Psoriasis
can represent some mild itching and occasional soreness, to others it can be a
devastating disfiguring condition. Affecting up to 3% of Americans, recently approved
medications and treatments may help turn the corner on this widespread chronic
skin disease.
The Facts
"
Trigger Factors" |
We
do not know its cause, but there are certain "trigger factors" that
may make psoriasis worse. These include: - Alcohol
- Smoking
- Changes in
the weather
- Medications such as Non-steroidal anti-inflammatory
agents, beta-blockers, and lithium
- Stress
- Obesity
- Colds
- Dry
skin
-Psoriasis
also tends to run in families. |
Psoriasis
is a long-term skin disorder that can affect any age but commonly seems to begin
around age 20. It is characterized by red patches covered by silver-colored scaling.
Commonly it is located on the elbows, trunk, knees, and scalp areas. Its appearance
is thought to be due to quickly growing skin cell cycles. Certain types of psoriasis
can also affect fingernails and toenails, as well as skin creases such as armpits.
Treatment
of Psoriasis
Some may be familiar with the ultraviolet light
rooms that are still an essential part in treating psoriasis. However most physicians
agree that topical corticosteroid creams are often the first-line of treatment
for most psoriasis suffers. Phototherapy utilizes a combination of medications
and ultraviolet light aimed at delaying the growth of psoriasis. A medication
known as Psoralens (methoxsalen) is sometimes given orally to sensitize the patient
to UV light.
Other medications that have been used include Tazorac (Tazarotene),
which is a cosmetic gel used as an alternative to steroid creams. Dovonex (Calcipotriene)
is an exciting new medication that is related to Vitamin D, which can help suppress
psoriasis and can also be used in addition to topical steroids. For severe psoriasis,
methotrexate and anti-cancer drug known as cyclosporine are available. These medications
are reserved for severe psoriasis due to a large number of potential side effects.
Psoriasis treatment may require one or a number of medications. It is
often a process of trial and error. It is important to maintain appropriate communication
with yourself or your dermatologist to see which medications work for you.
What
You Can Do
The key in treating psoriasis is education, not
only for yourself but also for your family members. For some, you may find a potential
disfiguring disease comfortable to others, so it is important to know everything
you can for the disease. As psoriasis is often exacerbated by dry skin, frequent
use of moisturizers is central to any treatment of psoriasis. For mild flare-ups,
over the counter steroid creams can be applied for a few weeks. Get healthy doses
of UV sunlight, but be careful to avoid sunburns. And avoid picking or scratching
psoriatic patches, you will only make it worse.
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