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Psoriasis, Systemic Therapy, Phototherapy - Coggle Diagram
Psoriasis
Complications
Psoriatic Arthropathy
Metabolic Syndrome
CVD
VTE
Psychological distress
Nail Changes
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
Secondary care management
Subtypes
Plaque Psoriasis
Flexural Psoriasis
Guttate Psoriasis
Pustular
Clinical Features
Red
Scaly
Systemic Therapy
Biologics - infliximab, etanercept, adalizumab
Ustekinumab
Oral Methotrexate
Systemic retinoids
Ciclosporin
Phototherapy
Narrowband Ultraviolet B light
Psoralen + ultraviolet A light