Chronic Plaque Psoriasis

Question 1

What cell type abnormally proliferates in chronic plaque psoriasis?

Answer 1

Keratinocytes

Question 2

What 2 ages are you most likely to get chronic plaque psoriasis?

Answer 2

30s and 60s

Question 3

What surfaces do chronic plaque psoriasis psoriasis?

Answer 3

Extensor surfaces

Question 4

What is the phenomenon where psoriasis can occur after skin trauma?

Answer 4

Koebner’s phenomenon

Question 5

What is the sign where psoriasis with silvery surface scaling is scratched and gives pinpoint bleeding?

Answer 5

Auspitz sign

Question 6

What factors can precipitate chronic plaque psoriasis? (6)

Answer 6

Positive family history

Lithium

Beta blockers

Alcohol

Smoking

Stress

Question 7

What is the first line management for chronic plaque psoriasis?

Answer 7

Emollient plus topical corticosteroid plus vitamin D analogue

Question 8

2nd line management of chronic plaque psoriasis?

Answer 8

Up the dose of vitamin D analogue

Question 9

3rd line management of chronic plaque psoriasis?

Answer 9

Topical coal/tar preparation