General Health Topic

Psoriasis

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What is Psoriasis?
Psoriasis is a common and chronic skin disease of unknown cause. It can begin at any age but most commonly begins in young adults. About 2% of persons develop psoriasis. In most cases both heredity and environment appear to influence the development of psoriasis. About 30% of those who have psoriasis have a family history of psoriasis. Once psoriasis occurs in an individual, it usually persists indefinitely if not treated, although in mild cases it may resolve and then recur spontaneously in cycles. Psoriasis has little effect on general health and is primarily a cosmetic problem except in severe cases, where thickened psoriatic skin may make movement painful. About 5% of persons with psoriasis develop an arthritis which is associated with the psoriasis.

What are the symptoms?
Psoriasis can appear in several different forms. The most common type of psoriasis consists of sharply demarcated red patches with adherent white scales. These occur most frequently on the scalp, elbows, knees, and lower back, but can occur anywhere on the skin. Psoriasis often gets worse with physical or emotional stress or with injuries to the skin. Fingernails and toenails can be affected with small pits in the nails, separation of nails from nailbeds, or abnormal growth of nails. A less common form of psoriasis, however, several other skin diseases may be mistaken for psoriasis. It is best to see your family physician or a dermatologist if you think you might have psoriasis.

What causes psoriasis?
Although the cause of psoriasis is not known, experiments and microscopic examinations have shown that the cells in the upper layer of the skin called the epidermis are dividing and multiplying too rapidly, causing thickening of the epidermis.

Treatments for psoriasis
Treatments for psoriasis act primarily by slowing down the rate of epidermal cell division and multiplication. These treatments do not cure psoriasis permanently but do control or improve it temporarily. One commonly used treatment is topical (surface) cortisone cream applied 2 or 3 times a day. Special shampoos and medications are used for psoriasis on the scalp. Ultraviolet light and tar treatment is more time consuming than  cortisone cream but usually gives longer lasting results. Many people who have psoriasis notice improvement in the summer with the increased ultraviolet light exposure from sunshine. Another treatment which is widely used for psoriasis is the PUVA treatment. In this treatment the person is exposed to ultraviolet light in a special light cabinet 2 hours after taking an oral medication called methoxalen. All treatments for psoriasis should be done under the supervision of a physician.

This information was taken form the University of Wisconsin Self Care website