Colitis

Psoriasis

  • Author: Dr. Jaime Espino
  • Date: April 15, 2022

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Does Rilassáre’s alternative medicine replace traditional medicine?

No, alternative medicine serves as a supplement to treatments the patient may already be undergoing. It is not contraindicated in any case due to its safety and lack of adverse reactions or side effects. Alternative medicine helps strengthen your immune system and regulates your body’s acidity for optimal functioning.



What is psoriasis?

Psoriasis is a chronic skin condition that evolves in flare-ups. It is characterized by red patches with whitish scales, typically found on the scalp, elbows, and knees, causing a burning sensation and itching.



Symptoms of psoriasis

Common signs and symptoms of psoriasis include:

  • An irregular rash that varies greatly from person to person, ranging from a few dandruff-like scaling spots to widespread outbreaks across the body.
  • Rashes that vary in color, appearing violet with gray scales on darker skin tones or pink/reddish with silver scales on lighter skin tones.
  • Small, scaly spots (commonly seen in children).
  • Dry, cracked skin that may bleed.
  • Itching, burning, or soreness.
  • Cyclical rashes that last for a few weeks or months and then subside.


Causes of psoriasis

Psoriasis is believed to be an immune system disorder that causes skin cells to grow faster than normal. In the most common type—plaque psoriasis—this rapid cell turnover results in dry, scaly patches.

The exact cause of psoriasis is not fully understood. It’s thought to involve an immune malfunction where infection-fighting cells mistakenly attack healthy skin cells. Both genetic and environmental factors likely play a role. The condition is not contagious.



Types of psoriasis

There are several types of psoriasis:

  • Plaque psoriasis. The most common form, it causes dry, raised, itchy patches (plaques) covered with scales. These may appear on the elbows, knees, lower back, and scalp. Lesions may vary in color depending on skin tone. Affected skin may heal with temporary color changes (post-inflammatory hyperpigmentation), especially in darker skin.
  • Nail psoriasis. Psoriasis can affect fingernails and toenails, causing pitting, abnormal growth, and discoloration. Nails may loosen and detach from the nail bed (onycholysis). Severe cases may result in nail loss.
  • Guttate psoriasis. More common in children and young adults, it’s typically triggered by bacterial infections like strep throat. It appears as small, drop-shaped scaly spots on the trunk, arms, or legs.
  • Inverse psoriasis. This type mainly affects skin folds in the groin, buttocks, and breasts, causing smooth patches of inflamed skin that worsen with friction and sweating. Fungal infections can trigger it.
  • Pustular psoriasis. A rare form that causes clearly defined, pus-filled blisters. It may appear in widespread patches or on small areas like the palms or soles.
  • Erythrodermic psoriasis. The least common type, it can cover the entire body with a peeling rash that may itch or burn intensely. It can be short-term (acute) or long-lasting (chronic).


Psoriasis diagnosis

Psoriasis is typically diagnosed clinically, and a biopsy is rarely needed for confirmation.



Psoriasis treatment

The treatment approach depends on the underlying cause of the condition. Many cases require only symptomatic care, including clear fluids to rest the bowel and medication for pain control. Severely ill patients may need IV fluids and other interventions.

  • Treatment focuses on skin care—removing scales and slowing rapid skin cell growth. Topical ointments, phototherapy, and medications can provide relief.
  • Medical procedures.
  • Photodynamic therapy.
  • Medications.
  • Steroids, Vitamin A derivatives, Anti-inflammatory drugs, Immunosuppressants, and Vitamins.
  • Self-care.
  • Stress management, Petroleum jelly, Phototherapy, Ultraviolet light therapy, Emollients, Urea, and Coal tar.


Risk factors

Anyone can develop psoriasis. About one-third of cases begin in childhood. The following factors may increase the risk:

  • Family history. Psoriasis is hereditary. If one parent has it, the risk increases; if both do, the risk is even higher.
  • Smoking. Tobacco use not only raises the risk of psoriasis but may also worsen the severity.


Complications of psoriasis

  • Psoriatic arthritis, causing joint pain, stiffness, and swelling.
  • Temporary skin discoloration (hyperpigmentation or hypopigmentation) in areas where plaques healed.
  • Eye conditions such as conjunctivitis, blepharitis, and uveitis.
  • Obesity.
  • Type 2 diabetes.
  • High blood pressure.
  • Cardiovascular disease.
  • Other autoimmune diseases like celiac disease, sclerosis, and inflammatory bowel disease (Crohn's disease).
  • Mental health disorders such as low self-esteem and depression.


Psoriasis prevention

There is no known way to prevent psoriasis. However, keeping the skin moisturized and clean and avoiding known triggers may help reduce flare-ups. Providers recommend daily baths or showers for individuals with psoriasis.



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