Psoriasis treatment and cure
Psoriasis is a long term medical condition that inflicts the epidermis and is one of the most commonly seen epidermal disorders in India. In Psoriasis, the skin cells grow at an abnormally fast rate, causing dense silvery white or red spots to form on the skin surface. The term Psoriasis has Greek roots and means ‘an itchy condition’. Even though in many cases the scaly papules formed in Psoriasis may not be itchy, the term covers the other accompanying symptoms of the condition.
Psoriasis treatment in India is available from dermatologists and skin specialists. But before availing any professional assistance, it is important to understand how the condition is caused and how it can be cured.
Psoriatic patches on the hands
What Causes Psoriasis?
Psoriasis is a skin condition which is primarily caused by a malfunctioning immunological system. The immune system incorrectly identifies normal skin cells as a pathogen and start sending immunological indicators to the affected area, causing excessive production of new skin cells to replace the apparent pathogen diagnosed incorrectly. As a result, Koebner Phenomenon is observed in localized skin areas affected by Psoriasis.
It is generally a hereditary condition which is triggered by environmental factors. So while Psoriasis can’t spread by touch it can be inherited from parents to children. Environmental factors that can serve as a stimulus for Psoriasis are oxidative anxiety, stress and abrupt withdrawal from a systemic corticosteroid.
Risk factors associated with Psoriasis
Although the most pronounced symptom of Psoriasis is seen in epidermal cells, the condition can also pose risk to the normal functioning of numerous organ systems. Following risk factors are known to be associated with Psoriasis –
High risk of developing cancer
Auto-immune disorders like Crohn’s disease
Types of Psoriasis
Psoriasis can be broadly categorized into the following five types –
Plaque: Manifested in the form of inflamed skin covered with silvery white or red scaly patches. This is the most common form of Psoriasis and can be observed in areas like knees, elbows, scalp, soles, palms, back and genitals.
Guttate: Also known as Eruptive Psoriasis, Guttate is usually triggered by a microbial infection in the Upper Respiratory Tract. Guttate Psoriasis is manifested in the form of tiny lesions (0.5 to 1.5 cm in diameter) which start off as red, itchy spots and develop into larger white lesions with yellowish pale centers.
Inverse: Also known as Flexural Psoriasis, Inverse is manifested in the form of spots or lesions in the folds of skin. Inverse Psoriasis usually affects areas such as the genitals, intra-gluteal crease, mouth, ears, navel and skin folds beneath the breasts.
Pustular: As the name suggests, Pustular Psoriasis is accompanied by elevated pustules filled with non-infectious pus. Pustular Psoriasis is generally localized and can be manifested as red, sensitive pustules on arms and legs.
Erythrodermic: Extensive swelling and flaking off of the skin all over the body is the manifestation of Erythrodermic Psoriasis. Unexpected withdrawal from systemic glucocorticoids can serve as a trigger to this type of Psoriasis. It is generally considered as an extreme stage of infection can severely impair the skin’s capability to perform barrier functions.
Effect of Psoriasis on Nails
Psoriasis is essentially a condition that affects epidermal cells and that extends its manifestations on the nails and the surrounding skin too. Nail Psoriasis can have the following symptoms –
Crumbling of nails
Subungula Hyperkeratosis or Thickening of epidermis beneath the nails
Formation or yellowish (oil spots) or reddish (salmon spots) stains on nails
Whitening of nails
Capillary bleeding beneath the nails
Oncholysis or loosening and eventual separation of nails
How to cure Nail Psoriasis
While Psoriasis can’t be cured and is likely to recur despite corrective measures, treatment is possible for the condition. Treatment for nail psoriasis and other types of psoriasis can be availed by –
Applying topical agents such as corticosteroids supplemented with mineral oil, Vaseline and other emollients
Phototherapy wherein specialized UV light (at 311-313 UVB wavelength) is directed at the affected area. PUVA or Psoralen and Ultravoilet A Phototherapy is also known to be highly effective.
Systemic therapy consisting of oral or intra-venous medications like fumarates, ciclosporin, hydroxycarbamide, methotrexate, retinoids, etc.
Biological Immunomodulator injections like secukinumab, infliximab, adalimumab, etc.
Eximer Laser application on localized psoriasis
Most doctors begin the psoriasis treatment in India with topical medication. Though psoriasis cannot be completely cured, symptomatic relief can be obtained by using creams and ointments. For the face and other areas which are very sensitive corticosteroid ointments which have a low potency are advisable. In Mumbai, psoriasis treatment by cosmetologists includes medicated foams and shampoos which can help in alleviating the problem to a very large extent. Treatment of psoriasis in India is done in almost every hospital with a cosmetology or dermatology department.
Home remedies may also be suggested by dermatologists for treatment of psoriasis in India which may include using a good moisturizer and exposing the body to sunlight in small proportions. In India, for cure of psoriasis sometimes Epsom salt may also be added to a warm bath.
As Psoriasis is a long term and recurring condition, in addition to physical impact, it can have psychological effect too. Therefore, it is important to always select the treatment option which can manage the symptoms and causal elements of Psoriasis specific to you. Dr. Rinky Kapoor offers the best treatment of psoriasis in India, with expertise and experience in handling immunological skin conditions which are inflammatory in nature.