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Psoriasis and psoriatic nails


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A short presentation on psoriasis and psoriatic nails including images on the different types of psoriasis, treatment options and psoriatic nail changes such as beau's lines, onycholysis and pitting.

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Psoriasis and psoriatic nails

  1. 1. Psoriasis and psoriatic nails Jessica Peter Roscoe
  2. 2. A little about Psoriasis...
  3. 3. Be familiar with the different clinical presentations of psoriasis
  4. 4. List the systemic complications of severe psoriasis > Psoriatic arthritis > Uveitis > Risk of CKD
  5. 5. List at least five possible aggravating factors for psoriasis > Chronic infections > Stress > Scratching > Excessive alcohol > Obesity > Climate changes
  6. 6. Know the various topical treatment options for psoriasis Emollients Vitamin D analogues (calcipotriol) Keratolytics Coal tar Dithranol Topical corticosteroids (eumovate) Why don’t we use systemic steroids?
  7. 7. Know the various second line treatment options for psoriasis Phototherapy Acitretin Methotrexate Cyclosporin
  8. 8. Understand the difficulties, physical and psychological, experienced by patients Dermatology quality of life index > Pain, itching, soreness, stinging > Embarrassment and self consciousness > Effect on shopping or looking after the home/garden > Clothes > Social/leisure activities > Problems with partner, close friends or relatives > Sexual difficulties > Problems from treatment
  9. 9. Psoriatic Nail Disease > Rarely seen without skin psoriasis. > Nail pitting > Onycholysis > Subungual hyperkeratosis > Beau’s lines > Fungal nail infections
  10. 10. Diagnosis > Typically clinical > Nail biopsy/cutting
  11. 11. Treatment of nails > Treat any infection > Podiatrist for painful toenails > Steroids (topical/injected) > Phototherapy > Nail removal
  12. 12. Thank You Any questions?