Friday, October 25, 2013

Psoriasis

Psoriasis simply is a Silver Scaly skin lesions over the extensors surfaces of the body (elbows for example) and can have mild or more severe forms


                                                       http://noskindiseases.com
Notice the Silvery Crusty plaques on the extensor surface of the forearms and elbow joints




Management is interesting , it can be achieved through topical steroids , however the silvery scales /crusts may block steroids to reach to the deeper layers and decrease its efficacy , therefore salicylic acid is used to remove scales

prolonged topical steroids can be harmful ! Vit A and Vit D are acceptable also in management in extensive Psoriasis

also Coal Tar  is used  in widespread Psoriasis , Vaseline or mineral oil all are acceptable.

new lines of therapy include TNF monoclonal antibodies , however you should be taking precaution with these drugs as it may predispose to T.B. infection or reactivation.

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