Psoriasis is a complex, chronic, multifactorial, inflammatory disease that involves hyperproliferation of the keratinocytes in the epidermis, with an increase in the epidermal cell turnover rate (see the image below). Differential Diagnoses. In Those With Psoriasis, Treat for Arthritis? Treatment for erythrodermic and generalised pustular psoriasis includes:. Classical psoriatic lesions can be treated with a vitamin D ointment (calcipotriol/Dovonex or tacalcitol/Curatoderm ) or dithranol (Dithrocream /Micanol ).
Guttate psoriasis is a distinctive acute skin eruption characterised by small drop-like, salmon-pink papules which usually have a fine scale. Differential diagnosis. The treatment of IP is somewhat different from that of plaque psoriasis owing to the occlusive nature of the intertriginous areas. Medical treatment for localized psoriasis begins with a combination of topical corticosteroids and coal tar or calcipotriene.
Guttate psoriasis typically presents as an acute bilateral, symmetric eruption consisting of multiple, well-demarcated, salmon-pink to erythematous, round to oval papules ranging in size from 1 mm to 10 mm in diameter. Guttate psoriasis is usually a self-limiting process, especially in children, with full resolution occurring within 12 to 16 weeks without treatment. The differential diagnosis includes pityriasis rosea, pityriasis lichenoides, small plaque parapsoriasis, nummular dermatitis, secondary syphilis, and viral or drug exanthem. Psoriasis Online Medical Reference – from diagnosis through treatment. The differential diagnosis is expansive however with several dermatologic conditions, which may present similarly including: atopic dermatitis, pityriasis rubra pilaris, drug reactions, tinea corporis, secondary syphilis, and cutaneous T cell lymphoma (mycosis fungoides variant). This is an important sign for differential diagnosis of psoriasis from other scaly lesions. Treatment of pustular psoriasis: this type of psoriasis is treated with systemic steroids and ACTH.
Guttate Psoriasis. Treatment For Guttate Psoriasis. Symptoms
Doctors are unsure what causes psoriasis, but they believe it may be inherited and brought on by stress. Treatment options include topical creams, medications and exercise. Differential Drug Survival of Biologic Therapies for the Treatment of Psoriasis: A Prospective Observational Cohort Study from the British Association of Dermatologists Biologic Interventions Register (BADBIR) on ResearchGate, the professional network for scientists. If erythroderma is the first manifestation of psoriasis, then the differential diagnosis includes drug eruption, seborrheic dermatitis, pityriasis rubra pilaris, and Sezary syndrome. Although many of the systemic agents used to manage psoriasis are also effective for PSA, the specific treatment of PSA is beyond the scope of this chapter. This page discusses the differential diagnoses of Psoriasis from a Chinese medicine perspective.