Psoriasis

Psoriasis

Psoriasis is a skin disease that causes itchy or sore patches of thick, red skin with silvery scales. You usually get the patches on your elbows, knees, scalp, back, face, palms and feet, but they can show up on other parts of your body. Some people who have psoriasis also get a form of arthritis called psoriatic arthritis.

Psoriasis

Erythematous, well-defined, dry, scaly papules and plaques of varying size, of salmon color.

Psoriasis is a chronic, noncontagious autoimmune disease that causes the skin to become inflamed and develop thick, scaly patches.

Causes of psoriasis

A problem with your immune system causes psoriasis. In a process called cell turnover, skin cells that grow deep in your skin rise to the surface. Normally, this takes a month. In psoriasis, it happens in just days because your cells rise too fast.
Psoriasis is thought to be caused by an overactive immune system that mistakenly attacks healthy skin cells. The exact cause isn’t fully understood, but it’s believed to be a combination of genetics and environmental factors.

Common triggers of Psoriasis 

Stress
Skin injuries, such as cuts or sunburns
Infections, such as strep throat
Some medications, including lithium, prednisone, and hydroxychloroquine
Weather, especially cold, dry weather
Tobacco
Alcohol (heavy drinking)

Symptoms of Psoriasis

Psoriasis causes the skin to build up into bumpy, discolored patches that are covered with scales. These patches can be red, pink, or purple, and they can be itchy and dry. They can appear anywhere on the body, but most often appear on the scalp, elbows, knees, and lower back.  Psoriasis can last a long time, even a lifetime. Symptoms come and go. Things that make them worse include

  • Infections
  • Stress
  • Dry skin
  • Certain medicines

Types of  Psoriasis

      Guttate

      Erythroderma

      Chronic plaque

       Pustular : Palmoplantar. Generalized

       Psoriasis unguis

       Arthropathic (including arthritis mutilans) 

Regional variations of Psoriasis

    Scalp, face, eyes, body flexures, napkin area, scrotum, palms and soles.

Management of  Psoriasis

Treatments for psoriasis depend on the type and severity of the disease. Treatments for mild psoriasis often include creams or ointments, while moderate and severe psoriasis may require pills, injections, or light treatments.

Topical

      Phototherapy : UVB, UVA

Systemic

        Acitretin

        Cyclosporin

        Hydroxyurea

        Methotrexate…ETC…

Complications of  Psoriasis

Psoriasis can increase the risk of developing comorbidities that may reduce a person’s life expectancy. People with moderate to severe psoriasis have a life expectancy that is, on average, five years shorter than people without psoriasis.

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