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exact cause unknown defect of the skin that impairs its function as a barrier, combined with an abnormal function of the immune system, are believed to be important factors. Some forms of eczema can be triggered by substances that come in contact with the skin, such as soaps, cosmetics, clothing, detergents, jewelry(contact dermatitis) common in infants often have a family history of the condition or allergic conditions as asthmaor hay fever.(atopy Itching Dry reddened skin Blisters/oozing Adults/children- insides of the elbows, knees, and ankles. In infants - face Steroids –local Antihistamines for itching Psoriasis A chronic inflammatory skin disease characterized by dry pink scaling round patches. Cause unknown Genatic and env Disorganized Neutrophil accumulation Immaturity Proliferation Erythematous, raised patches with silvery scales Symmetric Pruritic/ Painful Pitting Nails Arthritis in 10-20% of patients Sites-extensor surfaces of knee/elbow Chronic plaque psoriasis Erythrodermic Guttae psoriasis Nail pitting pustular 15 16 Nail changes 17 Guttate Psoriasis 18 19 Difficult to cure Moisturizers Corticosteroids Tar/ vitamin D 3 Drugs for itchinh Adolecence Emotional stress Androgens Family history Plugging of the hair follicle w/ abnormally keratinized cells Androgen-induced sebaceous gland hyperactivity Proliferation of bacteria Inflammation Local applications Antibiotics Oral drugs 26 27 Mostly by an allergic reaction Acute urticaria can be treated with antihistamones