What Innovative Treatments Do You Offer For Eczema And Psoriasis
Correct diagnosis is the first step. We take a thorough patient history and perform detailed testing to determine the skin condition. Depending on your history and symptoms, we may ask for tests such as a biopsy, patch tests or other diagnostic studies. Once we are sure of the diagnosis, we will make treatment recommendations.
We offer a wide range of extensive topical and systemic therapies, as well as ultraviolet light therapycalled phototherapy. UV therapy given in a controlled medical setting can be extremely effective treatments for both conditions depending on the patient.
Fight Ignorance With Facts
You may be all too used to second glances and unkind remarks about your skin from others. People who donât understand what the disease is may worry that itâs contagious or a symptom of another health problem. Have a fast, fact-based statement ready, says Carolyn Jacob, MD, who has psoriasis and serves as director of Chicago Cosmetic Surgery and Dermatology in Illinois. âI tell people who make comments, âI have psoriasis, which is a genetic condition. You canât catch it.ââ
Learning The Differences Between Eczema And Psoriasis
Psoriasis causes well-defined, thick, red, scaly patches, commonly in areas like the elbows and knees. It is common to see psoriasis on the face, buttocks, and scalp of a child. Youll also commonly see thick patches of skin with overlying redness.
Eczema tends to appear in the crooks of the knees and the elbows.
Children who have psoriasis tend to have mild itching. In eczema, the itching can be intense.
There are many ways for a dermatologist to tell the difference between eczema and psoriasis, including what one sees on the skin, the amount of itch, and where the disease appears on the skin.
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How Can You Measure Inflammation In The Body
While certain foods are known to cause inflammation, not everyone reacts the same way to these foods. Ive had some patients who felt that wheat was making their psoriasis worse. Another patient noticed more flare-ups when she ate nuts, says Wesdock.
Some tests can measure inflammation with biomarkers, which are substances in your blood that spike when your body reacts a certain way to foods such as fats or sugar. For example, a simple test can check for increased levels of C-reactive protein in your blood. The liver makes extra CRP if theres inflammation in your body. Doctors might use this test to determine how likely you are to develop a chronic condition like heart disease.
As you adjust your diet to ease psoriasis symptoms, be sure to work with your psoriasis doctor to monitor symptoms and inflammation levels.
How Is Each Treated
Eczema treatment depends on how severe it is. For mild to moderate cases, youâll use a topical corticosteroid to control inflammation, and youâll use an emollient on your skin. This type of moisturizer has an oil or cream base, not a water base, like lotion, which could dry your skin out more.
If you have moderate to severe eczema, you may need to try a medicine that affects your immune system like , methotrexate, azathioprine, or cyclosporine. If nothing else works, your doctor may prescribe a biologic drug called dupilumab . You might also try light therapy using ultraviolet light.
Psoriasis treatment is either systemic, which means it affects your entire body, or topical, which goes on your skin. If your disease is limited, or mild, you may be able to control it with topical corticosteroids and emollients.
Light therapy paired with methotrexate, cyclosporine, acretin, or a biologic is also an option for more severe cases. Or you could use just a biologic drug, which includes:
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What Is It Like Living With Eczema
Many people live with eczema . As many as 15 million Americans may have this skin condition. Living with it can be challenging.
There may be times when your eczema disappears. This is known as a remission period. Other times you may have a flare-up, which is when it gets worse. The goal of treatment is to prevent such flare-ups, preventing your symptoms from getting worse. Be sure to avoid triggers, moisturize, take your medicine and do anything else your healthcare provider recommends.
The Differences In Appearances
Eczema makes your skin red and inflamed. It may be scaly, oozing, or crusty. You may see rough, leathery patches that are sometimes dark. It can also cause swelling.
Psoriasis can also cause red patches. They may be silvery and scaly — and raised. But if you look closely, the skin is thicker and more inflamed than with eczema.
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Is It Psoriasis Eczema Or Something Else
One of the many things that make psoriasis so frustrating is that it can be hard to diagnose because it can look like other skin conditions. Scales on the skin can be caused by lichen planus, seborrhea, or eczema.
Psoriasis and eczema are very common and affect about 40 million Americans. They may share similar symptoms, like red, itchy, dry, cracked skin, but thats where the similarities end. Psoriasis and eczema are very different diseases with different causes and treatments. Its unusual for one person to have both conditions.
Psoriasis is a chronic autoimmune disease which may cause an imbalance in your immune system by creating too many inflammatory proteins. This increase in inflammation is what causes your body to produce extra skin cells that show up as red, scaly patches on your skin or scalp.
Eczema is also associated with inflammation in the body. It’s a common skin condition that can be triggered by dry skin, allergies, or sensitivities to things like fabrics or certain chemicals in household and personal products.
What’s The Difference Between Psoriasis And Eczema
To an untrained eye, these conditions may seem alike. But while they’re both skin diseases, they’re not the same. In fact, “They’re 100 percent different,” says Whitney High, MD, an associate professor of dermatology and the director of the Dermatopathology Laboratory at the University of Colorado Anschutz Medical Campus.
Psoriasis doesn’t usually affect children, High says. But eczema, or atopic dermatitis, is a childhood disease. Eczema also tends to be itchier than psoriasis. Only about a third of people who have psoriasis say they have itchiness.
And the conditions are likely to appear in different places. Eczema often shows up on kids’ faces and buttocks and the inside of their knees and elbows. Psoriasis isn’t typically found in those places.
Plus, “The same person that has childhood eczema doesn’t get psoriasis. And the person who has psoriasis as a young adult usually didn’t have childhood eczema,” High says.
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Home Treatment For Atopic Dermatitis
Good skin care is key. If your eczema is mild, that might be all you need, along with some changes in your daily habits.
If you have severe eczema, you may need to take medicine for it, too.
Soap and moisturizer. Use a mild soap or soap substitute that wont dry your skin. Youâll also want a good moisturizer in cream, lotion, or ointment form. Smooth it on right after a shower or bath, as well as at least one other time each day.
If your eczema is severe, you may find that it helps to take baths once a week with a small amount of bleach added to the water. That kills bacteria that live on the skin of people with eczema.
Short, warm showers. Donât take very hot or very long showers or baths. They can dry out your skin.
Stress management. Get regular exercise, and set aside time to relax. Need a few ideas? You could get together with friends, laugh, listen to music, meditate or pray, or enjoy a hobby.
Get a humidifier. Dry air can be stressful for your skin.
About The Dermatology Treatment Center
The DTC is an innovative, effective and convenient program for select patients with skin disorders. Patients admitted to the DTC benefit from a uniquely comprehensive program that provides intensive dermatologic therapy and special services for a single daily rate. Two key advantages of the DTC program are its convenience and its emphasis on wellness.
Designed for patients who have previously required hospitalization for their disease, DTC patients are scheduled six days per week and should plan to attend for an average of two to four consecutive weeks. Every effort is made to accommodate individual patient needs when scheduling treatment hours.
All treatment is provided within the DTC, in a fully equipped, self-contained suite that allows for privacy and individualized patient care. The DTC also offers an attractive, comfortable setting furnished with amenities that serve our patients as thoroughly as possible.
Included in the program are:
- A modified Goeckerman regimen, including all applied medications
- Complete and individualized nursing care
- Lunch is provided
- Kitchen facilities, including a microwave oven
- Wifi, cable television and DVD player
- Free parking
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Risk Factors Of Psoriasis
Local factors that can cause psoriasis are not as specific as those that appear to trigger eczema. However, many of the factors that cause other autoimmune diseases to develop also cause psoriasis, are following
- Alcohol in addition to smoking
- Skin Trauma
- Certain medications
- Problems with Eczema
Diagnosis of psoriasis, we can make by the following methods
- Skin examination
- It causes excessive production of skin cells
- It looks acanthotic under a microscope
Other Risks Of Methotrexate
Methotrexate can cause other problems as well. These include:
- Drug interactions. You shouldnt combine this drug with certain other drugs due to the risk of serious side effects. These may include anti-inflammatory drugs that are available over the counter. Talk to your doctor about other serious interactions that could occur if you take certain medications.
- Liver damage. If this drug is taken for a long time, it can cause liver damage. You shouldnt take methotrexate if you have liver damage or a history of alcohol abuse or alcoholic liver disease. Your doctor may recommend a liver biopsy to check for liver damage.
- Effects with kidney disease. Talk to your doctor before taking this drug if you have kidney disease. You may need a different dosage.
- Harm to pregnancy. Women who are pregnant, breastfeeding, or planning to become pregnant shouldnt use this drug. Men should not get a woman pregnant during treatment and for three months after stopping this drug. Men should use condoms throughout this time.
In 2014, the U.S. Food and Drug Administration approved to treat psoriasis and psoriatic arthritis in adults. Apremilast is thought to work within your immune system and decrease your bodys response to inflammation.
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Symptoms And Signs Of Eczema And Psoriasis
There are several types of eczema:
- Atopic eczema: This type of eczema tends to run in families with allergies and can come and go.
- Contact dermatitis: This eczema is triggered by skin allergies after you touch something youre allergic to.
- Nummular eczema: This shows up as small patches of red, irritated skin about a coin’s size, typically showing up in adults.
- Hand eczema: If you have eczema on your hands, it is commonly called hand eczema.
- Asteatotic eczema: This condition dries your skin out and makes it crack. It is usually found in older people and colder climates.
- Stasis dermatitis: This eczema typically forms on your legs and calves and tends to happen to people with poor circulation in their legs.
- Lichen simplex chronicus: This eczema is self-induced. If you scratch an area too much, you can irritate the skin and cause it to thicken and turn red.
- Seborrheic dermatitis: This is an oily type of eczema and is referred to as cradle cap.
Plaque psoriasis is the most common form of a rash. In this type, patches form on both sides of your body. Guttate psoriasis forms as little, itchy scaly spots on the skin that form in groups.
There are two kinds of rare psoriasis that are life-threatening. Erythrodermic psoriasis is a dangerous inflammation of the skin’s entire surface. Pustular psoriasis is psoriasis with white pus pockets.
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.
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At What Age Do They Start
Eczema usually starts in babies or young children. Often, symptoms improve when a kid becomes a grown-up.
Its less common, but possible, to get it as an adult. When that happens, its usually because you have another condition like thyroid disease, hormone changes, or stress.
Psoriasis, on the other hand, usually shows up between ages 15 and 35. But you can get it at other ages too. Its rare for a baby to have it.
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Psoriasis is a skin condition that most commonly causes red, scaly patches in areas along the body like the knees, scalp, and elbows. While this long-term chronic condition has no cure, lotions can relieve dryness, itchiness, irritation, and discomfort.
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How Common Is Eczema
Eczema affects up to 15 million Americans. Infants are prone to eczema and 10% to 20% will have it. However, nearly half outgrow the condition or have significant improvement as they get older.
Eczema affects males and females equally and is more common in people who have a personal or family history of asthma, environmental allergies and/or food allergies.
Phosphorus For Knees And Elbows
Phosphorus works wonders in cases of Psoriasis that affects knees and elbows. The skin of elbows and knees is covered with dry, scaly eruptions. Itching appears in the eruptions. In the majority of cases, the itching is worse in heat. Other accompanying features are a burning and stinging sensation in the eruptions. In a few cases a formication on the area affected is present.
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Can You Treat Eczema And Psoriasis The Same Way
Some of the medications that are used to treat psoriasis may help treat eczema and vice versa. This doesnt necessarily mean that theres a one-size-fits-all treatment plan for both conditions though. A dermatologist can help you find a treatment plan that will work best for you based on your individual symptoms and medical history.
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Another one of Birnbaums go-tos, this also contains salicylic acid, great for reducing those pesky plaques. The addition of lactic acid further boosts its exfoliating prowess, making it a good choice to use on legs to help knock out not only psoriasis, but general scaliness, shaving bumps, and more.
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What Injections Or Infusions Are Available For Psoriasis
Recently, a new group of drugs called biologics have become available to treat psoriasis and psoriatic arthritis. They are produced by living cells cultures in an industrial setting. They are all proteins and therefore must be administered through the skin because they would otherwise be degraded during digestion. All biologics work by suppressing certain specific portions of the immune inflammatory response that are overactive in psoriasis. A convenient method of categorizing these drugs is on the basis of their site of action:
Drug choice can be complicated, and your physician will help in selecting the best option. In some patients, it may be possible to predict drug efficacy on the basis of a prospective patients genetics. It appears that the presence of the HLA-Cw6 gene is correlated with a beneficial response to ustekinumab.
How Can I Get Started With A Psoriasis Diet
If youre going to change your diet to combat psoriasis, Wesdock recommends starting slowly. Jumping into a highly restrictive diet isnt usually sustainable and may deprive you of important nutrients. Instead, start by cutting out some highly processed foods.
Substitute the pastries and cookies with fresh fruit. Opt for herbal tea or water flavored with fresh fruit, mint or cucumber. If you think theres a specific food or ingredient thats triggering psoriasis flare-ups, talk to your doctor or a registered dietitian.
Being overweight or obese can also make psoriasis worse, so you may want to start a weight loss plan that includes fewer calories and smaller portion sizes. Any psoriasis treatment diet should be accompanied by healthy lifestyle choices. Get plenty of sleep and regular exercise, and try to reduce stress in your life. If you smoke, talk to your doctor about a plan to quit.
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How Is Eczema Treated What Medications Are Used
Treating eczema can be difficult if the cause is something you cant control, like genetics. Fortunately, you may have some influence over your environment and stress levels. Do your best to figure out what triggers or worsens your eczema, and then avoid it. The goal is to reduce itching and discomfort and prevent infection and additional flare-ups.
Consider these treatment tips:
If your child has skin problems, such as eczema, you can:
- Avoid long, hot baths, which can dry the skin. Use lukewarm water instead and give your child sponge baths.
- Apply lotion immediately after bathing while the skin is still moist. This will help trap moisture in the skin.
- Keep the room temperature as regular as possible. Changes in room temperature and humidity can dry the skin.
- Keep your child dressed in cotton. Wool, silk and manmade fabrics such as polyester can irritate the skin.
- Use mild laundry soap and make sure that clothes are well rinsed.
- Watch for skin infections. Contact your healthcare provider if you notice an infection.
- Help them avoid rubbing or scratching the rash.
- Use moisturizers several times daily. In infants with eczema, moisturizing on a regular basis is extremely helpful.
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