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InnovAiT 2008 1(7):481-486; doi:10.1093/innovait/inn089
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 Skin Problems (2). Volume 1, Issue 7....
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© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org

Psoriasis

Dr Keith Chiu

Foundation Year 2 Doctor, West Midlands Deanery

Dr Sneha Devlukia

GP Registrar, West Midlands VTS Training Scheme

Dr Saleh Issa

GP Registrar, West Midlands VTS Training Scheme

Dr Rodger C. Charlton

General Practitioner and Associate Clinical Professor, Warwick Medical School and Honorary Editor, RCGP Publications

Email: k.chiu{at}doctors.org.uk


  Abstract

Psoriasis (derived from the Greek word psora meaning to itch) is a common immune-mediated papulosquamous skin disease. First recognized as an independent condition by English dermatologist Robert Willan in 1798, the term is now used to include a variety of clinical appearances with different morphology, distribution, severity and course. Although common, the pathogenesis of psoriasis is not well understood and involves a multitude of genetic and environmental factors. Management of psoriasis includes controlling the extent and severity of disease and its complications, improving the patient's quality of life while minimizing potentially toxic side effects of treatments. This review aims to provide an overview of this complex condition, from its presentation, diagnosis, management in primary care and the referral criteria to secondary care.


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