PSORIASIS MR. DINESH SINGH NURSING TUTOR ROHILKHAND COLLEGE OF NURSING 16-08-2022 ROHILKHAND COLLEGE OG NURSING 1
OBJECTIVES Introduction of the Psoriasis . Define the Psoriasis . Explain the etiological factors of Psoriasis . Enlist the pathophysiology of Psoriasis . State the clinical manifestations of Psoriasis. Elaborate the diagnostic evaluation of psoriasis. Discuss the management of Psoriasis . Describe the complications of Psoriasis . 16-08-2022 ROHILKHAND COLLEGE OG NURSING 2
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INTRODUCTION Psoriasis is a skin disease that causes a rash with itchy, scaly patches, most commonly on the knees, elbows, trunk and scalp. Psoriasis is a common, long-term (chronic) disease with no cure. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 4
DEFINITION A chronic skin disease in which scaly pink patches form on the elbows, knees, scalp and other parts of the body is known as psoriasis. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 5
RISK FACTORS Family history Smoking 16-08-2022 ROHILKHAND COLLEGE OG NURSING 6
CAUSES Genetic Infection Injury Heavy alcohol consumption Certain medications including, antihypertensive drugs and antimalarial drugs 16-08-2022 ROHILKHAND COLLEGE OG NURSING 7
PATHOPHYSIOLOGY Stress, genetic, autoimmune reaction and medication cause Hyperactive of T-cells Epidermis infiltration Deregulated inflammatory process 16-08-2022 ROHILKHAND COLLEGE OG NURSING 8
Large production of various ( cytokines) Superficial blood vessel dilated Epidermal hyperplasia and improper cell maturation Scaling presentation of psoriasis lesion Silver scaling of skin 16-08-2022 ROHILKHAND COLLEGE OG NURSING 9
CLINICAL MANIFESTATION Commonly occurs on scalp, elbow, knees Erythematous, Dry, scaly patches Stress Itching Burning 16-08-2022 ROHILKHAND COLLEGE OG NURSING 10
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DIAGNOSTIC EVALUATION History collection Physical examination Skin biopsy ( Removing a sample of tissue for testing ) 16-08-2022 ROHILKHAND COLLEGE OG NURSING 12
MANAGEMENT Medical management Topical corticosteroids : Corticosteroids is a anti-inflammatory and also suppress the immune response. Example: Dexamethasone Retinoids:- Retinoids reduce skin cell production. Cyclosporine:- Cyclosporine decreases the immune system’s response. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 13
COMPLICATIONS Obesity Type 2 diabetes Hypertension Cardiovascular disease 16-08-2022 ROHILKHAND COLLEGE OG NURSING 14
REFERENCES Brunner and Suddarth’s “textbook of medical-surgical nursing” “10 th edition, published by “Suzanne C. Smeltzer Brenda Bare”. PR Ashalatha , G. Deepa “textbook of Anatomy and physiology” Fourth edition” published by “Jaypee Brothers”. Linda S. Williams, Paula D. Hopper “textbook of Medical Surgical Nursing” “Third edition” Published by F.A. Davis 2007. Priscilla LeMone , Karen Burke, Gerene Bauldoff “textbook of Medical Surgical Nursing” “Fifth edition” “published by Julie Levin Alexander”. Lewis Dirksen Heitkemper Bucher, textbook of medical surgical nursing second south Asia edition, volume 1. 16-08-2022 ROHILKHAND COLLEGE OG NURSING 15