Dithranol Essay

Psoriasis Psoriasis is a chronic skin disease that is characterized by an inflammatory red rash with silvery scales on the epidermal surface. These sore patches are often itchy or sore and can appear anywhere on the body. Psoriasis is caused by a process known as cell turnover: an immune system

Long-term Conditions Word Count: 2,200 This essay explores and reflects on the lived experiences of an elderly patient living with the long-term condition (LTC) of psoriasis. A case study is used to illustrate some of the key features of LTCs and the impact they can have on a patient’s physical, psychological and social state. It is also going to be looking at the effect some of the key features can have on a patients support network or family. In addition it will examine the nurses role in the management of LTCs and the health and social policies that may have an impact on the care received by patient with LTCs.

4. The patient was advised to start loratadine 10 mg daily now for itching and also to use 5 or 10% benzoyl peroxide for facial acne.

Symptoms/ Diagnosis of the Pathology: Red, raised, dry, inflamed, scaly areas on the body and the pitting of the nails describe the common appearance of the pathological disease of psoriasis. Doctors often find it difficult to determine psoriasis because it is very similar to other skin disorders. There are several ways

Presentation and Diagnosis ​Clopidogrel hypersensitivity is an intricate phenomenon. The reaction is complex and has varied pathophysiology resulting in distinct onset and presentation. Hypersensitivity may manifest as generalized, localized, or systemic reactions. Evidence suggests that the majority of patients with hypersensitivity reactions will present with generalized, cutaneous symptoms (6, 7). These generalized reactions may be an erythematous, maculopapular rash that is pruritic or urticaria without mucosal involvement (6). Rashes are typically distributed throughout the trunk and may involve upper and/or lower extremities (7, 8). Although less frequent than generalized reactions, localized skin hypersensitivity has also been reported. (7). These reactions are described as symmetrically appearing rashes localized to the face, palms, neck, axilla, soles of feet, or back. (7). Finally, systemic hypersensitivity has been described. This may manifest as generalized urticaria, fever, arthralgia, or angioedema (7-9). An evaluation of 24 patients with suspected clopidogrel hypersensitivity described a median onset of hypersensitivity of 6 days (10). However, the onset of these reactions varies and likely depends on type of hypersensitivity observed. A review of 62 patients with clopidogrel hypersensitivity revealed a median onset of approximately 5 days for both generalized and localized reactions compared to a median time to onset of 1 day for systemic reactions (7).

This improved the appearance of the exfoliation and the erythroderma, however the patient experienced significant rebound flaring when the dose was tapered as low as 20 mg. The patient continued to have burning and stinging pain of the skin throughout the treatment course. The respiratory symptoms have overall resolved, though he continues to have stable radiographic findings of organizing pneumonia. At the time of publication the patient was preparing to initiate treatment with rituximab to further improve dermatologic and respiratory

Treatments include topical creams or ointments, phototherapy and systemic medications. These treatments help reduce inflammation, remove scales and smooth the skin. For patients who are suffering with Psoriasis, it’s important for him/her to talk to a doctor about their condition. Doctors will start with a mild treatment and then move on to stronger treatments if necessary. Lifestyle and home remedies will also help improve the appearance and feel of the damaged skin. These remedies include daily baths, use of moisturizer, exposing the skin to small amounts of sunlight and avoiding consumption of alcohol. Psoriasis is not curable but with the treatments and remedies listed above, a person can live a healthy and normal

Potential Complications There are many complications and comorbidities that can arise from having psoriasis. One of the main complications that arise from having psoriasis is the development of psoriatic arthritis, a condition that affects the person’s joints with pain and inflammation. As the National Foundation for Psoriasis estimates, there are up to 30 percent of those with psoriasis that develop psoriatic arthritis, which can lead to a large risk of developing other conditions like cardiovascular disease, depression, etc. (Comorbidities Associated with Psoriatic Disease. (n.d.)). To the average person, psoriasis may seem like nothing more than a skin condition that can look unsightly. However, psoriasis is so much more than just a skin

Brian is a 29-year-old male who suffers from plague psoriasis (L40.0). His symptoms include scaly, red, moderate in severity plaques located on his feet, hands, trunk, and scalp, in addition to plaque psoriasis he also suffers with arthritis. He experiencing sever fissuring and pain with walking and daily functioning. Brian has tried and failed various treatments including clobetasol, and keralac, both provided him with little to no relief. Otezla was denied for requiring a three-month trial of light therapy, however, he is not a candidate for light treatment due to his work schedule. Otezla was approved for moderate to severe plaque psoriasis by regulating inflammation within immune cells without said side effects or risks. By helping to

Treatment: Usually no treatment is required other than councelling for dermographism. Since the patient ‘s condition was bothersome hence she was prescribed cetirizine(zyrtec) to giver her relief. Advice was given on avoiding hot bath or shower, rough towelling or clothing against her skin.

According to the American Academy of Dermatology, about 7.5 million Americans are currently being affected by psoriasis. Psoriasis is a disease in which cells are inflamed, causing them to vastly multiply, which then causes the skin to become red, patched, and raise above normal. Rather than taking 28-30 days to regenerate, the cells of a psoriasis patient multiplies within very few days. With this, the old, dead cells pile up, causing the redness and raise of the skin. This disease generally affects the patient’s popliteal, olecranal, palm, sole, lumbar, face, and inguinal regions. Studies show that the more surface area of the body that is covered by psoriasis, the greater the risk of death for the patient. Patients with 10% or more of

Stress as an Influencing Factor in Psoriasis, Psoriasis is a chronic, inflammatory skin disease with an approximate 2-3% prevalence in the general population. The etiology of psoriasis is not fully understood, but it appears to be multifactorial, involving both genetic and environmental influences. Among these factors, emotional stress is considered to

Usually, some relief is provided by proper skin moisturizing with emollients and moisturizers; however, only a minority of psoriatic patients (less than 20%) considered them as highly effective (Szepietowski et al. 2002; Dawn and Yosipovitch

Psoriasis is a noncommunicable, chronic inflammatory skin disease. It is characterized by hyperproliferation of epidermal cells, erythematous patches covered with a distinctive scale and incomplete differentiation of keratinocytes (WHO, Menter 2008, Ashcroft 2000). Depending upon the percent body area affected, psoriasis can be classified as mild (less than 3%), moderate (3-10%) and severe (more than 10%) (Krueger et al 2000,). The worldwide prevalence of psoriasis is around 2% while in developed countries higher prevalence rates about 4.6% have been reported (Parisi et al 2013). The prevalence of the disease in adolescent and children ranges from 0.5% to 2% (Parisi et al, 2013; Tollefson et al., 2010; Fotiadou et. al., 2014). Out of the

It is advisable to take Propecia under the prior recommendation of a dermatologist. It is