Psoriasis
Causes
Pathophysiology
Signs and symptoms
Diagnostic tests
Nursing diagnosis
Risk of impaired skin integrity due to skin lesions
Impaired self-concept related to low self esteem due to changes in physical appearance
Nursing intervention
Advise patient to keep skin clean, dry and moisturized
Assess skin for changes in color and condition
Dry, flaky skin
Plague
Inflammed tendons
Joint stiffness
Small nail dents
Rash with itchy, scaly patches
Infections such as Streptococcus
Immune system problem
Physical examination
Skin biopsy
Hyperproliferation of keratinocytes in the epidermis
Administer prescribed topical corticosteroids
Cuts, scrapes or surgery on skin
Medical management
Topical corticosteroids
Topical calineurine inhibitors
Vitamin D analogues
Coal tar
References
Harden J.L., Krueger J.G., Bowcock A.M. The immunogenetics of psoriasis: A comprehensive review. J. Autoimmun. 2015;64:66–73. doi: 10.1016/j.jaut.2015.07.008.
Levine D, Gottlieb A. Evaluation and management of psoriasis: an internist’s guide. Med Clin North Am. 2009;93(6):1291–303.