Term
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Definition
a chronic, noninfectious inflammatory disorder of the skin that affects both men and women
IN RESPONSE TO A TRIGGERING EVENT THE EPIDERMAL CELLS PROLIFERATE AT LEAST 7X AS FAST AS THEY SHOULD.
NEW CELL GROWTH IS FASTER THAN OLD CELLS CAN BE SHED
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Term
Psoriasis
The area around the lesion
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Definition
becomes red from the increased blood supply needed to nourish the rapidly developing skin cells.
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Term
| PSORIASIS IS DESCRIBED AS |
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Definition
Patches of reddened skin with well defined borders & silvery white scales CALLED plaques
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Term
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Definition
Bleed a tiny amount when a scale is removed.
THEY MAY OR MAY NOT ITCH.
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Term
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Definition
EXACERBATIONS & REMISSIONS OCCUR.
VARIES IN SEVERITY & DISTRIBUTION
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Term
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Definition
HAS A HEREDITARY COMPONENT BECAUSE MOST CLIENTS HAVE A FAMILY HISTORY.
USUALLY IF ONE IDENTICAL TWIN HAS IT SO WILL THE OTHER ONE
AN AUTOIMMUNE DISORDER.
THERE COULD ALSO BE AN ENVIRONMENTAL COMPONENT
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Term
Triggers & Risk Factors
PSORIASIS IS
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Definition
MORE PREVALENT IN LIGHT SKINNED RACES.
ENVIRONMENTAL FACTORS:THE SUN OR CHEMICALS, STRESS AND SKIN INJURIES
VACCINATIONS, MILD INFECTION, HORMONAL CHANGES, ETOH USE, SMOKING, AND OBESITY .
CERTAIN MEDICATIONS: LITHIUM, BETA-BLOCKERS, INDOCIN, AND ANTIMALARIAL DRUGS.
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Term
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Definition
LESIONS USU. SYMMETRICAL
USU. SITES KNEES, ELBOWS, SCALP, TRUNK, LUMBOSACRAL AREA
30% HAVE PITTED NAILS
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Term
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Definition
has no cure, GOAL IS Symptomatic treatment
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Term
Psoriasis
to control the scaling and itching |
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Definition
use of topical CREAMS & OINTMENTS, SUCH AS:
DOVONEX, which is A VITAMIN D DIRIVATIVE, THAT CONTROLS PROLIFERATION AND MAY HELP MILD TO MOD CASES.
OR STEROID CREAMS
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Term
Psoriasis
THE PLAQUES THEMSELVES MAY BE INJECTED... |
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Definition
WITH A STEROID, SUCH AS Kenacort.
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Term
Psoriasis
Oral Medications |
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Definition
RETINOIDS, SUCH AS TEGISON,
METHOTREXATE, efalizumab
ORAL STEROIDS
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Term
| RETINOIDS, SUCH AS TEGISON |
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Definition
THIS MEDICATION IS RELATED TO VITAMIN A.
IT MAY CAUSE EYE & LIP INFLAMMATION, BONE SPURS, HAIR LOSS, AND SEVERE BIRTH DEFECTS.
THESE MEDICATIONS ARE CONTRAINDICATED IN PREGNANCY & CHILDBEARING AGE FEMALE WHO ARE UNABLE OR UNWILLING TO COMPLY WITH STRICT CONTRACEPTIVE MEASURES.
THE CLIENT WILL NEED A PREGNANCY TEST BEFORE & THEN MONTHLY DURING THE TREATMENT.
THE CLIENT WILL NEED 2 METHODS OF BIRTH CONTROL IN ORDER TO PREVENT SEVERE BIRTH DEFECTS.
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Term
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Definition
USED FOR SEVERE DISABLING PSORIASIS. IT BLOCKS PROLIFERATION.IMMUNE SYSTEM SUPPRESSANTS AND CAN CAUSE SEVERE LIVER & KIDNEY DAMAGE, AS WELL AS INFECTIONS.
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Term
| efalizumab (Raptiva) & infliximab (Remicade) |
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Definition
ARE Humanized monoclonal antibodies THAT. Modify T-cell activity &, THUS DECREASE THE inflammation & hyperplasia OF THE EPIDERMIS.
THESE MEDICATIONS SUPPRESS THE IMMUNE SYSTEM AND ARE associated with anaphylaxis and serious infections.
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Term
Phototherapy
AND
psoriasis |
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Definition
used for severe, disabling psoriasis that does not respond to other methods of treatment. IT MAY BE COMBINED WITH COAL TAR TREATMENTS.
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Term
PUVA METHOD OF PHOTOTHERAPY
FOR
psoriasis
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Definition
USES PSORALEN MEDICATIONS ALONG WITH ULTRAVIOLET A LIGHT.LIGHT SENSITIZING MEDICATIONS, SUCH AS methoxsalen OR Oxsoralen-Ultra.
THESE MEDICATIONS COMBINED WITH THE ULTRAVIOLET A LIGHT SUPPRESS CELL GROWTH.
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