psoriasis Flashcards
What is psoriasis?
Psoriasis is condition that causes flaky and scaly patches of skin
It is a
* disease with periods
* systemic,
* immune-mediated,
* inflammatory
* long-lasting (chronic),
Where do psoriasis patches commonly appear?
Patches typically appear on
* elbows,
* knees,
* scalp, and
* lower back,
* nail
* joints (PA)
What are trigger factors for psoriasis
- Psychological stress
- Smoking
- Alcohol
- Obesity
- Streptococcal infection
- Drugs
- Ultraviolet light exposure
- Trauma
- Hormonal changes — puberty, post-partum, and during the menopause.
- HIV infection and AIDS .
What are the assocaited conditions with psoriasis?
- Psoriatic arthritis
- obesity, hyperlipidaemia, hypertension, type 2 diabetes mellitus, and non-alcoholic fatty liver disease
- Ischaemic heart disease
- Crohn’s disease
- Anxiety and depression
- Venous thromboembolism
*SCC, BCC - Lymphoma
- Coeliac disease
Difference between eczama and psoriasis
What is the primary aim of psoriasis treatment?
Can psoriasis be completely cured?
- To control symptoms rather than provide a complete cure.
- Complete clearance of skin lesions may not be possible.
What lifestyle factors can help minimize flare-ups?
- Managing stress
- Smoking cessation
- Drinking alcohol within recommended limits. .
- Weight loss if the person is overweight or obese.
When should you review the effectiveness of topical treatments for psoriasis?
four weeks after treatment has started
How long may it take for topical treatments to start showing effects?
Several weeks.
What additional support can be considered for psoriasis patients experiencing anxiety or distress?
Counseling or support groups.
What is the purpose of emollients for topical treatment?
They reduce scale and relieve itch.
What combination of topical treatments is effective for psoriasis?
A potent topical corticosteroid
and
a topical vitamin D preparation.
A potent topical cream name
Mometasone furoate 1%
What is important to advise patients regarding corticosteroid use?
- Dont apply it more than
8 WEEKS - They are only suitable for localized areas and can cause adverse effects if used excessively.
* -
an annual review to assess for steroid atrophy and other adverse effects.
* - if treatment is stopped suddenly, there may be a risk of relapse.
- Stop the corticosteroid when psoriasis is clear
How should potent topical corticosteroids and vitamin D preparations be applied?
Both once a day, but at different times of the day.
