Dr Green Discusses Psoriasis With World Renowned Dermatologist Dr Mark Lebwohl
Dr. Lebwohl is the Waldman Professor and Chairman of the Kimberly and Eric J. Waldman Department of Dermatology at the Icahn School of Medicine at Mount Sinai in New York City, NY.
Dr. Green is the section editor of The Dermatologists Psoriasis Center of Excellence, clinical professor of dermatology at George Washington University School of Medicine in Washington, DC, and on the National Psoriasis Foundation Medical Board.
The information contained in this post is intended for informational purposes and does not constitute professional medical advice. Always speak with your healthcare provider about the best treatment for you.
Drug Treatments For Psoriasis
The following describes the different treatments that the FDA has approved for psoriasis.
- Topical Medicine: Applied to the skin, these medicines help control mild to moderate psoriasis.
- Corticosteroids : The most frequently prescribed medication for treating mild to moderate psoriasis, it is available as a cream, ointment, gel, foam, spray, and lotion.
- Anthralin: This medication is often used to treat thick patches of psoriasis. In the past, many patients disliked using it because anthralin would irritate and stain the skin. With newer formulas and new ways to use this medication, these problems rarely occur.
- Calcipotriene and Calcipotriol : Many patients use this medication combined with a corticosteroid. Using both medications as prescribed can be very helpful. To avoid side effects such as irritated skin, always use as directed.
- Retinoids : Some patients find that applying this medication to their psoriasis is enough to control the psoriasis. For patients who need a bit more help, a dermatologist may prescribe a topical corticosteroid. Women should not use a retinoid if they are pregnant.
- Coal tar: For more than 100 years, coal tar has been used to safely and effectively treat psoriasis. Many patients disliked this treatment because it was messy and had an awful odor. Newer products work much better.
What Are The Post
Post the treatment your skin can still have some leftover symptoms from the treatment. You might be advised to use a mild skin moisturizer and to keep your skin free of blemishes. Though sunlight can be good for your skin, overexposure can be harmful. Hence check with your doctor about the correct exposure and take care of your skin accordingly. Also, ensure that your keep skin clean of impurities by having regular cleaning with soap and water.
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Can Psoriasis Go Away On Its Own
Psoriasis is a skin disease accompanied by symptoms of red, itchy, and patchy skin. In most cases, it needs to undergo treatment while some cases may be associated with spontaneous remission. The flare-up in such skin conditions may disappear or undergo healing on its own and without any treatment.
Probably the spontaneous remission is a result of the immune system which may stop attacking the skin, making the symptoms fade away. Even after getting treated there are chances of reoccurrence.
Vanicream Gentle Body Wash
Vanicream is another world-renowned brand that is famous for its advocacy for the proper treatment of sensitive skin. This brands basic gentle body wash may be simple, but it has garnered lots of recognition and admiration among doctors and psoriasis sufferers. It even has a badge of being approved by the National Eczema Association stamped on its bottle.
This body wash gained popularity because of how incredibly skin-safe it is. It doesnt contain ingredients that can be harsh to sensitive skin types, like sulfates, parabens, dyes, lanolin, etc.
It doesnt contain any added fragrance as well, be it artificial or natural. The fewer ingredients, the better a product is for sensitive skin. Fragrances can irritate the skin, so Vanicream decided to do without it. Nonetheless, the body wash has a faint, clean smell.
Even if it doesnt contain sulfates, this body wash produces a rich, creamy lather in the bath. Its texture and consistency are silky smooth. This makes it easy for the product to glide on the skin and give a luxurious feel to your simple, no-frills body wash.
Vanicream has been around for decades and has always specialized in caring for sensitive skin. So its no surprise that this gentle body wash is dermatologist-tested and recommended. That makes it an excellent option for people with psoriasis.
- Leaves the skin a bit dry would be better with more moisturizing ingredients
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Symptoms Of Facial Psoriasis
There are several forms of facial psoriasis. They all involve skin thats itchy, painful, and irritated.
Scratching psoriasis lesions can also lead to broken skin and, in some cases, infection. Psoriasis can affect your self-image and general quality of life, too.
The three main subtypes of psoriasis that appear on the face are the following:
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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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.
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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How To Prepare And What To Expect
A key part of the preparation for a visit with a dermatologist is to track and record all symptoms. Doing this allows for a thorough discussion, which will help the dermatologist create an effective treatment plan.
Symptom tracking is particularly important for psoriasis, which can alternate between flare-ups of varying duration and periods of remission that can last for 112 months.
The person should note:
- Intensity: People can use a scale of 110 to rate the intensity of each symptom.
- Location: The dermatologist will want to know what part of the body each symptom affects.
- Duration: It is important to note how long each symptom lasts.
- Variation: People should record how any symptoms change over time.
Other preparations may include:
- writing the names and dosages of all prescription and over-the-counter medications and dietary supplements
- checking the medical history of family members
- gathering lab results from tests that another doctor has ordered to bring along
- avoiding wearing makeup, moisturizer, and nail polish
A person may also find it helpful to bring a pen and notebook to the consultation to write down instructions or any unfamiliar terms.
The ideal frequency of appointments will vary among individuals. It will depend on several factors, including:
- the severity of the psoriasis
- the frequency of flare-ups
- the development of any other health conditions
Natralia Eczema And Psoriasis Wash
If you love incorporating natural botanicals and plant extracts into your skincare, youll enjoy this 2-in-1 wash and shampoo by Natralia.
This is a terrific, refreshing body wash and shampoo that gives immediate relief of itching and irritation from rashes and flare-ups. It also alleviates dryness to a degree, because of its soft, nourishing consistency. Because it works as a shampoo too, its great for sensitive scalps that sometimes carry the burden of psoriasis flare-ups.
This body wash is loaded with anti-inflammatory botanicals, plant extracts, and essential oils to treat eczema and psoriasis. Some of these natural ingredients include calendula, bergamot oil, and aloe vera. These are great for soothing the skin and helping retain hydration and moisture in its layers.
Another cool thing about this body wash is that it has silk amino acids and keratin. These strengthen and protect the hair, making your locks less prone to breakage.
Even though this body wash lathers up nicely and cleanses deeply, it has a very skin-friendly formulation. It doesnt contain any sulfates, which are the harsh cleaning agents you see in regular soaps. Because its sulfate-free, this body wash wont dry out the skin like other soaps tend to.
- Contains ethanol, an alcohol that may be irritating or drying for some skin types
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How Psoriasis Is Treated
As stated earlier the treatment plan aims to stop your skin cells from multiplying first. Later the treatment would focus on getting your skin back in shape. To achieve this, there can be a combination of multiple treatments done at the same time. Your doctor would test the nature of your skin and identify the potential cause for it before imparting the treatments. The most common methods would be the usage of topical creams. They are ointment based and are applied to your raw skin and in your affected area. The results can be slow, but however, this treatment works effectively in 60% of the cases.
These ointments can be a combination of salicylic acid, coal tar, anthralin, etc. Light therapy can also work against the exploitation of the skin cells. These treatments use natural or artificial UV light over the skin to control cell expansion.
Your doctor will guide you on the type of light to use and the amount of exposure you would require. In some cases, you might be undertaking oral medications or injected medications to prevent the flare-up. It should be noted that not all these drugs work on everyone. Hence care should be taken to first identify the skin type you have and your health condition before getting these drugs. You can discuss and consult with your doctor about these medications in detail.
What Are The Causes Of Psoriasis
The exact cause of psoriasis is not known but there could be many other factors which can cause psoriasis.
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What Is Excimer Laser Treatment For Psoriasis
Dr. Sapadin may do a quick test to determine the best dosage level before you start treatment. He uses a handpiece to deliver a focused UVB light beam that’s filtered through a state-of-the-art fiber-optic system.
The laser works at the 308 nanometer wavelength to disrupt your T-cells, the cells that cause psoriasis growth. It targets only your active lesions, leaving your healthy skin undisturbed. Your treatment sessions usually take only minutes, and most patients say it’s pain-free.
Topical Medications For Psoriasis
Topical medications are applied directly to the skin. For mild or moderate psoriasis, they can be enough to manage the condition for more severe cases they may be used in combination with other therapies. Topical treatments that have been successful with psoriasis include ointment or cream forms of corticosteroids, vitamin D3, retinoids, coal tar, anthralin, and moisturizers.
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How Is Psoriasis Diagnosed And Treated
Psoriasis often has a typical appearance that a primary care doctor can recognize, but it can be confused with other skin diseases , so a dermatologist is often the best doctor to diagnose it. The treatment of psoriasis usually depends on how much skin is affected, how bad the disease is , or the location . Treatments range from creams and ointments applied to the affected areas to ultraviolet light therapy to drugs . Many people who have psoriasis also have serious health conditions such as diabetes, heart disease, and depression. Some people with psoriasis also have an inflammatory condition which affects their joints, called psoriatic arthritis.
Psoriatic arthritis has many of the same symptoms as other types of arthritis, so a rheumatologist is often the best doctor to diagnose it. The treatment of psoriatic arthritis usually involves the use of drugs .
Psoriatic disease may be treated with drugs or a combination of drugs and creams or ointments.
Dermatologists & Aesthetic Specialists Located In Hackensack Nj
Nearly 7.5 million Americans suffer from psoriasis. If youre one of the millions dealing with discomfort, frustration, and embarrassment due to psoriasis, reach out for help from an expert in the medical dermatology field. Allen Sapadin, MD, helps men and women in Hackensack, New Jersey, with their psoriasis symptoms using the latest and most advanced treatments available. Book your appointment now by using the online tool or by calling the office.
Laser Light Therapy And Laser Psoriasis Treatment
Under a dermatologists care, light therapy can provide safe and effective treatment. Because too much ultraviolet light can exacerbate psoriasis, it is important to see a dermatologist for treatment. Never try to self-treat by using a tanning bed or by sunbathing.
Light therapy is not for everyone. Some patients skin may be too sensitive and other patients cannot spare the time that light therapy requires, since several treatments a week are necessary. Patients must go to a dermatologists office, psoriasis center, or hospital for each treatment.
If light therapy is appropriate for a patient, the dermatologist may prescribe the following:
Does Your Insurance Cover It
Insurance coverage is a practical matter you should consider when considering a doctor.
Remember, you dont have to rush to choose a dermatologist. Psoriasis is a chronic condition, and treating it can be a process. Thats why its important to find a doctor who will listen to you, and partner with you, to develop a treatment plan that’s right for you.
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What Are The Different Types Of Psoriasis
Psoriasis can happen for several reasons ranging from trauma, emotional stress to streptococcal infection. A recent study of this disease has indicated that some abnormality in the immune system is the factor that triggers this disease. There are five different types of psoriasis:
- Plaque psoriasis: It is a type of psoriasis which gives red, raised patches on the skin. These are covered by silvery dead skin cells.
- Guttate psoriasis: It causes small red spots on the skin. This occurs after the patient has gone ill.
- Inverse psoriasis: This type of psoriasis usually occurs in the skin folds. It causes sore and red patches of the skin.
- Pustular psoriasis: This type of psoriasis causes pus-filled bumps on the palms and soles. These are painful and itchy at the same time. It causes flu-type symptoms which include fever, dizziness, loss of appetite etc.
- Erythrodermic psoriasis: It resembles a severe sunburn as it makes the skin bright red. In this type of psoriasis which causes fast heart rate, itching and pain. It is to be mentioned that this is an emergency condition which should be consulted to a doctor.