Psoriasis is a chronic, inflammatory, skin condition with well demarcated, ear, thinnest plaques that have a characteristic silver scale.
Psoriasis is a chronic, inflammatory, skin condition with well demarcated, ear, thinnest plaques that have a characteristic silver scale.
Hey everyone. This lesson is on psoriasis, so this will be an introductory and an overview lesson of different types of psoriasis. The management signs and symptoms and treatment of psoriasis. So psoriasis is a chronic, inflammatory, skin condition with well demarcated, ear, thinnest plaques that have a characteristic silver scale.
So what does this mean? So if we were to take a kind of a closer view of a psoriasis plaque, it is well demarcated, which means it has. A clear border, so it goes very much from a red to normal skin tone.
So it’s got a well-defined border. It’s red, so it’s. Erythema dis. It has a silver scale. So if we take a look here, you can see these little scale like portions of the plaque, that’s, what we call the silver scale and it is a plaque which means it is a raised skin lesion that is greater than one centimeter.
The onset of psoriasis can occur at any age, but there are generally two peaks or two times in a person’s, life where they are at higher risk for onset of psoriasis. These include between ages, 30 to 39 and 50 to 69.
Now there are a wide variety of risk factors and triggers for psoriasis. One of the major ones is a family history or a genetic component. There are several genes that have been implicated in psoriasis.
One of them has to do with the psoriasis susceptibility. One locus on the major histocompatibility complex gene on chromosome, 6, p21, so the sore s1 locus other ones include the HLA CW 6, which seems to be related more to an early onset type of psoriasis.
There are other genes that have also been implicated. Specific interleukin jeans, like il-12, il 23, but these are some of the major ones here. Another risk factor for psoriasis is smoking. Heavy alcohol consumption is also related to a onset or a triggering or worsening of the psoriasis condition.
Obesity is also a risk factor
Obesity is also a risk factor, as well as certain medications. Medications include beta blockers, lithium and chloroquine, so some other anti-malarial medications as well and some infections have also been shown to trigger psoriasis or to be involved in worsening of the psoriasis condition.
These include having an acute streptococcal infection, so a post streptococcal period. You are at a higher risk for developing a certain type of psoriasis. We’ll talk a little bit later about and also having HIV.
6 Types of Psoriasis
So we’re, going to talk about six different types of psoriasis. The first one we’re in chocolate is plaque, psoriasis and plaque. Psoriasis is the most common type of psoriasis. It has a symmetrical distribution if you see it on in one area on one arm, you’ll, generally see it on the same area on the other arm.
The most common places where plaque psoriasis occurs include the scalp the knees extensor surfaces of elbows in the gluteal cleft, this conditions generally worsen winter.
It’s due to the dryness of the air lack of sunlight. Those types of things can worsen this condition, and it has what we call the ah spits sign. The ah spits sign is when a little bit of the the silver scale is removed.
There’s, some my new bleeding that’s. What the auspice sign is so plaque psoriasis, very easy to remember it’s, the most common, the most common you’ll, see in practice. It is generally a the classic or erythematosus, well demarcated plaque with a silver scale.
The next condition we’re going to talk about is the gut Tate psoriasis. That drop like this Rises, the very small acute eruptions of smaller sized plaques, preceded by generally a streptococcal infection.
Again, these lesions are generally less than one centimeter in diameter and it generally occurs on the trunk in the proximal extremity. So so a way to remember got eighths Rises. This may be a funny way to remember it, but it might help you think about falling into a gutter.
So if you were to fall into a gutter, you’re generally gonna fall onto your trunk or your arm and think about. If there’s water in the gutter, you fall into the gutter. It’s gonna splash. Up onto you, you’re gonna get droplets of water on you and that’s generally.
How it presents droplets of skin lesions those little lesions lessen one centimeter in diameter, so hopefully that helps you remember it.
More types of Psoriasis
Another type of psoriasis is the pustular psoriasis. The pustular psoriasis is a possibly life-threatening type of psoriasis.
It generally has a sudden onset and is associated with leukocytosis malaise, fever, hypocalcemia and it ‘ S got a couple different triggers, interestingly, it has, it can be triggered by pregnancy and it can also be triggered by a withdrawal of oral glucocorticoid.
So if someone’s taking glucocorticoids, they remove them. You’re gonna. Have this possible eruption of a pustular psoriasis and it’s. This one’s, easy to remember. It basically presents as many pustules.
The next condition is erythro derm, ik, psoriasis, erythro derma crisis is a head-to-toe generalized erythema. It generally can affect basically 90 % or greater body surface area. So you can think you’re gonna basically be again head to toe ear thema, and with this one you get a worry about issues with sepsis, with fluid loss due to issues with barrier protection.
So if you’ve got generalized. If, if 90 % or more of your body surface area is affected by an erythro term, ik psoriasis you’re gonna have issues with insensible water loss. You could have issues with infection risk, so you have a higher risk for sepsis.
We also get a deist of scale, so when it, the reddening, you get this scaling appearance like very dry skin and again this also worsens the risk for infection. So, in order to remember erythro derma crisis, it’s, actually, in its name or if throw is red, Darmok is skin.
Erythro dharmic, you’re gonna have a reddened skin. This is a rhetoric psoriasis. The next one is inverse psoriasis inverse psoriasis, it occurs in skin folds and it has no visible scaling. It’s called inverse psoriasis because it basically is an inverse or an opposite of our normal plaque.
Psoriasis it doesn’t have a ski silver scale and it generally occurs in skin folds. Unlike the other plaque, psoriasis work can occur on extensor surfaces, so with this one you can remember it by thinking inverse in skin folds so or it’s, just the opposite.
It’s, an inverse of the plaque psoriasis. The next condition is nail psoriasis, the condition is in its name, it affects the nail it has pitting of the nail. If you see a skin condition, something with psoriasis with pitting of a nail that is psoriasis, it can proceed or precede other forms of psoriasis.
So you might have pitting of the nail, but they might not have any other skin manifestations of psoriasis and then eventually they get them or they gonna have the may be a plaque, psoriasis and then develop pinning of the nail.
It also has associations with psoriatic arthritis, so if you see a patient with arthritic joint symptoms – and they also have pitting in the nail most likely, they have psoriatic arthritis. So what are some of the treatments for psoriasis? It depends on if the condition is a limited or a severe or systemic condition.
So if it’s, a limited disease, it’s, a very small area. We generally use topical treatments, topical corticosteroids, topical emollients. He could use a trial or topical retinoids. So again, if it’s limited.
If there’s very little surface area involved, we use topical if it’s, a severe condition if much of the body is being affected or much of the body surface area is being affected. We use systemic, so severe systemic s4s.
So systemic you want to think about photo therapy retinoids, you can think of methotrexate as a possible treatment and even further down the line unlikely to be used, but in possible cases where none of these prior treatments have worked.
We might want to use biologics so again photo therapy, retinoids, methotrexate and then way way down the line, maybe use biologics if nothing else works. So if you want to learn more about other skin conditions, check out my dermatology playlist and if you haven’t already, please like and subscribe for more lessons like this one thanks so much for watching.
I hope to see you next time.
Skin Care For Eczema – Effective Ways to Manage Your Eczema Skin Condition
Eczema, also known as atopic eczema or atopic dermatitis, is a chronic, life-long skin condition characterized by alternating flare-ups and remissions. During a flare-up, the person experiences rashes and intense itchiness. The rashes typically appear on the arms, legs, feet, elbows and knees. But they can appear anywhere on the body, including the face.
Tips to Relieve Eczema: Home Remedies to Help You Ease The Symptoms of Eczema
As all eczema sufferers know, they are stuck with the skin condition for life. Eczema is a chronic skin disorder that has no cure, but it can be managed to reduce the severity of symptoms and the frequency of eczema flare-ups or outbreaks.
Choose the Best Baby Eczema Treatment for Your Child
Eczema can be very hard to treat especially on babies. One treatment can be successful for a time then before you know it, the symptoms are back again. For babies, eczema treatment can be very tricky. The method of treatment should be gentle and effective at the same time.
How to Recognize Eczema and What You Can Do About It
Though the actual cause of eczema remains unknown, there several promising theories about what you can do to get rid of the painful condition and make sure it stays gone. Find out about the different types of eczema, its symptoms, and some treatment options.
Does Your Child Have Eczema?
As a parent, your child’s pain around a physical condition can be very difficult to bear. What are some ways to comfort your child and help them through this time?
Natural Remedies for Eczema!
The two most annoying symptoms of eczema are skin drying and excessive itching. For patients with eczema, controlling these two symptoms can lead to a lot of relief. There are a lot of medicines available for this- pills, syrups, soaps, harsh creams and the sorts. Let’s talk about the natural remedies available..
How To Decide On The Right Eczema Treatment
Deciding on the right eczema treatment greatly depends on the form of eczema that you have, considering there are numerous forms of eczema. However, the most common form of eczema is a topic dermatitis. This form of eczema is believed to occur because of a malfunction with the immune system, and it often runs in the family. There are many over the counter eczema treatments such as topical creams and ointments, but the sad truth is that not all of them provide real results.
Psychological Tips For Handling Eczema
Psychologically, eczema can be just as difficult as physically. There are often problems of dealing with comments by others as well as one’s own sense of shame.
Eczema, Is It Really That Bad?
Eczema is a more common skin disease than most people realize. No person, be it an adult, small child or infant, is immune. You’ll know it when you see it on your body. Your skin will have an inflamed and scaly look – much like a sunburn. There will be some flaking of your skin, plenty of itching and worst of all, even blisters that split open easily and become crusty. Ouch!
Problems Children Have With Dermatitis
There are some typical problems that children with dermatitis will encounter. As a parent, being alert will help them cope more effectively.
How To Cure Your Eczema – Origin Of The Term
The term eczema was actually coined from the Greek words which when put together, means “to boil over”. Another word that is also used and may also refer to eczema is dermatitis, and this term also comes from Greek words. Dermatitis is originated from the Greek words for skin and the exact same term for the condition that happens to the skin of those with this affliction.
How An Ecream Can Help With Your Eczema Rash
An ecream is essentially a cream which contains large concentrations of vitamin E. Vitamin E is a nutrient that’s heavily associated with skin health and because of that, it is even thought of as an eczema natural treatment. Frankly, vitamin E has no direct role in treating an eczema rash but because of what it can do to the skin, it indirectly treats eczema in some way and can therefore help you with your eczema.
This information and the video used is highly recommended by Eczemanews.com as experts to follow on your path to healthier living. We suggest you navigate to their video and like and subscribe for further updates they may have on this subject.
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