Chronic multifactorial autoimmune dermatitis

> Type II diabetes, Obesity, Depression, Metabolic syndrome.

> Genetics
> Smoking > Medication Use: Lithium, Antimalarial drugs, beta-blockers, ACE inhibitors.

Keratinocyte injury
Increased antigen presentation

CD311c, CD3 T-cells, & dendritic cells enter the skin

Increased Proinflammatory cytokines (interlukin– 7

& Tumor Necrosis Factor)

Keratinocyte Proliferation (3-5 days)

Epidermis Infiltration

Mild corticosteroid
Immunosuppressants NSAIDS Antibiotics
Erythema Chronic Pain Lesions Irritation ointments
(Cyclosporine) (Ibuprofen) (Amoxicillin) (Hydrocortisone)

> Headache Impaired Comfort > Nausea > Back, Leg, Stomach Impaired skin integrity > Stinging
> High Blood Pressure > Vomiting pain Risk for infection > Burning
> Decreased kidney > Diarrhea > Skin Loosening > Irritation
function > Dizziness > Bloating > Redness
> Apply ice packs or heat therapy if not
> Skin Sensitivity > Black Stool
contraindicated. > Teach patient not to scratch affected area
> Administer Pain Medication, as ordered > Use warm water to wash and apply emollients as indicated
> Apply emollients, as indicated > Provide high calorie and protein diet

Risk for disturbed Body > Exhibit positive caring in routine activities
> Administer maximally concentrated IV Excess Fluid Volume Swelling Flaky silvery skin
Image > Encourage family interaction
fluid ,as indicated
> Limit Fluid intake > Discuss about the normalcy of body image
> Place the patient in a Semi-Fowler’s disturbance
Position Keratolytic Agents Stronger corticosteroid
(Salicylic acid gel) ointments
(Triamcinolone)

> Peeling
> Burning > Rapid skin hair growth
> Redness > Acne
> Dryness > Itching
> Bumps on skin

LEGEND:
> Skin Assessment > Surgical denervation
ETIOLOGY DISEASE > Skin biopsy
PSORIASIS
> Surgical excision
DISEASE PROCESS DIAGNOSTIC TOOLS
PRECIPITATING FACTOR COMPLICATION/S
SIDE EFFECT/S MEDICAL MANAGEMENT > Eye conditions > Tropical therapy
> Cardiovascular disease > Systemic medication
SIGNS AND SYMPTOMS PREDISPOSING FACTOR > Autoimmune disease > Light therapy
> Mental Health Condition > Diet modification
MEDICATION NURSING INTERVENTION
NURSING DIAGNOSIS SURGICAL MANAGEMENT