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We must explain to you how all seds this mistakens idea off denouncing pleasures and praising pain was born and I will give you a completed accounts off the system and expound.

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Edit

About Us

We must explain to you how all seds this mistakens idea off denouncing pleasures and praising pain was born and I will give you a completed accounts off the system and expound.

Contact Info

Edit

About Us

We must explain to you how all seds this mistakens idea off denouncing pleasures and praising pain was born and I will give you a completed accounts off the system and expound.

Contact Info

Psoriasis (eczema) on the hand Man itching skin Psoriasis scales are scattered on black background

Author’s Bio: Dharshini Senthilkumar is an incoming college freshman majoring in biology. She is interested in the medical sciences and hopes to provide awareness on serious medical conditions.

What is Psoriasis?

Psoriasis is a common chronic skin disease which causes skin cells to multiply 10 times faster than usual, causing a buildup of new skin cells replacing old cells. This creates red, itchy patches of skin covered with white scales throughout the body, most commonly on the elbows, scalp, and knees. Although there is no cure, treatments can help manage the symptoms.

What causes psoriasis?

This skin disorder does not have an exact cause, but it is believed to be a combination of issues. Part of the issue is that the immune system’s response may be causing inflammation which forces new skin cells to be formed very quickly. Normal skin cells are replaced every 10 to 30 days; however, with psoriasis, new cells are grown every 3 to 4 days.   Psoriasis runs in family genetics and can skip generations. The most common triggers of a breakout of psoriasis include:
  • Cuts, scrapes, and surgery
  • Emotional stress
  • Strep infections
  • Medications: blood pressure medications, hydroxychloroquine, or antimalarial medication
This skin disorder does not have an exact cause, but it is believed to be a combination of issues. Part of the issue is that the immune system’s response may be causing inflammation which forces new skin cells to be formed very quickly. Normal skin cells are replaced every 10 to 30 days; however, with psoriasis, new cells are grown every 3 to 4 days.   Psoriasis runs in family genetics and can skip generations. The most common triggers of a breakout of psoriasis include:
  • Cuts, scrapes, and surgery
  • Emotional stress
  • Strep infections
  • Medications: blood pressure medications, hydroxychloroquine, or antimalarial medication

Book an Appointment

Online Doctor Appointment - At Home Urgent Care

Step 1

Call or Book your online Doctor Visit

Online Doctor Appointment - At Home Urgent Care

Step 2

Talk to a doctor over the Phone/ Tablet

Online Doctor Appointment - At Home Urgent Care

Step 3

If needed pick up your medication at the pharmacy

The symptoms that occur vary based on the type of psoriasis you have, but the most common symptoms for plaque psoriasis (the most common variety of psoriasis) include:

  • Patches of red skin which are often covered with silver colored scales
  • These red patches may be painful and itchy. They may crack and bleed, and in some cases, the patches may grow and merge to cover large areas of skin.
  • There may be discoloration or pitting of the fingernails and toenails. The nails may even crumble or detach from the nailbed
  • It is also common to get these patches of scales or crust on the scalp.

 

Psoriasis may lead to a type of arthritis called psoriatic arthritis which causes pain and swelling at the joints. It is estimated by the National Psoriasis Foundation that 10-30% of people struggling with psoriasis also have psoriatic arthritis.

Is psoriasis contagious?

No. Psoriasis is not a contagious skin disorder. It is only passed through genetics and may skip generations.

The goal of all treatments is to slow the rate of skin cell production and remove the white/silver scales. There are many options ranging from simply applying moisturizing to receiving light therapy for the affected areas.


Topical Therapy:

  • When diagnosed, you may be prescribed corticosteroids. This is a drug for mild to moderate cases of psoriasis. It can usually be found as ointments, creams, lotions, gels, shampoos, or sprays. For the face and skin folds, milder corticosteroid ointments are recommended. Ensure not to overuse topical corticosteroids as they are less effective after overuse and can also thin the skin.
  • Synthetic forms of vitamin D slow the skin cell growth rate. Examples include calcipotriene and calcitriol. These are generally more expensive than the corticosteroid treatment creams, but they cause less irritation in sensitive areas.
  • Retinoids like Tazarotene are available as a gel or cream and are to be applied 1-2 times a day. Side effects include increased sensitivity to light and skin irritation. Additionally, it is recommended not to use these products during pregnancy or while breastfeeding.
  • Coal Tar is another product you may be interested in as it reduces scaling, itching, and irritation. Best part of this product is that it is available over-the-counter in various forms like shampoos and creams. This treatment option is not recommended for women that are pregnant or breastfeeding.



Light Therapy:

  • This is the method used for moderate to severe psoriasis and may be combined with other medications to ensure the best results. This method involves exposing the skin to controlled amounts of light, natural or artificial. Speak to your doctor whether home phototherapy is an option you can use.
    • Brief exposure to sunlight everyday may improve psoriasis, but it is important that you talk to a qualified specialist about the safest ways to do so.
    • Another option includes UVB broadband in controlled doses which can treat single patches or psoriasis that was not treated with corticosteroids. There are side effects including redness, itching, and dry skin. Moisturizing regularly will ease the discomfort.
    • UVB narrowband is another light therapy option which may be more effective than broadband treatment. At first, it is administered 2-3 times per week and then less frequently for maintenance.



Oral or injected medications:

  • For moderate to severe cases, your doctor may prescribe systemic drugs, which can be taken orally or also injected. However, there are higher chances for more severe side effects, so it is often only prescribed for short periods and may be alternated with other treatments.



Alternative medicine options:

  • Although none of these methods have been proven to be effective, they are deemed safe and may reduce itchiness and scaling for mild to moderate psoriasis. Please reach out to a healthcare professional for the safest treatment plan; these options are generally to be used in addition to medical treatment.
    • Managing stress is a very helpful point to improve psoriasis outbreaks.
    • Aloe extract cream may reduce redness, scaling, itching and inflammation. Use the cream several times a day for a month to see improvement.
    • Fish oil supplements in combination with UVB therapy might reduce the area of the affected skin region. Applying fish oil on affected areas and covering it for 6 hours a day for a month might improve scaling.
    • Oregon grape (aka barberry) when applied to the skin can reduce severity of psoriasis.
    • Essential oils used for aromatherapy have shown that they are capable of reducing stress and anxiety.

Online Doctor Consultations for Psoriasis

If you suspect you are having symptoms of psoriasis, consult our online doctors immediately. Health care providers at our online health clinic can evaluate your symptoms and suggest appropriate treatment online.

At Home Urgent Care provides telehealth services so you can safely and confidently keep your health in check with our primary and urgent care services. Our online consultation services include physicians with expertise in psoriasis and other skin conditions. Our doctors can evaluate your symptoms and order the appropriate prescription at your preferred pharmacy.

Book an appointment today with our health care experts available at your convenience 365 days a year.

Book an Appointment

Online Doctor Appointment - At Home Urgent Care

Step 1

Call or Book your online Doctor Visit

Online Doctor Appointment - At Home Urgent Care

Step 2

Talk to a doctor over the Phone/ Tablet

Online Doctor Appointment - At Home Urgent Care

Step 3

If needed pick up your medication at the pharmacy

Sources:

“Psoriasis.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 2 May 2020, www.mayoclinic.org/diseases-conditions/psoriasis/symptoms-causes/syc-20355840.

“Psoriasis: Pictures, Symptoms, Causes, Diagnosis, Treatment.” WebMD, WebMD, www.webmd.com/skin-problems-and-treatments/psoriasis/understanding-psoriasis-basics.