Psoriasis is a certain skin condition with abnormal skin patches and is one of the most depressing skin problems for people of all ages today. It is prominent in today’s urbanized lifestyle in cities, where every day the skin struggles with harsh environment, air, dust, pollution and it is quite a challenge to be away from such skin diseases. People from Mediterian regions used to treat this skin condition by bathing is sea water. The pH levels and salinity of sea water helped to treat the skin conditions like psoriasis, eczema, etc. However, it is possible to control psoriasis by gaining maximum possible knowledge in terms of healthy food habits with lower sugar diet. Social rejections through comments of onlookers may become traumatic and only patience and confidence can make the patient stronger and treatment can be fruitful.
Psoriasis is commonly spread on the back, thighs, trunk, scalp and also on the face. These skin complications are prominent and common in older age people.
Psoriasis can be occurred with varied causes, as the following.
- Red patches are usually caused from drug consumption from different treatments.
- Asthma treatment history with penicillin triggers can cause psoriasis.
- Stress is the primary cause for most of the diseases and psoriasis is not an exception.
Treatment is varied according to the symptoms and severity of the symptoms, for psoriasis. Usually, oral treatments, creams, ultraviolet treatments or injections are sufficient, for certain symptoms.
The Dermatologists treat psoriasis in a systematic manner and start with mild treatment and go with intense treatment, according to the responsiveness of the patients to the mild treatment. So, usually, treatment starts with creams and proceeds with oral formulations. If it affects the scalp, ointments and shampoos are also common for both the genders.
The treatment involves intense moisturising cream or lotion to ensure arresting water loss to hydrate the skin and protective film is put over it to reduce the feel of itching and ensure uninterrupted routine activities. These emollients can stop scaly skin development further also.
Analogue Creams with Vitamin D
The cream includes different formulations such as tacalcitol, calcitriol, calcipotroil, which have the properties of inflammation.
Dermatologists use phototherapy as a second measure, after attempting the primary measures performed with oral medications, emollients and creams and they don’t yield optimistic results. Eventually, certain ultraviolet light focussing can be appropriate healing effect, if applied on the skin affected areas and it needs to be performed under controlled conditions. Phototherapy with UVB light makes use of specific light wavelength, which is invisible to the eyes of human being. This light is applied to inhibit the itching skin cells production. To cure psoriasis condition, three sessions are required and it takes 6 to 8 weeks of treatment with UVB.
Calcineurin Inhibitors or Tacrolimus Ointment
These are required as second line of attack, where the first line of attack is thorough skin cleaning using olive based body washes along with applying of intense moisturizing lotions for two weeks. Tacrolimus sold with the Tacrotor or Tacroz brand names may suppress the immune system’s activity towards reduction of inflammation. At times, the same is used for treating eczema in conjunction with the cream, floucinolone acetonide.
During treatment of psoriasis, usage of topical corticosteroids becomes critical as it tends to reduce the skin cells production to reduce itching. Hence, these topical corticosteroids must be limited for shorter period of time for usage. Otherwise, collagen levels are decreased and thinning of skin would be resulted. Topical corticosteroids need usage of at least six weeks for improvement. Wherever red scaly and thick skin patches are present, cortico-steroids must be used with higher strength.
Ingram method involves ultraviolet light and dithranol cream, both using in conjunction with each other to ensure that the skin becomes enough ultraviolet light receptive. At times, coal tar is also used along with the ultraviolet light to yield better and desired results. Application of coal tar is done just one hour prior to washing it off.
Formation of these skin cells can be inhibited using certain chemical formulations, such as,
The new surfacing biologic treatments of new age in the western countries have reduced inflammation over the skin and it could be achieved through injections, by overactive cells suppression in the body’s immune system. This treatment has gained high success rate and demanded the doctors to be cautiously optimistic, however, the approach of differential diagnosis still stands as the key to psoriasis cure. The injectibles are chemical compounds, such as Ustekinumab, Etanercept, Infliximab, Adalimumab.
Psoralen + UVA
Psoralen tablet is ingested orally or psoralen is directly applied towards enabling the skin to become more sensitive to light and yield optimistic results. Ultraviolet treatment has certain side effects, like itching, short term nausea, headaches and burning.
In a nutshell, psoriasis is prominent in the today’s polluted and harsh external weather in urban areas and at the same time, there are various methods of treatments available to cure it. And it is needles to mention that hygienic and good food habits and pollution free life can leave us away from these skin diseases and away from the treatments and complications too.