EVENT: Chronic Pain Debate at the Scottish Parliament

debate will be Wed, afternoon. There is a chance to hear MSPs from all Parties raise as many chronic pain issues as possible. This is a Government debate, arranged by the cabinet secretary for health, Mr. Alex Neil, who will outline the actions he proposes to take and the Opposition debaters likely to be led by Jackie Baillie MSP.

This is a unique opportunity to come and hear such a debate as this will be the biggest debate on chronic pain ever in the Scottish Parliament. This time there will also be a vote at 5pm.

Tickets are available via The Scottish Parliament’s website. We have been informed that it is best you hit the section “both afternoon time slots” rather than 2 – 4 or 4 – 6 pm. People can still leave the gallery when they choose. The Parliament just needs to see names and numbers for security purposes.

Everyone who is interested in  chronic pain can attend , you do not need to be a member of the CPG.

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SIGN Guideline 121 – Diagnosis and management of psoriasis and psoriatic arthritis in adults

This guideline from the Scottish Intercollegiate Guidelines Network (SIGN) is the first of its kind internationally to draw together the best available evidence on diagnosing and treating psoriasis and psoriatic arthritis, recognising the need to see the relationship between both conditions and treat them in a co-ordinated fashion.

Key recommendations contained within the guideline include the following:
1. Patients should have an annual review with their GP
2. Patients should have access to appropriate multidisciplinary care
3. Assessment of patients should include psychosocial measures, with referral to psychological services as appropriate
4. Active involvement of patients in managing their care should be encouraged.

A Quick Guide and Patient Booklet are available to download from the SIGN website. We can also send you copies – send a large SAE with 3 large first class stamps to PSALV, 54 Bellevue Road, Edinburgh, Midlothian,EH7 4DE.

Information leaflets are also freely available from PSALV on the following topics. You may download these (text in blue), or again send an SAE with 3 large first class stamps, indicating which factsheet/s you would like – please allow up to 14 days for these to be sent. If you plan to use the information in a publication we would ask you to quote the source and acknowledge the author to ensure copyright legislation is adhered to.

  • Psoriatic arthritis
  • Psoriasis-mild or severe
  • Skin camouflage therapy
  • PSALV leaflet
  • BAD leaflets(British Assoc of Dermatologists)
    Psoriasis – an overview
    Psoriasis – topical treatments
    Psoriasis – treatment for moderate or severe psoriasis
  • Overview of psoriasis
  • Moderate and severe psoriasis
  • Psoriatic arthritis
  • Info on Psoriatic Arthritis medications
  • Nail psoriasis
  • Scalp psoriasis
  • Phototherapy
  • Arthritis UK leaflets
    Psoriastic Arthritis
Please don’t hesitate to contact us if you require more information on anything you’ve read here. Our thanks go to Dr Girish Gupta, Consultant Dermatologist at Monklands Hospital, Lanarkshire for his invaluable help in writing the information on this page (June 2015).
Disclaimer: the information on this page is not a substitute for medical advice.
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What are Psoriasis and Psoriatic Arthritis?
Psoriasis is a common skin disorder affecting 2% of the population. It occurs equally in men and women, at any age. The condition is not infectious, and is sometimes itchy. Psoriasis does not scar the skin.

Types of Psoriasis
There are several different types of psoriasis, all of which have different characteristics. Someone with psoriasis will usually only have one type of psoriasis at any time, although when that clears it can act as a trigger leading to another type appearing.

Thick, red patches of skin are covered by flaky, silver-white scales. This is the most common type of psoriasis, and although it can affect any part of the body it is usually seen on the elbows, knees and scalp. The plaques can be itchy and/or sore, and can split and bleed.

Small, pink-red, scaly teardrop-shaped spots affect the arms, legs, and middle of the body. It is an uncommon form of psoriasis which develops suddenly, usually after an infection (in particular a streptococcal throat infection) and affects children and young adults. It usually disappears completely, although some people do then go onto develop plaque psoriasis.

Inverse (flexural)
This appears as a tender red rash in the folds of the skin such as the armpits, buttocks and groin. It can be extremely painful and causes intense itching, both of which are made worse by perspiration and friction which occurs in these areas.

Scalp Psoriasis
This can affect part or all of the scalp, and causes thick red patches of skin which are covered by silver-white scales like plaque psoriasis. It can cause extreme itching in some cases and hair loss in some extreme cases, although this is usually only temporary.

Nail Psoriasis
This form of psoriasis causes nails to develop small dents or pits, become discoloured and grow abnormally. The nails can become loose and separate from the nail bed, and may crumble in severe cases.

This involves all or nearly all (at least 90%) of the skin’s surface, with fine, flaky scales of skin which shed in sheets. There is usually pain and itching which can be severe, and the patient is normally very unwell with an increased heart rate and erratic body temperature. This is a very serious condition which requires urgent medical attention.

This is a very severe form of psoriasis, with non infectious pus filled blisters surrounded by reddened, irritated skin. There are 3 types of pustular psoriasis which affect different parts of the body

Von Zumbusch or generalised pustular psoriasis – non-toxic pustules appear over a large area of the body which then peel off within a couple of days, leaving smooth, shiny skin. They can reappear every few days or weeks, often accompanied by fever and chills, weight loss and fatigue.

Palmoplantar pustular psoriasis – pustules to appear on the palms and soles, and gradually develop into round brown scaly spots which peel off. Pustules may reappear every few days or weeks as with generalised pustular psoriasis.

Acropustulosis – pustules appear on the fingers and toes which then burst, leaving bright red areas that may ooze pus or become scaly. These may lead to painful nail deformities.

What is Psoriatic Arthritis?
Psoriatic arthritis is inflammation in and around the joints in people who also have psoriasis. It also affects connective tissue, and is very variable.




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