Dr.Kabra


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	Vitiligo (White Spot)

	AIDS

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What is Psoriasis?
Psoriasis is a common skin & joint disorder with multifactorial etiology which affects about 2% of the population. This is characterized by well demarcated, raised, red & silvery scaling patches. Though gender & age doesn’t exempt young & middle aged males are little more frequently affected than females. Though psoriasis is familial but does not appear to be inherited in any regular dominant, sex-linked or recessive way. Affects commonly on elbows, knees (extensors) ,scalp, sacral region, palms & soles .

Clinical Variants In Psoriasis :

	Guttate Psoriasis :
	Small, multiple droplike(guttate) lesions topped with white scales seen all over the body, especially on trunk. Commonly seen in children aged 7-14 following streptococcal sore throat infection.
	Erythrodermic Psoriasis :
	Characterised by wide spread erythema & scaling. Typical plaque like leisions disappear the skin becomes universally red & scaly. Dehydration, hypoproteinaemia & anaemia are common.
	Pustular Psoriasis :
	Localized Pustular Psoriasis: Palms & soles are commonly affected. Generalized Pustular Psoriasis: Pustules develop after tender erythema, may be life threatening due to fever & toxaemia. Hypocalcemia & hypoproteinemia are common.
	Scalp Psoriasis :
	Fairly common presentation with discrete silvery scales of various sizes & not associated with hairloss. Have tendency to extend beyond scalp margins.
	Psoriatic Arthritis:
	5-6 % of psoriatics suffer from arthritis. Seronegative arthritis usually seen in chronic psoriasis. Distal interphalangeal joints are affected in classic psoriatic arthritis. But more commonly psoriatic arthritis involves a few large joints which may mimic rheumatoid arthritis.
	Nails Psoriasis :
	Can be seen in 30% cases. Subungual hyperkeratosis &separation of nail plate from nail bed are common manifestations of nail psoriasis.