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Journal of Architectural Engineering Technology Open Access Journal Go to a person's profile Psoriasis is a common chronic inflammatory disorder of the skin, which affects more than 2% of people with European ancestry.
There are no special tools or tests dermatologists use to diagnose psoriasis. Rather, they'll ask you a few questions about your medical history—Does anyone else in your family have psoriasis? When did your lesions start to develop? Do you have any other chronic conditions?—and examine the affected area. Your medical and family history, in conjunction with your physical exam, can help your dermatologist develop the most accurate diagnosis.
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Erythrodermic psoriasis is a severe and very rare type of psoriasis. This form often covers large sections of the body at once. The skin almost appears sunburned. Scales that develop often slough off in large sections or sheets. It’s not uncommon for a person with this type of psoriasis to run a fever or become very ill. This type can be life-threatening, so individuals should see a doctor immediately.
Medical Editor: The two-compound combination as well as corticosteroid monotherapy were more effective and safer than vitamin D monotherapy. Given the similar safety profile and only slim benefit of the two-compound combination over the steroid alone, monotherapy with generic topical steroids may be fully acceptable for short-term therapy.
Psoriasis has a genetic basis and can be inherited. Some people carry genes that make them more likely to develop psoriasis. Just because a person has genes that would make him more likely to have psoriasis doesn't mean he will have the disease. About one-third of people with psoriasis have at least one family member with the disease. Certain factors trigger psoriasis to flare up in those who have the genes.
Psoriasis is associated with depression and a decreased quality of life.
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While there is no known cure for psoriasis, it can be controlled with treatment. What does scalp psoriasis look like? In addition, systemic retinoids and hydroxyurea may interfere with proper wound healing and elective procedures, including dental surgery, which are best performed before the start of the medications. Acitretin appears more effective than isotretinoin in psoriasis and does not require enrollment in the IPledge program. On the other hand, there is a 3-year pregnancy prohibition after its use, and many will not use this medication in any patient capable of ever becoming pregnant. Combination therapies, such as a biologic plus another immunosuppressive medication, have been used with good effect but data detailing the safest way to do this are scant. All of the systemic medications except acitretin may increase the risk of infection.
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Bleeding. Scalp psoriasis can cause itching and discomfort. Bleeding may occur from scratching or removing scales. Have an account? Log in
What are the types? Scales typically develop on joints, such elbows and knees. They may develop anywhere on the body, including the: eNewsletter
Dermatologists recommend using a scale softener. A scale softener that contains salicylic acid can soften the thick, stubborn patches of psoriasis. Softening these patches also allows medicine that you apply to the psoriasis to work better. When applying medicine to your scalp, be sure to lift your hair out of the way. This helps ensure that you apply the medicine to your scalp and not your hair.
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Comparison of the antipsoriatic efficacy of heliotherapy and ultraviolet B: a cross over study. (News) Acral Pigmented Lesions More Common on Darker Skin Join 20,000+ subscribers and receive the latest health news each month!
Management of psoriasis may also involve the following nondrug therapies: This site complies with the HONcode standard for trustworthy health information:
The primary cause of psoriasis remains unknown. Abnormal epidermal cell kinetics and abnormal activation of immune mechanisms are thought to be the major contributors, and treatment may affect one or both of these mechanisms.4 Psoriasis is characterized by red, scaling plaques, ranging from only a few lesions to total involvement of the skin. The primary lesion is a well-demarcated erythematous plaque with a silvery scale. Characteristically, psoriasis is symmetrically distributed, with lesions frequently located on the ears, elbows, knees, umbilicus, gluteal cleft and genitalia (Figure 1). The joints (psoriatic arthritis), nails and scalp may also be affected.
Journal of Ecosystem & Ecography Open Access Journal What is TAVR? Myth: Psoriasis is only a cosmetic condition Psoriasis (suh-RYE-uh-sus) is a non-contagious disease that causes skin cells to build up on the surface of the skin, forming itchy red raised areas (plaques) and thick scales. It can appear anywhere on the body but is most commonly found on the scalp, knees, elbows, and torso.
People who have psoriasis are at risk of developing psoriatic arthritis, which commonly affects the joints of the fingers, toes and spine. Psoriasis is associated with a slightly higher risk of diabetes, high blood pressure, high cholesterol, cardiovascular disease (angina, heart attack, stroke), and obesity. There is also a strong association between psoriasis and depression.
Psoriasis is not an infection and therefore is not contagious. Touching the affected skin and then touching someone else will not transmit psoriasis.
Pills or injected medications. Doctors usually prescribe these treatments for severe psoriasis or psoriasis that doesn't respond to other treatments. They include pills, shots, and medicines given intravenously (through a vein). Because these treatments can have side effects, doctors usually give them for short periods of time only.
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Coven TR, Walters IB, Cardinale I, Krueger JG. PUVA-induced lymphocyte apoptosis: mechanism of action in psoriasis. Photodermatol Photoimmunol Photomed1999;15:22–7.
27. Mahrle G, Bonnekoh B, Wevers A, Hegemann L. Anthralin: how does it act and are there more favourable derivatives? Acta Derm Venereol Suppl (Stockh) 1994;186:83–84. [PubMed]
In a population-based cross-sectional study of 9035 psoriasis patients and 90,350 matched controls without psoriasis, those with more extensive psoriatic skin disease were at greater risk for major medical comorbidities, including heart and blood vessel disease, chronic lung disease, diabetes, kidney disease, joint problems, and other health conditions. [17, 18] Overall, the risk for any other type of serious illness was 11% higher for people with mild psoriasis, 15% higher for patients with moderate psoriasis, and 35% higher for those with severe psoriasis. [17, 18]
Promising New Treatment Option for Chronic Plaque Psoriasis Mental health: ethnic minority experiences
Injured skin Can I predict a flare? Tracking your psoriasis triggers is the first step in reducing uncomfortable flare-ups. Why? Knowing what contributes to your flare-ups can help you take active steps in avoiding those triggers.
Purchase Options: Cite this page Langan E, Griffiths C, Solbach W, Knobloch J, Zillikens D, Thaçi D. The role of the microbiome in psoriasis: moving from disease description to treatment prediction?. Br J Dermatol 2018; 178: 1020-7. DOI: 10.111/bjd.16081. Journal
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J Am Acad Dermatol. 1995; 33: 44-52 This page was last edited on 18 August 2018, at 22:59 (UTC). Provider Relations Research & Reviews: Journal of Microbiology and Biotechnology Open Access Journal
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Psoriasis treatment in difficult locations: scalp, nails, and intertriginous areas. Send App Link
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Genetic predisposition: : most likely determined via polygenic inheritance The history of psoriasis is littered with treatments of dubious effectiveness and high toxicity. In the 18th and 19th centuries, Fowler's solution, which contains a poisonous and carcinogenic arsenic compound, was used by dermatologists as a treatment for psoriasis. Mercury was also used for psoriasis treatment during this time period. Sulfur, iodine, and phenol were also commonly used treatments for psoriasis during this era when it was incorrectly believed that psoriasis was an infectious disease. Coal tars were widely used with ultraviolet light irradiation as a topical treatment approach in the early 1900s. During the same time period, psoriatic arthritis cases were treated with intravenously administered gold preparations in the same manner as rheumatoid arthritis. All of these treatments have been replaced with modern topical and systemic therapies.
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