Psoriasis Flashcards
What is the disease severity scoring system for psoriasis
psoriasis area and severity index
PASI(less than 10=mild diseases)
PASI (10-20= moderate disease)
PASI (more than 20: severe disease)
Differential diagnosis for psoriasis
Rosacea
Eczema
Dermatitis
Is there a cure for psoriasis?
No
Counselling points for psoriasis
Use emollients daily
Moisturise whole body
Stroke in direction of the hair growth
With steroids, skin may go red, then pink, then back to normal
When to refer in psoriasis
Joint pain
Lesions
Severe itching
Risk factors of psoriasis
Smoking
Obesity
Stress
Drugs
Pathophysiology of psoriasis (EKITKI)
- Environmental/ genetic trigger
- Keratinocytes are injured and increased antigen presentation
- Increased production of proinflammmatory mediators
- T cells activated by dendritic cells
5.keratinocyte proliferation occurs - Increased production of chemokines
lifestyle advice to prevent psoriasis
smoking cessation
drink less alcohol
weigh loss
after treatment what should be done?
review the person after four weeks
Why are ointments preferred
Ointments trap moisture and absorb much more slowly into your skin as compared to creams. They stay longer on your skin.