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Psoriasis: changing clinical patterns
1Department of Dermatology, St Vincent's Hospital, Melbourne, Victoria, Australia.
The Australasian Journal of Dermatology
|May 1, 1996
Summary
Psoriasis, a long-recognized skin condition, continues to evolve with new patterns and associations. Environmental factors and medical treatments significantly influence its presentation and severity.
Area of Science:
- Dermatology
- Immunology
Background:
- Psoriasis is a chronic inflammatory skin disease with a long history.
- Recent decades have seen the emergence of new clinical patterns and recognized associations.
Purpose of the Study:
- To review novel presentations and influencing factors of psoriasis in the 20th century.
- To highlight recent associations and environmental/medical impacts on psoriasis.
Main Methods:
- Literature review of described psoriasis forms and associations.
- Analysis of environmental and iatrogenic factors affecting psoriasis.
Main Results:
- New forms include rupioid, erythema annulare centrifugum-like, and follicular patterns.
- Recent associations include vitiligo, bullous pemphigoid, and lupus erythematosus.
- Endoscopic surgery and certain infections/drugs can exacerbate psoriasis; sun exposure campaigns may reduce it.
Conclusions:
- Psoriasis remains a dynamic condition with evolving clinical characteristics.
- Environmental and iatrogenic factors play a crucial role in psoriasis management and presentation.