Psoriasis is a chronic inflammatory skin disease
Characterized by red, scaly plaques
Affects skin, nails and sometimes joints
Driven by immune dysregulation TNF α, IL 17 pathways)
Requires long-term, individualized management
Plaque: Thick, scaly
Guttate: Small, drop-shaped
Pustular: Pustule-filled
Inverse: Fold areas
Erythrodermic: Widespread redness
Topical: Corticosteroids, vitamin D analogues, calcineurin inhibitors.
Phototherapy: UV B or PUVA.
Systemic: Methotrexate, cyclosporine, acitretin.
Biologics: Anti-TNF, IL 17, IL 23 inhibitors.