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PSORIASIS - Coggle Diagram
PSORIASIS
Treatment
Advise topical treatments take several weeks to work, if stopped suddenly risk of relapse
Creams, lotions or gels suitable for widespread psoriasis
Topical Corticosteriods for localised areas, r/v and supervise to avoid risk of unstable disease
Arrange r/v within four weeks treatment. If poor response treat with potent Corticosteriod plus Vitamin D preparation for four weeks.
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Assessment
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Symptoms - itch, Irritation, Burning, Pain, Bleeding and Scaling
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Articular Symptoms- joint stiffness, pain or swelling / Nail Changes
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Management
Medical Emergency- Same day Specialist Dermatology Suspected Generalised Pustular Psoriasis or If Localised arrange Dermatology referral urgently depending on Clinical judgement
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Trunk and Limbs / Chronic Plaque Psoriasis - Offer advice on control of symptoms, signpost to Psoriasis and Psoriatic Arthritis Alliance www.papaa.org. Smoking cessation, Recommend limits on alcohol drinking. Advice on weight loss
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Scalp Psoriasis - Offer advice on control of symptoms, reassurance not infectious. Signpost to www.papaa.org. Smoking Cessation and recommend limits on alcohol drinking, weight loss. Advice on management on stress/anxiety/depression
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Guttate Psoriasis - Reassure resolves within four months of onset. If lesions spread more than 10% of body surface, arrange urgent referral to dermatologist
Nail Psoriasis - Keep nails short, avoid manicure of the cuticle, avoid prosthetic nails. If severe arrange referral to dermatologist. Sign post www.papaa.org.
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