Psoriasis

Subtypes

Plaque Psoriasis image

Flexural Psoriasis image

Guttate Psoriasis image

Pustular image

Clinical Features image

Red

Scaly

Complications

Psoriatic Arthropathy

Metabolic Syndrome

CVD

VTE

Psychological distress

Nail Changes image

Majority w psoriatic arthropathy have nail changes

Pitting

Onycholysis

Subungual Hyperkeratosis

Loss of nail

Exacerbating Factors

Trauma

Alcohol

Drugs

B-blockers

Lithium

Anti-malarials

NSAIDS

ACE Inhibitors

Withdrawal of systemic steroids

Streptococcal inf - guttate

Management

Emollients

Topical Corticosteroid
Vitamin D analogue

Coal tar preparation

Short-acting dithranol

Phototherapy

Secondary care management

Systemic Therapy

Oral Methotrexate

Biologics - infliximab, etanercept, adalizumab

Ustekinumab

Systemic retinoids

Ciclosporin

Narrowband Ultraviolet B light

Psoralen + ultraviolet A light