Psoriasis is a skin condition that commonly causes itchy patches on the skin which are red and flaky. It is a chronic disease which can relapse. The commonly affected areas are scalp, back, hands, elbows, knees and feet. Psoriasis is not purely a skin disorder – it can also be associated with involvement of other organ systems, joints (psoriatic arthritis), nails, crohn’s disease, anxiety and depression. Recently, It has also been associated with metabolic syndrome which includes- an increased risk of cardiovascular diseases and stroke, abdominal obesity, hypertension, glucose intolerance and type 2 diabetes, dyslipidemia.
Causes: The cause of this skin condition is unknown but genetic predisposition is seen. Trigger factors- Koebner’s phenomenon, include cutaneous trauma ( sunburn, surgery, trauma from scratching) Aggravating factors include, consumption of alcohol or excessive smoking, infection( sore throat etc.), emotional stress, obesity and drugs( some antihypertensives, antimalarials and antifungals).
Treatment: Modern dermatology has discovered various effective psoriasis treatment which enable us to minimize this condition and keep it at bay. Depending on the type and severity of the condition, age of the patient and comorbidities, we at Skinology offer different treatments such as Phototherapy, oral medications, topical treatments, Excimer laser and injectable biological at our clinic in Rajouri Garden.
Topical therapy– These lotions, creams and ointments are used for smaller areas. They act by reducing cell proliferation and suppressing inflammation thereby decreasing the thickness, redness and itching in the psoriatic patches. Options include Tar, Anthralin, Salicylic acid, Topical retinoids, Topical vitamin D3 analogs etc.
Oral medications– Oral therapies are restricted to cases involving larger body surface areas. After thorough history and baseline investigations, oral medications (Anti proliferative drugs, oral calcineurin inhibitors, Retinoids etc.) are started under the supervision of a qualified dermatologist.
Phototherapy– Phototherapy is also known as light therapy which utilizes ultraviolet lights – UVA & UVB. both of which can be received from sunlight. UVB is the best when it comes to treating Psoriasis. This is done under the supervision of a dermatologist at a clinic or can also be done at home. But when you do it at home, it is vital to follow your dermatologist’s advice and go for regular check-ups. Like I said, UVB is the best for treating Psoriasis because UVA phototherapy needs you to apply Psoralen for remarkable results, which is a light-sensitizing medication and that’s why we call this process PUVA. PUVA helps in reducing the excess growth of skin cells and erase the symptoms of Psoriasis.
Excimer Laser – Excimer Laser is comparatively a new treatment method for Psoriasis which has been approved by the FDA i.e. Food and Drug Administration for the treatment of Chronic Psoriasis. This treatment uses UVB (Ultravoilet Light B) and is quite effective in treating localized plaque Psoriasis. The number of sessions and duration depends on the individual case and for visible results it generally takes an average of 5-10 sessions. Weekly, two treatment sessions are recommended but it is mandatory to keep a gap of 24 hours between the two treatments.
Biologicals– While traditional systemic drugs impact the entire immune system, biologics instead, target specific parts of the immune system. The biologics used to treat psoriatic disease block the action of a specific type of immune cell These cells and proteins all play a major role in developing psoriasis and psoriatic arthritis. The biologics (secukinumab etc.) are taken by injection or by IV infusion. They are a viable option for those who have not responded to or have experienced harmful side effects from other treatments.
Diet and psoriasis– Low energy diets, vegetarian diets and diets rich in polyunsaturated fatty acids from fish oil- suppress inflammation and therefore improve psoriasis. Also there are scientific evidences to show that gluten free diets and diet rich in maize improve psoriasis.
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She is superb!! Has cleared all my doubts very patiently...
Thanks a lottsss doctor..you are very helpful..........
✱ Results may vary person to person.
I have been to many doctors for this problem but never got satisfied. She is definitely experienced and has emence patience while listening to your problem. I nearly visited her twice and started getting results. I have recommended her to many friends.thank u.
✱ Results may vary person to person.