Psoriasis vulgaris L40.00

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 07.01.2021

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Synonym(s)

Graecorum leprosy; Psoriasis

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

Classification
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Psoriasis vulgaris (subdivided by clinical activity) into:

Diagnosis
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The diagnosis "psoriasis vulgaris" is a purely clinical diagnosis. In this respect, the examiner and his clinical experience are of fundamental importance.

The clinical picture as well as the distribution pattern of the plaques (capillitium, distribution on the extensor side, isomorphism, infestation of elbow and knee), the characteristic lesional psoriasis phenomena including the typical nail fall are of decisive importance for the diagnosis.

Laboratory values are of no diagnostic significance.

If necessary, the diagnosis can be confirmed by histological examinations (note: histological examinations will only yield conclusive results if no antipsoriatic pre-treatment has influenced the clinical appearance). The detection of Munro's microabscesses is conclusive for the diagnosis of "psoriasis", but often cannot be carried out.

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: 07.01.2021