describe your findings.
there are patches of psoriasis over the trunk of the body and the bony promenance.
the plaques are circular ,well defined adge with salivary scales.
there is no asymetrical arthropathy present.
what are the types of psoiasis?
1-plaque
2-guttate
3-pustular
4-erythrodermal
what factors can exacrebate psoriasis?
1-drugs e.g B blockers,ACE inhibitors,lithuim,antimalarials and alcohol
2-stress
3-infections
4-trauma to the skin
5-sun light
what are the lines of management?
no cure,only supportive treatment.
indication for treatment:
1-local symptoms
2-cosmoitc problems
3-both
goal of treatment:
to decrease the extent and severity of the condition to the point that it no longer interfer substantially with patient occupation,personal or social life.
therapy:
1-topical treatment
2-systemic treatment (phototherapy or systemic drugs)
read more
topical treatment:
ReplyDelete1-emollients
2-keratolyeic agents
3-coal tar
4-anthralin
5-topical steroids
6-vit D derivatives
systemic treatment:
1-phototherapy: UVB
2-photchemotherapy:PUVA
3-systemic drugs:methtrexate,retinoic acid,systemic steroids.
can you think of any other question in this station?
ReplyDeleteany comments?
Causes of guttate psoriasis:
ReplyDeleteIn young patients, ask for history of sore throat(streptococcal infecyions) and think of HIV
what are indications for systemic therapy ?
ReplyDeleteAuspitz's sign is the appearance of punctate bleeding spots when psoriasis scales are scraped off.
ReplyDelete