Psoriasis Flashcards

1
Q

def

A

a chronic inflammatory skin disease characterised by red well defined scaly papules and plaques

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2
Q

what are papules

A

a small pimple or swelling on the skin, often forms part of a rash

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3
Q

where is psoriasis normally found

A

elbows, knees, extensor limbs, scalp

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4
Q

how long does psoriasis last normally

A

for life

with a fluctuating course of exacerbations and remission

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5
Q

epi

A

often young adults (men=women)

white>black

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6
Q

what condition is associated with psoriasis

A

psoriatic arthritis

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7
Q

aetiology

A

unknown

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8
Q

what has been associated with aetiology of psoriasis

A
1 genetics
-strong family history
2 immunology
3 infection
-guttate psoriasis is often seen following an URTI
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9
Q

what drugs aggravate psoriasis

A

cessation of corticosteroids

anti-malarials
lithium
BBs

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10
Q

what condition aggravates psoriasis

A

HIV

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11
Q

what are the 4 main types of psoriasis

A
1 plaque psoriasis
-raised inflamed plaque lesions
2 guttate psoriasis
-widespread red fine scaly papules often after a URTI
3 pustular psoriasis
4 erythroderma
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12
Q

risk factors

A
1 genetics (family history)
2 infection (guttate psoriasis is common after an URTI with strep)
3 trauma
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13
Q

what is it called when psoriasis appears after trauma

A

koebner phenomenon

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14
Q

history

A

classically red, well defined scaly papules and plaques on elbows, knees, extensor surfaces of limbs, scalp

often itchy or burning

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15
Q

examination of plaque psoriasis

A

raised inflamed plaque lesions with superficial silvery-white scaly eruption

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16
Q

examination of guttate psoriasis

A

widespread red fine scaly papules often after a URTI

17
Q

where does pustular psoriasis commonly affect

A

acute generalised pustular psoriasis which commonly affects palms and soles

18
Q

examination of erythroderma

A

generalised erythema with fine scaling

19
Q

investigations

A

clinical diagnosis

20
Q

who is at risk of psoriasis

A

smokers