The document discusses psoriasis, a chronic skin disease characterized by scaly pink patches that form on the elbows, knees, scalp and other areas. It defines psoriasis and outlines its causes such as genetics and infections. The pathophysiology involves a hyperactive immune response that leads to rapid skin cell production. Symptoms include erythematous, dry, scaly patches that are commonly itchy or burning. Diagnosis involves taking a medical history, physical examination, and potentially a skin biopsy. Management consists of topical corticosteroids, retinoids, cyclosporine, and lifestyle changes to control symptoms and complications like obesity, diabetes, and heart disease.

1. PSORIASIS
MR. DINESH SINGH
NURSING TUTOR
ROHILKHAND COLLEGE OF NURSING
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2. OBJECTIVES
• Introduction of the Psoriasis.
• Define the Psoriasis.
• Explain the etiological factors of Psoriasis.
• Enlist the pathophysiology of Psoriasis.
• State the clinical manifestations of Psoriasis.
• Elaborate the diagnostic evaluation of psoriasis.
• Discuss the management of Psoriasis.
• Describe the complications of Psoriasis.
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4. INTRODUCTION
Psoriasis is a skin disease that causes a rash with itchy, scaly patches, most
commonly on the knees, elbows, trunk and scalp. Psoriasis is a common, long-term
(chronic) disease with no cure.
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5. DEFINITION
A chronic skin disease in which scaly pink patches form on the elbows, knees, scalp
and other parts of the body is known as psoriasis.
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6. RISK FACTORS
• Family history
• Smoking
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7. CAUSES
• Genetic
• Infection
• Injury
• Heavy alcohol consumption
• Certain medications including, antihypertensive drugs and antimalarial drugs
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8. PATHOPHYSIOLOGY
Stress, genetic, autoimmune reaction and medication cause
Hyperactive of T-cells
Epidermis infiltration
Deregulated inflammatory process
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9. Large production of various ( cytokines)
Superficial blood vessel dilated
Epidermal hyperplasia and improper cell maturation
Scaling presentation of psoriasis lesion
Silver scaling of skin
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10. CLINICAL MANIFESTATION
Commonly occurs on scalp, elbow, knees
• Erythematous, Dry, scaly patches
• Stress
• Itching
• Burning
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12. DIAGNOSTIC EVALUATION
• History collection
• Physical examination
• Skin biopsy (Removing a sample of tissue for testing )
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13. MANAGEMENT
1. Medical management
• Topical corticosteroids : Corticosteroids is a anti-inflammatory and also suppress
the immune response. Example: Dexamethasone
• Retinoids:- Retinoids reduce skin cell production.
• Cyclosporine:- Cyclosporine decreases the immune system’s response.
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14. COMPLICATIONS
• Obesity
• Type 2 diabetes
• Hypertension
• Cardiovascular disease
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15. REFERENCES
 Brunner and Suddarth’s “textbook of medical-surgical nursing” “10th edition, published by “Suzanne C. Smeltzer
Brenda Bare”.
 PR Ashalatha, G. Deepa “textbook of Anatomy and physiology” Fourth edition” published by “Jaypee Brothers”.
 Linda S. Williams, Paula D. Hopper “textbook of Medical Surgical Nursing” “Third edition” Published by F.A.
Davis 2007.
 Priscilla LeMone, Karen Burke, Gerene Bauldoff “textbook of Medical Surgical Nursing” “Fifth edition”
“published by Julie Levin Alexander”.
• Lewis Dirksen Heitkemper Bucher, textbook of medical surgical nursing second south Asia edition, volume 1.
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