Clinical Update: Psoriasis

Psoriasis is a chronic, inflammatory autoimmune skin disease. In psoriasis, an overproduction of CD4 helper T cells leads to rapid keratinocyte proliferation. Skin cells pile up on the surface and the characteristic psoriatic lesions, or plaques, result. These plaques are generally red and circular, with a patchy appearance, and covered with thick silver scales. They are often itchy and can be painful. A diagnosis of psoriasis is made based on patient history, appearance of lesions, and microscopic evaluation of the plaque cells.

Treatments for psoriasis are targeted toward reducing symptoms and improving quality of life. Keratolytic medications, corticosteroids, emollients, shampoos, lotions, coal tar preparations, Vitamin A derivatives, antihistamines, baths with colloidal oatmeal products, moisturizers, systemic corticosteroids and other immunosuppressants, and disease-modifying antirheumatic drugs (DMARDs) are among the list of available psoriasis treatments. Ultraviolet phototherapy is often an effective nonpharmacologic treatment for psoriasis. Patients with severe psoriasis who develop psoriatic arthritis may also benefit from physical therapy and rehabilitation; joint replacement therapy may be indicated in some cases.
*Access to CE articles is through Lippincott NursingCenter.com. To return to the Skin Care Network from NursingCenter, click the Skin Care Network link under the Clinical Resources navigation button.

This Just In

From Our Journals

 A Case of Verrucous Psoriasis
Journal of the Dermatology Nurses' Association, July/August 2017

 Psoriasis & psoriatic therapies
The Nurse Practitioner, July 2017

 New Injectable Drug Treats Moderate-To-Severe Plaque Psoriasis
AJN, American Journal of Nursing, June 2017

 An Assessment of the Continuing Education Needs of Nurse Practitioners Who Manage Patients With Psoriasis
Journal of the Dermatology Nurses' Association, May/June 2017

 The Psychosocial, Economic, and Occupational Impacts of Psoriasis: A Review
Journal of the Dermatology Nurses' Association, March/April 2017

 Cyclosporine in the Treatment of Psoriasis
Journal of the Dermatology Nurses' Association, March/April 2017

 Psoriasis Management: Quality, Cost, and Coordination
Journal of the Dermatology Nurses' Association, January/February 2017

 Mechanistic Insights Into Today’s (and Tomorrow’s) Treatments for Moderate-to-Severe Psoriasis
Journal of the Dermatology Nurses' Association, February 2016

 Providing Guidance for Patients With Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy: Role of the Nurse Practitioner and Physician Assistant
Journal of the Dermatology Nurses' Association, February 2016

 Psoriasis
Journal of the Dermatology Nurses' Association, May/June 2015

 Management of patients with psoriatic arthritis
The Nurse Practitioner, April 2015 

 Psoriasis: An overview and update
The Nurse Practitioner, March 2015 

 Knowledge Is (P)so Powerful
Journal of the Dermatology Nurses' Association, November/October 2014

 Measuring Psoriasis Severity: Why Does it Matter?
Journal of the Dermatology Nurses' Association, September/October 2014

 Resources for Psoriasis
Nursing2014, September 2014

 Biologic Agents for Moderate-to-Severe Plaque Psoriasis: Mechanisms of Action and Treatment Considerations 
Journal of the Dermatology Nurses' Association, July/August 2014

 Research Evidence for Reducing Cardiovascular Risk With Biologic Therapies in Patients Who Have Psoriasis
Journal of the Dermatology Nurses' Association, May/June 2014
 
 

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

 
DNA.jpg      ispan.png
Nursing Jobs Plus
Featured Nursing Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events