Free Advice: Psoriasis
How Can I Rx Psoriasis?
Psoriasis is a skin disease that affects between 1-3% of the
population. It can be seen in all ages. The cause of
psoriasis is unknown; although research is actively being
done to find a cure or adequate treatment. Presently, it
appears that T-lymphocyte activation plays a major role in
causing the skin to replicate 3-4 times more rapidly than
normal skin thus causing silver red scaling patches and
plaques to form.
Psoriasis classically is on the elbows, knees and trunk in
scaling patches and plaques. It can also be in a seborrheic
distribution (scalp, underarms, and groin) or it can be
diffusely over the entire body (erythrodermic psoriasis).
Psoriasis is not contagious. A diet with foods high
in omega-3 polyunsaturated fats (salmon, herring, mackerel)
and a diet low in red meats may improve psoriasis. Stress is
not the cause of psoriasis; although, many patients with
psoriasis feel stress may trigger an outbreak. The key to
treatment is to slow the replication of the cells of the
epidermal layer (the top layer of skin)
Treatments: crude coal tar. Crude coal tar
in a variety of preparations have been used to reduce the
patches of psoriasis. One can soak in a tar bath with Balnetar
or Cutar or wash
with Polytar Soap or one can use a lotion or gel such as Estar Gel or
DHS Tar Gel. Note, topical tars can be irritating so use as
directed.
Shampoos: There are many shampoos that are helpful for psoriasis. Shampoos that cantain crude coal tar as described above such a
Neutrogena T/Gel, Creamy Tar Shampoo, DHS Tar are available at BuySkinCare.com. Salicylic acid, a keratolytic,
present in Neutrogena T/Sal, DHS Shampoo are helpful in removing the scales seen.
Topcial Zinc: Topical zinc has been shown to be helpful in psoriasis. Zinc can be found in
DHS Zinc Shampoo and DermaZinc Spray. Topical Steroids:
Hydrocortisone 1% and
Pramoxine 1% (Prax Lotion) are topical steroids available over the counter and can be
used on the patches and scales of psoriasis. The best ways
to use a topical steroid is twice a day for 2-3 days and
then stop for several days. Note, everyday usage of a
topical steroid may thin the skin and may cause small blood
vessels to form on the skin.
See the Dermatologist? Many of the more effective treatments for psoriasis are by prescription only. These include
- Stronger topical steroids
- Dovonex, a topical Vitamin D3 preparation
- Tazorac, a topical retinoid
- Anthralin, a topical tar derivative
- UVB (ultraviolet light therapy)
- PUVA (oral psoralen and UVA, ultraviolet light therapy
- Methotrexate, an oral anti-metabolite that inhibits cell replication
- Cyclosporin an oral anti-T lymphocyte inhibitor
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