Skip to main content

Psoriasis

Michael O. Needham, MD, Kimberly E. Matz, DO and Rebecca N. Matz, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • A chronic, inflammatory disorder most commonly characterized by cutaneous erythematous plaques with silvery scale. It is a complex immune-mediated disorder that results from a polyge...

DIAGNOSIS

HISTORY

  • May include sudden onset of clearly demarcated, erythematous plaques with overlying silvery scales; exacerbation of chronic plaques, especially on extensor surfaces and scalp; typical...

TREATMENT

GENERAL MEASURES

Adequate topical hydration (emollients); avoid triggers; weight loss 

MEDICATION

First Line

  • Mild-to-moderate disease

    • Emollients BID: petrolatum/ointments to maintain skin hydrati...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Measure BSA involvement to determine if therapy is working; change therapy or add agent if no improvement is seen. 

DIET

Well-balanced diet and exercise to limit ca...

REFERENCES

1
Rachakonda TD, Schupp CW, Armstrong AW. Psoriasis prevalence among adults in the United States. J Am Acad Dermatol.  2014;70(3):512–516. [View Abstract on OvidMedline]
2
Villaseñor-Park...

ADDITIONAL READING

Sbidian E, Chaimani A, Garcia-Doval I, et al. Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis. Cochrane Database Syst Rev.  2017;12:CD...

CODES

ICD10

  • L40.9 Psoriasis, unspecified

  • L40.50 Arthropathic psoriasis, unspecified

  • L42 Pityriasis rosea

  • L40.4 Guttate psoriasis

  • L40.0 Psoriasis vulgaris

  • L40.8 Other psoriasis

ICD9

  • 696.1 Other psoriasis

  • 696.0 ...

CLINICAL PEARLS

Chronic lifelong inflammatory skin condition with remissions and exacerbations; set realistic expectations with patient. Disease burden not limited to skin. If one medication does not ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×