Psoriasis vulgaris

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Psoriasis vulgaris is a chronic inflammatory disease that often comes and goes. Psoriasis signs and symptoms are different for everyone.

Common signs and symptoms include:

  • Red patches of skin covered with thick, silvery scales;
  • Small scaling spots (commonly seen in children);
  • Dry, cracked skin that may bleed;
  • Itching, burning or soreness;
  • Thickened, pitted or ridged nails;
  • Swollen and stiff joints.

Psoriasis patches can range from a few spots of dandruff-like scaling to major eruptions that cover large areas. Most types of psoriasis go through cycles, flaring for a few weeks or months, then subsiding for a time or even going into complete remission.1

Psoriasis treatments reduce inflammation and clear the skin. Treatments can be divided into three main types:

1.Topical treatments (topical corticosteroids, vitamin D analogues, anthralin, topical retinoids, calcineurin inhibitors, salicylic acid, coal tar and moisturizers);

2.Light therapy, i.e. UVB phototherapy or Goeckerman therapy, which is the combination of UVB treatment and coal tar treatment;

3.Systemic medications, such as drugs that alter the immune system (biologics).2

There is no cure for psoriasis, but you can manage symptoms. Lifestyle measures, such as moisturizing, quitting smoking and managing stress, may help.

As the pharmacist concerned of fact, that psoriasis is very common disease3, you may come across the following questions.

Should I take all dose of the topical corticosteroid prescribed?

Refrain from abruptly discontinuing a topical steroid as it can cause your psoriasis to flare.4

Can I apply the ointments with bare hands?

If you use anthralin (ditranol), better to do it with protective gloves. Please remember that you are not supposed to apply this medication on scratched, bleed skin – that may put you on the risk of poisoning.

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