Psoriasis Treatment in Delhi
Psoriasis is an autoimmune disease that causes red, scaly skin. Psoriasis is a no contagious, chronic skin condition that produces plaques of thickened, scaling skin.
The dry flakes of skin scales result from the excessively rapid proliferation of skin cells.
It causes cells to build up rapidly on the surface of the skin. Psoriasis patches can range from a few spots of dandruff-like scaling to major eruptions that cover large areas.
It typically affects the outside of the elbows, knees or scalp, though it can appear on any location. Some people report that psoriasis is itchy, burns and stings.
The extra skin cells form scales and red patches that are itchy and sometimes painful. Scalp psoriasis is a common skin disorder that makes raised, reddish, often scaly patches. Scalp psoriasis can affect your whole scalp, or just pop up as one patch.
It generally appears on people with unstable plaque psoriasis, where lesions are not clearly defined. There may also be exfoliation, or shedding of the skin, severe itching, and pain.
Most commonly, psoriasis causes skin cells to grow too quickly, resulting in thick, scaly and inflamed areas of skin.
However, there are many other types of psoriasis, including psoriatic arthritis. Psoriasis is hyperproliferation of epidermal keratinocytes combined with inflammation of the epidermis and dermis.
Skin cells are normally made and replaced every 3 to 4 weeks, but in psoriasis, this process only takes about 3 to 7 days.
The good news is that there is available treatment in Adorable Clinic options and strategies that can help you live well with psoriasis. Start here by learning as much as you can about psoriasis and exploring it from the inside out.
Psoriasis is a chronic autoimmune condition that causes the rapid buildup of skin cells. This buildup of cells causes scaling on the skin’s surface.
Inflammation and redness around the scales are fairly common. Typical psoriatic scales are whitish-silver and develop in thick, red patches. Sometimes, these patches will crack and bleed.
Psoriasis is the result of a sped-up skin production process. Typically, skin cells grow deep in the skin and slowly rise to the surface. Eventually, they fall off. The typical life cycle of a skin cell is one month.
In people with psoriasis, this production process may occur in just a few days. Because of this, skin cells don’t have time to fall off. This rapid overproduction leads to the buildup of skin cells.
Scales typically develop on joints, such as elbows, and knees. They may develop anywhere on the body, including the:
Less common types of psoriasis affect the nails, the mouth, and the area around genitals.
According to the American Academy of Dermatology (AAD), around 7.5 million Americans have psoriasis. It is commonly associated with several other conditions, including:
- type 2 diabetes
- inflammatory bowel disease
- heart disease
- psoriatic arthritis
What are the different types of psoriasis?
Plaque psoriasis is the most common type of psoriasis. The AAD estimates that about 80 percent of people with the condition have plaque psoriasis. It causes red, inflamed patches that cover areas of the skin.
These patches are often covered with whitish-silver scales or plaques. These plaques are commonly found on the elbows, knees, and scalp.
The most common form, plaque psoriasis causes dry, raised, red skin lesions (plaques) covered with silvery scales.
The plaques might be itchy or painful and there may be few or many. They can occur anywhere on your body, including your genitals and the soft tissue inside your mouth.
Guttate psoriasis is common in childhood. This type of psoriasis causes small pink spots. The most common sites for guttate psoriasis include the torso, arms, and legs. These spots are rarely thick or raised like plaque psoriasis.
This type primarily affects young adults and children. It’s usually triggered by a bacterial infection such as strep throat. It’s marked by small, water-drop-shaped, scaling lesions on your trunk, arms, legs, and scalp.
The lesions are covered by a fine scale and aren’t as thick as typical plaques are. You may have a single outbreak that goes away on its own, or you may have repeated episodes.
Pustular psoriasis is more common in adults. It causes white, pus-filled blisters and broad areas of red, inflamed skin. Pustular psoriasis is typically localized to smaller areas of the body, such as the hands or feet, but it can be widespread.
This uncommon form of psoriasis can occur in widespread patches (generalized pustular psoriasis) or in smaller areas on your hands, feet or fingertips.
It generally develops quickly, with pus-filled blisters appearing just hours after your skin becomes red and tender. The blisters may come and go frequently. Generalized pustular psoriasis can also cause fever, chills, severe itching and diarrhea.
Inverse psoriasis causes bright areas of red, shiny, inflamed skin. Patches of inverse psoriasis develop under armpits or breasts, in the groin, or around skinfolds in the genitals.
This mainly affects the skin in the armpits, in the groin, under the breasts and around the genitals. Inverse psoriasis causes smooth patches of red, inflamed skin that worsen with friction and sweating. Fungal infections may trigger this type of psoriasis.
Erythrodermic psoriasis is a severe and very rare type of psoriasis. This form often covers large sections of the body at once. The skin almost appears sunburned.
Scales that develop often slough off in large sections or sheets. It’s not uncommon for a person with this type of psoriasis to run a fever or become very ill. This type can be life-threatening, so individuals should see a doctor immediately.
The least common type of psoriasis, erythrodermic psoriasis can cover your entire body with a red, peeling rash that can itch or burn intensely.
In addition to inflamed, scaly skin, psoriatic arthritis causes swollen, painful joints that are typical of arthritis.
Sometimes the joint symptoms are the first or only manifestation of psoriasis or at times only nail changes are seen.
Symptoms range from mild to severe, and psoriatic arthritis can affect any joint. Although the disease usually isn’t as crippling as other forms of arthritis.
It can cause stiffness and progressive joint damage that in the most serious cases may lead to permanent deformity.
Psoriasis can affect fingernails and toenails, causing pitting, abnormal nail growth, and discoloration. Psoriatic nails might loosen and separate from the nail bed (onycholysis). Severe cases may cause the nail to crumble.
Check out pictures of the different types of psoriasis.
What are the symptoms?
Psoriasis symptoms differ from person to person and depend on the type of psoriasis. Areas of psoriasis can be as small as a few flakes on the scalp or elbow or cover the majority of the body.
The most common symptoms of plaque psoriasis include:
- red, raised, inflamed patches of skin
- whitish-silver scales or plaques on the red patches
- dry skin that may crack and bleed
- soreness around patches
- itching and burning sensations around patches
- thick pitted nails
- painful, swollen joints
Not every person will experience all of these symptoms. Some people will experience entirely different symptoms if they have a less common type of psoriasis.
Most people with psoriasis go through “cycles” of symptoms. The condition may cause severe symptoms for a few days or weeks, and then the symptoms may clear up and be almost unnoticeable.
Then, in a few weeks or if made worse by a common psoriasis trigger, the condition may flare up again. Sometimes, symptoms of psoriasis disappear completely.
When you have no active signs of the condition, you may be in “remission.” That doesn’t mean psoriasis won’t come back, but for now, you’re symptom-free.
Is psoriasis contagious?
Psoriasis isn’t contagious. You can’t pass the skin condition from one person to another. Touching a psoriatic lesion on another person won’t cause you to develop the condition.
Psoriasis is an autoimmune condition. Autoimmune conditions are the result of the body attacking itself. In the case of psoriasis, white blood cells known as T cells mistakenly attack the skin cells.
In a typical body, white blood cells are deployed to attack and destroy invading bacteria and fight infections.
This mistaken attack causes the skin cell production process to go into overdrive. The sped-up skin cell production causes new skin cells to develop too quickly. They are pushed to the skin’s surface, where they pile up.
This results in the plaques that are most commonly associated with psoriasis. The attacks on the skin cells also cause red, inflamed areas of skin to develop.
Some people inherit genes that make them more likely to develop psoriasis. If you have an immediate family member with the skin condition, your risk for developing psoriasis is higher.
However, the percentage of people who have psoriasis and a genetic predisposition is small. Approximately 2 to 3 percent of people with the gene develop the condition, according to the National Psoriasis Foundation.
Two tests or examinations may be necessary to diagnose psoriasis.
Dermatologists in Delhi are able to make a diagnosis with a simple physical exam. Symptoms of psoriasis are typically evident and easy to distinguish from other conditions that may cause similar symptoms.
During this exam, be sure to show your doctor all areas of concern. In addition, let your doctor know if any family members have the condition.
If the symptoms are unclear or if your doctor wants to confirm their suspected diagnosis, they may take a small sample of skin. This is known as a biopsy.
The skin will be sent to a lab, where it’ll be examined under a microscope. The examination can diagnose the type of psoriasis you have. It can also rule out other possible disorders or infections.
Most biopsies are done in your doctor’s office on the day of your appointment. Your doctor will likely inject a local numbing medication to make the biopsy less painful.
They will then send the biopsy to a lab for analysis. When the results return, your doctor may request an appointment to discuss the findings and treatment options with you.
Psoriasis triggers: Stress, alcohol, and more
External “triggers” may start a new bout of psoriasis. These triggers aren’t the same for everyone. They may also change over time for you.
The most common triggers for psoriasis include:
Unusually high stress may trigger a flare-up. If you learn to reduce and manage your stress, you can reduce and possibly prevent flare-ups.
Heavy alcohol use can trigger psoriasis flare-ups. If you excessively use alcohol, psoriasis outbreaks may be more frequent. Reducing alcohol consumption is smart for more than just your skin, too. Your doctor can help you form a plan to quit drinking if you need help.
An accident, cut, or scrape may trigger a flare-up. Shots, vaccines, and sunburns can also trigger a new outbreak.
Psoriasis is caused, at least in part, by the immune system mistakenly attacking healthy skin cells. If you’re sick or battling an infection, your immune system will go into overdrive to fight the infection. This might start another psoriasis flare-up. Strep throat is a common trigger.
When to see a doctor:
If you suspect that you may have psoriasis, see your doctor for an examination. Also, talk to your doctor if your psoriasis:
- Causes your discomfort and pain
- Makes performing routine tasks difficult
- Causes you concern about the appearance of your skin
- Leads to joint problems, such as pain, swelling or inability to perform daily tasks
Seek medical advice if your signs and symptoms worsen or don’t improve with treatment. You may need a different medication or a combination of treatments to manage psoriasis.
Anyone can develop psoriasis, but these factors can increase your risk of developing the disease:
Family history. This is one of the most significant risk factors. Having one parent with psoriasis increases your risk of getting the disease, and having two parents with psoriasis increases your risk even more.
Viral and bacterial infections. People with HIV are more likely to develop psoriasis than people with healthy immune systems are. Children and young adults with recurring infections, particularly strep throat, also may be at increased risk.
Stress. Because stress can impact your immune system, high-stress levels may increase your risk of psoriasis.
Obesity. Excess weight increases the risk of psoriasis. Lesions (plaques) associated with all types of psoriasis often develop in skin creases and folds.
Smoking. Smoking tobacco not only increases your risk of psoriasis but also may increase the severity of the disease. Smoking may also play a role in the initial development of the disease.
If you have psoriasis, you’re at greater risk of developing certain diseases. These include:
Psoriatic arthritis. This complication of psoriasis can cause joint damage and a loss of function in some joints, which can be debilitating.
Eye conditions. Certain eye disorders — such as conjunctivitis, blepharitis and uveitis — are more common in people with psoriasis.
Obesity. People with psoriasis, especially those with a more severe disease, are more likely to be obese. It’s not clear how these diseases are linked, however.
The inflammation linked to obesity may play a role in the development of psoriasis. Or it may be that people with psoriasis are more likely to gain weight, possibly because they’re less active because of their psoriasis.
Type 2 diabetes. The risk of type 2 diabetes rises in people with psoriasis. The more severe psoriasis, the greater the likelihood of type 2 diabetes.
High blood pressure. The odds of having high blood pressure are higher for people with psoriasis.
Cardiovascular disease. For people with psoriasis, the risk of cardiovascular disease is twice as high as it is for those without the disease.
Psoriasis and some treatments also increase the risk of irregular heartbeat, stroke, high cholesterol, and atherosclerosis.
Metabolic syndrome. This cluster of conditions — including high blood pressure, elevated insulin levels, and abnormal cholesterol levels — increases your risk of heart disease.
Other autoimmune diseases. Celiac disease, sclerosis and the inflammatory bowel disease called Crohn’s disease are more likely to strike people with psoriasis.
Parkinson’s disease. This chronic neurological condition is more likely to occur in people with psoriasis.
Kidney disease. Moderate to severe psoriasis has been linked to a higher risk of kidney disease.
Emotional problems. Psoriasis can also affect your quality of life. Psoriasis is associated with low self-esteem and depression.
Is psoriasis hereditary?
Although psoriasis is not contagious from person to person, there is a known hereditary tendency. Therefore, family history is very helpful in making the diagnosis.
Best skin specialist in Delhi treat psoriasis?
Dermatologists are doctors who specialize in the diagnosis and treatment of psoriasis, and rheumatologists specialize in the treatment of joint disorders and psoriatic arthritis.
Many kinds of doctors may treat psoriasis, including dermatologists, family physicians, internal medicine physicians, rheumatologists, and other medical doctors.
Some patients have also seen other allied health professionals such as acupuncturists, holistic practitioners, chiropractors, and nutritionists.
The American Academy of Dermatology and the National Psoriasis Foundation are excellent sources to help find doctors who specialize in this disease.
Not all dermatologists and rheumatologists treat psoriasis. The National Psoriasis Foundation has one of the most up-to-date databases of current psoriasis specialists.
It is now apparent that patients with psoriasis are prone to a variety of other disease conditions, so-called comorbidities. Cardiovascular disease, diabetes, hypertension, inflammatory bowel disease, hyperlipidemia, liver problems, and arthritis are more common in patients with psoriasis.
It is very important for all patients with psoriasis to be carefully monitored by their primary care providers for these associated illnesses. The joint inflammation of psoriatic arthritis and its complications are frequently managed by rheumatologists.
Psoriasis Treatment in Delhi:
Light therapy (phototherapy):
This treatment uses natural or artificial ultraviolet light. The simplest and easiest form of phototherapy involves exposing your skin to controlled amounts of natural sunlight.
Other forms of light therapy include the use of artificial ultraviolet A (UVA) or ultraviolet B (UVB) light, either alone or in combination with medications.
Exposure to ultraviolet (UV) rays in sunlight or artificial light slows skin cell turnover and reduces scaling and inflammation. Brief, daily exposures to small amounts of sunlight may improve psoriasis, but intense sun exposure can worsen symptoms and cause skin damage.
Before beginning a sunlight regimen, ask your doctor about the safest way to use natural sunlight for psoriasis treatment.
Controlled doses of UVB light from an artificial light source may improve mild to moderate psoriasis symptoms. UVB phototherapy, also called broadband UVB, can be used to treat single patches, widespread psoriasis, and psoriasis that resists topical treatments.
Short-term side effects may include redness, itching and dry skin. Using a moisturizer may help decrease these side effects.
Narrowband UVB phototherapy:
A newer type of psoriasis treatment, narrowband UVB phototherapy may be more effective than broadband UVB treatment.
It’s usually administered two or three times a week until the skin improves, and then maintenance may require only weekly sessions. Narrowband UVB phototherapy may cause more severe and longer lasting burns, however.
Some doctors combine UVB treatment and coal tar treatment, which is known as a Goeckerman treatment.
The two therapies together are more effective than either alone because coal tar makes skin more receptive to UVB light.
Psoralen plus ultraviolet A (PUVA):
This form of photochemotherapy involves taking a light-sensitizing medication (psoralen) before exposure to UVA light. UVA light penetrates deeper into the skin than does UVB light, and psoralen makes the skin more responsive to UVA exposure.
This more aggressive treatment consistently improves skin and is often used for more severe cases of psoriasis.
Short-term side effects include nausea, headache, burning and itching. Long-term side effects include dry and wrinkled skin, freckles, increased sun sensitivity, and increased risk of skin cancer, including melanoma.
This form of light therapy, used for mild to moderate psoriasis, treats only the involved skin without harming healthy skin. A controlled beam of UVB light is directed to the psoriasis plaques to control scaling and inflammation.
Excimer laser therapy requires fewer sessions than does traditional phototherapy because more powerful UVB light is used. Side effects can include redness and blistering.
Preparing for your appointment In Delhi:
You’ll likely first see your family doctor or a general practitioner. In some cases, you may be referred directly to a specialist in skin diseases (dermatologist).
Here’s some information to help you prepare for your appointment and to know what to expect from your doctor.
What you can do:
Make a list of the following:
- Symptoms you are experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment
- All medications, vitamins, herbs you take, including doses
- Questions to ask your dermatologist in Delhi.
For psoriasis, some basic questions you might ask your doctor include:
- What might be causing my signs and symptoms?
- Do I need diagnostic tests?
- What treatments are available, and which do you recommend for me?
- What types of side effects can I expect?
- Will the treatment you recommended cause a remission in my symptoms?
- How quickly can I expect results?
- What are the alternatives to the primary approach you’re suggesting?
- I have other medical conditions. How can I manage these conditions together?
- What skin care routines and products do you recommend to improve my symptoms?
What to expect from your doctor:
Your doctor is likely to ask you several questions, such as:
- When did you begin having symptoms?
- How often do you have these symptoms?
- Have your symptoms been continuous or occasional?
- Does anything seem to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
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