Psoriasis is a commonly seen as well-defined erythematous, scaly lesions. It can be seen on scalp, palm, soles or body. Genetic and environmental factors greatly influence the clinical development of psoriasis.
Psoriasis can present at any age and can appear just after birth or in old age.
Psoriasis is a lifelong disease with variable period of spontaneous remissions exacerbations Guttate psoriasis is usually self-limited, spontaneously resolving in 12-16 weeks.
Topical corticosteroid, calcipotries, topical tars, anthralin are given. Phototherapy or systemic therapy or in combination with topical are used based on the variant and grade of involvement.
The most common clinical features of psoriasis are loose, dry silvery white scaling with well-defined, red scaly papules and plaques. Healed lesions usually appear as hyper pigmented or hypo pigmented. When nails get involved they show symptoms like pitting, yellowish discolouration, arthropathy and sometime haemorrhage.
Psoriasis is a T-cell mediated response which is influenced by genetic factors, seasonal variations, pregnancy, stress, infections, obesity, hypertension, diabetes. Psoriasis is not contagious.
Psoriasis sometimes can be triggered by injury to the skin, extreme winter flares psoriasis.
Psoriasis is usually a lifelong disease with variable periods of spontaneous remissions and exacerbations. Psoriasis can be treated with topical steroids salicylic acid; tars vitamin D analogues, Dithranol, Phototherapy UVB, excimer Laser can be given to patient with generalized involvement systemic therapy includes retinois immune suppressants like methotrexate, cyclosporine, monoclonal anti bodies.
Psoriasis is usually lifelong disease with variable period of spontaneous remissions and exacerbations.
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