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Pharm 154 > Psoriasis and Shingles > Flashcards

Psoriasis and Shingles Flashcards

1
Q

What is the presentation of Psoriasis?

A

It is a skin disease that causes red itchy scaly patches

Happens commonly on knees, elbows, trunk and scalp

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2
Q

When are the peaks of onset for psoriasis? (Age)

A

20-30
50-60

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3
Q

What can psoriasis be made worse by?

A

cold weather
Stress
Trauma

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4
Q

What is the cause of psoriasis?

A

Auto-immune
Genetic factors
High skin cell production

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5
Q

What is the 1st treatment for psoriasis?

A

Emollients that can be used between flares
This is essential to preventing it

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6
Q

What are keratolytic?

A

Enhance the absorption of steroids is the main benefit (Penetrates)

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7
Q

What are the keratolytic products? Rx

A

Dropsalic (Steroid +SA)
Nerisalic (Steroid + SA)

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8
Q

What are the keratolytic products OTC

A

Dermarest, Shampoos

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9
Q

What is Tar treatment?

A

Has anti-proliferative properties that can be used for mild cases of scalp psoriasis

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10
Q

What are the the OTC products for Tar?

A

T/Gel or T+plus

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11
Q

What potency of steroid should be used?

A

Moderate potency for everywhere with the exception of Face and skin folds

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12
Q

What is a high-potency steroid?

A

1-2

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13
Q

What product is often sufficient to control psoriasis

A

HC 1% cream

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14
Q

What are the side effects of topical steroids?

A

Skin atrophy, Straie, telangiectasia

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15
Q

What is telangiectasia?

A

Spider veins

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16
Q

What does the side effects of corticosteroids happen?

A

Uppon discontinuation

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17
Q

What is Calcipotriolene?

A

Vitamin D analogue that decreases the rate of skin turnover

18
Q

How long does Calcipotriolene usually take to work?

A

2 weeks

19
Q

What is Calcipotriolene not recomended for?

A

Face

20
Q

What type of Calcipotriolene products exist?

A

Dovonex or Dovobet

21
Q

What is the treatment for the scalp psoriasis?

A

D analogue like Calcipotriolene with a steroid added

22
Q

What is Calcitriol?

A

Vitamin D analogue that can be used up to 35% of body area

23
Q

What is the max amount of Calcitriol you can use?

A

30g/day

24
Q

What are retinoids used for in psoriasis?

A

Decrease cell proliferation

25
Q

What is the Retinoid products for mild to mod cases of psoriasis?

A

Tazorac

26
Q

Why is concurrent use of Retinoids and steroids recomended?

A

Decrease irritation

27
Q

When would be expect to see retinoid therapy to work?

A

1-4 weeks

28
Q

When would we expect to see vitamin D analogue monotherapy to work?

A

2 weeks

29
Q

What is phototherapy?

A

PUVA= Photoactive agent (Psoralen)
UVB at home

30
Q

What is an undesired side effect of PUVA treatment?

A

Itchy

31
Q

What treatments are available for Psoriatic Arthritis?

A

Methotrexate
Cyclosporine
TNF-a blockers

32
Q

How long does the small red blisters of shingles usually last?

A

3-4 weeks start to finish

33
Q

Where is the most common site of shingles?

A

Back usually, can be on one side or both side

34
Q

What is a medical emergency of shingles?

A

On the face

35
Q

When can antivirals be used for shingles

A

within 72 hours of rashs initial appearance

36
Q

When can NSAIDs be used for shingles?

A

During the acute phase of shingles.

37
Q

Nsaids for chickenpox?

A

No

38
Q

What can capsaicin be used for?

A

Post herpetic neuralgia due to shingles virus. Needs to be used where the pain is used

Zotrix

39
Q

If you have shingles what can spread?

A

Chickenpox

40
Q

What is Pityriasis?

A

Young adults usually that is a small rash that goes away

41
Q

What is a common sign of lupus?

A

Butterfly Rash

Pharm 154 (16 decks)

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