Thursday, July 18, 2024

Plaque Psoriasis What Is It

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How Is Scalp Psoriasis Treated

Some shampootreatments can be bought over the counter, however, if your scalp is coveredwith thick scale or doesnt clear up, do consult your GP. There is a wide rangeof topical treatments that can beprescribed including coal tar, dithranol, salicylic acid, steroid creams andointments, Vitamin D based treatments, as well asoils for moisturising the scalp, such as coconut oil. Various scalp treatments are available in cream, ointment,mousse, gel or shampoo formulations. If your scalp psoriasis is particularly difficult to treat, yourGP may refer you to a Dermatologist, Dermatology Nurse Specialist, or GP with aSpecial Interest in skin.

What To Do For Infection

If your scalp psoriasis becomes infected, you may have crusting, redness, warmth, tenderness, and sometimes swelling of your lymph nodes. Your doctor may prescribe an antibiotic treatment for this problem.

Show Sources

National Psoriasis Foundation: Specific locations: scalp,Scalp Psoriasis, and Over-the-Counter Topicals,Traditional systemic medications,Moderate to severe psoriasis: Biologic drugs.

Handa, S. Indian Journal of Dermatology, Venereology and Leprology, 2010.

Skin Therapy Letter: Treatments for Scalp Psoriasis with Emphasis on Calcipotriol Plus Betamethasone Dipropionate Gel .

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How Does Plaque Psoriasis Develop

Scientists believe that several factors are involved, including genetics, environment, and the immune system.

Plaque psoriasis occurs when the immune system sends out faulty signals that speed up the growth cycle of skin cells. The skin cells accumulate, and red, flaky patches appear anywhere on the surface of the skin.

Plaque Psoriasis Of The Elbow

What Is Psoriasis?

This photo contains content that some people may find graphic or disturbing.

CDC/Susan Lindsley

This photo illustrates how thick plaques can become if left untreated. Beyond a lack of appropriate treatment, plaque psoriasis can be instigated by any number of common and uncommon triggers. These include stress, infections, obesity, alcohol, smoking, skin trauma, medications, extreme humidity, and cold/dry weather.

Many of thesedrugs and stress, especiallycan exacerbate flares, making symptoms worse and more difficult to control.

In cases this severe, a doctor would likely recommend immunosuppressant drugs that temper the overactive immune response. These include disease-modifying antirheumatic drugs like methotrexate and cyclosporine, or new biologic drugs like Humira and Enbrel .

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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.

Racial Disparity In Psoriasis

Psoriasis can affect persons of any race however, epidemiologic studies have shown a higher prevalence in western European and Scandinavian populations. In these groups, 1.5-3% of the population is affected by the disease.

The highest documented disease prevalence is in Arctic Kasach’ye, with 12% of the population affected, followed by Norway, where 4.8% of the population has psoriasis. Lower prevalence rates for psoriasis have been reported among Japanese and Inuit populations.

Psoriasis is thought to be rare in West Africans and African Americans and is nearly absent in North American Indians. Psoriasis was undetected in the Samoan population and in a study that examined 26,000 South American Indians.

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The Link Between Psoriasis And The Immune System

No one ever really considered that the immune system had any real role in psoriasis, or its painful outbreaks. Not until a new drug Cyclosporine was offered to arthritis patients. What happened next was both surprising and unexpected. Patients who were prescribed the immune suppressing drug for their arthritis symptoms , began to report a decrease in their skin attacks. Without warning, researchers were faced with the theory that the immune system could be causing psoriasis.

It didnt take long before researchers began to figure out the mystery of psoriasis in regards to how the immune system can impact it.

The Role of the Immune System on the Skin

The immune system is responsible for standing guard and attacking any invaders which penetrate the body. Since the skins main job is to act as the bodys first defense mechanism against invasion, it is no wonder that the immune system works in close connection with each layer of the skin. Heres how it all works:

1. Immune cells patrol the entire body for dangers. Plaque Psoriasis ãââ¨ã£ââ¯

2. When an invader is detected, these immune send out chemical and nervous system messages to the immune system to ready itself for an attack

When To See A Doctor

What causes psoriasis?

A doctor can prescribe medication to reduce discomfort during a psoriasis flare.

To diagnose the condition, the doctor will look at the symptoms and ask the person about their medical history.

They may take a small skin sample or biopsy to rule out other skin inflammatory conditions such as eczema, contact dermatitis or a fungal infection.

Often, the doctor can diagnose psoriasis by appearance alone.

There is little information about treatment specifically for palmoplantar psoriasis.

However, options that may relieve symptoms usually involve the following, alone or in combination:

  • topical medications
  • systemic medication, which affects how the body works
  • light therapy
  • biologic treatments

A person may have to work with their health provider and try several treatments to find a suitable one.

Read Also: Psoriasis Eczema That Looks Like Ringworm

Enhancing Healthcare Team Outcomes

Plaque psoriasis is a complex life long disorder with enormous morbidity. Thus, it is best managed by an interprofessional team.

Insulin resistance and cardiovascular diseases are more common in psoriatic patients as are metabolic comorbidities. Obesity is the most common comorbidity observed in children with psoriasis. Many patients present with reduced quality of life and psychological manifestations and need special attention and counseling. Thus, primary care clinicians should advocate lifestyle modification such as reducing weight, reducing alcohol intake and smoking cessation may help control psoriasis, improve the results of treatment and prevent future complications.

Sudden onset, palmoplantar keratoderma, severe nail dystrophy, the involvement of skin folds should arouse suspicion of associated HIV infection in whom pustular forms are also more common with a higher frequency of arthritis.

Teaching Points


How Is Plaque Psoriasis Treated

Plaque Psoriasis is a condition which may not be necessarily cured since it is an inherited condition and tends to have periods of exacerbations and remissions. These exacerbations and remissions occur on their own but may in part be related to certain environmental triggers like a bacterial or a viral infection or undue stress on the part of the patient. When these triggers are activated then treating Plaque Psoriasis becomes that much more complicated.

Thus, treatment of Plaque Psoriasis depends on the severity of the condition and is aimed at helping improve the patients sense of well being. Mild cases of Plaque Psoriasis can be treated with topical applications of cream while more severe cases of Plaque Psoriasis may require that much more aggressive treatments so as to tame the severity and make the patient more comfortable from Plaque Psoriasis.

Here it should be noted that sunbathing should be done only when the sunlight and the overall weather condition is tolerable. It should be noted here that the sunlight and the ointments prescribed to treat Plaque Psoriasis may not penetrate deep inside the skin due to the thickness of the scales of Plaque Psoriasis and hence it is recommended that the scales be removed gently by washing with warm water so that there is no irritation to the skin. If the patient tries to remove the skin the hard way then there are high chances that the site may start to bleed and this may act as a trigger to aggravate Plaque Psoriasis.

Read Also: Can You Have Psoriasis On Your Hands

What Can I Do To Help Treat My Psoriasis

There may not be a cure yet but there is much you can do to help maintain and control your psoriasis. Psoriasis, regardless of location or type, is often irritated by contact, particularly tight clothing such as elasticated waistbands, socks, tights, and underwear. It may be useful to wear looser clothing where psoriasis is likely to be irritated either when flaring or during periods of treatment. Identifying factors that may cause your psoriasis to flare, using a diary, can be helpful.

How Long Does It Take For Plaque Psoriasis To Heal

Plaque Psoriasis On The Legs Photograph by Dr P. Marazzi/science Photo ...

Although research is promising, doctors cannot yet cure psoriasis. Once a person has had a psoriasis flare, they are likely to have another one.

Patches of psoriasis may clear up after a few months, or they may stay the same, get bigger, or spread across the body. In some people, psoriasis will disappear and not return for years.

Treatment can help reduce the frequency of flares and the severity of symptoms.

People who find that environmental factors trigger their flares can often reduce flare frequency by controlling these triggers, which may include stress or allergies.

Psoriasis has a characteristic appearance that most doctors quickly recognize.

If a doctor suspects psoriasis but is unsure, they may perform a skin biopsy to rule out other causes. The biopsy will involve taking a sample of affected skin and examining it under a microscope.

Treatment depends on the severity of psoriasis. Some people can control their symptoms by avoiding triggers and using over-the-counter corticosteroid creams.

People with moderate or severe psoriasis may need medication to control their symptoms. A wide range of medications is available, including:

Other treatment strategies include:

other types of psoriasis include:

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Key Insights From The Skin Insights: Uncovering Psoriasis Survey:

  • 64% of psoriasis patients say they have experienced psoriasis in intertriginous areas
  • Close to 3 in 4 agree that dealing with their intertriginous plaque psoriasis symptoms has made them feel: embarrassed , anxious , and depressed
  • Living with plaque psoriasis in intertriginous areas is most likely to have a strong negative impact on sexual distress/anxiety , intimate relationships , and sexual function

What Questions Should I Ask My Healthcare Provider

  • How can you tell that I have plaque psoriasis?
  • If I dont have plaque psoriasis, what other skin condition might I have?
  • How can I prevent flare-ups and control my symptoms?
  • What medicines do you recommend?
  • Do the medicines have any side effects?
  • What at-home treatments do you recommend?
  • Do the at-home treatments have any side effects?
  • What else should I do to improve my symptoms?
  • Is there a cream or ointment that you can prescribe?
  • Should I see a dermatologist or another specialist?

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Can I Have Sex If I Have A Plaque Psoriasis Flare

Yes, you can have sex if you have a plaque psoriasis flare-up on your genitals or in your genital region, including your inner thighs, butt crack or the skin just above your genitals .

Plaque psoriasis isnt a sexually transmitted disease or infection . Still, it can look like an STD or STI. Its a good idea to be honest with your partner if you have a flare-up. If they have any questions, encourage them to talk to a healthcare provider before having sex.

If you have a plaque psoriasis flare-up on your genitals, you may experience discomfort or pain during sex. Sexual lubricants and condoms can help ease discomfort, pain or itching.

After sex, carefully clean and dry your genitals and reapply any plaque psoriasis medications.

Supplements And Alternative Treatments

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The National Psoriasis Foundation suggest some herbs and natural remedies that may help with psoriasis in general.

  • Tea tree oil: Always dilute with a carrier, such as almond oil, before applying. Do not take by mouth. Some people may have an allergic reaction.
  • Epsom or Dead Sea salts: Add these to lukewarm water to soak the hands or feet.
  • Oats: You can add these to a soak or a bath.
  • Apple cider vinegar: Apply directly to the skin or dilute in equal parts with water. You can also add it to salads to take it by mouth.
  • Capsaicin: Some people find that applying a cream containing the spicy ingredient in chili peppers to the skin may help reduce itching and burning.
  • Mahonia Aquifolium: Also known as Oregon grape, applying a 10-percent topical cream may help reduce mild to moderate symptoms of psoriasis.
  • Turmeric: Adding this spice to food or taking supplements may help with some types of psoriasis.

Ask a health professional before using any of these, to make sure they are safe and suitable for you to use.

Apply a small amount to a small area of skin to check your reaction, in case you have an allergy or the treatment makes symptoms worse.

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What Is The Difference Between Eczema And Plaque Psoriasis

Eczema and plaque psoriasis look and feel different. Eczema is very itchy. Plaque psoriasis may be itchy, but it also may burn or sting.

Eczema irritates your skin and makes it change color, and it may cause tough, swollen, dark patches of skin. Plaque psoriasis patches are often white or silvery, and they rise above your skin. Plaque psoriasis is also thicker than eczema.

A note from Cleveland Clinic

Plaque psoriasis is an autoimmune disease that causes thick patches to develop on your skin or scalp. You may feel self-conscious, and it can be unpleasant if it itches or is painful. But it isnt contagious, and treatments can help your symptoms improve.

Its important to pay attention to your skin. Contact your health provider as soon as you notice any plaques develop on your skin.

What Are Medical Treatments And Medications For Plaque Psoriasis

All of these treatments must be continued indefinitely because when they are stopped, the psoriasis will typically return. It has recently been appreciated that the presence of psoriasis is a sign of a systemic inflammatory predisposition. Patients with psoriasis are predisposed to being obese, having diabetes, and having a destructive arthritis and premature cardiovascular disease.

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What Is The Personal Impact

When a healthcare professional talks about the intensity of symptoms, they often mean the degree to which symptoms interfere with your ability to function well.

For some, the condition causes embarrassment and discomfort. For others, symptoms keep them from being able to work, socialize, or participate in activities they love.

How Is Psoriasis Diagnosed

Plaque psoriasis photos

Doctors usually diagnose psoriasis by examining the skin, scalp, and nails. They’ll also ask whether someone else in your family has psoriasis and if you recently had an illness or started taking a new medicine.

Rarely, doctors might take a skin sample to check more closely. A can tell the doctor whether it’s psoriasis or another condition with similar symptoms.

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How To Treat Plaque Psoriasis

Theres currently no cure for plaque psoriasis . But there are a ton of treatment options to help soothe those itchy patches and help you get through the day.

Take your time finding the treatment thats best for you. It may take some trial and error.

Most people with psoriasis can treat the symptoms at home. A quick slather of moisturizer and a short blast in the sun may be enough for some people . But you may also need medical treatment.

Its best to talk with a doctor or dermatologist who can help work out the best treatments for you.

How Is Psoriasis Treated

Even though psoriasis cannot be cured, there are different types of treatments available that work effectively to reduce and relieve symptoms for many people. People with psoriasis that is will usually try treatment first with over-the-counter or prescription topical medications, which are applied directly to the affected skin. People with moderate to severe symptoms may need to combine topical treatments with systemic medications. These are taken by mouth or through an injection and work by affecting the way the persons immune system functions in order to reduce inflammation and prevent as many new skin cells from being produced. Light therapy is another treatment option for people with psoriasis. Light therapy involves exposing the affected skin to ultraviolet light rays for a limited period of time to help reduce symptoms.

Many people also find that certain types of lifestyle changes can help them to control their psoriasis symptoms, such as dietary changes, regular exercise, stress management techniques, and home remedies. Others find that complementary and alternative therapies such as acupuncture, herbal remedies, and dietary supplements may be helpful.

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