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Misdiagnosis of Psoriasis

Misdiagnosis of Psoriasis

A diagnosis of the psoriasis begins with taking a thorough health history, including symptoms, and performing a physical exam.

A misdiagnosis is possible because the symptoms of the psoriasis can be similar to other diseases, such as dermatitis and fungal infections or allergic reactions of the skin....more about Psoriasis »

Alternative diagnoses list for Psoriasis:

For a diagnosis of Psoriasis, the following list of conditions have been mentioned in sources as possible alternative diagnoses to consider during the diagnostic process for Psoriasis:

Diseases for which Psoriasis may be an alternative diagnosis

The other diseases for which Psoriasis is listed as a possible alternative diagnosis in their lists include:

Psoriasis: Hidden Causes Misdiagnosed?

Causes of Psoriasis may include these medical conditions:

  • Genetic predisposition
  • Factors that may aggravate psoriasis include stress, excessive alcohol consumption, and smoking
  • Withdrawal of systemic steroids
  • Drugs, including salicylates, iodine, lithium, phenylbutazone, oxyphenbutazone, trazodone, penicillin, hydroxychloroquine, calcipotriol, interferon-alpha, and recombinant interferon-beta injection
  • Strong, irritating topicals, including tar, anthralin, steroids under occlusion, and zinc pyrithione in shampoo
  • Infections
  • more causes...»

Rare Types of Psoriasis:

Psoriasis: Medical Mistakes

Related medical mistakes may include:

Psoriasis: Undiagnosed Conditions

Commonly undiagnosed conditions in related areas may include:

Common Misdiagnoses and Psoriasis

Psoriasis often undiagnosed cause of skin symptoms in children: Children who suffer from the skin disorder called psoriasis can often go undiagnosed. The main problem is that psoriasis is rare in children, and not often seen by physicians for this reason. children may receive treatment for fungal skin infections. See misdiagnosis of psoriasis or symptoms of psoriasis.

Psoriatic arthritis often undiagnosed cause of joint conditions: Patients with the skin condition psoriasis can also have the related arthritis subtype called "psoriatic arthritis". This arthritic condition tends to be overlooked, even in patients with diagnosed psoriasis. See misdiagnosis of arthritis or psoriasis.

Chronic lung diseases hard to diagnose: Some of the chronic lung diseases are difficult to diagnose. Even the well-knowns conditions such as asthma or lung cancer often fail to be diagnosed early. Some of the chronic lung diseases with diagnostic difficulties include asthma (perhaps surprisingly), COPD, emphysema, chronic bronchitis, cystic fibrosis, mesothelioma, smoker's cough, AIDS-related respiratory conditions (see AIDS), chronic pneumonia, and other respiratory diseases. Rare possibilities include diseases like psittacosis (bird-related lung infection). See other types of chronic lung diseases.

Psoriasis: Rare Types

Rare types of medical disorders and diseases in related medical areas:

Failure To Diagnose Psoriasis

Failure to diagnose Psoriasis may be associated with the following:

  • Many people who suffer from psoriasis may have an undiagnosed subtype of the condition called psoriatic arthritis
  • The failure to diagnose and treat a serious form of psoriasis called generalized pustular psoriasis can result in death
  • Often patients and health professionals consider psoriasis as simply a skin disorder and hence it doesn't deserve much attention or investigation. More awareness is needed about the broader effects of the condition which can have systemic, mental health, and social implications
  • Failure to diagnose and treat psoriasis can lead to increasing discomfort and serious complications in some forms. For example, pustular psoriasis can often lead to system involvement such as hepatitis
  • Psoriatic arthritis can be misdiagnosed when the presentation mainly involves joint symptoms and there are few skin symptoms present
  • Patients may be hesitant about speaking to their doctor about psoriasis symptoms that occur in genital areas and thus it remains undiagnosed
  • Patients tend to ignore symptoms of psoriasis as benign and often don't seek a specific diagnosis or treatment as they believe it will resolve spontaneously. Even health professionals may simply dismiss skin symptoms caused by psoriasis
  • Irreversible joint damage can occur if psoriatic arthritis is not diagnosed and treated

Notes On Hidden Causes Of Psoriasis

The following may be hidden causes of Psoriasis:

  • Generalized pustular psoriasis may be triggered by an infection, use of medications such as lithium or systemic cortisone, pregnancy or cessation of steroid use. Infections implicated in triggering psoriasis include streptococcal infection, strep throat, tonsillitis, tooth abscess, impetigo and cellulitis. Low calcium levels may also trigger psoriasis
  • Smoking and alcohol may also increase the risk of triggering an episode of psoriasis
  • Some people may be genetically predisposed to developing psoriasis and it may be inherited
  • The majority of researchers believe that psoriasis occurs due to a malfunction of the immune system
  • Triggering factors for psoriasis includes: skin injury, strep infection, sunburn, stress and certain medications (anti-malaria drugs, beta-blockers and lithium)
  • Psoriasis may be triggered by winter weather where there is less sunlight and conversely, the increased sunlight associated with summer can improve psoriasis

Notes On Wrong Diagnosis Of Psoriasis

Wrong diagnosis of Psoriasis may be associated with the following:

  • Scalp psoriasis is often confused with seborrheic dermatitis
  • Inverse psoriasis can be misdiagnosed as intertrigo or a fungal infection
  • Psoriasis in infants may be misdiagnosed as nappy rash
  • Psoriatic arthritis may be misdiagnosed as rheumatoid arthritis
  • Psoriasis of the scalp is often misdiagnosed as dandruff

Complications Of Misdiagnosis Of Psoriasis

The following may be complications of misdiagnosis of Psoriasis:

  • The skin disorder associated with psoriasis is often misdiagnosed as a fungal infection - especially if it affects the nails.
  • White patches on the tongue, anal or genital areas due to psoriasis may be misdiagnosed as a fungal infection

Other Notes On Misdiagnosis Of Psoriasis

  • HIV can exacerbate psoriasis symptoms
  • Psoriasis may affect mucus membranes. For examples it may cause white patches in the tongue or anogenital areas
  • Some studies indicate that Crohn's patients are at greater risk of developing psoriasis
  • Psoriasis can cause Achilles tendinitis
  • Even though there is no cure it is important to diagnose and treat psoriasis as the condition can be manage and further episodes can be limited

General Misdiagnosis Articles

Read these general articles with an overview of misdiagnosis issues.

About misdiagnosis:

When checking for a misdiagnosis of Psoriasis or confirming a diagnosis of Psoriasis, it is useful to consider what other medical conditions might be possible misdiagnoses or other alternative conditions relevant to diagnosis. These alternate diagnoses of Psoriasis may already have been considered by your doctor or may need to be considered as possible alternative diagnoses or candidates for misdiagnosis of Psoriasis. For a general overview of misdiagnosis issues for all diseases, see Overview of Misdiagnosis.

 

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