Psoriasis and Shingles

Question 1

What is the presentation of Psoriasis?

Answer 1

It is a skin disease that causes red itchy scaly patches

Happens commonly on knees, elbows, trunk and scalp

Question 2

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

Answer 2

20-30
50-60

Question 3

What can psoriasis be made worse by?

Answer 3

cold weather
Stress
Trauma

Question 4

What is the cause of psoriasis?

Answer 4

Auto-immune
Genetic factors
High skin cell production

Question 5

What is the 1st treatment for psoriasis?

Answer 5

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

Question 6

What are keratolytic?

Answer 6

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

Question 7

What are the keratolytic products? Rx

Answer 7

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

Question 8

What are the keratolytic products OTC

Answer 8

Dermarest, Shampoos

Question 9

What is Tar treatment?

Answer 9

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

Question 10

What are the the OTC products for Tar?

Answer 10

T/Gel or T+plus

Question 11

What potency of steroid should be used?

Answer 11

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

Question 12

What is a high-potency steroid?

Answer 12

1-2

Question 13

What product is often sufficient to control psoriasis

Answer 13

HC 1% cream

Question 14

What are the side effects of topical steroids?

Answer 14

Skin atrophy, Straie, telangiectasia

Question 15

What is telangiectasia?

Answer 15

Spider veins

Question 16

What does the side effects of corticosteroids happen?

Answer 16

Uppon discontinuation

Question 17

What is Calcipotriolene?

Answer 17

Vitamin D analogue that decreases the rate of skin turnover

Question 18

How long does Calcipotriolene usually take to work?

Answer 18

2 weeks

Question 19

What is Calcipotriolene not recomended for?

Answer 19

Face

Question 20

What type of Calcipotriolene products exist?

Answer 20

Dovonex or Dovobet

Question 21

What is the treatment for the scalp psoriasis?

Answer 21

D analogue like Calcipotriolene with a steroid added

Question 22

What is Calcitriol?

Answer 22

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

Question 23

What is the max amount of Calcitriol you can use?

Answer 23

30g/day

Question 24

What are retinoids used for in psoriasis?

Answer 24

Decrease cell proliferation

Question 25

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

Answer 25

Tazorac

Question 26

Why is concurrent use of Retinoids and steroids recomended?

Answer 26

Decrease irritation

Question 27

When would be expect to see retinoid therapy to work?

Answer 27

1-4 weeks

Question 28

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

Answer 28

2 weeks

Question 29

What is phototherapy?

Answer 29

PUVA= Photoactive agent (Psoralen) UVB at home

Question 30

What is an undesired side effect of PUVA treatment?

Answer 30

Itchy

Question 31

What treatments are available for Psoriatic Arthritis?

Answer 31

Methotrexate Cyclosporine TNF-a blockers

Question 32

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

Answer 32

3-4 weeks start to finish

Question 33

Where is the most common site of shingles?

Answer 33

Back usually, can be on one side or both side

Question 34

What is a medical emergency of shingles?

Answer 34

On the face

Question 35

When can antivirals be used for shingles

Answer 35

within 72 hours of rashs initial appearance

Question 36

When can NSAIDs be used for shingles?

Answer 36

During the acute phase of shingles.

Question 37

Nsaids for chickenpox?

Answer 37

No

Question 38

What can capsaicin be used for?

Answer 38

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

Question 39

If you have shingles what can spread?

Answer 39

Chickenpox

Question 40

What is Pityriasis?

Answer 40

Young adults usually that is a small rash that goes away

Question 41

What is a common sign of lupus?

Answer 41

Butterfly Rash