1 / 70

Psoriasis

Psoriasis. Psoriasis. Definition and causes Types GP management Pitfalls Hospital treatments. Psoriasis. Definition A chronic, non-infectious, inflammatory skin disorder, with well defined, erythematous plaques & large adherent silvery scales Prevalence 1.5-3%

holly-duffy
Download Presentation

Psoriasis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Psoriasis

  2. Psoriasis • Definition and causes • Types • GP management • Pitfalls • Hospital treatments

  3. Psoriasis • Definition A chronic, non-infectious, inflammatory skin disorder, with well defined, erythematous plaques & large adherent silvery scales • Prevalence 1.5-3% • Age onset 20-30y or 50-60y

  4. Psoriasis • Epidermal hyperproliferation • Vascular dilatation • Inflammatory infiltrate

  5. What causes psoriasis ? • T cell mediated autoimmune disease → increased keratinocyte proliferation • Environmental and genetic factors

  6. Psoriasis • Genetics • 40% have FHx • 73% monozygotic twins concordant • v 20% dizygotic twins • 1st degree relatives have 4-6 fold increased risk • Environmental triggers

  7. GP Management • Time (for proper examination and to communicate with the patient) • Explanation • Information and support sources (patient.co.uk, psoriasis-association.org.uk) • Follow-up

  8. GP Management • Emollients • Bath oils • Site-specific topical treatments

  9. Topical treatments • Vitamin D analoguesDovonex (calcipotriol)Dovobet (calcipotriol & betamethasone)Silkis (calcitriol)Curatorderm (tacalcitol)Zorac (tazarotene) • Dovonex cream and scalp application no longer available

  10. Topical treatments • TarCarbo-domeExorexPsoridermAlphosyl HCSebcoCocoisTar-based bath oils & shampoos

  11. Topical Treatments • SteroidsOften in conjunction with Vit D analogue as Dovobet or separate steroidEumovateTrimovateScalp preparations (eumovate to dermovate strength) • BE CAREFUL (but not mean)

  12. Topical Treatments • DithranolDithrocreamMicanolPsorin • Stains skinHas to be washed offStart and low strength and build up

  13. Topical treatments • Nails difficult potent topical steroids dovonex tazarotene systemic therapy

  14. Topical Treatments • Scalp Remove scale firstCocois or Sebco messy but effective Tar or salicylic acid shampoo Topical steroids if necessary for short periods

  15. Types of psoriasis • Plaque • Guttate • Rupioid • Unstable • Pustular • Erythrodermic • ?palmo-plantar pustulosis

  16. Guttate psoriasis

  17. Pustular psoriasis

  18. Erythrodermic psoriasis

  19. Plantar pustulosis

  20. Acrodermatitis continua of Hallopeau

More Related