Psoriasis Flashcards

1
Q

Define Psoriasis?

A

A chronic inflammatory skin disease, which has characteristic lesions and may be complicated by arthritis

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2
Q

What is the aetiology of Psoriasis?

A

Genetic, Environmental factors and drugs are implicated

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3
Q

What are the risk factors for Guttate Psoriasis?

A

Streptococcal sore throat

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4
Q

What are the risk factors for Palmoplantar Psoriasis?

A

Smoking
Middle-Aged Women
Autoimmune thyroid disease

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5
Q

What are the risk factors for Generalised Pustular Psoriasis?

A

Hypoparathyroidism

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6
Q

What is the epidemiology of Psoriasis?

A

Affects 1-2% of population

Peak age of onset: 20 yrs

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7
Q

What are the presenting symptoms of Psoriasis?

A

Itching and occasionally tender skin
Auspitz Phenomenon
Koebner Phenomenon

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8
Q

What is Auspitz Phenomenon?

A

Pinpoint bleeding with removing scales

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9
Q

What is Koebner Phenomenon?

A

Skin lesions may develop at sites of trauma/scars

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10
Q

What are the signs of Discoid/Nummular Psoriasis?

A

Symmetrical, well-demarcated erythematous plaques with silvery scales over extensor surfaces (knee, elbows, scalp, sacrum)

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11
Q

What are the signs of Flexural Psoriasis?

A

Less scaly plaques in axilla, groins, perianal and genital skin

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12
Q

What are the signs of Guttate Psoriasis?

A

Small drop-like lesions over trunk and limbs

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13
Q

What are the signs of Palmoplantar Psoriasis?

A

Erythematous plaques with pustules on palms and soles

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14
Q

What are the signs of Generalised Pustular Psoriasis?

A

Pustules distributed over limbs and torso

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15
Q

What are the nail signs of Psoriasis?

A

Pitting
Onycholysis
Subungual Hyperkeratosis

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16
Q

What are the joint signs for Psoriasis?

A

Five presentations of Psoriatic Arthritis:

  • Asymmetrical Oligoarthritis
  • Symmetrical Polyarthritis
  • Distal interphalangeal joint predominance
  • Arthritis Mutilans
  • Psoriatic Spondylitis