% of patients, the cause is not found.

Question 37

Answer 37

= Psoriatic arthritis has been reported to affect up to 1 in 3 people with psoriasis.

Question 38

List 4 Cardinal features of the histology of psoriasis.

Answer 38

Question 39

Answer 39

Stress management is important

Question 40

Answer 40

= Topical antibiotics

Question 41

Answer 41

= Streptococcal throat infection is the commonest precipitant