Download Free Medical Diagnosis and Management of Psoriasis and Psoriatic Arthritis PowerPoint Presentation

Diagnosis and Management of Psoriasis and Psoriatic Arthritis PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : This medical presentation titled "Diagnosis and Management of Psoriasis and Psoriatic Arthritis" tells us how to diagnose psoriasis, provides information on the recommended treatment in primary care, and lets us understand psoriasis management in secondary care.

Tags : Diagnosis, Management, Psoriasis, Psoriatic Arthritis, treatment, primary care, management

Published on : Apr 27, 2021 | Views : 1612 | Downloads : 2

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Diagnosis and Management of Psoriasis and Psoriatic Arthritis
Slide 2-

Objectives According to this new guideline: Be able to diagnose psoriasis Know the recommended treatment in primary care Have an understanding of psoriasis management in secondary care.
Slide 3-

What are the characteristics of psoriasis?
Slide 4-

ppt slide no 4 content not found
Slide 5-

ppt slide no 5 content not found
Slide 6-

ppt slide no 6 content not found
Slide 7-

ppt slide no 7 content not found
Slide 8-

ppt slide no 8 content not found
Slide 9-

ppt slide no 9 content not found
Slide 10-

What risks are associated with psoriasis or psoriatic arthritis?
Slide 11-

Co Morbidities associated with psoriasis Diabetes Hypertension Hyperlipidaemia Metabolic syndrome Obesity MI – young pt with severe disease. Low mood
Slide 12-

Treatment - Topical Short term potent steriod or potent steriod plus calcipotriol gain improvement in plaque psoriasis. Long term treatment is a Vit D Analogue. If unsuccessful then consider dithranol, coal tar solution or tazaotene gel.
Slide 13-

Vitamin D analogues Calcipotriol and talcalcitol. Dovonex, silkis, curatoderm. Dovobet (with betamethasone) Analogues of vit D and affect cell division and differentiation Do not smell or stain
Slide 14-

Coal Tar Anti-inflammatory properties and anti-scaling properties. Crude coal tar most effective, but not tolerated due to smell and mess. Contact allergy or folliculits may occur. Polytar, alphosyl HC, Cocois
Slide 15-

Tazarotene For plaque psoriasis. A retinoid. Less effective and more irritation than calcipotriol. Use sparingly on plaques only. Clean and odourless.
Slide 16-

Dithranol Effective treatment for plaque psoriasis. Irritation and staining of the skin. Only on plaques. Not in flexures or on the face. Wear gloves to apply and wash afterwards. Best used by specialist nursing staff.
Slide 17-

Topical therapy
Slide 18-

Special Sites Scalp – scalp preparations – salicylic acid / tar preparations. Vit D analogues and steriods Face and Flexures – more easily irritated. Moderate steriods short term Vit D Analogues or tacrolimus ointment.
Slide 19-

ppt slide no 19 content not found
Slide 20-

Assessing Psoriasis PASI - calculated based on severity, intensity, and surface area Requires experience at calculating the score. DLQI Simple 10 questions, assess effect on life.
Slide 21-

Dermatology Life Quality Index 0-1 = no effect at all on patient's life 2-5 = small effect on patient's life 6-10 = moderate effect on patient's life 11-20 = very large effect on patient's life 21-30 = extremely large effect on patient's life
Slide 22-

Referral to dermatology Diagnostic problem Extensive disease Occupational disability / time lost Difficult places Failure of topical therapy Adverse reaction to topical DLQI above 6
Slide 23-

ppt slide no 23 content not found
Slide 24-

ppt slide no 24 content not found
Slide 25-

Generalised Pustular Psoriasis Life threatening complications. May have erythroderma. Requires hospitalisation.
Slide 26-

ppt slide no 26 content not found
Slide 27-

Secondary Care Erythroderma or generalised pustular psoriasis need emergency referral to dermatology. These patients should have inpatient care.
Slide 28-

Secondary Care - Phototherapy Narrow band UVB phototherapy should be offered if failure to topical therapy. Three times weekly where practical
Slide 29-

Systemic In general poor studies to go on and of short duration. However, Severe or refractory psoriasis pt should be offered tx with ciclosporin, methrotrexate, acitretin. If respond – shared care with primary care.
Slide 30-

Biological Strong evidence base for infliximab (NNT 2) adalimumab, and etanercept (NNT 4). Should be offered to pt who do not respond to systemic therapies.