Plaque Psoriasis: The Intro

Sometimes on the surface of the skin an itchy thick, silver-white patches scaly like red rashes accompanied by irritation, a variant of psoriasis this condition is called plaque psoriasis which is commonly found on the knees scalp, and elbows. Usually people of the age group 15 – 40’s are affected and the condition in itself is non-contagious.

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What causes Plaque Psoriasis?

1)      Genetic Causes: – Plaque psoriasis may occur due to random mutations involving HLA gene which produce TH2 cells.

2)      Hereditary :- Plaque psoriasis may occur in the family due to mutations in HLA gene that are passed down generations

3)      Bacteria or viral infections:-  Bacterial and viral infections including strp upper and lower throat infections have known to increase attacks of psoriasis

4)      Environmental Conditions:- Too little sunlight , dry weather, or sunburns due to over exposure to sunlight have known to have adverse effect on skin causing psoriasis.

5)      Skin Conditions:- Dry skin or rough skin may lead to plaque psoriasis.

6)      Alcohol Abuse:- Cause dehydration which in turn causes psoriasis

7)      Drug Abuse and Medications:- Chemotherapy or usage of anti-malarial drugs, beta-blockers, and lithium are known to increase the risk of plaque psoriasis


Signs and Symptoms:

  • Itching, red flaky patches of skin resembling plaques
  • Prickly feeling accompanied by inflammation
  • Red patches usually seen on elbows knees and scalp
  • Raised or elevated bumps clustered together 

Treatment of Plaque Psoriasis:

Treatment of Plaque Psoriasis can be treated through the following methods 

1)      Drug Therapy and Lotions

Topical creams and Hydrocortisone creams: Used to reduce redness and itching in plaque psoriasis, Corticosteroid creams are often used to decrease the inflammation accompanying plaque psoriasis. Medicated shampoos are often used to treat plaque psoriasis of the scalp along with Vitamin D or Vitamin A medicines which aid in skin recovery.

Topical calcineurin inhibitors : Aid in acting against over reactive or over reactive immune system and are second line of therapy when topical medications do not work

Antibiotics: Antibiotics are prescribed to treat plaque psoriasis caused by bacterial infections.

Biologics: – New class of drug used to suppress the immune system, commonly approved biologics include Alefacept , Adalimumab, Stelara, Etanercept etc. 

2)      Nutritional Therapy: -

Often nutrition too can plays a role in alleviating plaque psoriasis, commonly used food sources to treat plaque psoriasis include glutelin rich food, nuts , fish oil , Vitamin supplementary etc  

Complementary and Alternative Therapies

Photo- Therapy

A new variant of alternative medicine called phototherapy or light therapy has been developed to treat psoriasis, in which the skin is exposed to UV light called the PUVA, (Psoralen + UVA), Variants involving UVB have also been used.

Homeopathy

Homeopathy though often doubted has many takers in treating various skin diseases such as plaque psoriasis, Sulphur pellets have often been used for intense burning itchy scaling skin

Hydrotherapy

Water therapy rejuvenates the skin, supplies heat, moisture, and minerals in tiny quantities to the skin; Oatmeal baths may be soothing and may help to loosen scales of plaque psoriasis.

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