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Psoriasis

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It is a common skin disorder which affects  2% of population. It presents are scaly skin lesions commonly involving the scalp, knees and elbows though any site can be affected.

Psoriasis can be of many types:

  • Chronic plaque psoriasis
  • Scalp psoriasis
  • Pustular psoriasis
  • Palmoplanter psoriasis

 

  • What is the cause of psoriasis?
    It is an autoimmune disorder which means that there are certain factors inside the body which triggers a negative response to cells. This causes lesions to appear in the skin.

  • Can psoriasis be cured?
    Cure is not possible but it can be controlled. It can be controlled to such as extent that you will remain lesion free and it will not bother you.

  • How long do I need to take treatment?
    The duration of treatment is not fixed. It depends upon the severity of disease. psoriasis may present as just a single lesion which can be treated with creams and it may never recur. On the other hand, it can be extensive as well.

    We have to titrated the treatment according to your need. We administer potent therapy when the disease is active and then put on maintenance therapy to prevent recurrence.

  • Will it affect my face?
    It does not usually affect the face. Even when there are lesions present on the scalp, it is limited to scalp and does not extend to the face.

  • Can it spread over my whole body?
    When early detection is done and adequate treatment taken, it does not spread to involve the whole body.

  • What are the chances that my children will also be affected?
    It is difficult to make an accurate prediction but studies show that chances are

  • Is there anything I can do to control it?
    Certain life style modifications help in controlling psoriasis as well as keeping you healthy
    - Weight control: regular exercise and diet high in fibres
    - Quit smoking
    - Avoid alcohol
    - Keep diabetes under control
    - If lipid profile derranged, control it with medicines and  dietary modifications,

  • Does it affect other body systems?
    It can affect the joints. The prevalence of joint involvement ranges from 6-42%.

  • I have diabetes and hypertension. Will this make my psoriasis worse?
    It could. It id interrelated. Psoriasis could have diabetes worse and vice versa. It is best to keep both psoriasis and diabetes under control with proper medications. Also, making lifestyle modifications can make a huge difference.

  • What are the treatment options for psoriasis?
    There are many effective treatments for psoriasis. The choice of treatment depends upon the type of lesions and severity as per body surface area involvement. Other important factors which decide treatment are age of patient, compliance to therapy, associated co-morbidities, ability to visit clinic and ability to expose to sun.

    The various treatments are:

    In case of localised lesion ie. involving small area,
    - Steriod cream,ointment and lotion
    - Coal tar, salicylic acid ointment and lotion
    - Emollients

    In case of more severe disease,
    - Phototherapy: NBUVB and PUVA
    - Immunomodulators: Methotrexate, azathioprine
    - Biologic therapy: In cases which are resistant to conventional treatment