psoriasis
PSORIASIS

Psoriasis is a systemic chronic skin disorder characterized by excessive keratinocytes proliferation that results into thickened scaly plaques, itching and inflammatory changes in the epidermis and dermis. It is transmitted genetically but can be provoked by environmental factors.
It is found in approximately 2% of the population that primarily affects the skin and joints.
It is associated with other inflammatory disorders and autoimmune diseases (eg psoriatic arthritis, inflammatory bowel disease, coronary artery disease).
Generally, it begins as red scaling papules that coalesce to form round-to-oval plaques. The rashes are often pruritic and may be painful.

Patient Education

  • Patient and family education is the key to successful management
  • Patient should understand that psoriasis is a chronic disease and treatment will only control the symptoms but not cure it
  • Assure patient that psoriasis is quite common and not contagious
  • Discuss various therapeutic options, side effects and expected results
  • Discuss possible exacerbating factors
    • Medications: Beta blockers, Lithium, antimalarials
    • Bacterial or viral infections 
  • Encourage a healthy lifestyle
    • Regular exercise
    • Maintain ideal body weight (BMI of 18.5-24.9)
    • No to mild alcohol consumption
    • Smoking cessation
  • Patients with any type of psoriasis should be informed of a potential increased risk for coronary artery disease
  • Advise patients to follow up yearly especially for the 1st 10 years from initial diagnosis
Editor's Recommendations
Most Read Articles
21 Jul 2018
Although many patients with atopic dermatitis (AD) use antihistamines, no high-level evidence exists to prove that nonsedating antihistamines reduce itch in patients with AD or provide benefit in controlling AD symptoms, except perhaps sleep and AD comorbidities such as allergic rhinitis, according to a study.
Pearl Toh, 15 May 2018
Biologic therapy for treating psoriasis, in particular anti-TNF agents, can also help reduce coronary plaque besides suppressing inflammation in the skin, suggests a study presented at the Society for Cardiovascular Angiography and Interventions (SCAI) 2018 Scientific Sessions in San Diego, California, US.
26 Jan 2018
L-carnitine supplementation appears to have favourable effects on biomarkers of oxidative stress, antioxidant capacity and lipid profile in patients with pemphigus vulgaris (PV), a study reports.
31 Jul 2018
A wound is a disruption of the normal structure and function of the epidermis. Wounds maybe caused by acute traumatic injury to the skin, or other aetiologies that cause initially intact skin to break down. Recently, Dato’ Dr Ho Teik Kok shared his insights into the importance of micronutrients for wound recovery, stressing on the importance of treating the underlying diseases that may impede wound healing.