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Psoriasis, Emergency Medicine

Reviewed 06/2017



  • Chronic, noncontagious, inflammatory skin condition

  • Disease of hyperproliferation

  • Recently classified as an autoimmune disease

  • Presents with erythematous plaques with silver scaling

  • Most...


Signs and Symptoms


  • Long standing area of scaling erythema

  • May give a history of previous diagnosis of psoriasis

  • May be mildly pruritic

  • May relate to one of the above triggers

  • Specific loca...



  • Maintain universal precautions

  • IV access and pain control as necessary

Initial Stabilization/Therapy

  • General resuscitation efforts aimed at correcting fluid and electrolyte abnormal...



Admission Criteria

Acute erythroderma and acute pustular psoriasis warrant admission for supportive therapy and systemic treatment, as noted above. 

Discharge Criteria

  • Advise patient...

Pearls and Pitfalls

  • Patients with pustular psoriasis are at risk for severe systemic infections

  • Patients with erythrodermic psoriasis are at risk for dehydration and may need to be treated similarly to...

Additional Reading

  • Busch  AL, Landau  JM, Moody  MN, et al. Pediatric psoriasis. Skin Therapy Lett. 2012;17:5–7.

  • Cohen  SN, Baron  SE, Archer  CB, et al. Guidance on the diagnosis and clinical manageme...



  • 696.0 Psoriatic arthropathy

  • 696.1 Other psoriasis


  • L40.0 Psoriasis vulgaris

  • L40.4 Guttate psoriasis

  • L40.9 Psoriasis, unspecified

  • L40.1 Generalized pustular psoriasis

  • L40.50 Arthropathic psoria...

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