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Parapsoriasis, Small Plaque

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Parapsoriasis describes a group of cutaneous diseases characterized by scaly patches or slightly raised plaques that resemble psoriasis.

  • There are three main types of parapsoriasis:

    • ...

DIAGNOSIS

HISTORY

Onset of SPP is indolent, developing from a few patches and becoming more visible over an extended period of time. It can last months to several years and often resolves spontaneously...

TREATMENT

  • Typically managed conservatively, often with minimal or no treatment necessary

  • Topical treatment is effective.

MEDICATION

First Line

  • Emollients

  • Moderate to high potency topical corticosteroid cre...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Annual follow-up is recommended.

  • If epidermal atrophy occurs, consider a repeat skin biopsy.

PATIENT EDUCATION

  • Patients should watch for an increas...

REFERENCES

1
El-Darouti MA, Fawzy MM, Hegazy RA, et al. Hypopigmented parapsoriasis en plaque, a new, overlooked member of the parapsoriasis family: a report of 34 patients and a 7-year experience. J A...

ADDITIONAL READING

  • Sehgal VN, Srivastava G, Aggarwal A. Parapsoriasis: a complex issue. Skinmed.  2007;6(6):280–286. [View Abstract on OvidMedline]

  • Zeybek ND, Asan E, Erbil AH, et al. Immunohistoc...

CODES

ICD10

L41.3 Small plaque parapsoriasis 

ICD9

696.2 Parapsoriasis 

SNOMED

23854007 Small plaque parapsoriasis 

CLINICAL PEARLS

  • SPP presents as well-demarcated round/oval minimally scaly plaques <5 cm in diameter.

  • The World Health Organization considers SPP a benign disease with little to no potential for tra...

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