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Psoriasis

Description

Psoriasis is a skin condition which occurs as a result of an overactive immune system. It is characterized by dry, red skin with silver or white scales and itchy patches. This is a chronic disease, and symptoms may improve or worsen at different periods in time.

Causes

There is no exact cause of this disease.  However, it is known that the T cells, which are part of the immune system, attack the cells of the skin, which results in the lesions.

There may not be a specific cause for psoriasis; however the following factors may worsen symptoms in susceptible individuals:

  • Stress and infections
  • Dryness, especially in cold weather
  • Smoking
  • Alcohol consumption
  • Medications (such as blood pressure medicines, and lithium.)
Symptoms

The presentation of this disease may vary, but the most common symptoms include the following:

  • Red, patchy skin with silvery scales (patches may range from a few small spots, or larger patches over larger areas)
  • Itchy, dry and cracked skin
  • Burning and soreness of the affected area
  • Nails that are thickened, pitted or ridged
  • Joints can be swollen and stiff.

There are several different types of psoriasis, including:

  • Plaque psoriasis (the most common type, involving the classic red raised lesions with silvery scales)
  • Erythrodermic psoriasis
  • Pustular psoriasis
  • Nail psoriasis
  • Guttate psoriasis
  • Scalp psoriasis
  • Inverse psoriasis
  • Psoriatic arthritis

                                                                                                                      

There are also a lot of complications that may occur in patients who are diagnosed with psoriasis. For example:

  • Psoriatic Arthritis: This type of arthritis causes damage to the joints, and may even cause a loss of function.
  • Complications in the eye: these include blepharitis, uveitis and conjunctivitis.
  • Heart diseases, hypertension and stroke
Diagnosis

Diagnosis is primarily made on physical examination. Medical history along with skin, scalp and nails are examined in order to make a diagnosis.

A skin biopsy may also be required to make a diagnosis. 

Management

Lifestyle changes are an important part of managing this disease. A few changes that may help:

  • Taking daily baths, with oils and salts like Epsom salts or Dead Sea salts (It is important to avoid harsh chemicals and hot water to avoid inflammation)
  • Moisturize regularly
  • Excessive sun exposure should be avoided, and sun screen should be used.
  • Alcohol should be avoided

The treatment of this disease involves different creams and topical preparations including steroids, retinoid, salicylic acid, coal tar, vitamin D analogues and moisturizers.  Light therapy or phototherapy uses natural or artificial UV light. In severe cases, oral or injected medication including retinoid, methotrexate, cyclosporine etc. may also be recommended.

When to consult a doctor?

A doctor should be consulted if the prescribed medication is no longer resolving your symptoms. Additionally, if you are starting to experience any of the complications associated with this disease, a doctor should be consulted.

Available Medicine for Psoriasis

Acetin 10mg

Rs.193.33

Genome

Acetin 25mg

Rs.436.67

Genome

Acisor 25mg

Rs.436.67

Shrooq

Acitrelex 25mg

Rs.436.67

Ambrosia

Asset 25mg

Rs.436.67

Crysolite

Citarin 25mg

Rs.655

Dermagen

Neotret 10mg

Rs.210

Mass / Ph. Health

Neotret 10mg

Rs.200

Mass / Ph. Health

Neotret 10mg

Rs.193.33

Mass / Ph. Health

Neotret 25mg

Rs.436.67

Mass / Ph. Health

Tigasor 10 mg

Rs.210

Maxitech

Tigasor 10 mg

Rs.200

Maxitech

Tigasor 10 mg

Rs.210

Maxitech

Tigasor 25 mg

Rs.436.67

Maxitech

Calcibet 50mcg/0.5mg

Rs.563.5

Valor / Al Hameed

Calcipot 50mcg|gm

Rs.700

Valor / Al Hameed

Daivobet 50mcg/0.5mg

Rs.1174.69

Leo / Zam Zam

Daivonex 30gm 50mcg|gm

Rs.1295

Leo / Zam Zam

Dervit 30gm

Rs.980

Nabiqasim

Dermovate Cream 20g

Rs.81.51

GlaxoSmithKline

Batelo 0.50%

Rs.13

Medisure

Beltapro 0.50%

Rs.44

Tabros

Beltapro 0.50%

Rs.38

Tabros

Beltapro 0.50%

Rs.44

Tabros

Beltapro 0.50%

Rs.80

Tabros

Beltapro 0.50%

Rs.16

Tabros

Clobederm 0.05%

Rs.34.67

Atco

Clobederm 0.05%

Rs.50.48

Atco

Clobederm 0.05%

Rs.63

Atco

Clobeta 0.50%

Rs.29

Saffron

Clobeta 0.50%

Rs.16

Saffron

Clobeta 0.50%

Rs.29

Saffron

Clobeta 0.50%

Rs.15

Saffron

Clobetol 0.50%

Rs.23.54

Valor / Al Hameed

Clobetol 0.50%

Rs.44

Valor / Al Hameed

Clobetol 0.50%

Rs.16

Valor / Al Hameed

Clobetol 0.50%

Rs.23

Valor / Al Hameed

Clobetol 0.50%

Rs.33

Valor / Al Hameed

Clobetol 0.50%

Rs.13

Valor / Al Hameed

Clobetrex 0.50%

Rs.48

Dermagen

Clobetrex 0.50%

Rs.48

Dermagen

Cortiderm 0.50%

Rs.25

Epla

Covate 0.50%

Rs.105

Crystolite

Covate 0.50%

Rs.41

Crystolite

Dermovate

Rs.81.51

GlaxoSmithKline

Emovate 0.50%

Rs.29

Derma Techno

Lobate 0.50%

Rs.30

Medisearch

Lobate 0.50%

Rs.18

Medisearch

Lobate 0.50%

Rs.30

Medisearch

Lobate 0.50%

Rs.18

Medisearch

Mediclob 0.50%

Rs.13

Macquins

Norzy 0.50%

Rs.48

Epoch

Norzy 0.50%

Rs.16

Epoch

Norzy 0.50%

Rs.45

Epoch

Norzy 0.50%

Rs.15

Epoch

Primovate 0.50%

Rs.44

Pearl

Primovate 0.50%

Rs.59.49

Pearl

V-Derm 0.50%

Rs.25

Vega

V-Derm 0.50%

Rs.13

Vega

V-Derm 0.50%

Rs.23

Vega

V-Derm 0.50%

Rs.13

Vega

Lukodermine 1%

Rs.105.62

LCPW

Lukodermine 10mg

Rs.98.9

LCPW

Oxsoralen 1%

Rs.672

Haroon Bros

Sorolan 1%

Rs.61.15

Specific

Sorolan 10mg

Rs.58.95

Specific