Treatment of Psoriasis
Treatment of Psoriasis
WHAT IS THE PSORIASIS, EXACTLY ?
A characteristic of psoriasis is an abnormally high rate of skin renewal. It is not contagious and evolves through unpredictable changes in frequency and intensity. Despite treatments, psoriasis is a condition that, depending on where it is located and how severe it is, may have aesthetic effects and negatively impact both personal and professional relationships.
Psoriasis can therefore have a significant psychological and social impact even when it has minor effects on health.
What are the signs of psoriasis?
The appearance of red, thickened plaques that are more or less extensive, the recovery of white dead skin cells, and scabs are all signs of psoriasis. These lesions are most frequently found at the level of the hands, the elbows, the knees, the base of the skull, or on the face and exposed leather. These plaques hardly ever come off. The psoriasis develops in patches, spaced by acclimation periods during which the lesions partially or completely disappear.
Who can suffer from psoriasis?
Men and women are both impacted by psoriasis. But white folks are more likely to experience it. It affects two to four percent of Westerners, including two to three million people in France (where around 60,000 new cases are diagnosed each year).Most frequently, psoriasis develops throughout adolescence or early adulthood. The so-called "familial" variants are more likely to affect teenagers between the ages of 10 and 20. So-called "sporadic" forms, which are isolated within their family, are observed later, usually after the age of 40.
topical treatments :
For mild to moderate psoriasis, topical therapies are typically the first line of defense. You apply these creams and ointments to the affected regions.A shampoo and ointment combination may be advised if you have scalp psoriasis. Although it may take up to 6 weeks before there is a discernible benefit, some patients discover that topical therapies are all they need to regulate their problem.
1_Creams or lotions with steroids :In most parts of the body, mild to moderate psoriasis is usually treated with steroid creams or ointments (topical corticosteroids). Inflammation is reduced as a result of the treatment. This lessens irritation and decreases the growth of skin cells.
The potency of topical corticosteroids ranges from modest to very potent. Use these only on your doctor's advice.
Your doctor may prescribe stronger topical corticosteroids, but these should only be applied to small portions of skin or extremely thick regions. The skin may thin if topical corticosteroids are overused
Most frequently, psoriasis develops throughout adolescence or early adulthood. The so-called "familial" variants are more likely to affect teenagers between the ages of 10 and 20. So-called "sporadic" forms, which are isolated within their family, are observed later, usually after the age of 40.
In most parts of the body, mild to moderate psoriasis is usually treated with steroid creams or ointments (topical corticosteroids). Inflammation is reduced as a result of the treatment. This lessens irritation and decreases the growth of skin cells.
The potency of topical corticosteroids ranges from modest to very potent. Use these only on your doctor's advice.
Your doctor may prescribe stronger topical corticosteroids, but these should only be applied to small portions of skin or extremely thick regions. The skin may thin if topical corticosteroids are overused
2_Calcineurin :
Tacrolimus and pimecrolimus are examples of calcineurin inhibitors, which are ointments or creams that help to reduce inflammation by lowering immune system activity. If steroid creams are ineffective, they may be used to treat psoriasis in delicate areas such the face, genitalia, and skin folds.
When these treatments are first used, they may cause skin irritation or a burning and itchy feeling, but this normally goes away after a week.
Tacrolimus and pimecrolimus are examples of calcineurin inhibitors, which are ointments or creams that help to reduce inflammation by lowering immune system activity. If steroid creams are ineffective, they may be used to treat psoriasis in delicate areas such the face, genitalia, and skin folds.
When these treatments are first used, they may cause skin irritation or a burning and itchy feeling, but this normally goes away after a week.
3_Phototherapy :
Patients with psoriasis are more likely than the general population to experience some disorders. Chronic inflammation and, presumably, genetic predisposition appear to be the common onset mechanisms for many psoriasis-related disorders. The following conditions may come before, be related to, or follow psoriasis:
inflammatory rheumatism (rheumatoid arthritis and spondyloarthritis, for instance); a few chronic inflammatory gastrointestinal conditions (Crohn's disease, ulcerative colitis, for instance); vitiligo, a skin condition that causes white spots on the skin; and a few thyroid inflammations.
Additionally, it seems that more psoriasis patients are being diagnosed with type 2 diabetes and cardiovascular diseases including myocardial infarction.
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