Is It Time To Evaluate Your Psoriasis Treatment
If you are treating psoriasis and have celebrated your 65th birthday, dermatologists recommend that you get evaluated. A careful evaluation will make sure that you are using an appropriate treatment at a dose thats right for you.
Having an evaluation also helps prevent possible side effects and interactions with other medications that you take.
If you need to find a board-certified dermatologist, you can search for one in your area at: Find a dermatologist
ReferencesGrozdev IS, Van Voorhees AS, et al. Psoriasis in the elderly: From the Medical Board of the National Psoriasis Foundation. J Am Acad Dermatol 2011 65:537-45.
Hodak E, Gottlieb AB, et al. Climatotherapy at the Dead Sea is a remittive therapy for psoriasis: Combined effects on epidermal and immunologic activation. J Am Acad Dermatol 2003 49:451-7.
Kushelevsky AP, Harari M, et al. Climatotherapy of psoriasis and hypertension in elderly patients at the Dead-Sea. Pharmacol Res. 1996 34:87-91.
Papp K, Reich K, et al. Apremilast, an oral phosphodiesterase 4 inhibitor, in patients with moderate to severe plaque psoriasis: Results of a phase III, randomized, controlled trial . J Am Acad Dermatol. 2015 73:37-49.
Rich, P, Gooderham M, et al. Apremilast, an oral phosphodiesterase 4 inhibitor, in patients with difficult-to-treat nail and scalp psoriasis: Results of 2 phase III randomized, controlled trials . J Am Acad Dermatol2016 74:134-42.
Is Psoriasis More Common At Certain Ages
You can get the condition at any age, but itâs more common in adults than in children. Many people with psoriasis start getting symptoms between the ages of 20 to 30 or between 50 to 60.
Itâs not clear why the condition is more common in those two age groups, says Dawn Davis, MD, a professor of dermatology and pediatrics at the Mayo Clinic in Rochester, MN. There are several possible reasons — with links to the immune system, aging of the skin, genes, health care access, and more — but the exact reason is unknown, she says.
Is It Psoriasis Or Eczema
Like psoriasis, eczema is a very itchy skin condition. In fact, eczema usually results in a more intense itch than psoriasis. Scratching causes inflammation of the skin, leading to a worsening of the eczema. Scratching can also cause a secondary bacterial infection.
Eczema is not a specific disease, but rather a term referring to a group of rash-like conditions. The most common type of eczema is caused by a reaction to irritants, like detergents, soaps, or household cleansers.
Eczema often shows up on the back of the knees or the inside of the elbows.
Eczema can affect anyone and affects children more than psoriasis does.
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Signs And Symptoms Of Psoriasis
Psoriasis plaques can range from a few spots of dandruff-like scaling to major eruptions that cover large areas. The diseases symptoms and appearance vary according to the type and severity of psoriasis.
Some common signs and symptoms include:
- Discolored patches or raised plaques of skin that are covered with scales
- Burning, itching, or soreness near the affected areas
- Pitted or thickened fingernails or toenails
How Psoriasis Is Diagnosed
A GP can often diagnose psoriasis based on the appearance of your skin.
In rare cases, a small sample of skin called a biopsy will be sent to the laboratory for examination under a microscope.
This determines the exact type of psoriasis and rules out other skin disorders, such as seborrhoeic dermatitis, lichen planus, lichen simplex and pityriasis rosea.
You may be referred to a specialist in diagnosing and treating skin conditions if your doctor is uncertain about your diagnosis, or if your condition is severe.
If your doctor suspects you have psoriatic arthritis, which is sometimes a complication of psoriasis, you may be referred to a doctor who specialises in arthritis .
You may have blood tests to rule out other conditions, such as rheumatoid arthritis, and X-rays of the affected joints may be taken.
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Psoriasis And Your Childs Emotions
This condition can have a big effect on your child’s mood and how they see themselves. To support your child and help them feel better:
Focus on facts. Don’t focus too much on the disease. Your child should never feel bad or different for having psoriasis. Try to keep discussions about their psoriasis matter-of-fact, not overly emotional.
Talk about feelings. Teach young children to name their feelings, especially when a symptom develops. Make a “happy” and “sad” feelings word list. Some symptoms may not bother them as much as they may bother you. This can help you understand how their disease affects their mood.
Let them decide. Give your child some power over the condition. For example, let an older child have a say in treatment. They might want a cream instead of a greasy ointment. Or they could choose a phototherapy session time.
Let go. Give your child support and understanding. Recognize that as your child gets older, they may turn to friends for support instead of you. This is OK. It’s important for your child to stay connected to their peers.
Spread the word. Educate your child about the condition at an early age. Give them books or links to websites about psoriasis and talk about it afterward. Encourage them to ask questions during doctor’s appointments. Help them practice how to handle uncomfortable questions or comments from other kids. Your child will feel more confident with answers at the ready, and may come to enjoy the chance to educate their classmates.
What Could Have Triggered My Psoriasis At This Stage Of My Life
Researchers believe late-onset psoriasis is caused by a combination of genes and other factors such as stress, skin injuries, previous infections, and certain medicines. For example, beta blockers, the medicine used to treat high blood pressure and heart conditions, can make psoriasis worse. Smoking, alcohol, and poor diet can also increase the risk of psoriasis.
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Does This Mean I Will Have Psoriasis For Life
In the absence of a cure you will always have psoriasis, but this does not mean that the signs will always be visible. Normally, the rash tends to wax and wane . There will be periods when your skin is good, with little or no sign of psoriasis. Equally, there will be times when it flares up. The length of time between clear skin and flare-ups differs for each individual and is unpredictable. It may be weeks, months or even years.
When Its Time To See A Doctor
Early detection and diagnosis of psoriasis are crucial for children. As soon as you notice symptoms that could be caused by psoriasis, make an appointment with your childs doctor.
Early intervention, treatment, and general support can also help reduce the stigma and self-esteem issues that may arise because of this skin condition.
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Psoriasis Medication You Apply To Your Skin
With proper medical evaluation and guidance, the following topical medications may be a treatment option for someone who is 65 or older:
If you are 65 or older and applying a corticosteroid to your skin, watch for:
Skin bruises or tears more easily
Purple spots on your skin
Blood vessels showing up on your skin
Should you see any of these where you apply your psoriasis medication, contact your dermatologist.
Is treatment that you apply to the skin right for you?
For this type of treatment to be effective, you must apply the medication as directed. To find out whether you can do this, ask yourself the following questions:
Can I comfortably reach and apply the medication to every area of my body that I need to?
Do I know how often I will need to apply each medication?
Do I feel confident that I will apply the right amount every time?
Will I spend the time required to apply the medication as prescribed?
Psoriasis And Psa Are Immune
Psoriasis is one of the most prevalent complex diseases worldwide and is characterized by a chronic autoimmune-mediated inflammation of the skin. In psoriasis, an unknown set of events induce T lymphocytes to chronically colonize the dermis and epidermis and promote inflammation. One of the consequences of the active immune infiltrate is an increase in the proliferation rate of keratinocytes, the cells that predominate in the epidermal skin layer, leading to red, raised and scaly plaque-like lesions. Psoriasis is considered a complex disease both etiologically and for its wide range of phenotypic manifestations. A combination of multiple genetic risk factors, triggering environmental agents and stochastic factors are thought to be responsible of its appearance . While little is known about the impact of environment on psoriasis, recent genome-wide association studies have markedly expanded the group of genomic loci that are associated with the susceptibility to develop this autoimmune disease . Although psoriasis is likely a multigenic disease, the PSORS1 locus on chromosome 6p21.3 is generally understood to confer the most risk for psoriasis . A specific allele of this locus, HLA-C*06, is also the only genetic variant repeatedly observed to associate with phenotypic features of psoriasis, such as the age at disease onset .
Map of the MHC region
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Can You Prevent Age Spots
If there is a genetic tendency then no but many cases are caused by prolonged exposure to the sun. So reduce your exposure and use a suncream with a high sun protection factor . Wear a hat and loose, long sleeved tops and trousers to protect your skin from the sun.
Think pale and interesting rather than bronzed and beautiful.
Dealing With The Stigma
Because unsightly patches of psoriasis can appear on the face, scalp, arms, and legs, children may feel self-conscious. Other youngsters may tease, bully, or exclude them.
Development of self-esteem and confidence is greatly dependent on peer interactions in early childhood, and social development is particularly impaired in children with psoriasis, which affects emotional development and school performance, among other issues, says Cordoro.
Psoriasis can be horrible for children, says Dr. Lewis. Thats why I think seeing a dermatologist early on is so valuable so kids can get treated.
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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.
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Aging With Psoriatic Arthritis
The best way to combat these risks is to adopt a holistic approach towards strengthening our health and allowing ourselves to age as gracefully as possible. I know easier said than done right?
We all know that this disease makes us depressed, and we get stress and want to drink and smoke. Not everyone does this, but I sure was on this path for a while.
I would say overall we do get worst with age, but this is just me. There is no cure yet, so let us try and avoid triggers and stay proactive. I work with my doctors all the time to manage my symptoms. If I have any questions about my treatments, I asked. If I feel my medication is not working, I have my doctor make changes to improve what is going on with me.
Remember that you are never alone.
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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 Are Other Types Of Psoriasis
Plaque psoriasis is the most common type. About 80% to 90% of people with psoriasis have plaque psoriasis.
Other, less common types of psoriasis include:
- Inverse psoriasis appears in skin folds. It may look like thin pink plaques without scale.
- Guttate psoriasis may appear after a sore throat caused by a streptococcal infection. It looks like small, red, drop-shaped scaly spots in children and young adults.
- Pustular psoriasis has small, pus-filled bumps on top of the red patches or plaques.
- Sebopsoriasis typically appears on the face and scalp as red bumps and plaques with greasy yellow scale. This type is a cross between psoriasis and seborrheic dermatitis.
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Are There Home Remedies For Late
While home remedies will not make psoriasis go away, many people with mild to moderate psoriasis manage their symptoms using natural and alternative remedies. Tea tree oil and apple cider vinegar can relieve itching and loosen plaques especially in scalp psoriasis. An oatmeal bath or Epsom salts can soothe irritated skin. Adding omega-3 fatty acids to your diet can help reduce inflammation.
Why Are There Fewer Options To Treat My Late
At present, there is limited data about the safety of biologic and systemic treatments for seniors. Conditions common among older adults kidney, heart and liver diseases, dementia, diabetes, and obesity can increase the risks of potential side effects and drug interactions. And because biologic treatments target the immune system, they may also be less safe for people with weakened immune systems.
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Living With Psoriasis Throughout Menopause
Menopause can bring on hot flashes, night sweats, mood swings and, for women like Ellen Clements, psoriasis flares. Learn how she successfully handled it.
Plenty of women will tell you their psoriasis got worse during menopause. For one woman, hormone changes in her forties spurred her worst skin problems ever. Thats when she learned the real culprit behind her lifelong skin problems was psoriasis.
Ellen Clements, a 64-year-old insurance broker at Willis Group in Boston, was told throughout her childhood and into adulthood that the scales on her skin were from eczema. When she began experiencing menopause symptoms, her skin condition began to show its true nature: She had psoriasis a bad case of it.
When she was a child, Clements doctors told her parents her flaky skin needed prescription cream meant for treating eczema. During her teen years, when scaly areas appeared in her navel , her doctor said she had been wearing her jeans too tight.
Her skin problems became much worse when she started experiencing symptoms related to perimenopause, the years leading up to menopause when hormones begin to fluctuate.
What Does Psoriasis Look Like
Psoriasis usually appears as red or pink plaques of raised, thick, scaly skin. However, it can also appear as small, flat bumps or large, thick plaques. It most commonly affects the skin on the elbows, knees, and scalp, though it can appear anywhere on the body. The following slides will review some of the different types of psoriasis.
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What Is Psoriasis
Psoriasis is an immune-mediated disease* that causes inflammation in the body. There may be visible signs of the inflammation such as raised plaques and scales on the skin.
This occurs because the overactive immune system speeds up skin cell growth. Normal skin cells completely grow and shed in a month. With psoriasis, skin cells do this in only three or four days. Instead of shedding, the skin cells pile up on the surface of the skin. Some people report that psoriasis plaques itch, burn and sting. Plaques and scales may appear on any part of the body, although they are commonly found on the elbows, knees, and scalp.
Inflammation caused by psoriasis can impact other organs and tissues in the body. People with psoriasis may also experience other health conditions. One in three people with psoriasis may also develop psoriatic arthritis. Signs of PsA include swelling, stiffness and pain in the joints and areas surrounding the joints. PsA often goes undiagnosed, particularly in its milder forms. However, itâs important to treat PsA early on to help avoid permanent joint damage.
Symptoms often start between ages 15 and 25, but can start at any age. Men, women, and children of all skin colors can get psoriasis.
How Is It Treated
Psoriasis treatment ranges anywhere from a topical treatment, to a pill, to injections, to light therapy. The dermatologist will give you a treatment plan that is suited best for you, your type of psoriasis, what skin areas are affected, and the diseases effect on your overall health. The goal of treatment is to reduce the amount of inflammation and to control the amount of skin shedding.
Moisturizing creams loosen scales and help control itching. Special diets have not been successful in treating psoriasis, except in isolated cases increasing fish in the diet and/or taking fish oil capsules may benefit some patients with psoriasis.
There still isnt a cure for psoriasis, but there are still options that can help make your skin as clear as possible.
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