Psoriasis Treatment

Best Psoriasis Treatment In India

Psoriasis is a habitual (long-lasting) skin disease which is characterized by patches of abnormal skin that cause skin cells to grow too quickly, resulting in thick, white, silvery, or red patches of skin.

The Psoriasis most frequently appear on the knees, elbows, scalps, hands, feet, or lower reverses. They may vary in inflexibility from small and localized to complete body coverage.

This is the most common skin disorder or problem which usually affecting about 2% of the population and most common for adults. But in some cases children and teens can also get it too. Having psoriasis can be embarrassing, disturbing and most of the people, especially teens, avoid swimming and some works or activities which they like to do but avoid those thinks due to psoriasis other in some situations where patches can show.

Know a days there are so many types of Psoriasis treatments are there that can help to keep psoriasis under control.

Psoriasis is non-contagious; disease thereby it can’t be spread easily by touching from person to person.

We at Clear Skin Centre have so many treatments for controlling of Psoriasis

Causes of Psoriasis

The exact cause of psoriasis is not clear.

Genetic or Hereditary

Genetic or Hereditary: Genetically inherited, because certain genes are found in families who are affected by psoriasis. About 1/3 rd of people who have psoriasis has one or more family members with the condition.

Immunological

Immunological: Immune system disorder that causes the skin to regenerate at faster than normal rates. This rapid turnover of cells results in scales and red patches

Environmental factors

Infection

This is the surgical removal of the tattooed skin with primary closure or skin grafting; leaves a scar depending upon size removed.

Cryosurgery

Infection: Infections such as streptococcal infection of throat or skin infections can cause psoriasis to appear suddenly, especially in children.

Weather conditions

Weather conditions: Cold and dry climate can trigger flares of psoriasis. Usually, sunlight improves the condition, though occasionally, it may make it worse.

Sunlight exposure

Sunlight exposure-intense exposure to the sun can worsen psoriasis.

Skin injuries

Skin injuries: An injury to the skin can cause psoriasis patches to form anywhere on the body, including the site of the injury. This includes injuries to your nails or nearby skin while trimming your nails.

Lifestyle changes

Emotional or physical stress

Emotional or physical stress: Stress may cause psoriasis to appear suddenly or make symptoms worse.Smoking may likely to worsen psoriasis.

Alcohol

Alcohol: A high alcohol intake can cause symptoms to flare-up. Alcohol consumption may decrease the effectiveness of some psoriasis treatments.

Certain medications

Certain medications: such as non-steroidal anti-inflammatory drugs (NSAIDs), high blood pressure (beta-blockers) medications, anti-malarial drugs, and lithium, have found to aggravate psoriasis. Rapid withdrawal of oral or systemic corticosteroids

Sign & Symptoms of psoriasis

Mild Psoriasis the rash may be asymptomatic with small areas red scaly patches.Moderate to severe cases, the skin gets inflamed with raised red areas topped with loose, silvery, scaling skin. If psoriasis is severe, the skin becomes itchy and tender. And sometimes large patches form and may be uncomfortable. The patches can join together and cover large areas of skin, such as the entire back.

It can also affect the finger nails and toe nails, causing the nails to pit, change color, and separate from the nail bed. Dead skin may build up under the nails. After a quite long period in some people, psoriasis causes joints to become swollen, tender, and painful. This is called psoriatic arthritis

Types of Psoriasis

Plaque psoriasis

The most common form of psoriasis, that affects almost 80% cases among psoriasis and also referred to as Psoriasis Vulgaris. It appears as well-defined areas of raised red skin that have flaky, silvery-white scales on the top build-up by dead skin cells.

The scale loosens and sheds regularly. These lesions are itchy and usually occur on the scalp, elbows, knees, and lower back.

Guttate psoriasis

This type is usually erupting after 2-3 weeks of sore throat triggered by a streptococcal bacterial infection. The lesions appear as drop-like or small pink patches with fine silver-white scales over the upper arms, thighs, and scalp of the individuals.

Inverse psoriasis

Inverse psoriasis: also called intertriginous psoriasis, appears as smooth, pure red lesions in a body skin fold, most commonly in the armpits, groin near the genitals, under the breasts, under the buttocks, or in abdominal folds. Sweat and rubbing together may irritate these inflamed areas.

Pustular psoriasis

The lesions appear as white pustules surrounded by red skin; though filled with pus but are non-infectious. The lesions initially appear as redness of the skin, followed by pustules and slight scaling. This condition is associated with constitutional symptoms like fever, chills, nausea, and muscular weakness.

Erythrodermic psoriasis

It is a very rare form, appears as diffuse widespread bright red skin peeling away involving almost 70-80% of the body. It is accompanied by severe itching or burning sensation.

Nail psoriasis

Nail psoriasis can cause discoloration or alteration in the nail bed, leading to separation of the nail from the nail bed. This results in small pits forming on your fingernails or toenails. Moreover, in some cases, the chalky material is deposited under the nails

Palmo-plantar psoriasis

It is a variant of psoriasis that characteristically affects the palms of the hands and the soles of the feet. It appears as thickened red skin, pustules, or mixed features and can involve partially or entirely skin.

Psoriatic arthritis

The skin involvement is accompanied by inflammation of the joints. Psoriatic arthritis usually involves the small joints of hands and foot. The condition presents as discoloration, stiffness, and pain over the joints or pipe-like swelling of the fingers and toes and joints.

Treatment for Psoriasis

Currently, there is no cure. However, Dermatologists and other researchers are continuously testing new drugs and treatments.The goal is to reduce inflammation and to control the shedding of the skin. The skin professional may suggest different types of treatment. Treatment is based on a patient’s health condition, age, lifestyle, and the severity of psoriasis.

Topical treatments

There are plenty of topical applications available in the market, which on use avoid systemic side effects.

  • Corticosteroid creams:Topical steroids are the most frequently used medications for treating mild to moderate psoriasis. Mild corticosteroid creams (hydrocortisone) are usually used for sensitive areas like the face or skin folds, and for treating widespread patches. Stronger corticosteroid cream or ointments like clobetasol are used for smaller or tougher areas of the skin such as palms or soles.Long-term use or overuse of strong corticosteroids can thin the skin and cause skin atrophy.
  • Vitamin D analogs:Synthetic forms of vitamin D, such as calcipotriene and calcitriol inhibit the skin cell growth and can be used alone or with topical corticosteroids.
  • Retinoids:Tazarotene is available in a cream or gel base and applied once or twice daily. The most common side effects are skin irritation and increased sensitivity to light. Retinoid cream is not recommended for a pregnant or breast-feeding mother.
  • Salicylic acid:It can be used alone or in combination with a steroid to enhance the ability of other medications to more easily penetrate the skin. It smoothes and softens the skin by encouraging the shedding of scales. Moreover, salicylic acid shampoos and scalp solutions are commonly used to reduce the scaling of scalp psoriasis.
  • Coal tar:Coal tar available in various forms and helps in reducing scaling, itching, and inflammation. Coal tar preparations can irritate the skin and not recommended for pregnant or breast-feeding women and over sensitive skin like face or genitals.
  • Anthralin:It is another tar product, available in a cream-based and used to inhibit skin proliferation or cell growth. It also removes scales and makes the skin smoother. It can irritate and stains the skin, therefore it should not be used on the face or genitals. It should be used for a short period of time and washed off.
  • Topical Calcineurin inhibitors: such as tacrolimus or pimecrolimus works by reducing the inflammation and plaque buildup. They are useful in areas of thin skin around eyes, where steroid creams or retinoids are too irritating or may cause harmful effects.
Light therapy

Light therapy is a first-line recommended treatment for moderate to severe psoriasis, either alone or in combination with other medications. It involves exposing the skin to controlled amounts of natural or artificial light. Multiple sessions of treatments are required for the desired results.

  • Sunlight:Daily exposure to sunlight might improve psoriasis. It is the safest way to use natural light for psoriasis treatment.
  • Narrowband UVB phototherapy:Controlled doses of UVB narrowband light from an artificial light source can treat widespread psoriasis or that doesn’t improve with topical treatments. The therapy is more effective and safest treatment available. It is advised two or three times a week until the skin improves.
  • Psoralen +UVA (PUVA) also called photochemotherapy:This treatment combines a plant-derived substance called psoralen with UVA light therapy. After you take psoralen by mouth or apply it to the affected skin, you’re exposed to ultraviolet A (UVA) light.PUVA is a more aggressive treatment, often used for severe cases of psoriasis. Side effects such as nausea, headache, burning and itching, freckles, increased sun sensitivity, and increased risk of skin cancer.
  • 308 Excimer System:308 Excimer laser is used to treat chronic and localized psoriasis plaques. It is usually recommended twice a week and hardly requires a little session to have the desired result.

It is a handheld system that enables you to apply high, therapeutically-effective doses of monochromatic UVB light while leaving healthy skin unexposed and protected.

Oral or injected medications

This medication is used for moderate to severe psoriasis or if other treatments haven’t worked. Due to potential side effects, some of these medications are used for only short periods and might be alternated with other treatments. Most of these drugs to be avoided during pregnancy or breastfeeding and or to be stopped 3 months prior to conception.

  • Methotrexate:The most commonly used drug and usually recommended weekly as a single oral dose. Methotrexate decreases the production of skin cells and suppresses inflammation. Long term use needs to monitor their blood counts and liver function.
  • Cyclosporine:It is recommended for severe psoriasis, suppresses the immune system, and to be taken orally. Requires monitoring of their blood pressure and kidney function.
  • Retinoids:Acitretin is used to reduce the production of skin cells. Side effects might include dry skin and muscle soreness.
  • Biologics:There are several drugs approved for the treatment of moderate to severe psoriasis in people who haven’t responded to first-line therapies. These are usually given injection forms, works by altering the immune system which disrupts the disease cycle. Few of the biologics commonly used are etanercept, infliximab, adalimumab, etc., Biologics must be used with caution, as they carry the risk of suppressing your immune system and increase the risk of serious infections such as tuberculosis
  • Other medications: Thioguanine and hydroxyurea are medications that can be given if other drugs can’t be given. Apremilast is the recent, effective, and quite a safe drug given by the oral route.
  • Steroids:Intra-lesional triamcinolone injection is advice for a small, persistent psoriatic patch if the other treatment did not work.

DO’s and Don’ts for Psoriasis:

DO DON'T
Keep your skin moist Do not scratch or scrub the lesions
Use an emollient or moisturizer Do not smoke or drink alcohol
Use luke-water while bathing Do not get emotional or physical stress
Pat your skin gently to dry Do not get skin injured
Short expose to sunlight Do not get expose to infection
Use broad-spectrum sunscreen Do not forget to moisturize the skin
Use mild soap Do not harsh soap
Do reduce the stress Ignore small flare-ups
Do not expose to intense sun light

It works,Says our Patients

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