Treatment of psoriasis
Treatment of psoriasis generally depends on the location, type, and the extent to which disease is spread. Most patients with localized plaque-type psoriasis can be managed with midpotency topical glucocorticoids, although their long-term use is often accompanied by loss of effectiveness (tachyphylaxis). All patients should be instructed to avoid excess drying or irritation of their skin and to maintain adequate cutaneous hydration. Crude coal tar (1 to 5% in an ointment base) is an old useful method of treatment in conjunction with ultraviolet light therapy. A topical vitamin D analogue (calcipitriol) is also helpful in the treatment of psoriasis.
Does Psoriasis can be cured?
There is no cure to Psoriasis, but many different treatments, both topical and systemic, can clear psoriasis for periods of time. People often need to try out different treatments before they find one that works for them.
Ultraviolet light is an effective therapy for patients with widespread psoriasis. The ultraviolet B spectrum is effective alone, or may be combined with coal tar or anthralin. Natural sunlight or an artificial light source can be used. The combination of the ultraviolet A (UV-A) spectrum with either oral or topical psoralens (PUVA) is also extremely effective for the treatment of psoriasis. If it is used for long-term it may be associated with an increased incidence of squamous cell cancer and melanoma of the skin.
Various other agents can be used for widespread psoriatic disease. Methotrexate is an effective agent, especially in patients with associated psoriatic arthritis. The evidence implicating psoriasis as a T cell-mediated disorder has created a new perspective relating to the treatment of psoriasis. Liver toxicity from long-term use limits its use to patients with widespread disease not responsive to less aggressive modalities. The synthetic retinoid, acetretin, has been shown to be effective in some patients with severe psoriasis but is a potent teratogen, thus limiting its use in women with childbearing potential. Based on this presumed disease mechanism, immunomodulatory therapy utilizing cyclosporine has proven to be highly effective in selected patients with severe, crippling, and potentially life-threatening disease.
Are there any Alternative treatments
Alternative treatments are becoming more common, but they are not tested and studied to the same extent as traditional medical treatments. People with Psoriasis may try
At one time, many people would have thought it absurd to try such things to treat the symptoms of psoriasis and psoriatic arthritis. But as more people have taken control of their treatment, interest in alternative medicine has grown in recent times.
Home remedies for Psoriasis
Pat your skin dry; rubbing can irritate it - Rubbing, or irritating the skin in any way, can cause psoriasis lesions to form. Developing a habit of gently patting your skin dry can alleviate this problem.
Use sunscreen - While sunlight can help treat psoriasis, many treatments make the skin sun-sensitive. Anyone using a topical or systemic retinoid or PUVA therapy must protect their skin from the sun. Patients using retinoids should apply sunscreen 15 to 20 minutes before going outdoors and wear protective clothing. Additionally, sun exposure can cause sunburn, which can trigger psoriasis.
Bathe in warm, not hot water - Dermatologists recommend that patients with psoriasis take short, warm showers and use fragrance-free cleansers.
Never pick at lesions - Like scratching, picking at lesions can cause bleeding, infection, and a worsening of the psoriasis. Dermatologists recommend treatment to clear the psoriasis and regular use of emollients and moisturizers to help soften skin and prevent dryness.
Wear cotton clothing next to your skin - Cotton is less likely than other fabrics to irritate the skin or cause overheating.
Some people find that joining a psoriasis support group helps. Others find comfort in psychological counseling. Exercise and a number of relaxation techniques also can effectively reduce stress.
Many people with psoriasis say they experience flare-ups during stressful times.
While stress cannot be prevented, there are a number of healthy ways to reduce stress.