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How and When to Use Exfoliants to Treat Psoriasis

Tuesday, December 1st, 2009

Exfoliants are used to remove dead skin cells on the outermost surface of the skin. This removal reveals newer, healthier skin just below. This removal can unclog pores, helps reduce acne outbreaks and keeps the skin clear.

There are two types of exfoliation, mechanical or chemical. When using a mechanical exfoliation method, there is scrubbing of the skin, usually with facial scrubs or micro-fiber cloths. These scrubs and cloths contain a variety of ingredients from sugar, and salt crystals to almond shells and apricot kernels. Commonly used abrasive materials include loofahs and sponges. The coarseness of the material dictates how it will be used.

Users with dry or sensitive skin should avoid exfoliants containing pumice or crushed volcano rock. These ingredients are in products developed for use on the skin of the feet. Chemical exfoliation uses salicylic acid, citric acid or fruit enzymes. They can be purchased over the counter, or applied in higher concentrations by a dermatologist. These products contain enzymes that loosen the substance that holds skin cells together, allowing them to be removed. The mechanical products are generally recommended to improve skin texture, reduce fine lines and to treat dry skin. The chemical products are effective when treating blemishes, dandruff, dermatitis and psoriasis.

Psoriasis sufferers can reduce the visible build up of excess skin by using exfoliants. They must select products that are friendly to sensitive skin, or they risk increasing the inflammation. Scrubs that use shells, seeds or exfoliating beads are not recommended. They are too harsh and may get lodged underneath the scales. This will make the skin more vulnerable to cuts and bruising.

One of the potential results of exfoliating is that skin can grow back thicker than before. Depending on the type of psoriasis, this may cause skin cell build up to occur even faster.

Scalp psoriasis is painful, itchy and can cause hair loss. Exfoliating gels that contain salicylic acid are particularly effective when treating scalp psoriasis, eczema and seborrheic dermatitis. These exfoliants help stop the itching that accompanies dry skin. Many contain tea tree oil, eucalyptus or mint. These ingredients help the skin remain smooth and clean after the dry outer layer of skin has been sloughed off and contain antiseptic properties that help kill bacteria. The essential oils soothe the skin and reduce inflammation. “Pre-shampoo” products are designed to exfoliate the scales and remove the flakes of dead skin in the hair before shampoo is applied.

Selsun Blue with Menthol – Product Review

Monday, October 19th, 2009

selsun blue menthol

Selsun Blue is designed primarily to treat itchiness (pruritus) and flaking caused by seborrheic dermatitis of the scalp.  Since scalp pruritus is the main symptom I experience on a regular basis and since psoriasis is similar to seborrheic dermatitis, I decided to give Selsun Blue with Menthol a try.

The most effective type of T/Gel I have found to treat my psoriasis has been T/Gel Stubborn Itch Control, which contains coal tar (2%) and menthol.   The soothing effect of menthol is effective at suppressing pruritus flares-ups on my scalp in addition to the the longer term medicinal effects of coal tar.  In the case of this particular kind of Selsun Blue, the active ingredients are selenium sulfide (1%) and menthol.  While coal tar suppresses skin cell proliferation, selenium sulfide is primarily an antifungal compound — it kills the fungus (malassezia) that feeds on the skin’s natural oils, leading to itchiness and dandruff.  Selenium sulfide has also been proven to suppress keratinocyte proliferation (excessive skin cell production), which leads to the itchiness and scaling characteristic of psoriasis vulgaris (plaque psoriasis).

Observations:

Selsun Blue with Menthol had less of an immediate effect on my scalp than T/Gel with menthol, but as of now, about 2 hours after applying this shampoo, my scalp feels quite at ease.  I have not felt the need to scratch for at least an hour now.  With the help of the residual menthol, my scalp feels as “normal” ore as free from pruritus as it ever does.  This is encouraging for me since, as I said, my main symptom is an itchy scalp.  In addition to being bothersome and distracting, scratching all day is causing a lot of damage to my scalp, which is leading to accelerated hair loss.

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There are some other advantages to using Selsun Blue that may lead me to switch over to this product over T/Gel:

  • Coal tar is a suspected carcinogen over long periods of exposure.  Experts might claim that I would have to soak my entire body in pure coal tar all day for a year to be at risk of developing cancer… but this argument doesn’t really put my mind ease.  Soaking my scalp with a diluted coal tar solution on a regular basis is comparable, so why risk it?  Also, petroleum based products across the board do not have a great reputation for promoting physical health (from consumables to topical ointments to gasoline).  If crude oil splashed onto your skin would your impulse be to quickly wash it off or would you allow it soak in for a while?
  • Selsun Blue with menthol is significantly less expensive than T/Gel with menthol.  While T/Gel is about $7.00 for 4 ounces (at my local grocery store), Selsun Blue is about $9.00 for 11 ounces.  That’s about half as much, ounce for ounce.
  • Selsun Blue with menthol doesn’t smell as bad as T/Gel with menthol.  For a person who is not accustomed to the smell of coal tar shampoos, the aroma can be suffocating.  This particular kind of Selsun Blue smells like a combination of menthol, Irish Spring soap and sunscreen.

Zinc Pyrithione

Monday, October 12th, 2009

Zinc pyrithione is the active ingredient present in a variety of mainstream anti-dandruf shampoos such as Head and Shoulders, Tigi Bed Head Shampoo, Herbal Essences, Selsun Salon, Redken, Pantene Pro V and Biolage. Due to its anti-fungal and antibacterial nature, zinc pyrithione has been confirmed as an effective treatment for dandruff and seborrheic dermatitis.

Similar scalp treatments include chloroxine and selenium sulfide.

Zinc pyrithione also seems to slow the production of skin cells, which is one of the main symptoms of psoriasis.

Skin Cap (available through BeautyWorks.com) is one of the main products you can buy over the counter that offers therapeutic concentrations of zinc pyrithione for the purpose of treating psoriasis.  It comes in the form of aerosol spray, shampoo and lotion.  Recommended dosage is twice daily.  Several sources report dramatic reductions in scaling, itchiness and inflammation within a few weeks of using this compound.

Zinc pyrithione is intended for topical use only.

Side effects of this product seem to be mild, but you should consult your dermatologist to make sure.

Selsun Blue — Selenium Sulfide as a Psoriasis Treatment

Monday, October 12th, 2009

Selsun Blue is available with two concentrations of selenium sulfide — 1% over the counter and 2.5% by prescription.  Selenium Sulfide is designed to prevent excessive fungus growth (Malassezia) that feeds off of the oils of the skin, thus leading to itchiness and dandruff.

Selsun Blue is designed mainly to resist seborrheic dermatitis, however selenium sulfide has also been proven to prevent the excessive production of keratinocytes, which make up most of the epidermis (the outer part of the skin), thus preventing one of the main symptoms of psoriasis.

Example of typical Selsun Blue shampoo, this particular kind contains Menthol as well to suppress itchiness (pruritus):
Dandruff Shampoo

There are a variety of other Selsun blue variations, including types that stress natural ingredients such as Aloe Vera.