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inverse psoriasis
Clinical manfestations:
- thin, erythematous plaques
- variable epidermal scales
- distributed in body folds*
- axilla
- under the breasts or pannus
- intergluteal clefts
- perineum
- broad areas of erythema, confluent through skin folds [1]
* distinguished from extensor surfaces in psoriasis vulgaris
Differential diagnosis:
- striae distensae (adverse effect of potent glucocorticoids)
Management:
- use less potent topical glucocorticoids first [3]
General
psoriasis
References
- Medical Knowledge Self Assessment Program (MKSAP) 17, 18.
American College of Physicians, Philadelphia 2015, 2018
- Omland SH, Gniadecki R.
Psoriasis inversa: A separate identity or a variant of psoriasis
vulgaris?
Clin Dermatol. 2015 Jul-Aug;33(4):456-61. Review.
PMID: 26051061
- Geriatric Review Syllabus, 11th edition (GRS11)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2022