Psoriasis counselling

Question 1

briefly explain psoriasis

Answer 1

cells reproducing too quickly –> build up –> irritation & itchy

not contagious

many types

Question 2

causes/RFs

Answer 2

unknown causes
autoimmune conditions
FH
strep throat infections
immune system disease

Question 3

triggers

Answer 3

alcohol, smoking, injury, stress, lithium, antimalarials, ACEi, BBs

Question 4

prepare to talk tx

Answer 4

no cure, just mx - slow skin cell production

topical, phototherapy, oral & injected meds

Question 5

explain topical tx options

Answer 5

corticosx - over-use –> tolerance & skin damage

vitD cream (calcipotriol) - suppress immune system although no SEs

dithranol - no SEs but stains

tazarotene cream - SEs irritation, teratogenic, not for children/teens

coal tar - stains & smells strong

Question 6

phototherapy tx summary

Answer 6

UV light; 10-30 sessions

psoralean tablet then UV light - SEs nausea, headache, burning, itchiness // not suitable in long-term

Question 7

oral & injected meds

Answer 7

severe or resistant

methotrexate - liver damage // teratogenic

aciterin - cracked lips // hair loss // hepatitis // teratogenic for 2 yeas after

ciclosporin - infection // kidney disease // BP issues

Question 8

psoriasis complications

Answer 8

psoriatic arthritis

psychological