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Psoriasis: Clinical Review and Update

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Advances in Psoriasis

Abstract

Several types of psoriasis have been classified based upon a combination of morphology, distribution, and pattern. Plaque psoriasis is the most common and well-recognized form of psoriasis, also known as psoriasis vulgaris. It affects more than 80 % of patients. Guttate psoriasis is common in children and young adults with a family history of psoriasis and follows streptococcal infection of the upper respiratory tract or acute stressful life events. Characteristic acute generalized small, usually less than 1 cm in diameter, erythematous scaly papules develop over the whole body surface. The pustular variants of psoriasis can be divided into generalized and localized forms. Erythrodermic psoriasis is an acute, severe form of psoriasis characterized by generalized inflamed erythema and widespread scaling which affects more than 90 % of the body surface area. Additionally, psoriasis commonly presents at specific locations such as the scalp, nails, and body folds.

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References

  1. Griffiths CE, Christophers E, Barker JN, et al. A classification of psoriasis vulgaris according to phenotype. Br J Dermatol. 2007;156:258–62.

    Article  CAS  PubMed  Google Scholar 

  2. Lebwohl M. Psoriasis. Lancet. 2003;361:1197–204.

    Article  PubMed  Google Scholar 

  3. Van de Kerkhof PCM. Clinical features. In: Van de Kerkhof PCM, editor. Psoriasis. 2nd ed. Oxford, UK: Blackwell Publishing Ltd; 2003. p. 3–30.

    Google Scholar 

  4. Meier M, Sheth PB. Clinical spectrum and severity of psoriasis. Curr Probl Dermatol. 2009;38:1–20.

    Article  PubMed  Google Scholar 

  5. Eddy DD, Aschheim E, Farber EM. Experimental analysis of isomorphic (Koebner) response in psoriasis. Arch Dermatol. 1964;89:579–88.

    Article  CAS  PubMed  Google Scholar 

  6. Naldi L, Gambini D. The clinical spectrum of psoriasis. Clin Dermatol. 2007;25:510–8.

    Article  PubMed  Google Scholar 

  7. Naldi L, Peli L, Parazzini F, Carrel CF, Psoriasis Study Group of the Italian Grouo for Epidemiological Research in Dermatology. Family history of psoriasis, stressful life events, and recent infectious disease are risk factors for a first episode of acute guttate psoriasis: results of a case-control study. J Am Acad Dermatol. 2001;44:433–8.

    Article  CAS  PubMed  Google Scholar 

  8. Martin BA, Chalmers RJ, Telfer NR. How great is the risk of further psoriasis following a single episode of acute guttate psoriasis? Arch Dermatol. 1996;132:717–8.

    Article  CAS  PubMed  Google Scholar 

  9. Asumalahti K, Ameen M, Suomela S, et al. Genetic analysis of PSORS1 distinguishes guttate psoriasis and palmplantar pustulosis. J Invest Dermatol. 2003;120:627–32.

    Article  CAS  PubMed  Google Scholar 

  10. Owen CM, Chalmers RJ, O’Sullivan T, Griffiths CE. A systematic review of antistreptococcal interventions for guttate and chronic plaque psoriasis. Br J Dermatol. 2001;145(6):886–90.

    Article  CAS  PubMed  Google Scholar 

  11. Camisa C. The clinical variants of psoriasis. In: Camisa C, editor. Handbook of psoriasis. 2nd ed. Oxford, UK: Blackwell Publishing Ltd; 2004. p. 7–36.

    Google Scholar 

  12. Viguier M, Allez M, Zagdanski AM, et al. High frequency of cholestasis in generalized pustular psoriasis. Evidence for neutrophilic involvement of the biliary tract. Hepatology. 2004;40:452–8.

    Article  PubMed  Google Scholar 

  13. Aslanian FM, Lisboa FF, Iwamoto A, Carneirot SC. Clinical and epidemiological evaluation of psoriasis: clinical variants and articular manifestations. J Eur Acad Dermatol Venereol. 2005;19:141–2.

    Article  CAS  PubMed  Google Scholar 

  14. Oumeish OY, Parish LJ. Impetigo herpetiformis. Clin Dermatol. 2006;24:101–4.

    Article  PubMed  Google Scholar 

  15. Chaidemenos G, Lefaki I, Tsakiri A, Mourellou O. Impetigo herpetiformis: menstrual exacerbations for 7 years postpartum. J Eur Acad Dermatol Venereol. 2005;19:466–9.

    Article  CAS  PubMed  Google Scholar 

  16. Asumalahti K, Ameen M, Barker JW, et al. Genetic analysis of PSORS1 distinguishes guttate psoriasis and palmoplantar pustulosis. J Invest Dermatol. 2003;120:627–32.

    Article  CAS  PubMed  Google Scholar 

  17. Boyd AS, Menter A. Erythrodermic psoriasis: precipitating factors, course, and prognosis in 50 patients. J Am Acad Dermatol. 1989;21(part 1):985–91.

    Article  CAS  PubMed  Google Scholar 

  18. Ayala F. Clinical presentation of psoriasis. Reumatismo. 2007;59 Suppl 1:40–5.

    PubMed  Google Scholar 

  19. van de Kerkhof PCM, Chang A. Scarring alopecia and psoriasis. Br J Dermatol. 1992;126:524–5.

    Article  PubMed  Google Scholar 

  20. Salomon J, Szepietowski JC, Proniewicz A. Psoriatic nails: a prospective clinical study. J Cutan Med Surg. 2003;7:317–21.

    Article  PubMed  Google Scholar 

  21. Larko O. Problem sites: scalp, palm and sole, and nails. Dermatol Clin. 1995;13:771–3.

    CAS  PubMed  Google Scholar 

  22. Wilson FC, Icen M, Crowson CS, McEvoy MT, Gabriel SE, Kremers HM. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum. 2009;61:233–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Wang G, Li C, Cao T, Liu Y. Clinical analysis of 48 cases of inverse psoriasis: a hospital-based study. Eur J Dermatol. 2005;15:176–8.

    PubMed  Google Scholar 

  24. Zhu JF, Kaminski MJ, Pulitzer DR, Hu J, Thomas HF. Psoriasis: pathophysiology and oral manifestations. Oral Dis. 1996;2:135–44.

    Article  CAS  PubMed  Google Scholar 

  25. Suong J, Lenwohl M. Psoriasis – clinical presentation. In: Gordon KB, Ruderman EM, editors. Psoriasis and psoriatic arthritis. An integrated approach. Berlin/Heidelberg/New York: Springer; 2004. p. 67–72.

    Google Scholar 

  26. Lisi P. Differential diagnosis of psoriasis. Reumatismo. 2007;59 Suppl 1:56–60.

    PubMed  Google Scholar 

  27. Schoen MP, Henning-Boehncke W. Psoriasis. N Engl J Med. 2005;352:1899–912.

    Article  Google Scholar 

  28. Christensen TE, Callis KP, Papenfuss J, et al. Observations of psoriasis in the absence of therapeutic intervention identifies two unappreciated morphologic variants, thin-plaque and thick-plaque psoriasis, and their associated phenotypes. J Invest Dermatol. 2006;126:2397–403.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Ivan Grozdev MD, PhD .

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Grozdev, I., Korman, N.J. (2014). Psoriasis: Clinical Review and Update. In: Weinberg, J., Lebwohl, M. (eds) Advances in Psoriasis. Springer, London. https://doi.org/10.1007/978-1-4471-4432-8_3

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  • DOI: https://doi.org/10.1007/978-1-4471-4432-8_3

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  • Publisher Name: Springer, London

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  • Online ISBN: 978-1-4471-4432-8

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