Psoriasis

Question 1

Answer 1

plaque psoriasis- lichenification and white scale as a secondary morphology. initial erythematous plaques

Question 2

two signs that indicate psoriasis on the differential

Answer 2

1. auspitz
2. koebner phenomena

Question 3

Answer 3

auspitz sign

Question 4

Answer 4

koebner phenomena–trauma can elicit psoriasis plaques at site

Question 5

seborrheic dermatitis can co-exist with psoriasis on the face and scalp and is sometimes referred to as _____

Answer 5

sebopsoriasis. when psoriasis involves areas of the face other than the hairline, eyebrows and beard, it usually is an indication of more severe disease.

Question 6

what sign of nail disease is being displayed here

Answer 6

nail pitting

Question 7

Answer 7

oil drop sign

Question 8

Answer 8

sub-ungual hyperkeratosis

Question 9

Answer 9

inverse psoriasis

Question 10

what is needed to treat the scale in psoriasis?

Answer 10

salicyclic acid and corticosteroid creams

Question 11

what diseases do people with psoriasis have higher risk of?

Answer 11

increased cerebral hemorrahe and chronic renal disease

Question 12

when to use topical vs systemic therapy for psoriasis

Answer 12

topical: under 10% BSA
systemic: over 10% BSA or for recalcitrant disease on genitals or face

Question 13

topical therapy choices

Answer 13

1. corticosteroids
2. vitamin D analogs.
3. topical retinoid therapy
4. tar based therapy
5. phototherapy

Question 14

systemic therapy choices

Answer 14

1. phototherapy
2. methotrexate
3. mycrophenalate mofetil
4. cyclosporine
5. tacrolimus
6. acitretin
7. biologics: TNF-alpha inhibitors