Posts Tagged ‘treatment’
AN OLD spot done ages ago
Dr. James L. Campbell Jr., MD, MS discusses Psoriasis Treatment Topical Therapy. See more at http://www.dermnet.com PLEASE RATE AND COMMENT!!!
Topical therapy is appropriate for patients with limited skin involvement and in combination with other modalities. Topical preparations include shampoos, foams, solutions, creams, ointments and sprays. Patients must be provided with an adequate amount of the preparation to treat the involved areas for the amount of time directed.
Several active ingredients have been compounded into these various preparations. Coal tar containing products are effective, but somewhat messy to use and irritating to the skin. Odor is also an issue. Anthralin containing preparations are also effective, but staining of skin and clothing limits compliance.
Dovonex is calcipotriene is a vitamin D3 analogue preparation which can be applied once or twice daily as tolerated in amounts up to 100 g/week. It is important to confine medication to the plaques so as to minimize local irritation and erythema.
Tazorac is tazarotene, a synthetic retinoid, in gel or cream once or twice daily is effective. Again confining application to the plaques minimizes local irritation of the surrounding skin.
Topical corticosteroids in Groups 1 through 5 have been mainstays of psoriasis treatment for several decades. Their direct anti-inflammatory effect treats psoriasis. There is risk of skin atrophy with long-term use. It is important to limit duration of use, quantity and potency of topical steroids in the long-term management of psoriasis. For this reason, topical steroids are often combined with other topical agents such as tazarotene and calcipotriene which do not risk skin atrophy. The topical steroid reduces the irritation from these agents as well.
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Doctor Fish, Thermal Spring in Turkey, Psoriasis Treatment
Duration : 0:7:23
Psoriasis is a chronic skin disease. There are several types of psoriasis. The most common is plaque psoriasis and appears as elevated red rashes with silvery white scales.
This is the case of a patient with plaque psoriasis for 17 years who was treated with our all natural skin care cream PsoriaCease/PsoriaClear. For more info call 301-880-3332 or visit www.psoriacease.com.
Duration : 0:6:26
New Natural Latest and Alternative Fishy Treatments for Psoriasis in Hot Spring Sivas Kangal TURKEY
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Dr. James L. Campbell Jr., MD, MS discusses Psoriasis Treatment Systemic Therapy. See more at http://www.dermnet.com PLEASE RATE AND COMMENT!!!
Patients with psoriasis involving more than 20% of the body surface or who are very uncomfortable should consider systemic therapy. Systemic therapy is complicated and best managed by a dermatologist. A rotational approach to therapy minimizes long-term toxic effects from any one therapy and allows effective long-term management.
Methotrexate is effective in unstable erythrodermic, generalized pustular psoriasis and extensive chronic plaque disease. It is effective for psoriatic arthritis and can be given orally, intramuscularly or subcutaneously in doses of 12.5 to 22.5 mg weekly. Close follow-up is needed; monitor complete blood cell count, liver function, and liver biopsy should be performed periodically. Beware of potentially life-threatening drug interactions with salicylates, many non-steroidal anti-inflammatory agents, trimethoprim sulfamethoxazole, penicillins, and others. Side effects include nausea, anorexia, fatigue, oral ulcerations, leukopenia, and thrombocytopenia, hepatic fibrosis or cirrhosis. Use caution in the elderly or patients with renal insufficiency.
Cyclosporine is best used for severe inflammatory psoriasis and better yet for acute control only. The typical dose is 2.5 to 5.0 mg/kg/day. Once control is achieved, the dose is slowly tapered. Close monitoring of blood pressure is needed, as well as complete blood count, creatinine, magnesium and cholesterol/triglyceride levels. Decrease dose if creatinine increases by 30% from baseline and beware of potentially life-threatening drug interactions. Side effects include hypertension and cumulative renal toxicity.
Acitretin, brand name Soriatane, is highly effective for generalized pustular and erythrodermic psoriasis, and moderately effective for palmoplantar psoriasis. An oral retinoid, acitretin is useful in combination with psoralen plus ultraviolet A and ultraviolet B. Start at 10 to 25 mg/day as a single dose.
Side effects are similar to those of isotretinoin and include teratogenicity, dry skin, sticky skin, myalgias, arthralgias, pseudotumor cerebri, depression, hair loss, hepatitis, pancreatitis, increased cholesterol/triglycerides.
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http://www.theskinsociety.com
The Skin Society has developed the world’s most effective all natural skin care Psoriasis treatment. Proven results and clear skin within 4 weeks.
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This segment focuses on the XTRAC® Excimer Laser from PhotoMedex, which doctors are using to effectively clear patches of psoriasis.
Duration : 0:3:45
Before and After Psoriasis Treatment with PsoriaCease/PsoriaClear
Duration : 0:6:20
http://www.laserskin.com
Using an Eximer laser at his facility, Austin Dermatology Clinic, Michael H. Coverman, M.D. can effectively treat psoriasis. Our skilled dermatologist will administer laser treatments twice a week, for four weeks, totaling eight treatments. This procedure is safe, quick, and painless, and requires no anesthesia or preparation. It is ideal for areas that are resistant to other treatments.
Visit Dr. Coverman’s Web site to obtain further information about the Eximer laser, as well as psoriasis treatment.
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