Psoriasis Flashcards
What are the different types of psoriasis?
- Guttate: small, red, scaley spots on body
- Palmoplantar
- Pustular: yellowish pustules on an erythematous base
- Nail psoriasis
- Genital (always ask)
What is the PEST score?
Psoriasis epidemiology screening tool
- Locates where there is psoriasis and screen for swollen joints and other stuff like nail signs
What are the subtypes of psoriatic arthropathy?
- Distal: only affects ends of finger and toes
- Rheumatoid like
- Mutilans: affects fingers and toes to cause deforming and curling (pencil-in-cup deformity)
- Ankylosing spondylitis (HLAB27)
What are some treatment options for psoriasis?
- Topical corticosteroids
- Vitamin D analogues
- Shampoos, ointments, gels, creams
- Emollients
- Phototherapy
- Systemic methotrexate, ciclosproin
- Biologic therapies
When is methotrexate contraindicated?
- Pregnancy
- Alcohol excess (liver disease)
Why is oral prednisolone contraindicated in psoriasis?
Because there will be a flare upon stopping the prednisolone
Ciclosporin is offered instead
How do beta-blockers cause a flare of psoriasis?
Not fully known
But they causes intracellular changes in calcium, affecting both keratinocyte proliferation and granulocyte function via decreased cAMP levels
What is Hidradenitis supprativa?
A painful, long-term skin condition that causes skin abscesses and scarring on the skin
Not associated with Koebner’s phenomenon
What is Moh’s surgery?
Technique of removing skin cancers
Which facial rash can be triggered by alcohol?
Acne Rosacae
What is a Marjolin’s ulcer?
A cutaneous malignancy that arises in the setting of previously injured skin, longstanding scars, and chronic wound
