psoriasis Flashcards
task
472
d/d
eczema
fungal infections
scc
seborrhoeic dermatitis
explain
-psoariasis chronic immune meidiated skin condition
-t cells in skin activated>cytokine release>skin cells multiply>thickening
-capillary dilation >redness
-10-30 years peak, familial predisposition
FACTORS PRECIPITATE OR WORSEN
-any stresses emotional or physical(like trauma)
-sunburn, puberty
-drugs: nsaid,lithium,beta blocker
-smoking advice
SITES
-hands, nails, elbow extensor
-scalp
-sacral, knee, foot
ADVICE
-no cure
-can slow down progression and attacks
-avoid sunburn, stresses
-sun : helpful
-stop smoking
-avoid scratching, rubbing picking
-excercise, reduction alcohol helpful
mx
-need to be followed up by a dermatologist
TOPICAL AGENTS
-mild disease
-tar prep, dithrinol, steroid point, retinoid
severe disease
-systemic meds
-methotrexate, cyclosporine
-newer biologics
INTRALESIONAL INJUECTION
-resistant plaques
-inject steroid
redflags
-look out for arthritis, heart disease, lymphoma, diabtes, ibd, depressive illness