Psoriasis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2] Kiran Singh, M.D. [3]

Overview

Common physical examination findings of psoraisis include erythematous, scaling papules and plaques. erythematous, scaling papules and plaques.

A diagnosis of psoriasis is usually based on the appearance of the skin. There are no special blood tests or diagnostic procedures for psoriasis. Sometimes a skin biopsy, or scraping, may be needed to rule out other disorders and to confirm the diagnosis. Skin from a biopsy will show clubbed rete pegs if positive for psoriasis.

Psoriasis is a papulosquamous disease with variable morphology, distribution, severity, and course.
It is characterized by scaling papules and plaques.

UploadedImage-01.jpg Description (Adapted from Dermatology Atlas)

UploadedImage-02.jpg Description (Adapted from Dermatology Atlas)

Scalp psoriasis may cause raised, reddish, often scaly patches.
Ophthalmoscopic exam in psoriasis may show uveitis, more frequently in patients with arthropathy or pustular psoriasis.^[2]
Sensorineural hearing loss associated with psoriatic arthritis.
Rinne test may be negative (abnormal).
Weber test may show a quieter sound in the ear with the sensorineuronal hearing loss.

The risk of arterial and venous vascular diseases (eg, myocardial infarction, thrombophlebitis, pulmonary embolization) is higher in sever psoriasis involving multiple areas of the body.^[4]
There may be a chance of getting high output cardiac failure to to erytheroderma.^[4]

===Abdomen===.

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↑ Fraga NA, Oliveira Mde F, Follador I, Rocha Bde O, Rêgo VR (2012). "Psoriasis and uveitis: a literature review". An Bras Dermatol. 87 (6): 877–83. PMC 3699904. PMID 23197207.
↑ Dreiher J, Weitzman D, Shapiro J, Davidovici B, Cohen AD (2008). "Psoriasis and chronic obstructive pulmonary disease: a case-control study". Br. J. Dermatol. 159 (4): 956–60. doi:10.1111/j.1365-2133.2008.08749.x. PMID 18637897.
↑ ^4.0 ^4.1 Kremers HM, McEvoy MT, Dann FJ, Gabriel SE (2007). "Heart disease in psoriasis". J. Am. Acad. Dermatol. 57 (2): 347–54. doi:10.1016/j.jaad.2007.02.007. PMID 17433490.