Pilosebaceous Diseases

Question 1

Psoriasis

Answer 1

Though psoriasis is an incurable disease, long periods of disease remission & stability could be attained.
●General measures
-Avoid triggers.
-Advise on prognosis & overall disease
characteristics.
-Emollients.
●Specific treatment: -Localized ds.
• Topical steroids 5%coal tar, anthralin
• Topical vit D analogues, salycylic acid
● Generalized psoriasis, erythrodermic psoriasis, pustular psoriasis & psoriatic arthritis:
-Methotrexarte
-Systemic retinoids, Cyclosporine
-Phototherapy
-Systemic steroids are contraindicated since their withdrawal may cause flares of severe psoriasis types.

Question 2

Lichen planus

Answer 2

Localized:
- potent topical steroid
- intralesional steroid injection(nail LP hypertrophic LP)
Generalized
- systemic sterile (prednisolone)
-methotrexate, cyclosporine, azathioprine
-antimalarial
- phototherapy

Question 3

Pityriasis rosea

Answer 3

Tt doesn’t hasten the clearance
- topical steroid, emollient
- antihistamines for sever itch