Psoriasis – Treatment, Precautions and Prevention | Pediatric Oncall
PSORIASIS
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Last Updated : 8/1/2015
Ira Shah
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Psoriasis is a disease of relapses and remissions. It seldom remits permanently. Treatment consists of following:

1. Topical ointments
2. Phototherapy
3. Oral drugs

Patients with mild disease get considerable relief with moisturizing creams. Ointments such as coal tar, anthralin, non-steroidal vitamin D3 (calcipotriol) and steroid creams are also useful.

Phototherapy is very effective in clearing psoriasis. Ultraviolet light (UVB or UVA) if used in gradual increasing doses and causes remission in most patients.

When psoriasis does not respond to creams and phototherapy, oral drugs such as methotrexate, cyclosporin, etretinate and sulphasalazine may be prescribed by your doctor. These drugs are highly potent but can have serious side effects and need to be monitored by regular blood tests to prevent an adverse event.

Oral steroids should be avoided because even though it helps to clear psoriasis fast, it may result in a rapid and severe rebound of psoriasis once steroids are stopped.

Precautions
There are no food or supplements that one needs to avoid to prevent psoriasis. However green leafy vegetables are preferred in diet as against meat. One needs to prevent scratching the skin as this may cause of psoriasis to flare up at the site of injury. Also try to keep the skin as moist as possible to reduce itching and scaling. Exposure to sunlight is welcome but prevent sunburn.

If active psoriasis is present, do not scratch the plaques as this may actually worsen psoriasis. Treatment is prolonged and one should not give up treatment too soon as it may take a few weeks for some effect. REMEMBER, THERE IS NO QUICK CURE FOR PSORIASIS.



Contributor Information and Disclosures

Ira Shah
Consultant Pediatrician, Nanavati Hospital, Mumbai, India


First Created : 1/25/2001
Last Updated : 8/1/2015

References

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