Skin Disorders

Urticaria

Urticaria  is caused by localised dermal oedema secondary to a temporary increase in capillary permeability. If oedema involves subcutaneous or submucosal layers, the term angioedema is used. Acute urticaria may be associated with angioedema of the lips, face, tongue, throat and, rarely, wheezing, abdominal pain, headaches and even anaphylaxis .

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Psoriasis

Psoriasis is a chronic inflammatory, hyperproliferative skin disease. It is characterised by well-defined, erythematous scaly plaques, particularly affecting extensor surfaces and scalp, and usually follows a relapsing and remitting course.

Exacerbating factors in psoriasis

Trauma

  • Psoriatic lesions can appear at sites of skin trauma, such as scratches or surgical wounds (Köbner isomorphic phenomenon)

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ECZEMA

The terms ‘eczema’ and ‘dermatitis’ are synonymous. Eczema can be acute or chronic and there are several causes. Acutely, epidermal oedema  and intra-epidermal vesiculation  predominate, whereas with chronicity there is more epidermal thickening . Vasodilatation and T-cell lymphocytic infiltration of the upper dermis also occur.

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Acne Vulgaris

Acne is chronic inflammation of the pilosebaceous units. The condition is extremely common; it generally starts after puberty and there are reports of it affecting over 90% of adolescents. It is usually most severe in the late teenage years but can persist into the thirties and forties.

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Itch

Itch is an unpleasant sensation that leads to scratching or rubbing. The terms ‘itch’ and ‘pruritus’ are synonymous; however, ‘pruritus’ is often used when itch is generalised. Itch can arise from primary cutaneous disease or from systemic disease, which may cause itch by central or peripheral mechanisms.

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