Ways To Treat Psoriasis At Home
Even though it affects your skin, psoriasis actually begins deep inside your body in your immune system.
It comes from your T cells, a type of white blood cell. T cells are designed to protect the body from infection and disease. When these cells mistakenly become active and set off other immune responses, it can lead to psoriasis symptoms.
Even though theres no cure, many treatments exist to ease the symptoms of psoriasis. Here are 12 ways to manage mild symptoms at home.
Should I Go To Urgent Care For Psoriasis
Psoriasis is associated with symptoms such as the presence of redness or rashes on the skin, itchy, scaly, and patchy skin with pain and discomfort. When we experience any such symptoms, we need to undergo consultation with a doctor as soon as possible, as ignorance in such cases may lead to severity of the symptoms or occurrence of flare-ups.
Although a complete cure has not been possible as far, the symptoms of psoriasis can be controlled or minimized to some extent. Early or immediate treatments are a way to prevent the severe symptoms of flare-ups and further serious complications.
Psoriatic Arthritis Blood Test: Hla
HLA-B27 is a blood test that looks for a genetic marker for psoriatic arthritis a protein called human leukocyte antigen B27 , which is located on the surface of white blood cells. About 20 percent of people with psoriatic arthritis are positive for HBL-B27, according to CreakyJoints.
HLA-B27 is associated with a larger group of autoimmune diseases, called spondyloarthropathies, which includes psoriatic arthritis, Cadet says. These conditions can cause inflammation in the enthesis anywhere in the body but mainly in the spine.
Frequency of Testing The HLA-B27 test is usually performed only at an initial visit to help establish a diagnosis, says Cadet.
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What To Expect Before A Biopsy
A biopsy is a relatively minor procedure and shouldn’t take more than 15 minutes, including any preparation. Your doctor, usually a skin specialist known as a dermatologist, will remove some of your skin cells.
The procedure can cause some minor bleeding, so it’s a good idea to tell your doctor if you:
- Have problems with extra bleeding
- Take blood-thinning medication like warfarin or heparin
- Have lots of skin infections
- Use medicine that curbs your immune system — your body’s defense against germs
If the skin that your doctor wants to check is in a hard-to-reach area, you may have to undress and change into a hospital gown. Your doctor will clean the area and may mark the biopsy area with a special pen.
Then, your doctor will give you a shot of medicine that numbs the area so that you don’t feel anything when they remove a sample of skin. The area may burn for a few seconds before it gets numb.
Caspar Criteria For Diagnosis
Diagnosing psoriatic arthritis relies on markers in an established system called the Classification Criteria for Psoriatic Arthritis .
The criteria are each assigned a point value. Each one has a value of 1 point except for current psoriasis, which has a value of 2 points.
The criteria are as follows:
- current psoriasis outbreak
- personal or family history of psoriasis
- swollen fingers or toes, known as dactylitis
- nail problems, like separation from the nail bed
- bone growths near a joint that are visible on an X-ray
- absence of rheumatoid factor
A person must have at least 3 points based on the CASPAR criteria to be diagnosed with psoriatic arthritis.
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Evaluation And Differential Diagnosis
Less common variants of psoriasis include inverse psoriasis, pustular psoriasis, guttate psoriasis, erythrodermic psoriasis, and annular psoriasis .6). These variants can be differentiated from the common plaque type by morphology. Differential diagnoses include atopic dermatitis, contact dermatitis, lichen planus, secondary syphilis, mycosis fungoides, tinea corporis, and pityriasis rosea . Careful observation often yields the diagnosis. For more atypical presentations, a skin biopsy might be helpful.
Differential diagnoses and distinguishing clinical features
|DIFFERENTIAL DIAGNOSES||DISTINGUISHING CLINICAL FEATURES|
|Atopic dermatitis||Predominant symptom of pruritus and typical morphology and distribution|
|Contact dermatitis||Patches or plaques with angular corners, geometric outlines, and sharp margins dependent on the nature of the exposure to the irritant or allergen|
|Lichen planus||Violaceous lesions and frequent mucosal involvement|
|Secondary syphilis||Copper-coloured lesions and frequent involvement of palms and soles|
|Mycosis fungoides||Irregularly shaped lesions with asymmetric distribution, peculiar colour, and wrinkling due to epidermal atrophy|
|Tinea corporis||Fewer lesions with annular configuration|
|Pityriasis rosea||Tannish-pink, oval papules and patches with Christmas tree configuration on trunk with sparing of the face and distal extremities|
What To Eat In Psoriasis
A healthy diet is always important for maintaining healthier skin and fighting off the flare-ups related to any skin diseases. Some of the food habits that need to be preferred in the case of psoriasis to control the severity of symptoms are such as:
- Avoiding excessive alcohol intake.
- Incorporating anti-inflammatory foods in the diet such as fruits and vegetables including berries and green leafy vegetables.
- Intake of omega-3 fatty acids.
- Low carbohydrate and low-fat diets should be taken.
- A gluten-free diet is preferred.
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Is Inverse Psoriasis Contagious
Articles On Psoriasis Causes & Risk Factors
Psoriasis causes red, scaly patches to appear on the skin. It can look like a rash, so you may worry that you could get it from someone else or pass it to others. But rest easy: Its not contagious. You cannot catch the disease by touching someone who has it.
Is Psoriasis The Same As Eczema
Psoriasis and eczema are two different skin conditions. They differ in where the disease appears on the body, how much it itches and how it looks. Eczema tends to appear more often behind the knees and inside the elbows. Eczema also causes more intense itching than psoriasis. Many people, especially children, can get both eczema and psoriasis.
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Psoriatic Arthritis Blood Test: Serum Uric Acid
Uric acid is a substance that forms when the body breaks down purines, which are found in human cells and many foods, according to the Arthritis Foundation. Elevated blood levels of uric acid are sometimes identified in people with psoriatic arthritis and can also be linked to gout, heart disease, and high blood pressure, according to Cadet.
Frequency of Testing Testing may be done several times a year, says Cadet.
How Do Dermatologists Treat Psoriasis
If you have psoriasis, a dermatologist can create a treatment plan to meet your individual needs. To create this plan, your dermatologist will consider the:
Type of psoriasis you have
Places psoriasis appears on your body
Severity of the psoriasis
Impact psoriasis has on your life
Other medical conditions you have
Your treatment plan may include medication you apply to your skin, advice to help you care for your skin, and tips to help prevent flare-ups. To control psoriasis, some people also need light treatments or medication that works throughout the body.
You can find out about the different treatments for psoriasis at: Medications and light treatments for psoriasis
Your dermatologist will want to see you for follow-up appointments. These appointments can be very helpful because your dermatologist can:
Find out how well the treatment plan is working for you
Modify your treatment plan if necessary
Watch for signs of psoriatic arthritis, a disease that you want to catch early
Assess your risk of developing other diseases that are more common in people with psoriasis
Help you set realistic expectations for managing your psoriasis
A dermatologist can also answer questions you have about treating psoriasis. Common questions that patients ask include:
ReferencesBergstrom KG and Kimball AB. 100 questions and answers about psoriasis. Sudbury, MA: Jones and Bartlett Publishers 2005.
All content solely developed by the American Academy of Dermatology
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What Can I Do To Reduce My Risk Of Fatty Liver Disease
Reducing risk factors for metabolic disease and liver disease is likely the best approach to minimize the risk of NAFLD. For individuals who are overweight, weight loss is an important step for preventing and treating NAFLD. Clinical research studies have shown that even a 5 percent weight loss can improve NAFLD. Your doctor or a nutritionist can help you get started on a diet and exercise plan that works for you.
Controlling alcohol intake is another approach to reduce the risk of liver disease. The liver removes molecules that can harm the body, including alcohol. Limiting or avoiding alcohol consumption can help reduce stress on the liver.
Consuming coffee and caffeine may also help protect your liver, research suggests. A review of studies showed that people diagnosed with NAFLD or NASH who drank caffeinated coffee regularly had lower levels of liver fibrosis.
People with NAFLD who have low levels of vitamin D may benefit from vitamin D supplements.
What Are The Side Effects Of Psoriasis Treatment
It could depend on your skin type and the possibility of other medical condition you might have. Topical creams that smoothen your skin are mild and do not have any side effects. However, if you are going for advanced procedures, there are chances that it might cause some allergic reactions in you. However, most of the treatment for Psoriasis is considered safe and has been perfected for years. You can check with your doctor if you have concerns.
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Blood Tests For Psoriatic Arthritis
Blood tests in themselves will not confirm a PsA diagnosis. These tests are usually given to determine the presence of inflammation and to rule out other conditions.
Read on to learn what types of blood tests may be given to make a PsA diagnosis.
- Erythrocyte sedimentation rate . This gauges your bodys degree of inflammation, though not specifically for PsA. It measures the amount of red blood cells that settle in a vial of blood, which is greater when you have inflammation.
- C-Reactive protein . Your doctor may order this test to check for an elevated C-reactive protein level. This test is not specific for PsA, but it does indicate the presence of inflammation.
- Rheumatoid Factor . Presence of this antibody in your blood indicates rheumatoid arthritis . Its presence means you dont have PsA.
- Anti-Cyclic Citrullinated Peptide test. These antibodies usually indicate RA. However, their presence can occur in other forms of arthritis, and your doctor will probably test for them.
- Human leukocyte antigen B27 . This is a protein found on the surface of white blood cells in some people with PsA.
- Serum uric acid. Your doctor may take a sample of fluid from your joints to check for uric acid crystals. Elevated uric acid in the blood or crystals in bodily fluids indicate gout.
Symptoms And Family History
40 percent of people with psoriasis or PsA had a family member with either psoriasis or PsA.
In the study, those with a family history of PsA had a higher risk for developing deformities from PsA, but a lower risk for developing plaque psoriasis, the red, scaly skin patches that are a common symptom of psoriasis.
Researchers are only now beginning to decipher the specific genes associated with PsA. The main challenge is distinguishing genes responsible for psoriasis from those responsible for PsA.
Identifying the genes that lead to PsA may pave the way toward developing gene therapy for treating PsA.
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What Is Psoriasisand How Can You Treat It
A doctor explains the common skin condition
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There are plenty of reasons your skin may become inflamed, dry, red, or flaky. It can be the result of cold weather, an allergic reaction, or even stress. But if your irritated skin persists, you may have a condition called plaque psoriasis, which is marked by scaly, swollen patches of skin. Like eczema, rosacea, or keratosis pilaris, psoriasis is generally a life-long, chronic skin condition, so its imperative that you know how to treat the symptoms. To learn more about the common skin disease, we tapped Dr. Alexis Parcells, a New Jersey-based, board-certified plastic surgeon and owner of Parcells Plastic Surgery.
Psoriatic Arthritis Blood Test: Erythrocyte Sedimentation Rate
Erythrocyte sedimentation rate, or ESR or sed rate, is a blood test that measures inflammation in the body, which helps determine a psoriatic arthritis diagnosis, explains Elaine Husni, MD, MPH, vice chair of rheumatology and director of the Arthritis and Musculoskeletal Center at the Cleveland Clinic.
The test measures how many milliliters of red blood cells settle per hour in a vial of blood. When swelling and inflammation are present, the bloods proteins clump together and become heavier as a result, they will fall and settle faster at the bottom of the test tube, according to Johns Hopkins Medicine.
As with many blood tests, labs each have their own, slightly different reading of what ESR numbers mean, which they interpret based on past results, explains Cadet. Age is also a factor. ESR can be elevated slightly in elderly patients and still be normal for that person, she says.
Frequency of Testing In addition to diagnosis, Testing may be done several times a year to determine if theres ongoing inflammation, says Cadet.
How To Prevent Psoriasis From Returning
There is no one-size-fits-all solution to managing psoriasis. If you are lucky enough to experience remission, you can take steps to keep your skin healthy and clear. Try the following strategies:
Expose skin to sunlight: Some sun exposure can help keep mild psoriasis at bay. Researchers recommend multiple but short sunlight exposures for people with psoriasis who can tolerate sunlight.
Manage stress: Since stress is a psoriasis trigger, it is good to relax and manage stress to keep inflammation from developing.
Avoid scrubbing: Scrubbing skin can irritate it and trigger a psoriasis flare. Wash your skin gently, pat dry, and moisturize.
Keep your body healthy: Staying healthy can reduce systemic inflammation. Ways to keep your body healthy include eating a nutritious, well-balanced diet, not smoking, being active, and restricting alcohol intake.
Clinical Features And Diagnosis
Symptoms of psoriasis may vary slightly from person to person, but the characteristic symptoms are patches of red skin with white scaling. These scales may itch and sting. They can occur anywhere, but some common sites include the scalp, elbows, and knees.
Doctors typically diagnose psoriasis based on a physical examination. They may ask questions about the joints or other areas of the body to determine the extent of the psoriasis. They might also carry out a skin biopsy to rule out other conditions, such as eczema.
Typically, people with a HCV infection present any symptoms. This makes regular screening for hepatitis C important, especially for people with psoriasis taking immunosuppressive drugs. Some people with an acute hepatitis C infection may have symptoms 1-3 months after viral exposure, which can include:
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Psoriatic Arthritis Blood Test: Anti
Blood tests that look for the presence of anti-cylic citrullinated peptide antibodies , which are inflammatory, are commonly used to diagnose rheumatoid arthritis, but anti-CCPs can also indicate psoriatic arthritis.
Roughly 8 to 16 percent of people with psoriatic arthritis will test positive for anti-CCPs, says Rubenstein.
Frequency of Testing Some physicians will perform the test yearly, says Cadet.
Fast Five Quiz: Severe Psoriasis
Dirk M. Elston, MD William D. James, MD
About one quarter of people with psoriasis have moderate to severe psoriasis. Without appropriate treatment, these patients will experience significant disease burden and profound effects on quality of life. Treatment correlates with surface area of involvement, body sites affected, the presence or absence of arthritis, and the thickness of the plaques and scale.
How much do you know about severe psoriasis? Test your knowledge with this quick quiz.
Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Dirk M. Elston, William D. James. Fast Five Quiz: Severe Psoriasis – Medscape – Dec 20, 2021.
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How Do You Treat Plaque Psoriasis
Keep your psoriasis clean and moisturized.
The first step to treating psoriasis is consulting your doctor. There are creams and lotions, depending on how severe the case is, so that’s why it’s important that, if it is psoriasis, you have a physician who is prescribing treatment for you, Parcells says.
For a mild case, you may be able to treat it at home with colloidal oatmeal or unscented epsom salt baths, which will relieve itchy skin and soothe joint pain for psoriatic arthritis, respectively. For the former, try the Aveeno Soothing Bath Treatment, which claims to cleanse, moisturize, and relieve sensitive, itchy skin. For the latter, choose a soak thats unscented, like the Solimo Epsom Salt Soak, to avoid further skin irritation while you soothe your joints. After a bath, Parcells recommends applying a thick cream while the pores are still dilated from the warm water. For this, go with the Cerave Moisturizing Cream that contains hyaluronic acid to hydrate the skin and ceramides to protect the skin barrier. For a more emollient ointment that seals in moisture and adds a protective layer over the skin, try the Eucerin Original Healing Cream.