Is Psoriasis The Same As Eczema
Psoriasis and eczema are two different skin conditions. They differ in where the disease appears on the body, how much it itches and how it looks. Eczema tends to appear more often behind the knees and inside the elbows. Eczema also causes more intense itching than psoriasis. Many people, especially children, can get both eczema and psoriasis.
Do I Need To Use A Special Sunscreen If I Have Psoriasis
You dont necessarily need to use special sunscreen but wearing sun protection is important. Long sleeves and clothing with a UPF protection rating can come in handy.
If you have a flare-up or actively inflamed skin, sunscreen may irritate your skin further. In these instances, it may be best to avoid sun exposure or to wear clothing that protects your skin from the suns rays.
When flare-ups are managed, a sun blocker that contains zinc oxide or titanium dioxide may be your safest bet. Always use a sunscreen that has at least SPF 30.
If you take a medication for psoriasis, such as methotrexate or acitretin, you may have heightened sensitivity to the sun, increasing your need for protection.
Combining Biologics With Other Medications
In some cases, your physician may prescribe a biologic along with another medication such as a topical treatment or oral medication. Some people develop anti-drug antibodies to biologics, making them less effective after a while. A review in the British Journal of Dermatology found that combining a biologic with the systemic oral medication methotrexate may help prevent ADAs.
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Try A Parting Of The Ways
When applying a product, part your hair to expose your scalp so you can target plaques directly, says Fran Klapow, a hairstylist from Long Island, New York, who has scalp psoriasis. Repeat this sectioning piece by piece so you can treat your scalp without getting the gooey stuff all over your hair.
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Tips For Using Psoriasis Shampoo
Make the product you choose more effective at controlling psoriasis by following these doctor-approved suggestions:
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Jason Dandruff Relief Treatment Shampoo
The Jason dandruff shampoo blends two potent ingredients: 2.2% salicylic acid and 2.4% sulfur.
But why sulfur?
It appears to help with shedding and fight bacteria that cause infection.
This product has other benefits like coconut-based cleansers plus moisturizing plant oils. Theres also menthol to help with itching.
Other Topical Agents For Psoriasis
Tree Bark Extracts
Anthralin is a synthetic form of a tree bark extract that is considered to be one of the most effective topical antipsoriatic agents available. However, it can cause skin irritation and staining of clothing and skin.
- How tree bark extract works: This medicine slows the production of excess skin cells.
- Who should not use these medications: Individuals with anthralin allergy or recent or excessively swollen patches should not use anthralin.
- Use: Apply a small amount of the cream, ointment, or paste to the patches on the skin. On the scalp, remove scales and rub into affected areas. Avoid the forehead, eyes, and any skin that does not have patches. Do not apply excessive quantities. Short applications of a high concentration for only 20 minutes, followed by washing with soap and water can be used to minimize skin irritation.
- Drug or food interactions: Anthralin is combined with salicylic acid in preparations used for psoriasis treatment.
- Adverse effects: Anthralin stains clothing or linens purple or brown. Use with caution if the individual has kidney disease. Care must be taken to apply this medication only to psoriasis patches and not to surrounding normal skin. Anthralin may cause skin discoloration and may burn or irritate skin. Do not use on the face, neck, skin folds , or genitals. Avoid contact with the eyes. Do not use on excessively irritated patches. This medication should only be used if the patient can comply with instructions for use.
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Steroid Creams Or Ointments
Steroid creams or ointments are commonly used to treat mild to moderate psoriasis in most areas of the body. The treatment works by reducing inflammation. This slows the production of skin cells and reduces itching.
Topical corticosteroids range in strength from mild to very strong. Only use them when recommended by your doctor.
Stronger topical corticosteroids can be prescribed by your doctor and should only be used on small areas of skin or on particularly thick patches. Overusing topical corticosteroids can lead to skin thinning.
What Type Of Psoriasis Treatment Will I Need
Several treatment options can relieve psoriasis. Creams or ointments may be enough to improve the rash in small areas of skin. If the rash affects larger areas, or you also have joint pain, you may need other treatments. Joint pain may be a sign that you have arthritis.
Your provider will decide on a treatment plan based on:
- Severity of the rash.
- Vitamin A or retinoid creams.
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The Best Plaque Psoriasis Scalp Shampoo Or Treatment
Here is my brief overview of the best plaque psoriasis scalp shampoo or treatment
Neutrogena T/Gel Shampoo is one of the best plaque psoriasis scalp shampoo that you can get over the counter at your local drug store but only for mild to moderate scalp psoriasis. This works well to keep the scales to a minimum and the shampoo can be used on a daily basis. It is also relatively cheap so well worth having a bottle of this lying around for your scalp psoriasis treatment.
For psoriasis that is exposed to the public and on the hairline then you are best advised to go to your local dermatologist and get prescribed a low strength cortisone such as Locoid which will reduce the redness. This will work short term.
If you suffer severe scalp psoriasis then you are best advised to check out all the other options on Scalp Psoriasis Treatment page.
Most shampoos are designed to clean and care for your hair, but if you have psoriasis on your scalp, you should find shampoos that are made specifically for your scalp. These shampoos can help with flaking, redness, and itching. In some cases, that may be all you need to get a handle on it.
Whether prescription or over-the-counter, these shampoos should be used only for short periods of time. And youll need to be gentle with them. Your psoriasis can get worse if you scrub too hard. Its also important to follow your doctors instructions.
Article Summary: Scalp Psoriasis Is Highly Bothersome And Hair Makes It Harder To Treat But There Are A Number Of Prescription Treatments In A Variety Of Formats Including Sprays Foams Gels And Shampoos To Help Treat The Scalp Effectively As Well As Treatments For The Whole Body That Have Demonstrated Strong Success In Treating Scalp Psoriasis
Psoriasis of the scalp is very common. Nearly 80% of psoriasis patients develop plaques on the scalp at some point in their life with psoriasis.
Scalp psoriasis is especially distressing to many patients. It can be extremely itchy, and when psoriasis extends beyond the hairline onto the face and around the ears or down the back of the neck, it is highly visible. In some cases, it can also cause temporary loss of hair in places where the psoriasis patches are thick on the scalp. Add to this the difficulty in applying medicine only to psoriasis patches, often covered by hair, without also treating the healthy skin and its not surprising that patients are eager for effective treatments.
Fortunately, there are a variety of medications that when applied directly to scalp psoriasis, are able to reduce or resolve it for a period of time and many of the newest psoriasis treatments, designed to treat psoriasis all over the body, have demonstrated excellent clearance of scalp psoriasis as well. Over-the-counter products can play an important supporting role.
Our message for those suffering with the frustration, itch, and pain of scalp psoriasis is: dont lose hope, as there are options available today that will likely provide you substantial relief from your scalp psoriasis.
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What Is The Treatment For Psoriasis
Psoriasis is not currently curable. However, it can go into remission, producing an entirely normal skin surface. Ongoing research is actively making progress on finding better treatments and a possible cure in the future.
There are many effective psoriasis treatment choices. The best treatment is individually determined by the treating doctor and depends, in part, on the type of disease, the severity, and amount of skin involved and the type of insurance coverage.
- For mild disease that involves only small areas of the body , topical treatments , such as creams, lotions, and sprays, may be very effective and safe to use. Occasionally, a small local injection of steroids directly into a tough or resistant isolated psoriatic plaque may be helpful.
- For moderate to severe psoriasis that involves much larger areas of the body , topical products may not be effective or practical to apply. This may require ultraviolet light treatments or systemic medicines. Internal medications usually have greater risks. Because topical therapy has no effect on psoriatic arthritis, systemic medications are generally required to stop the progression to permanent joint destruction.
Oral medications for psoriasis
It Can Affect The Scalp Hairline Forehead Back Of The Neck And Skin Around The Ears
Did You Know?
Symptoms may include fine scaling that looks like dandruff, or appear as thick, crusted plaques that cover the entire scalp. Other skin disorders, such as seborrheic dermatitis, may resemble psoriasis. However, scalp psoriasis appears powdery with a silvery sheen, while seborrheic dermatitis looks yellowish and greasy. Scalp psoriasis is common in patients of color, but treating it can be particularly tough due to the hair type.
Scalp psoriasis may be an indicator of psoriatic arthritis , as many people have both. If you think you have scalp psoriasis, see a dermatologist to diagnose scalp psoriasis and visit a rheumatologist to screen for psoriatic arthritis.
No matter how severe your scalp psoriasis is, there are options for treating the itching and flakes â from over-the-counter shampoos and topicals to light therapy, oral treatments and biologics.
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Treatment You Receive At A Dermatologists Office Or Clinic
If the psoriasis fails to clear with treatment applied to the scalp or you have thick psoriasis on your scalp, your dermatologist may recommend the following.
Injections of corticosteroids: Your dermatologist can inject a corticosteroid directly into the scalp psoriasis. While this can be effective, its use is limited to a few times.
Excimer laser and other light treatments: This laser can treat psoriasis in difficult-to-treat areas like the scalp, feet, and hands. When used to treat the scalp, your dermatologist may use a device that looks like a blow dryer. A benefit of using this to treat scalp psoriasis is that this laser treats only the areas that need it.
The drawback to this treatment is that you will need to travel to your dermatologists office or a psoriasis clinic two or three times per week. Each treatment session takes about 10 minutes. Most patients need to continue these visits for several weeks. If your schedule wont permit this, be sure to tell your dermatologist.
While getting these treatments, you may also need to use another treatment at home.
Excimer laser treatment is usually painless, but possible side effects include redness and sunburn-like pain.
Treatment For Scalp Psoriasis A Look At Various Treatments
Psoriasis is a chronic disease afflicting about one in ten Americans. The disease manifests itself as dry, flaking skin covered with silvery scale overlying thick, white scales. Psoriasis affects men, women, and children equally. Although there is no cure, there are several treatments for psoriasis available.
Corticosteroid medications are usually the first choice treatment among the various steroid topical agents now available to treat psoriasis. Corticosteroid topical medications have both anti inflammatory and antipruritic properties. These compounds are available in several strengths, ranging from short-term use up to class III, which blocks production of a certain chemical called cortisol. Short-term use may ease symptoms, but long-term use may cause serious liver damage and increase the risk for infection. Long-term use may also lead to thinning of the skin, permanent scarring, and increased susceptibility to infections.
Milder forms of systemic Lupus erythematosus may also be treated with steroids. Systemic Lupus erythematosus is a progressive, life-threatening condition characterized by inflammation of the entire body. Treatment may include the use of systemic corticosteroid, which prevents inflammation by preventing the release of excessive inflammatory chemicals by the immune system. Systemic Lupus erythematosus frequently results in permanently inflamed scalps.
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Clear Cool Sport Menthol Anti
Frequent washing is important when you have scalp psoriasis. This is to eliminate flaking that frequently accumulates because of dead skin build-up. Thanks to CLEAR Cool Sport Menthol Anti-Dandruff Shampoo for Mens Bio-Nutrium 10 ingredient, it activates the scalps natural protection layer to soften psoriasis plaque build-ups. Also enriched with menthol, this shampoo has a cooling effect that minimizes hair discomfort.
Tablets Capsules And Injections
If your psoriasis is severe or other treatments have not worked, you may be prescribed systemic treatments by a specialist. Systemic treatments work throughout the entire body.
These medications can be very effective in treating psoriasis, but they all have potentially serious side effects. All the systemic treatments for psoriasis have benefits and risks. Before starting treatment, talk to your doctor about your treatment options and any risks associated with them.
If you’re planning for a baby, become pregnant or are thinking of breastfeeding, you should also speak to your doctor first before taking any new medicine to check it’s suitable for use during pregnancy or breastfeeding.
There are 2 main types of systemic treatment, called non-biological and biological .
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Hydrocortisone Creams And Ointments
You can buy a mild corticosteroid like hydrocortisone without a prescription. For a few small patches of psoriasis, a mild hydrocortisone works well. If you have more than a few small patches, youll likely need a prescription corticosteroid to see results.
Whether OTC or prescription, this medicine works quickly to:
Reduce the itch
If you have cracked or bleeding skin, an ointment will likely feel better than a cream. Ointments tend to be more soothing and less irritating than creams.
MoisturizerThis may help anyone who has psoriasis because psoriasis makes the skin dry and scaly. Moisturizer helps to seal water in the skin, which can:
Help your skin heal
Dermatologists recommend applying moisturizer once a day, and more often when your skin is really dry. When shopping for a moisturizer, you want to select a:
Heavy cream, ointment, or oil rather than a lotion
Product that you like and will use
Oil can be especially healing, but its also messy. To reap the benefits of oil, try applying it before bedtime.
Moisturize before washing
For best results, you want to apply your moisturizer within 3 minutes of bathing and after washing your hands.
Scale softenersYoull find OTC products and prescription medicines that contain salicylic acid. This active ingredient helps to:
Remove and soften scale
Removing the scale helps other medicine that you apply to your skin to work better.
Complementary And Alternative Treatments
Youll find plenty of these for treating psoriasis. The US Food and Drug Administration doesnt regulate these products. As such, few of these treatments have been studied. Those that have been studied were tested on small numbers of people, so we dont know how well these treatments work. We also dont know whether theyre safe.
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What If Those Psoriasis Treatments Dont Work
If psoriasis doesnt improve, your healthcare provider may recommend these treatments:
- Light therapy: UV light at specific wavelengths can decrease skin inflammation and help slow skin cell production.
- PUVA: This treatment combines a medication called psoralen with exposure to a special form of UV light.
- Methotrexate: Providers sometimes recommend this medication for severe cases. It may cause liver disease. If you take it, your provider will monitor you with blood tests. You may need periodic liver biopsies to check your liver health.
- Retinoids: These vitamin A-related drugs can cause side effects, including birth defects.
- Cyclosporine: This medicine can help severe psoriasis. But it may cause high blood pressure and kidney damage.
- Immune therapies: Newer immune therapy medications work by blocking the bodys immune system so it cant jumpstart an autoimmune disease such as psoriasis.
Treatment Of Psoriasis: An Algorithm
ASHA G. PARDASANI, M.D., STEVEN R. FELDMAN, M.D., PH.D., and ADELE R. CLARK, P.A.-C., Wake Forest University School of Medicine, Winston-Salem, North Carolina
Am Fam Physician. 2000 Feb 1 61:725-733.
See related patient information handout on psoriasis, written by the authors of this article.
Psoriasis is characterized by red, thickened plaques with a silvery scale. The lesions vary in size and degree of inflammation. Psoriasis is categorized as localized or generalized, based on the severity of the disease and its overall impact on the patient’s quality of life and well-being. Patient education about the disease and the treatment options is important. Medical treatment for localized psoriasis begins with a combination of topical corticosteroids and coal tar or calcipotriene. For lesions that are difficult to control with initial therapy, anthralin or tazarotene may be tried. The primary goal of therapy is to maintain control of the lesions. Cure is seldom achieved. If control becomes difficult or if psoriasis is generalized, the patient may benefit from phototherapy, systemic therapy and referral to a physician who specializes in the treatment of psoriasis.
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