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What is Psoriatic Arthritis?

Sunday, December 6th, 2009

Psoriatic arthritis afflicts 10-30% of all patients who suffer with psoriasis and sets in much earlier than other forms of arthritis.  It appears approximately ten years after the first appearance of the condition. Treatment is similar to that of common osteoarthritis. Anti-inflammatory medications can be used to treat mild to moderate symptoms that include joint swelling and tendinitis.

Treatments for severe symptoms depend on the age and overall health of the patient. Injections of corticosteroids into the affected joints and immunosuppressants can help reduce discomfort.  There are five categories of psoriatic arthritis, some affect both sides of the body and others affect only one side. Research and discussions with your doctor will help you decide which treatments are best for you

Different Types of Psoriasis

Friday, December 4th, 2009

Psoriasis is a chronic, autoimmune disease that manifests in several forms, primary affecting the skin.  In many cases only one type of psoriasis will appear at a time.  In other cases several types may occur at the same time or after another form clears.

The most common form is plaque psoriasis.  Symptoms begin as small dry patches of skin, usually appearing on opposite sides of the body. These patches may or may not be noticeably inflamed. As the affect areas grow, the skin appears to grow in thicker, flaky layers. Some patches may be ring shaped. The edges are raised and the texture resembles snake scales. As more patches appear they often link together, forming larger areas.

While the symptoms caused by plaque psoriasis can be controlled, they may persist for long periods of time.  They often become worse when the weather gets cold, or during times of stress. It most often occurs on the elbows, knees and lower back. Treatments include coal tar or steroid based ointments and light therapy.

Guttate psoriasis often starts in children and young adults.  It appears as red spots on the torso, arms and legs. It usually begins suddenly and can incite a variety of symptoms that cause stress to the body and threaten overall health.  It can be brought on by upper respiratory infections, strep throat and skin trauma. Certain types of beta-blocking medications can worsen this condition.

Inverse psoriasis is characterized by smooth, shiny patches of inflamed skin. It usually occurs in body folds, such as under the arms, behind the knees, around the groin or under the breasts. Because of its location, flare-ups occur frequently due to the irritation of rubbing and sweating. Steroid creams are most commonly used, but can cause other skin issues if overused.

Other types of psoriasis spread indiscriminately across the entire body. An example of this is erythrodermic psoriasis. It may occur alongside pustular psoriasis.

Erythrodermic psoriasis is one of the more uncommon types of psoriasis.  It occurs in only one to two percent of the psoriatic population. Symptoms include severe itching, pain an a general imbalance of body chemistry.  Skin affected by erythrodermic psoriasis consistently looks as if it has been burned and body temperature fluctuates significantly with extreme weather conditions. While plaque psoriasis flakes off in small, scale-like patches, erythrodermic psoriasis causes larger sheets of skin to fall off all at once.  Those who suffer from this type of psoriasis are prone to different infections as well as pneumonia and congestive heart-failure, thus it is imperative to keep the condition under control.

Guttate Psoriasis:
guttate psoriasis picture
Plaque Psoriasis:
plaque psoriasis

Coal Tar – A Traditional, Effective Psoriasis Treatment

Thursday, December 3rd, 2009

Coal tar has been used as an effective treatment for psoriasis for over a century. It is a by-product of carbonized coal.

Coal is carbonized when it is processed and distilled for use as coke or coal gas. Though many of its components have not been identified, it seems to slow the growth of skin cells. This improves the skin’s appearance by reducing the inflammation and scaling characteristics of the psoriasis. Coal tar is found in many products developed for skin conditions, from shampoos to creams and bath gels. It is also used in combination with phototherapy to improve the condition of the skin.

The side effects of coal tar are few and for most, insignificant. It can irritate the skin, causing it to redden and dry the skin. These symptoms can usually be reduced by using moisturizer. Tar makes the skin photosensitive, which makes it more prone to burning than usual. Liberal use of sunscreen is recommended after phototherapy used in conjunction with the application of an ointment or cream containing tar.

Many people discard the possibility of using coal tar products, as they can stain the skin and clothing.  They also have a very strong accompanying odor and, when applied to the scalp, may temporarily discolor one’s hair.

Despite the messiness and odor, many psoriasis patients prefer products with coal tar over other remedies that contain steroids. The side effects for steroids are numerous and vary from patient to patient. There are some concerns about the safety of products that use tar. The FDA and the National Psoriasis Foundation have deemed it a safe, effective and inexpensive treatment for a variety of skin conditions. The concentration is between 0.5% and 5% and they carry warning labels that meet California’s Prop 65 requirements.

This puts them in the category labeled as No Significant Risk Levels. Solar radiation, alcoholic beverages and tobacco products are similarly labeled. Formulas that utilize more than 5% are categorized as Group1 carcinogens and cannot be purchased over the counter. Despite 75 years of documented safe use, there is some controversy over its possible carcinogenic affects and the use of tar in some consumer products, such as cosmetics, is banned in several European countries As a result, many products that used to contain coal tar have been modified, replacing the tar with salicylic acid.  Many, however, feel that salicylic acid is not as effective.

Neutrogena’s T/Gel is a common over-the-counter coal tar shampoo that I use on a regular basis — my scalp would not be able to survive without it.

Battling Psoriasis with an Improved Diet

Tuesday, December 1st, 2009

carrots and potatoes

Medicinal products (drugs) are not the only way to reduce psoriasis symptoms. A balanced diet, high in vitamins, minerals and healthy lifestyle, not only improves overall health but it has been proven to help manage the disease.

One of the first things many doctors recommend for people seeking a cure for their psoriasis is to to quit smoking, control their weight and limit alcohol intake.

There are some foods that interact with medications for an adverse affect, so it is wise for patients to discuss any diet changes with their doctor. A healthy diet in any case, regardless of whether a persons suffers from psoriasis, includes plenty of fruits and vegetables.  Fat and cholesterol should be kept at a minimum and sugar and salt used in moderation. Small meals and healthy snacks eaten throughout the day are recommended over one large meal.

For psoriasis sufferers, there are some nutrients that can help improve the overall appearance of the skin and reduce inflammation and flare-ups. A diet designed to battle psoriasis should include foods that are high in antioxidants, omega-3 fatty acids, beta-carotene, folate and zinc.

Antioxidants remove chemicals from the body that damage cells. Though many foods contain them, there are some that are higher than most. They include berries of all types, from cranberries and blackberries, to raspberries and strawberries. Apples, potatoes, artichokes, carrots and black beans also contain high levels of antioxidants. Omega-3 fatty acids are found salmon, mackerel, trout, and tuna.

Many patients who consume higher levels Omega-3 fatty acids have been able to reduce steroidal cream usage. Beta-carotene is a nutrient found carrots, mangoes and apricots. The body converts to beta-carotene to vitamin A, which is essential for healthy skin. They are also high in vitamin C. A diet that includes these nutrients may help prevent psoriasis from occurring. As with many healthy foods, they are also low in fat, high in vitamins and minerals. Red meat and dairy products should be eaten in moderation. They contain a naturally occurring inflammatory acid that may increase the severity of symptoms.

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Psoriasis is an immune disorder that effects skin cell production. Though there is no official cure, though there are several treatments available to help control the symptoms including creams, lotions, gels, shampoos and ointments.  These topical treatments tend to contain zinc, coal tar and a variety of vitamins and minerals and are available either over the counter or by prescription.  Stronger psoriasis medicines are reserved for more severe types of psoriasis.

A variety of discounted psoriasis products are available online.