Psoriasis Flashcards
What are the different types of psoriasis?
Pustular Guttate Flexural Plaque Erythodermic
What is the most common type of psoriasis?
Plaque
What else do you have to ask about
Involvement of scalp, nails
Where is it
What makes it better or worse
How would you describe psoriasis
Pinky
Erythematous
Silvery scale
Plaque
Differential for psoriasis
seborrhoeic dermatitis as it’s flaky (dandruff)
Chronic plaque psoriasis
Genetic inflammatory proliferative condition
Abnormal T cells increasing cytokines
What is pustular psoriasis?
Fluid filled pustules, can become infected - pt can have electrolyte imbalance and get very unwell
What is guttate psoriasis and who gets it? What triggers it?
Strep infection (throat)
self resolving widespread
Young people
Differentiate between intertrigo and flexural psoriasis
Intertrigo - scaly
Flexural psoriasis - not scaly as it’s in moist areas
Erythodermic psoriasis is also called
Red man syndrome
Triggers
Stress Infections SMoking Alcohol UV light
Treatment
Emollients Coal tar preparations Dithranol Salicylic acid Vitamin D analogue Refer for PUVA or immunosuppression
Five associated arthropathies
Distal interphalangeal arthritis Symmetrical polyarthritis, Asymmetrical oligoarthritis Spondyloarthropathy Arthritis mutilans
