5. Psoriasis Flashcards
What is Psoriasis?
Patients with psoriasis often present with a severely pruritic, excoriated rash = FALSE
= Streptococcus pyogenes
= Erythrodermic psoriasis
Psoriasis can be triggered by all of the following except:
= Phenothiazines
= Phototherapy
Epidemiology of Psoriasis?
Clinical Features of Psoriasis
- 3 Commonly affected sites?
- Sign?
- 3 Nail features?
- PASI?
List 6 Clinical variants of Psoriasis?
- Scalp psoriasis
- Guttate (drop-like) psoriasis
- Palmplantar Pustular psoriasis
- Chronic Plaque psoriasis
- Inverse (Flexural) psoriasis
- Erythrodermic psoriasis
What is Scalp psoriasis?
What is Gutatte (droplet like) psoriasis?
What is Palmoplantar Pustular psoriasis?
What is Chronic Plaque psoriasis?
What is Inverse (Flexural) psoriasis?
What is Erythrodermic psoriasis?
What is the Pathogenesis of Psoriasis?
What are the Aetiological/Aggravating Factors of Psoriasis?
List 7 Differential Diagnoses of Psoriasis?
What is Tinea?
What is Discoid Eczema?
What is Pityriasis rosacea?
What is Intertrigo?
Which investigations would you order for psoriasis?
What are the Principles of Treatment of Psoriasis?
7 Lifestyle Modifications for Psoriasis management?
What are the treatment options for psoriasis?
What is the Prognosis of Psoriasis?
- 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.
Outline the challenges and the psychological issues associated with psoriasis?
What are the indications for specialist referral for psoriasis?
What General Advice on Skin Care and Topical Therapy should be given to patients with psoriasis?
Topical Treatments for Psoriasis - Topical Corticosteroids
- Description?
- Use?
- Side effects?
Topical Treatments for Psoriasis - Tar Preparations
- Description?
- Use?
- Example?
Topical Treatments for Psoriasis - Calcipotriol
- Description?
- Use?
- Example?
Topical Treatments for Psoriasis - Dithranol
- Description?
- Use?
- Side Effects?
2 Examples of Dithranol regimens for Psoriasis?
Topical Treatments for Psoriasis - Tazarotene
- Description?
- Use?
- Side Effects?
What is Erythroderma?
- 5 Causes?
- Management? (4)
Aetiology/Causes of Erythroderma
1. Dermatitis
2. Psoriasis
3. Drug reactions
4. Lymphoma
5. Pityraisisrubrapilaris
In 10% of patients, the cause is not found.
= Psoriatic arthritis has been reported to affect up to 1 in 3 people with psoriasis.
List 4 Cardinal features of the histology of psoriasis.
Stress management is important
= Topical antibiotics
= Streptococcal throat infection is the commonest precipitant
