Psoriasis vulgaris L40.00

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Graecorum leprosy; Psoriasis

Definition
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Psoriasis vulgaris" generally refers to the plaque or nummular type of psoriasis.

Classification
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  • Psoriasis vulgaris (subdivision according to clinical activity) in:
    • stationary plaque psoriasis
    • relapsing plaque psoriasis

Diagnosis
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  • The diagnosis "psoriasis vulgaris" is a purely clinical diagnosis. In this respect, the investigator and his clinical experience is of fundamental importance.
  • The clinical picture as well as the distribution pattern of the plaques (capillitium, stretching distribution, isomorphism, infestation of elbow and knee), the characteristic lesional psoriasis phenomena including the typical nail fall are decisive for the diagnosis.
  • Laboratory values are without diagnostic significance.
  • If necessary, histological examinations may confirm the diagnosis (Note: a histological examination will only provide groundbreaking results if no antipsoriatic pretreatment had influenced the clinical appearance). The detection of Munro microabscesses is groundbreaking for the diagnosis "psoriasis", but often cannot be performed.

General therapy
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Tables
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Dithranol long-term therapy

Time

DT

GK

CP

UVB

Brine

8-10 o'clock

X

X

10 o'clock

X

4 p.m.

X


Dithranol rotation therapy

Time

DT

GK

CP

UVB

Brine

8-10 o'clock

X

X

10 o'clock

X

4 p.m.

X

(X)


Dithranol short-term therapy

Dithranol concentration

Phase I

phase II

0,5%

10 min. 3-4 days

20 minutes 3-4 days

1,0%

10 min. 3-4 days

20 minutes 3-4 days

2,0%

10 min. 3-4 days

20 minutes 3-4 days

3,0%

10 min. 3-4 days

20 minutes 3-4 days

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020