Friday, July 25, 2014

Psoriasis Differential Diagnosis

 scalp psoriasis specialist dr.sendhil kumar chennai 9786901830

Differential Diagnosis

Guttate psoriasis may be confused with:
¬  Discoid dermatitis (more itch, vesicles, dry rather than plate-scale)
¬  Tinea corporis (elevated border, slowly extending edge, positive mycology)
¬  Pityriasis rosea (herald patch, fir-tree distribution of oval plaques, trailing scale)

Erythrodermic psoriasis may be confused with:
¬  Erythrodermic atopic dermatitis (intense pruritus, exudative )
¬  Drug eruption (due to drug commenced within prior 8 weeks)
¬  Pityriasis rubra pilaris (cephalo-caudal spread, follicular prominence)

Generalised pustular psoriasis may be confused with:
¬  Acute generalised exanthematic pustulosis (drug eruption that rapidly settles with withdrawal of drug, also known as ‘AGEP’ and more common in those with known psoriasis)
¬  Bacteraemia and bacterid: cutaneous pustules arising during gram positive and gram negative septicaemia
¬  Infected generalised atopic and/or seborrheic dermatitis
¬  Pityriasis rubra pilaris
¬  Reiter syndrome
¬  Folliculitis


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