Can Psoriasis Spread To Face

Kali Ars For Discoloration On The Skin

Kali Ars is indicated where eruptions leave a discoloration on the skin. In individuals needing Kali Ars abundant scales fall off from the skin and leave behind a discolored red skin. The psoriatic patches are numerous and mainly located on the back, arms, and legs. Intolerable itching is also present. Itching tends to get worse on undressing. The person scratches the skin until an ichorous fluid oozes out.

Things About Psoriasis And Its Complications

1. Psoriasis can progress to psoriatic arthritis

Left untreated, patients with moderate-to-severe psoriasis could develop psoriatic arthritis , which affects up to 40% of patients. Similar to rheumatoid arthritis, PsA can cause pain, disability, and permanent joint deformities. Compared with patients with psoriasis who do not have PsA, patients with psoriasis and PsA have greater disease burdens and different treatment patterns. A 2015 study calculated the economic burden of psoriatic disease at up to $135 billion a year.

2. Psoriasis has been linked to some cancers

In particular, certain cancers may be a special concern. A recent meta-analysis found a number of site-specific cancers that seem to carry an elevated risk. Overall, in the 9 included studies of patients with severe disease, there was a significantly elevated risk ratio of 1.22 for all cancer types. By site, cancers that stood out as having particular risk for patients with severe disease include squamous cell carcinoma, lymphoma, and basal cell carcinoma.

3. Psoriasis is more than just itchy skinit carries risk for other diseases

More severe disease is also associated with more comorbidities. Patients with PsA may have more severe atherosclerotic disease as well as a higher risk of cardiovascular disease, endothelial dysfunction, metabolic syndrome, hypertension, hyperlipidemia, obesity, and diabetes.

4. More psoriasis research is needed

Sulphur For Intense Itching And Burning

Sulphur helps in cases with severe itching and burning in the psoriatic skin lesions. A violent itching attends, and the person goes on scratching the skin until it bleeds. A burning sensation follows scratching. The itching is wandering, and changes place frequently. The skin is rough, scaly and gets painful after rubbing as if denuded. The symptoms tend to get worse in the evening and at night, when in bed. Sleep is disturbed because of the itching and burning sensation. Other accompanying symptoms are pricking, biting and sticking sensation in the eruptions. Sulphur is also a remedy for skin ailments with a history of excessive use of ointments in the past.

Also Check: Why Do I Have Psoriasis

Treatments To Stop Psoriasis From Spreading

If you donât want your small skin patch to become larger, and you donât want more psoriasis patches to show up on your body, then you should start on a psoriasis treatment plan. This may include:

Topical steroids. Also known as corticosteroids, these are some of the most common medications for mild to moderate psoriasis. Topical means you apply the medication to your skin. Topical steroids are available as an ointment, cream, lotion, gel, foam, spray, solution, or shampoo.

Other topical therapies. Steroids arenât the only topical medications that can get your psoriasis patches under control. Others include:

• Coal tar and anthralin

Light therapy. When you expose your psoriasis patches to certain types of light, they may shrink, fade, or go away. Light therapy is a first-line treatment for moderate to severe psoriasis.

Steroid shots. Doctors can treat stubborn psoriasis patches with a steroid shot directly into the inflamed skin.

Pills. There are a few types of pills that can lower your bodyâs production of skin cells:

• Methotrexate , which stops cell growth
• , a phosphodiesterase inhibitor that blocks cells that cause inflammation
• Acitretin , a retinoid, which may stop cells from growing as fast
• Cyclosporine, which suppresses your immune system

Youâll need to tell your doctor about any plans to become pregnant or breastfeed before you start these.

How To Be Intimate When You Have Genital Psoriasis

If you have genital psoriasis, you can still be intimate. Following this advice can help reduce irritation:

• When the skin on or around your genitals is raw, postpone sex.

• Before sex, gently cleanse the area. Be sure to use a mild, fragrance-free cleanser. Cleansing will also help prevent psoriasis medication from rubbing onto your partner.

• Men: Use a lubricated condom. Whether a man or woman has genital psoriasis, this lessens the risk of irritating the inflamed area.

• After sex, gently wash the area. This helps reduce irritation. If you are using medicine, apply it.

Psoriasis is not contagious

If you have sex with someone who has psoriasis, you will not get psoriasis. Psoriasis is not contagious. Its not a sexually transmitted disease.

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ReferencesBergstrom, KG, Kimball AB. 100 questions & answers about psoriasis. Sudbury, Mass: Jones and Bartlett.

Meeuwis KA, de Hullu JA, et al. Genital psoriasis awareness program: Physical and psychological care for patients with genital psoriasis. Acta Derm Venereol. 2015 Feb 95:211-6.

Ryan C, Sadlier M, et al. Genital psoriasis is associated with significant impairment in quality of life and sexual functioning. J Am Acad Dermatol. 2015 Jun 72:978-83.

Turner J. Inverse psoriasis. National Psoriasis Foundation webinar, presented September 16, 2015.

All content solely developed by the American Academy of Dermatology

The American Academy of Dermatology gratefully acknowledges the support from Amgen and .

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Prognosis In Guttate Psoriasis

Guttate psoriasis is a nonfatal eruption that either can run a limited course over several weeks to a few months, may recur, or can develop into the chronic plaque-type of psoriasis. Scarring is not a problem. Previously affected areas may show postinflammatory hypopigmentation or postinflammatory hyperpigmentation.

Data available on the prognosis of guttate psoriasis are sparse. Although guttate psoriasis often has a short-lived course, it may also represent the initial stage of chronic plaque-type psoriasis. Progression rates to chronic plaque psoriasis, reported in small studies, have ranged from one third to approximately two thirds of patients with gutatte psoriasis.

In a study of 15 patients, the probability of an individual developing chronic psoriasis within 10 years of a single episode of acute guttate psoriasis was suggested to be about 1 in 3, although further studies with larger numbers of patients are needed to more accurately determine the risk.

Like other forms of psoriasis, guttate psoriasis tends to improve during the summer and worsen during the winter. Once an episode of acute guttate psoriasis has cleared, many patients will have limited or no evidence of psoriasis for prolonged periods.

References

What Is The Treatment

There are many treatment options that can help scalp psoriasis and often a combination approach using a number of different treatments may be required until the symptoms have settled. It is important to remember to continue to treat the scalp even if hair falls out. Hair usually grows back once the inflammation and scale has cleared.

Treatments can be time-consuming and you may find them easier if you ask someone to help you. It is important to choose one that suits your lifestyle carrying out intensive treatments over the weekend, for example, when you have more free time. Psoriasis is not curable, but the signs and symptoms can be well controlled.

It can take at least eight weeks until you gain adequate control of the plaques, whichever treatment you use. Remember to try to treat psoriasis daily when it is active.

If, however, you have seen no improvement after 4 weeks continuous treatment, you should return to your doctor or nurse for further assessment.

Once you have achieved clearance, it is important to maintain the improvement. This can usually be done with regular use of a tar shampoo and or by moisturising the scalp occasionally with an oil or emollient. Some people find daily treatment of the scalp an advantage in keeping the scales from returning, but this would be a personal reference depending on your circumstances. If you have no success in controlling your scalp psoriasis, ask your GP to refer you to a specialist.

Topical steroids

Vitamin D analogues

Risks

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T Lymphocytes And Guttate Psoriasis

Histologic studies of early-stage psoriatic skin lesions reveal that the activation of T lymphocytes, endothelial cells, and macrophages precedes epidermal proliferation. The increased proliferation of the epidermal layer characteristic of psoriasis might be induced by activated T lymphocytes via the production of cytokines. Indeed, group A streptococcal antigenspecific T lymphocytes, which secrete high levels of gamma interferon, can be consistently isolated from guttate psoriatic skin lesions.

Consistent with the role of T lymphocytes is the concept of superantigenic stimulation by certain streptococcal components or products. Examples of superantigens produced by group A beta-hemolytic streptococci are streptococcal pyogenic exotoxins types A, B, and C a 22-kd pepsin fragment of M type-5 protein S pyogenes derived cytoplasmic membraneassociated protein and secretion-type CAP .

In general, unlike a conventional peptide antigen, a superantigen stimulates T cells almost solely through the beta variable portion of the T-cell receptor and induces an expansion of both CD4+ and CD8+ T cells. Therefore, an increased representation of V2+ T lymphocytes, such as that in both the epidermis and the dermis of guttate psoriatic lesions, compared with that of lymphocytes from the peripheral blood of the same patients and lymphocytes in normal skin, strongly suggests that T-cell stimulation by a superantigen is probably involved.

Graphites Naturalis For Cracked Skin

Cases where Graphites Naturalis works well tend to have patches of sore, dry, rough skin with scales. An inclination to develop cracks on the surface may also be there. Following scratching, stickiness on the skin may appear.

GraphitesNaturalis is also useful for cases of scalp Psoriasis. In such cases, eruptions with scales appear on the scalp. The scalp may be sore to touch, with distressing itching. One may also feel a burning sensation on the top of the head. Eruptions on the scalp can also spread behind the ears. In cases of nail Psoriasis, the characteristic features are rough, thick and deformed nails.

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What Are The Basic Differences

Psoriasis is a chronic immune-mediated disease. That means your immune system becomes dysfunctional and chronically activated, resulting in skin changes. It causes raised, red, scaly patches on your skin or scalp.

There are multiple subtypes of psoriasis. Plaque psoriasis is the most common and accounts for nearly 80-90 percent of psoriasis cases.

People with plaque psoriasis typically have sharply demarcated, raised, itchy, painful red plaques covered with silvery scales. The plaques are most often found on elbows and knees, but they can occur anywhere.

Eczema is an inflammation of the skin that can have numerous triggers. Atopic dermatitis is the most common type of eczema. It typically occurs in people with a personal or family history of asthma, hay fever or other allergies, and it is often seen in children. It makes skin more sensitive and more prone to infection.

At any time in your life, you can develop eczema from dry skin or chemicals that contact the skin and trigger irritation or allergic reactions.

Neither psoriasis nor eczema is contagious, Dr. Fernandez says. But while you cant pass them from person to person, they may run in families.

Ways Psoriasis Can Worsen If Not Managed Well

• Wed, Oct 27 2021 01:36:37 PM

New Delhi, Oct 27 : Some people believe that psoriasis is just a common cosmetic, skin problem. Many believe it is contagious, making it one of the most stigmatized of all skin conditions and cannot be managed. So, which is it?

Psoriasis occurs when one’s immune system is overactive and attacks healthy skin tissue, causing inflammation and speeding up skin cell growth. As a result, the skin becomes itchy, painful and scaly, with inflamed red plaques or silvery scales. These can appear across the body, often on the scalp, knees, back or elbows. Still, many believe these patches cannot hurt them.

Here are 4 ways Psoriasis can worsen if not managed:

Inflammation: Psoriasis is a chronic autoimmune disease that causes inflammation. What’s especially important to note is that even mild psoriasis can be a sign of significant inflammation in the body. This inflammation, in turn, can contribute to other associated health conditions.

Given that dermatologists are the key medical experts responsible for treating psoriasis, it is important to consult one to understand the condition and suitable and advanced treatment options such as biologics

It’s important to remember that psoriasis can be treated. By adopting advanced therapies, such as biologics, the disease, as well as flare-ups, can be effectively managed.

What steps you should take

• 9 hours ago & nbsp 34

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What Will Happen If I Stop Treating My Psoriasis

One of three things happens when you stop treatment:

What happens often depends on the medication you were using when you stopped, how well you manage your psoriasis triggers, and your medical history.

Before Stopping Psoriasis Treatment Talk With Your Dermatologist

Because psoriasis is a lifelong disease, its understandable that you may want to stop treatment at some point. Alwaystalk with your dermatologist before you stop treatment.

Some treatments can be stopped immediately. Others need to be discontinued slowly to prevent psoriasis from worsening .

When psoriasis rebounds, it may become a more serious type of psoriasis. A person who had plaque psoriasis may suddenly have pustular psoriasis or erythrodermic psoriasis.

The best way to prevent a rebound is to talk with your dermatologist. Your dermatologist can tell you whether you can stop the treatment abruptly or slowly. Sometimes, the best approach is to gradually switch to another treatment.

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What Are The Types Of Psoriasis

Common types of psoriasis include:

Plaque psoriasis. This is the most common type of psoriasis. It causes plaques and silvery scales, usually on the knees, elbows, lower back, and scalp. They can be itchy and painful and may crack and bleed.

Guttate psoriasis. This type often shows up after an illness, especially strep throat. It causes small red spots, usually on the trunk, arms, and legs. Spots also can appear on the face, scalp, and ears.

Inverse psoriasis. This causes smooth, raw-looking patches of red skin that feel sore. The patches are in places where skin touches skin, such as the armpits, buttocks, upper eyelids, groin and genitals, or under a girl’s breasts.

What Causes Guttate Psoriasis

• For some reason the germ group A beta-haemolytic streptococcus, which can cause a really sore throat, sometimes causes a skin reaction.
• It’s thought to be caused by your immune system going into ‘overdrive’ and accidentally reacting to your own skin.
• The throat infection is found in about 80% of cases.
• No one can quite figure out why this happens but some people seem to be more prone to it than others. It might be to do with your genetic make-up.
• In this way it’s similar to the way a throat infection can lead to rheumatic fever.

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Whats Triggering Your Psoriasis Flare

Science isnt exactly sure what causes psoriasis. It seems to be a combo of genetics, environmental triggers, and your immune system going rogue against your skin cells.

If youre genetically predisposed to psoriasis , youll prob experience your first flare-up because of an environmental trigger.

• smoking

Even folks with a tried-and-true treatment protocol can get flare-ups. Theres just no way to control *everything* around you and trying to control everything would be a lot of stress.

Most psoriasis flare-ups start as a small itchy patch that spreads pretty quickly. Scratching it wont speed up the spread, but it could lead to irritation and infection.

Dry Cracked Skin: Irritation That Can Lead To Infection

Dry, cracked skin is a psoriasis symptom. However, dry air can also cause your skin to become dry and itchy. When the skin is dry and irritated , it’s more likely to get infected. Infection may cause your skin to become red and swollen. If you have any skin rashes that keep coming back or won’t go away, see your doctor. Most cases of psoriasis can be diagnosed with a physical examination but because psoriasis can look like many other skin conditions, a skin biopsy may have to be done to definitively diagnose it.

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People Have Several Misconceptions Of The Disease And This Affects Patients Quality Of Life To A Large Extent Which Increases Their Level Of Stress

Some people believe that psoriasis is just a common cosmetic, skin problem. Many believe it is contagious, making it one of the most stigmatised of all skin conditions and cannot be managed. So, which is it? Psoriasis occurs when ones immune system is overactive and attacks healthy skin tissue, causing inflammation and speeding up skin cell growth. As a result, the skin becomes itchy, painful and scaly, with inflamed red plaques or silvery scales. These can appear across the body, often on the scalp, knees, back or elbows. Still, many believe these patches cannot hurt them.Dermatologist Shrichand G Parasramani says, Psoriasis is an autoimmune disease which can be controlled but has no cure. It can go into remission. Patients and their families have several misconceptions of the disease, such as it are infectious in nature and they have to live with it lifelong. It affects the patients quality of life to a large extent which increases his level of stress. Many patients are drawn towards alternative medicine such as Ayurveda or homoeopathy due to the failure of conventional therapy and at times high cost of treatment. This leads to irregularity in treatment, resulting in a flare-up of the disease or treatment failure. However, patients must understand the importance of addressing the disease so as to avoid the progression of psoriasis and its underlying complications. They must be told that with newer treatment options patients can lead an almost near-normal life.

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