There are several drugs described in the literature that have been associated with the initiation,. With this in mind, many psoriasis patients can be on multi-drug regimens; 4 The clinical presentation of drug-provoked psoriasis spans the spectrum of generalized plaque psoriasis, palmoplantar pustulosis, and erythroderma. Exacerbation of psoriasis has been reported with chloroquine treatment for psoriatic arthritis. Management of psoriasis may involve topical and systemic medication, phototherapy, stress reduction, climatotherapy, and various adjuncts such as sunshine, moisturizers, salicylic acid, and other keratolytics such as urea. Transition from conventional systemic therapy to a biological agent may be done directly or with an overlap if transitioning is needed because of lack of efficacy, or with a treatment-free interval if transitioning is needed for safety reasons. Switching biologicals because of lack of efficacy should be performed without a washout period while switching biologicals for safety reasons may require a treatment-free interval. PSORIASIS Diagnosis and management Dr.Md. Shshidul Islam Assistant professor Dermatology & VD, CBMC’B. LOCALISED PATCHES/PLAQUES Superficial basal cellcarcinoma/Bowen’ s disease Asymmetrical lesions, either single or few in number Perform biopsy if lesions resistant to topical psoriasis treatment, or to confirm diagnosis 35 Bowen’s disease Psoriasis.
Dr Riadh Dawood describes how psoriasis can be managed with a range of treatments including topical, ultraviolet, systemic, and biological therapies. Both sexes are affected equally and there is a positive family history in some patients.1 Psoriasis can be associated with seronegative psoriatic arthritis and inflammatory bowel disease. Excessive alcohol and many drugs can precipitate psoriasis including beta blockers, chloroquine, non-steroidal anti-inflammatory drugs, and lithium. The use of vitamin D analogues in pregnancy and breast feeding is best avoided if possible. Psoriasis: Successful Treatment With Ayurveda + Foods To Avoid. Perhaps the most significant risk factor for psoriasis is having a family history of the disease. If one has psoriasis, he or she is at greater risk of developing certain diseases such as metabolic syndrome, a cluster of conditions that include high blood pressure and elevated insulin levels; inflammatory bowel disease; cardiovascular disease and, possibly cancer. Thus, if you have psoriasis, you should get treated! About 60 of people with psoriasis have a family history of the disease. There may be a separation of the nail from the nail bed. Certain drugs systemic corticosteroids, lithium, alcohol, and chloroquine may make psoriasis worse. Limited amounts should be used to avoid side effects.
Generalised pustular psoriasis which can affect any part of the skin and is widespread. The first step in managing your condition would be to avoid any known triggers unfortunately this may not be as easy as it sounds as certain triggers are unavoidable such as puberty and menopause whilst some sufferers don’t know what triggers their psoriasis. Since few can escape mosquito bites during their travel and no preventative drugs are completely effective we need to accept the fact that you may contract malaria. Avoid dark coloured clothing as it attracts mosquitoes as do perfume, cologne & after-shave. If you have had generalised psoriasis, chloroquine and other chloroquine-like drugs, including primaquine, quinidine and proguanil should be avoided. Other contra indications include persons with a history of seizures, neuro-psychiatric disorder, the first 3 months of pregnancy and those with cardiac conduction problems.