The Auspitz sign—pinpoint bleeding when outer scales are removed from psoriatic plaques—is a classic finding in psoriasis, along with several more or less. Synonyms: Auspitz sign, “Phänomen des blutigen Taus” (“phenomenon of bloody dew”). Definition of the phenomenon: The Auspitz phenomenon is the. This page includes the following topics and synonyms: Auspitz Sign.
|Published (Last):||21 October 2014|
|PDF File Size:||2.24 Mb|
|ePub File Size:||15.71 Mb|
|Price:||Free* [*Free Regsitration Required]|
Clearly demarcatederythematous plaques with silvery scalingpruritus. Avoidance of nicotine and alcohol Regular physical activity. Differential diagnosis of scaling Lesion Distribution Psoriasis Clearly demarcatederythematous plaques with silvery scalingpruritus Scalp Extensor surfaces of joints kneeselbows Back Atopic dermatitis Poorly demarcatedeczemawhite scales, severe xerosis and pruritus Extensor surfaces of extremities e.
Auspitz’s sign – Wikipedia
Increased risk of other comorbidities Metabolic syndrome Cardiovascular diseases hypertensioncoronary heart diseasemyocardial infarctionstroke Chronic kidney disease References: The typical lesions are sharply demarcated, erythematoussogn, pruritic plaqueswhich occur most often on the extensor surfaces of the knees and elbowsbut may also affect the scalp and back.
Other common clinical findings include involvement of the nails e.
Cutaneous variants Plaque psoriasis: The selection is not exhaustive. Disseminated, plaques with orange-pink scaleshyperkeratosiserythroderma.
Auspitz sign is not sensitive or specific for psoriasis.
The mechanism causing the immune response is not yet well understood. The disease manifests following exposure to various triggers e. Poorly demarcatedeczemawhite scales, severe xerosis and pruritus. Scalp Extensor surfaces of joints sinelbows Back. Liver and lung toxicity. If first-degree relatives of patients with psoriasis have joint problems, psoriatic arthritis should be considered! Psoriasis is associated with depression and a decreased quality of life. Physical stimuli or skin injury e.
Increased proliferatio n of keratinocytes Acanthosis: Clearly demarcated, erythematous plaquesgreasy-looking yellow scales. Erythemascaling 2—6 days following onset, lesions of underlying diseasepruritus.
Extensor surfaces of extremities e. Lifelong diseaseusually benign Patients may experience remissions of varying lengths; acute episodes of exacerbation possible. Rarely correlated with HLA. Prepare and succeed on your medical exams. Laboratory tests In case of psoriatic arthritis: Ultraviolet light is effective in sugn dermatological conditions, as it has antiproliferative effects slowing keratinization and anti-inflammatory effects auspirz apoptosis of pathogenic T cells on the skin.
Long term use Increased risk of skin cancer Premature aging of the skin. Clinical science Psoriasis is a common ausppitz inflammatory skin disorder affecting individuals with an underlying genetic predisposition. Find hundreds of Learning Cards covering all clinical subjects Practice answering thousands of USMLE-formatted multiple choice questions in the Qbank Explore concepts in depth with interactive images, videos and charts Fill knowledge gaps with the help of supportive features and an analysis of your progress.
Topical medication as combination therapy Add systemic agents as needed methotrexateretinoidcyclosporine Phototherapy. Medical therapy Mild to moderate psoriasis Moderate to severe psoriasis Severe psoriasis First-line: Topical treatment Adverse effects Topical steroids Skin atrophy with chronic use Risk: Skin atrophy with chronic use Risk: Typically palms and soles Islands of unaffected skin sparing Follicular keratosis.
Psoriasis is a common chronic inflammatory skin disorder affecting individuals with an underlying genetic predisposition.
Mild psoriasis is treated with topical agents such as steroids, whereas moderate to severe disease requires systemic therapy e.