Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information
Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information
DQ Question
Psoriasis is a lifelong disease that presents with exacerbations and remissions. The clinical types of psoriasis include Psoriasis vulgaris, Exfoliative psoriasis, and Palmoplantar pustulosis (PPP). Psoriasis vulgaris is the most common type of psoriasis and presents with thick, erythamatous papules or plaques covered by silvery white scales. Exfoliative psoriasis is an explosively eruptive and inflammatory form of psoriasis with generalized erythema and scaling (Raharja et al., 2021). PPP causes pustules on the palms of the hands and soles of the feet. Other manifestations in psoriasis include pruritus, afebrile, dystrophic nails, and debilitating arthritis with pain, stiffness, throbbing, swelling, or tenderness of the joints
Psoriasis is a scaling disease with underlying dermal inflammation caused by an abnormality in the growth of epidermal cells in the outer skin layers. In normal cases, cells at the basement membrane of the epidermis take approximately 28 days to reach the outermost layer where they are shed. In psoriasis, the rate of cell division is speeded up so that cells are shed every 4 to 5 days. Psoriasis is considered an autoimmune reaction attributed to overstimulation of the immune system. Langerhans’ cells in the skin respond to antigens, leading to T-lymphocyte activation. The cells target the keratinocytes, resulting in increased cell division and plaque formation. The differential diagnoses include Allergic Contact Dermatitis, Lichen planus, Atopic Dermatitis, and reactive arthritis.
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Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information
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The diagnosis of psoriasis is clinical. Various topical agents used to treat psoriasis include topical steroids, topical tar, Salicylic acid, Emollients, and anthralin preparations (Raharja et al., 2021). When applied to psoriatic lesions, corticosteroids suppress cell division. Ultraviolet (UV) light is a physical agent commonly used as a topical treatment in many skin conditions, including psoriasis Non-pharmacological options and recommendations include daily sun exposure, topical moisturizers, sea bathing, and relaxation.
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Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information that would be important to the geriatric population regarding one of the following conditions. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
- Urticaria
- Cutaneous Drug Reactions
- Psoriasis
- Other Papulosquamous Disorders
- Diabetic Foot Wounds
- Venous Ulcers
- Cellulitis
- Herpes Zoster
- Skin Cancer
- Melanoma
- Dermatologic Findings Related to Systemic Disease
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Outline typical presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan including pharmacological and nonpharmacological interventions, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales/tools (if any), and additional information
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