PSORIASIS Management in General Practice Keith Steele
1-2% Aetiology Histopathology
Clinical Types Guttate Chronic Plaque Flexural Pustular Nail Psoriasis Erythroderma Arthropathy
Management 1. Confirm Diagnosis 2. FH/Psychology 3. Assess Type 4. Assess Severity
Discuss with Patient Explanation/no cure Treatment options(including none) Patient expectation
Referral Diagnostic difficulty Education Failed Topical >30% skin surface Increasing steroids Pustular/erythrodermic Systemic therapy
Treatment Chronic Plaque Guttate Pustular Indic for systemic treatment
Systemic Treatments PUVA METHOTREXATE RETINOIDS