Often follows sore throats Common in young adults Lesions about 1 cm diameter Paler pink than established psoriasis Often resolves rapidly May enlarge & become
stable plaques Treatment Options Tar based ointment Dovonex ; Dovobet Ultra violet light Ultra violet light plus tar based ointment Ultra violet light plus Dovonex
Flexural Psoriasis May accompany plaque psoriasis Occurs in groin,natal cleft, axillae & submammary folds Maceration leaves beefy erythematous rash Often itchy
Subject to secondary contact sensitivity Treatment Options Can be problematic Mild tar/corticosteroid mixtures may be effective Steroids can cause striae Low concentrations of dithranol may burn delicate areas
nUVB & PUVA can be effective if area is accessible Scalp Psoriasis Common Scalp alone may be affected Lesions very small to whole scalp cover
Occasionally thick and sticks in large chunks to hair Temporary hair loss Treatment Options Tar shampoos Betamoose Scalp Blitz UV combs
Chronic Palmo-plantar Psoriasis Usually found alone Erythematous with numerous pustules Pustules become brown scaly spots & peel off Painful
Small area or entire surface of palms or soles May cause considerable disability Treatment Options Topical treatments often ineffective PUVA may give some control
Relapse is common Nail Psoriasis Nail involvement frequent Nail pits Onycholysis Can become discolored Painful
Whole surface may become damaged Exfoliative Erythroderma Dermatological emergency Plaques merge to cover most of skin Can be slow or rapid
Systemic/ topical steroids may precipitate Acute Pustular Psoriasis Dermatological emergency With or without pre existing psoriasis Sudden development of widespread erythema
Pustules are sterile May coalesce to form lakes of pus High swinging temperature and unwell Patient may die from secondary infection Psoriatic Arthropathy Affects up to 10%
of people with psoriasis Is erosive and may result in joint destruction Interactive Time Questions
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