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Psoriatic Pruritus – Finding Relief

Thursday, December 24th, 2009

The technical name for itchiness, which is a common symptom of psoriasis, is pruritus. If you have pruritus, you don’t need a formal diagnosis to give it a label. You’ll be well aware of this fact, and find that scratching the itch at times only makes it worse. There are a number of sources for pruritus, a couple being the dry skin and the scaly rash that’s developed by people with psoriasis. It any case, it tends to be maddening… leading to a loss of sleep or ability to concentrate during the day.

How can you find relief from this troublesome symptom?

One of the most effect ways to beat the pruritus that results from psoriasis is to moisturize. Specialists recommend using a non-petroleum based moisturizer at least twice per day. Before bed, you can use a heavier moisturizer such as shea butter or natural oils, which will have a chance to seep into the skin overnight, repairing any damage done by dehydration. In the morning, a lighter lotion or moisturizer is recommended so as not to leave a greasy film on the skin.

Using cortisone creams or botanicals such as aloe vera can help have a soothing effect on the ravaging itch of psoriasis-inspired pruritus. These can be applied along with a  moisturizer, or many topical creams will include all of the above ingredients for maximum relief. These are best applied after a shower or bath.

Bathing in warm water rather than hot is also a good way to help lock in moisture, as hot water can strip the skin of its natural oils and leave you feeling dry and itchy afterward. If you bath once a day or more, it’s particularly important to retain as much of this moisture as possible, especially in colder months.

Drinking an adequate amount of water and avoiding alcohol and cigarettes can also help in the battle against psoriatic pruritus – these help you fight the problem from the inside out. For anyone who habitually does not drink enough water, the difference in skin tone and overall health will be noticeable right away.  Many times skin problems, including infections or pruritus of all types, can be traced to dehydration. Consuming fresh fruits and vegetables will also help with this problem.

Hair Loss Caused by Psoriasis

Friday, December 18th, 2009

One of the most unsettling effects of psoriasis, aside from chronic physical discomfort, is the hair loss that can occur for those who have problems with their scalp. The scalp is one of the most commonly affected areas for people with psoriasis.  For those who are thus affected, hair loss can be a major concern for the simple reason that scratching the scalp damages the hair follicles, causing hair to fall out at an abnormally fast rate. This can mean that, not only does a patient have to cope with an irritated and itchy scalp, but also experience the cosmetic issue of hair loss.

In general, treating the underlying issue will bring hair loss under control.  There are, of course, different treatments for preventing and/or restoring hair loss, but for our purposes, the first step is to identifying the main problem, which is psoriasis. Note: if you are experiencing suspicious new scalp problems you probably should visit a doctor who can positively diagnose if this is psoriasis or another scalp condition.

For people suffering from psoriasis, treating the problem can be as simple as finding a moisturizer for a dry scalp, in which case heavy conditioners or hair oil treatments can be massaged in to bring almost instant relief.

Medicated shampoos designed to combat psoriasis on the scalp can be the best good way to stop itching and, by extension, hair loss.  I have had a lot of success using two medicated shampoos by Neutrogena – T/Sal (which contains salicylic acid) and T/Gel – Stubborn Itch Control (which contains coal tar and menthol).

The skin under your hair is more difficult to reach for obvious reasons, and thus topical treatments can be difficult to apply.  In any case, for those who are determined enough (or possibly for those who are willing to shave their head), steroids can be effectively applied to the scalp for relief from itching, irritation and swelling.

Unfortunately, hair loss is a common issue among people suffering from psoriasis on the scalp.  This symptom, which results from damaged hair follicles, can have a major impact on a person’s self esteem and social life. If you need more information about finding relief, don’t hesitate to visit your dermatologist with a list of questions in hand.  Researchers are constantly on the lookout for a cure for psoriasis, so there is a good chance that there will be new options at your disposal all the time.

Psoriasis Shampoo Update – Using a T/Gel, T/Sal and Selsun Blue Rotation

Monday, October 26th, 2009

I switched back to Neutrogena’s T/Gel (Stubborn Itch Control, active ingredients: coal tar and menthol) as of about 4 days ago… and what a relief it is.  T/Gel – Stubborn Itch Control continues to be the most effective shampoo for suppressing the deep itch that would otherwise have me scratching my scalp all day.   Constant scratching all day can lead to scalp damage over time, including hair loss.

I tried out Selsun Blue (active ingredients: selenium sulfide and menthol) for a few days to see if this well-known dandruff-treating shampoo, would have a positive effect on my psoriasis, which tends to flare up only on my scalp.  For a about one-and-a-half days my scalp seemed to react well, but soon after that my psoriasis itch came back in full force.  Thus, Selsun Blue might be an acceptable shampoo to rotate in with T/Gel (the current reigning champion for battling psoriasis in my case).

A method I use to keep the pruritus (itchiness) at bay is to “keep it guessing,” as it were, by changing shampoos around every other day.  For example, my shampoo rotation tends to include T/Gel, T/Sal and regular shampoo.  Using regular shampoo gives my scalp a break and is also significantly less expensive.  Now I will most likely use Selsun Blue in the rotation as well, probably for however long it takes to use up this bottle (which cost me almost ten bones).

Selsun Blue with Menthol Update: Day 2

Wednesday, October 21st, 2009

Surprisingly, the itchiness on my scalp seems to be a lot worse today than yesterday starting around mid-day.  Since noon I have felt strong urges to scratch both the front and the far back of my scalp.  It feels like the kind of deep itch that will not go away, no matter how much I scratch at it.

Observation: The winter season is just beginning here in Phoenix, which means less sun and lots of cold, dry air.  My knuckles have started to dry out over the last few days, which is a sign that the worst time of year for my psoriasis is beginning.  Phoenix is dry year round; but it gets especially dry when assiduous sweating is taken out of the picture.

I found myself missing the effects of coal tar as the day went on today — coal tar seems to have a longer lasting, suppressive effect on scalp itch.  My inclination at this point is to switch back to T/Gel, Stubborn Itch Control (with menthol as well) as soon as this bottle of Selsun Blue with menthol is finished.  I would feel bad about not using this whole bottle since it cost me $9 (not on sale, but worth it for scientific research, right?).

See my more extended review of Selsun Blue with Menthol here.