Psoriasis is a chronic inflammatory condition associated with considerable morbidity and economic burden. Approximately 7.5 million adults in the United States are affected by this disorder; about 17% have moderate-to-severe disease.1–3 Treatment options for moderate-to-severe psoriasis include phototherapy, oral agents (including cyclosporine or methotrexate), and injectable biologics. Home phototherapy, perhaps the most cost-effective treatment in the long run, is safe and effective, and incurs relatively few costs: those of acquiring the equipment, initially, and of bulb replacement every 3 to 6 years.4 Acquisition of home units is often hindered by qualification protocols defined by each insurance company.5 Even when home units are covered, patients’ co-payment requirements may discourage their use, leading many to choose biologics instead.5
3. Henseler T, Christophers E. Psoriasis of early and late onset: characterization of two types of psoriasis vulgaris. J Am Acad Dermatol. 1985;13(3):450–456. [PubMed]
When I graduated from college and began working as a chemist for a large airplane company, I started reading the ingredient lists on the back of my dandruff shampoo bottles. I was so surprised to find some of the same ingredients I tested for at work were in my shampoos! Most of the ingredients were use to strip oil off metal plane parts! I don't know about you, but I didn't feel very comfortable using that shampoo anymore.
J Invest Dermatol. 2006; 126: 2194-2201 Goregaon (East), Mumbai 400 063, India Pregnancy & children Cancer: Colon
Both topical and systemic medications can help. Some sources also recommend natural remedies. The type of treatment may depend on the extent or severity of the symptoms.
37. Gniadecki R, Bang B, Bryld LE, Iversen L, Lasthein S, Skov L. Comparison of long-term drug survival and safety of biologic agents in patients with psoriasis vulgaris. Br J Dermatol. 2015;172:244–252. [PubMed]
Dithranol permanently stains fabrics and temporarily stains the skin. International Journal of Physical Medicine & Rehabilitation Open Access Journal
Also reported is a randomized, placebo-controlled trial assessing the safety and efficacy of etanercept for scalp psoriasis over a 24-week period.49 In this study, Group A received etanercept 50 mg twice weekly for 12 weeks, followed by etanercept 50 mg once weekly for 12 weeks (n=62). Group B received placebo twice weekly for 12 weeks followed by 12 weeks of etanercept 50 mg twice weekly (n=62). The primary end point was percentage change in PSSI at week 12.49 The etanercept group (Group A) had a mean PSSI improvement at week 12 of 86.8%, compared to only 20.4% in the placebo group (Group B) (P<0.0001). By week 24, Group A had a mean PSSI improvement of 90.6%, which was not significantly different from Group B, which had 79.1% improvement subsequent to initiating etanercept therapy at week 13. Eighty-six percent of patients in Group A achieved a PSSI-75 at week 12, compared with only 11% in Group B (P<0.0001). However, at week 24, the PSSI-75 rates were similar at 86% and 72% for Group A and B, respectively. There was also improvement noted in scalp surface area involvement, with a mean percentage improvement at week 12 in Group A of 84.6% versus only 14.9% in Group B. At week 24, Group A maintained this benefit at 84.8%, while Group B showed improvement at 75.4%. Changes in overall PASI improvement were consistent with the PSSI improvements and time to improvement was similar; treatment also provided a high level of patient satisfaction.49
A GP can often diagnose psoriasis based on the appearance of your skin. CURE Peer Exchange Skip to main content Bipolar affective disorder Autism-Open Access Official Journal of Autism Community Network
Phototherapy is the use of UV radiation to treat skin disorders, and this can be very effective in the treatment of psoriasis. It is generally reserved for cases where topical therapy has been ineffective or too much of the skin surface is involved to treat psoriasis effectively with topical agents. It is administered in cabinets at specialised centres, and a treatment course for psoriasis will usually consist of 2–3 treatments per week for 20–30 treatments.
Hammerberg C Chronic Fatigue Syndrome in young people (in ‘Long term health conditions’) (Young People) Health Care Quality Scalp psoriatic plaque showing the control side (left) and the treated side (right) after 23 treatments.
J Invest Dermatol. 2012; 132: 2206-2214 Parisi R, Symmons DP, Griffiths CE, et al; Identification and Management of Psoriasis and Associated ComorbidiTty (IMPACT) project team. Global epidemiology of psoriasis: a systematic review of incidence and prevalence [published online September 27, 2012]. J Invest Dermatol. 2013;133:377-385.
To be socially connected even on social media helps patients to offer relatively faster support to the questions they may face. It is also a good place to vent when faced with Psoriasis related problems at work or at home
Abuabara K Psoriasis and lupus: What's the difference? Dandruff: How to treat State policy All Publications
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Plaque psoriasis is most common on the extensor surfaces of the knees and elbows. Contributed by Randy Park, MD. Medical Author:
UVB phototherapy uses a wavelength of light invisible to human eyes. The light slows down the production of skin cells and is an effective treatment for some types of psoriasis that have not responded to topical treatments.
Copyright © 2018 American Academy of Dermatology. All rights reserved. View more J Invest Dermatol. 1981; 76: 359-362 May be widespread or localised to hands or feet Subscribe to the journal
Cooper KD back Localised treatment is commonly used to treat thick plaques or moderate-to-severe hand and/or foot psoriasis, including palmoplantar pustulosis.
Psoralens and therefore PUVA are not recommended during pregnancy or breastfeeding. Types of Psoriasis Software
Psoriasis treatment in difficult locations: scalp, nails, and intertriginous areas.
28 March 2013 The more scientists learn about psoriasis, the more therapeutic options are becoming available for patients with this skin disease.
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