Friday, October 4, 2019

PSORIASIS: Types, Diagnosis, And Treatment

Is Dove soap good for psoriasis treatment?
If you are suffering from psoriasis, then you must not use deodorant soaps. Because deodorant soaps are harsh soaps. Zest, Camay, or Lava come from this category of soaps.

You must avoid such lotions that contain alcohol as ingredient as it can worsen your psoriasis conditions.

There are various mild soaps available in the market, which are best for psoriasis such as Basis, Neutrogena or Dove.

(2) Can Vicks help psoriasis?
Vics VapoRub is composed of camphor, menthol, eucalyptus oil in a petroleum jelly base. Some patients believe that Vicks help soothe their disease condition when vicks is applied to their psoriasis.

(3) Do probiotics help treat psoriasis?
The role of probiotics to treat psoriasis has not been studied much. It is unclear whether it affects rightly, yet in some patients they show nice results. Certain probiotics reduce inflammation or may even prevent chronic skin inflammation. Lactobacillus salivarius LA307 is believed to decrease the inflammatory effects of psoriasis.

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Current Article:            PSORIASIS: Types, Diagnosis, And Treatment
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(4) Can Benadryl help in treating psoriasis?
You must consult your dermatologist in this regard. You must take cool short showers as frequent hot showers can irritate skin even more. If itching irritates you at night, then use an antihistamine such as diphenhydramine (Benadryl) to help you sleep. Also keep this thing in your notice that some anti itching products can worsen skin irritation.

(5) Is baking soda good for curing psoriasis?
Psoriasis can be reduced by medicated baths. Psoriasis patients often use oatmeal baths to reduce inflammation caused by the disease. If you add about half cup of baking soda to an oatmeal bath then it may reduce itchy feelings and irritation.

(6) Is Vaseline good for psoriasis?
Lightweight lotions don't contain enough emollients. So you must avoid them instead use some nice moisturizing creams. Moisturizing your skin keep your skin smooth and lubricated. Dry skin is more susceptible to psoriasis. Skin moisturizing products such as Eucerin cream, Vaseline, and Cetaphil cream are helpful in keeping skin smooth and well-moisturized.

(7) What are diet recommendations for people with psoriasis?
Alcohol consumption can increase risks of psoriasis flare-up so you must avoid alcohol completely.

  1. Avoid such foods that trigger psoriasis. Avoiding these foods might improve symptoms. These foods include red meat, processed foods, dairy products, and sugars.
  2. Consume walnuts, flax seeds, and soybeans.
  3. Increase intake of foods rich in omega-3 fatty acids, such as salmon, sardines, and shrimp.
  4. Obese people have greater risks of developing psoriasis flare-ups. Losing weight may make treatments more effective and also reduce the psoriasis severity.
  5. Reduce your intake of saturated fats such as meats and dairy.
  6. Take a diet that is high in vitamins.


(8) What are some forms and types of psoriasis and describe the relevant treatment options for each psoriatic condition?

(1) Erythrodermic Psoriasis Treatments:

(9) What are the treatment options for Erythrodermic Psoriasis?
If you think you have Erythrodermic Psoriasis then contact your doctor as patients who are suffering from Erythrodermic Psoriasis often need hospital attention. The doctor will prescribe a combination therapy. Treatment of Erythrodermic Psoriasis may include:


  1. Prescription oral medications,
  2. Medicated wet dressings,
  3. Topical steroid applications


(2) Flexural Psoriasis Treatments:

(10) What are the treatment options for Flexural Psoriasis?
The treatment options for inverse psoriasis are same as used for plaque psoriasis. Your dermatologist may prescribe steroid cream having low potency as it protects the skin from thinning. The treatment of Flexural Psoriasis includes the following options: 

  1. Low potency steroid cream,
  2. Light therapy,
  3. Medications that reduce yeast or bacteria growth,
  4. Oral medications,
  5. Topical steroid creams
 

(3) Guttate Psoriasis Treatments:

(11) What are the treatment choices for Guttate Psoriasis?
Your healthcare provider checks the underlying reasons of the skin infection. For bacterial infections antibiotics are prescribed. To treat guttate psoriasis your physician may prescribe:

  1. Antibiotics,
  2. Light therapy,
  3. Oral medications,
  4. Steroid creams


(4) Pastular Psoriasis Treatments:

(12) What are the methods used to treat Guttate Psoriasis?
Your doctor may check to identify the underlying causes to help reduce reoccurrence of pustular psoriasis. Treatment of Pastular Psoriasis is associated with the size of the affected area. Large psoriasis patches are treated with light therapy and oral medications while smaller patches can be treated with the help of corticosteroid creams, either OTC or prescription. So Pastular Psoriasis Treatments include the following:

  1. Corticosteroid creams,
  2. Oral medications,
  3. Light therapy


Psoriasis treatment
Psoriasis Treatment


Psoriatic arithritsis Treatments:

(13) How is Psoriatic arithritsis treated? What are the prescribed treatments for Psoriatic arithritsis?

Treatments for psoriatic arthritis can include:


  1. Biologics reduce inflammation at a cellular level. They belong to DMARDs.
  2. Disease-modifying antirheumatic drugs (DMARDs) reduce inflammation and joint damage.
  3. Light therapy as it helps in reducing symptoms of Psoriatic arithritsis.
  4. Nonsteroidal anti-inflammatory drugs can help reduce the incidences of swelling and pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) may include ibuprofen (Advil) and naproxen sodium (Aleve).
  5. Prescription topical medications such as salicylic acid, tazarotene, and calciopotriene
  6. Prescription medications such as prednisone may also help reduce inflammation that leads to psoriatic arthritis.

Nail psoriasis Treatment:

(14) How is nail psoriasis treated? What are the means to cure nail psoriasis?
Growth of Nails is pretty sluggish so it is very time consuming to check for the effects of nail psoriasis treatment. Treatment for nail psoriasis is same as for plaque psoriasis. Treatments used to relieve Nail psoriasis are:

  1. Biologics,
  2. Light therapy,
  3. Oral medications like methotrexate

Scalp psoriasis Treatment:

(15) How is scalp psoriasis treated? What are the ways to treat scalp psoriasis?

Topical treatments are most commonly used for scalp psoriasis. Treatment options for scalp psoriasis may include the following:


  1. Light therapy,
  2. Medicated shampoos,
  3. Oral medications,
  4. Steroid containing lotions,
  5. Tar preparations,
  6. Topical application of vitamin D

Treatment options for psoriasis:

Psoriasis has no cure. The purpose of treatments is to reduce inflammation and scales. Treatment will depend on the type of psoriasis a person has and how severe the symptoms are. Conventional treatments stop or slow the rate of cell turnover and prevent inflammation. They slow the growth of skin cells, and remove plaques. Treatments can be divided into three main types: topical treatments, light therapy and systemic medications.


Topical creams or ointments:
(16) What are some topical creams and ointments for the treatment of psoriasis?
Creams and ointments are helpful for reducing mild to moderate psoriasis. These suppress the immune system, reduce inflammation, and soothe the skin. If you are suffering from more severe psoriatic conditions, creams are combined with oral medications or light therapy. Topical psoriasis treatments may include:

Topical corticosteroids:

These drugs are the most frequently prescribed medications for treating mild to moderate psoriasis. Topical corticosteroids stop working over time, so it is best to use topical corticosteroids for a short time. For sensitive skin areas, mild corticosteroid ointments are usually recommended. Stronger corticosteroid ointments are used for smaller, less sensitive or tougher-to-treat areas. Long-term use of strong corticosteroids can cause thinning of the skin.

Coal tar:

Derived from coal, coal tar reduces scaling, itching and inflammation of the skin if applied by cream, oil, or shampoo. But its smell is very bad. It is not recommended for pregnant or breast-feeding women. It may also irritate the skin and stain clothing and bedding.

Moisturizers:

Moisturizers can help ease discomfort and reduce dryness and cracking of skin surface. They do not heal psoriasis when used alone. However they are very helpful in reducing itching, scaling and dryness of skin. You must apply moisturizers immediately after a bath or shower to lock in moisture.

Vitamin D analogues:

Vitamin D creams, such as calcipotriene and calcitrol reduce the rate of skin cell growth.
Calcipotriene (Dovonex) treats mild to moderate psoriasis along with other treatments. But it might irritate your skin. Calcitriol (Vectical) is less irritating. Calcitriol is also more effective but too costly.

Anthralin:

Anthralin (Dritho-Scalp) remove scales and makes skin smoother by slowing down skin cells growth. It is used for a short time and then washed off because it irritates the skin.

Topical retinoids:

These are vitamin A derivatives that may decrease inflammation but it has certain side effects such as sensitivity to sunlight, and skin irritation. You must apply sunscreen before going outdoors.

When you're pregnant or breast-feeding or if you intend to become pregnant, then avoid tazarotene (Tazorac, Avage). The risk of birth defects is far lower for topical retinoids than for oral retinoids.

Retinoids:

Retinoids reduce skin cell growth but it has some side effects such as hair loss and lip inflammation. Symptoms of psoriasis will recur if you stop the treatment.

People who are pregnant or may become pregnant within the next three years shouldn’t take retinoids as these medications have possible birth defects.


(17) What are the Systemic medications used to treat psoriasis?
People with moderate to severe psoriasis, and those who haven’t responded well to other treatment types, their doctor may prescribe systemic medication in the form of oral, injectable, or intravenous medication. These medications reduce the activity of the immune system. Many of these medications have severe side effects. Doctors usually prescribe them for short time periods. These medications include:

  1. acitretin (Soriatane),
  2. Biologics,
  3. Cyclosporine (Sandimmune),
  4. Medication like tazarotene (Tazorac, Avage),
  5. Methotrexate,
  6. Rtinoids

Medication for psoriasis:
If you have moderate to severe psoriasis, or if psoriasis stops responding to other treatments, your healthcare provider may prescribe an oral or injected medication.
The most common oral and injected medications used to treat psoriasis include:

Biologics:

These medications prevent interactions between immune system and inflammatory pathways by altering your immune system. This is a relatively new class of drug that targets the activity of specific cells. These may include:
adalimumab (Humira),
etanercept (Enbrel),
infliximab (Remicade)

Methotrexate:

Methotrexate suppresses the human immune system. Its prolonged use may cause severe side effects such as liver damage and reduced production of RBC and WBC.

Cyclosporine:

Like Methotrexate, Cyclosporine (Sandimmune) prevents the immune system’s response by suppressing it. This treatment eases symptoms of psoriasis. But it has side effects such as high blood pressure. It may also produce kidney problems. Cyclosporine also weakens the immune system so it is suspected to infections.

Calcineurin inhibitors:

Calcineurin inhibitors reduce inflammation and plaque buildup. Steroid creams or retinoids are too irritating or may cause harmful effects near the soft and sensitive areas such as near eyes. In such areas, Calcineurin inhibitors are useful as they are used in thin skin areas. But you can’t use them for long periods of time because they cause serious side effects such as increased risk of skin cancer and lymphoma.

Pimecrolimus (Elidel) and Tacrolimus (Prograf) belong to Calcineurin inhibitors medications.

Salicylic acid:

Salicylic acid is available in medicated shampoos and scalp solutions. When it is combined with other medications, such as topical corticosteroids or coal tar, this increases its effectiveness. Salicylic acid is used to promote sloughing of dead skin cells and reduces scaling. It is also used to treat scalp psoriasis.

(18) Describe some Light therapy Treatments used to cure psoriasis?

Light therapy:

It involves exposing the skin to both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Exposing skin to natural sunlight is the simplest and easiest form of light therapy. Sunlight may be very helpful in controlling psoriasis symptoms. Sunlight kills the overactive white blood cells that cause the rapid cell growth. In some cases, treatments combine prescription oral medications, light therapies, and prescription ointments. Some important light therapy techniques are described below:

(1) Sunlight:

Exposures to small amounts of sunlight may improve psoriasis, reduce scaling and inflammation. Exposure to ultraviolet rays in sunlight or artificial light slows skin cell growth. But intense sun exposure can worsen symptoms and cause skin damage.

(2) Excimer laser:

In Excimer laser therapy, controlled and strong beam of UVB light is directed to the psoriasis plaques to control inflammation and scaling of the affected areas. This treatment just treats infected areas. It does not harm healthy skin cells. This form of light therapy is used to treat mild to moderate psoriasis. Excimer laser therapy is used for brief sessions as it is very strong beam of UVB light. Its side effects may include redness and blistering of the skin.

(3) Goeckerman therapy:

UVB treatment and coal tar treatment combined are known as Goeckerman treatment.
 Coal tar makes skin more receptive to UVB light so two therapies combined are more effective than either alone.

(4) UVB phototherapy:


UVB phototherapy is also known as broadband UVB in which controlled doses of UVB light from an artificial light source may improve mild to moderate symptoms. This treatment option is used to treat single patches. UVB phototherapy may also be used for the treatment of widespread psoriasis and psoriasis that resists topical treatments. Its side effects may include redness, itching, and dry skin however you may minimize these side effects with the use of a moisturizer.

(5) Narrow band UVB phototherapy:

Narrow band UVB phototherapy may be more effective than broadband UVB treatment. However narrow band UVB phototherapy may cause more-severe and longer lasting burns. This treatment is administered 2 or 3 times a week until the improvement of skin.

(6) Psoralen plus ultraviolet A (PUVA):

Psoralen plus ultraviolet A (PUVA) is used for more-severe cases of psoriasis. This is more aggressive treatment as UVA penetrates deeper into skin than UVB. Psoralen plus ultraviolet A (PUVA) involves taking a light-sensitizing medication (psoralen) before exposure to UVA light because psoralen makes the skin more responsive to UVA exposure.


  1. Long term side effects may be:
  2. Freckles,
  3. Dry and wrinkled skin,
  4. Increased sun sensitivity,
  5. Melanoma,
  6. Risk of skin cancer
  7. Short-term side effects include:
  8. Burning,
  9. Itching,
  10. Headache,
  11. Nausea




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