Sebopsoriasis
This type of psoriasis usually appears on your face and scalp as patches and bumps covered in a yellowish, greasy scale. It’s a combination of seborrheic dermatitis and psoriasis.
Sebopsoriasis Symptoms
- Scaly skin
- Hair loss
- Highly greased skin
- Itchiness
- Plaques
- Redness of skin
Psoriasis Treatment
The goal of psoriasis treatments is to delay the rapid growth of cells in the skin and eliminate scales. Some treatment options include ointments and creams (topical therapy), injected or oral medication, and light therapy. The preference for treatments for psoriasis depends on the severity of the condition and its response to previous treatments and self-care processes. Exploring different medications or treatments may be necessary until an effective approach is found. It’s important to note that psoriasis often tends to recur despite fruitful treatment.
Topical Therapy
Vitamin D analogs – Various synthetic forms of vitamin D, like calcitriol (Vectical) and calcipotriene (Dovonex, Sorilux), slower cell growth in the skin. This kind of drug may either be used alone or along with topical corticosteroids. Calcitriol is known to cause minor irritation in sensitive places compared to other treatments. However, it’s worth noting that calcipotriene and calcitriol are generally pricier than topical corticosteroids.
- Corticosteroids – Corticosteroids are the commonly prescribed medication for treating moderate to mild psoriasis. These are present in the market as ointments, oils, lotions, creams, moisturizers, foams, shampoos, and sprays. For delicate areas like the folds of the skin, and face and for curing large affected areas, mild corticosteroid ointments (such as hydrocortisone) are often suggested. During flare-ups, topical corticosteroids must be applied once daily, while during periods of remission, they may be used on weekends or alternate days. Your doctor may provide stronger corticosteroid ointment or cream – clobetasol (Temovate, Cormax, etc.) or triamcinolone (Trianex) – for small, tough-to-treat, less-sensitive parts. Long-term usage of powerful corticosteroids leads to skin thinning. In addition, eventually, topical corticosteroids might stop showing results.
- Retinoids – Tazarotene, which comes in a cream or gel form like Tazorac or Avage, can be applied a couple of times a day. The main side effects include irritation of the skin and heightened light sensitivity. It’s important to note that Tazarotene is not recommended if you are pregnant, breastfeeding, or planning pregnancy.
- Salicylic acid – Shampoos and scalp solutions containing salicylic acid help reduce scaling caused by scalp psoriasis. These products are available in both nonprescription and prescription strengths. They can be used on their own or in combination with other topical treatments to enhance the absorption of medication by the scalp.
- Calcineurin inhibitors – Calcineurin inhibitors like pimecrolimus (Elidel) and tacrolimus (Protopic) soothe rashes and reduce scaling. They are particularly useful for sensitive areas like the eyes, where retinoids or steroid creams can be harmful. However, these inhibitors are not recommended during pregnancy, breastfeeding, or if you intend to plan a pregnancy. Additionally, they should not be used for extended periods due to a potentially higher risk of lymphoma or skin cancer.
- Anthralin – Anthralin is a cream containing tar that works by slowing down the growth of skin cells. It is effective in removing scales and promoting smoother skin. However, it should not be used on the genitals or your face. It’s important to note that anthralin can cause skin irritation and tends to stain nearly anything it comes into contact with. Typically, it is applied for a brief period and then rinsed off.
Light therapy
Light therapy, either on its own or combined with medications, is a primary treatment for medium to extreme psoriasis. It involves controlled exposure of the skin to artificial and natural light. Multiple sessions are typically required. Consult with your healthcare provider to determine if phototherapy at home is an option for you.
- Sunlight: Daily exposure to sunlight in mild quantities (heliotherapy) can potentially improve psoriasis. Consult with your healthcare provider for guidance on safely using natural light treatment.
- Goeckerman Therapy: This treatment combines light therapy with coal tar, enhancing the skin’s response to UVB light and increasing effectiveness.
- UVB Broadband: Expert-managed doses of UVB broadband rays from an artificial source can cure various forms of psoriasis. Potential short-lived side effects include itchy, inflamed, and dry skin.
- UVB Narrowband: Narrowband UVB light therapy is often more productive than broadband treatment. It is administered twice or thrice weekly initially, followed by less frequently for maintaining it. However, it may pose more severe damage than UVB broadband.
- Psoralen plus Ultraviolet A (PUVA): It incorporates taking a light-sensitizing medication named Psoralen before exposing the affected part to Ultra Violet A light. It is commonly used for severe psoriasis but has potential side effects such as nausea, headache, and increased skin sensitivity.
- Excimer Laser: In this targeted light therapy treatment, a strong Ultra Violet B light is directed only at the affected skin. It typically requires less number of sessions than traditional phototherapy but may lead to blistering and inflammation.
Oral or injected medications
If you are suffering from moderate to severe psoriasis or other ineffective treatments, your healthcare provider might recommend injected or oral (systemic) medications. These medications are sometimes used for short durations and may be used as an alternative to other treatments due to their potential for serious side effects.
- Retinoids – Acitretin, along with various other retinoids, are oral medications that help reduce skin cell production. Possible side effects may include itchiness and dryness of the skin. It is important to note that these medications are not prescribed during pregnancy, breastfeeding, or if you are planning a pregnancy.
- Biologics – These are typically given by injection, modify immunity to disrupt the sickness cycle, and improve psoriasis symptoms within weeks. They are used for moderate to extreme psoriasis when other treatments are ineffective. Three of these drugs (ustekinumab, etanercept, and ixekizumab,) are prescribed for use in children. However, these medications can be costly, and their coverage under health insurance policies may vary. One must use biologics with caution as they risk suppressing immunity in ways that lead to an increased chance of serious infections.Biological drug options include: apremilast (Otezla) certolizumab (Cimzia) infliximab (Remicade) adalimumab (Humira) secukinumab (Cosentyx) ustekinumab (Stelara) ixekizumab (Taltz) guselkumab (Tremfya) etanercept (Enbrel) tildrakizumab (Ilumya)
- Methotrexate – Methotrexate (Trexall) is an oral medication taken once a week. It reduces skin cell production and inflammation but is less effective than infliximab and adalimumab. Side effects may include loss of appetite, an upset stomach, and tiredness. Long-term users of methotrexate require regular blood counts and liver function tests. Individuals planning to conceive should stop taking methotrexate three months prior, and it is barred for breastfeeding mothers.
- Steroids – Steroids, such as triamcinolone, can be directly injected into persistent, small psoriasis patches as a treatment option recommended by your healthcare provider.
- Cyclosporine – Cyclosporine (Neoral, Gengraf, Sandimmune) is an oral medication used for extreme psoriasis as it weakens immunity. It is similarly effective to methotrexate but cannot be continuously used for more than a year. However, like other immunosuppressants, cyclosporine raises the risk of other health problems and infections, including cancer. Long-term users of cyclosporine require regular monitoring of kidney function and blood pressure. It is not recommended during pregnancy, breastfeeding, or if planning for pregnancy.
Why choose Care Well Medical Center for Psoriasis treatment?
CWMC is a pioneering clinic in psoriasis treatment, taking a holistic and integrated approach. Recognizing the multifactorial nature of psoriasis, CWMC considers immune dysfunction, genetics, and lifestyle factors in its treatment approach.
Dr. Sandeep Bhasin utilizes rare and cutting-edge treatments, including advanced biologic therapies, personalized dietary plans, and stress management techniques. By addressing every aspect of the patient’s well-being, CWMC offers a unique and effective healing experience. They stand out as one of the few clinics utilizing innovative and rare forms of treatment for psoriasis. Dr. Sandeep Bhasin’s approach to psoriasis treatment is characterized by rare, unconventional, and highly effective methods, which include the following:
High-dose Vitamin D Treatment
High-dose vitamin D treatment is a newly explored potential treatment option for managing psoriasis. Vitamin D modulates the immune system and promotes healthy skin cell growth, making it a target for psoriasis treatment. However, it’s important to note that the effectiveness of high-dose vitamin D treatment for psoriasis is still a subject of ongoing research, and its use should be discussed with a healthcare professional.
Some studies have suggested that high-dose vitamin D supplementation may benefit psoriasis symptoms. The rationale behind this approach is that psoriasis patients often have lower vitamin D levels, and correcting this deficiency may help alleviate the condition. High-dose vitamin D treatment typically involves taking oral vitamin D supplements in much higher doses than the recommended daily allowance. However, it is crucial to approach high-dose vitamin D treatment with caution. Vitamin D toxicity can occur with excessive intake, leading to hypercalcemia (heightened calcium levels) and other potential health risks.
It’s worth noting that the efficacy of high-dose vitamin D treatment for psoriasis varies among individuals. While some may experience improvement in symptoms, others may not respond as effectively. Psoriasis is a complex condition, and its management often requires a multifaceted approach, including medications, lifestyle modifications, and other treatment options.
Ozone Therapy
Ozone therapy has been explored as an alternative treatment for psoriasis. Ozone therapy involves the administration of ozone gas to the body through various methods. Proponents of ozone therapy for psoriasis suggest that ozone’s potential anti-inflammatory and immune-modulating properties may help alleviate psoriasis symptoms. It is believed to work by increasing oxygen delivery to tissues, enhancing circulation, and activating antioxidant mechanisms in the body.
Medical Cannabis
Medical cannabis has gained attention as a potential treatment option for various medical conditions, including psoriasis. Cannabis contains compounds called cannabinoids, such as THC (tetrahydrocannabinol) and CBD (cannabidiol), which interact with the body’s endocannabinoid system and have potential therapeutic effects.
Some studies and anecdotal evidence suggest that cannabinoids may possess anti-inflammatory and immunomodulatory properties, which could potentially help alleviate symptoms of psoriasis. These properties may reduce inflammation, itching, and scaling associated with the condition. Additionally, cannabinoids may have analgesic properties that could relieve psoriasis-related pain.
The use of medical cannabis should be approached with caution and under the guidance of a healthcare professional. The dosage, strain, and mode of administration of medical cannabis should be carefully considered, as individual responses may vary, and side effects are possible. It is crucial to consult with a qualified healthcare provider who can evaluate your condition, discuss potential risks and benefits, and guide you on incorporating medical cannabis into your psoriasis treatment plan if deemed appropriate.
High-dose Vitamins
High-dose vitamins are yet another potential treatment choice for psoriasis. Vitamins, such as vitamin B12, vitamin D, and vitamin E, play important roles in immune function and skin health, making them of interest in psoriasis management.
For instance, high-dose vitamin D treatment has been investigated due to its potential anti-inflammatory effects and role in regulating skin cell growth. Some studies suggest correcting vitamin D deficiency through high-dose supplementation may help reduce psoriasis symptoms.
Similarly, vitamin B12 deficiency has been associated with an increased risk and severity of psoriasis. High-dose vitamin B12 supplementation may be considered for individuals with confirmed deficiencies to alleviate symptoms. Vitamin E, known for its antioxidant properties, has also been studied in psoriasis. While evidence supporting its use is limited, it contributes to overall skin health and may provide some benefits.
High-dose vitamin supplementation should be undertaken under the guidance of a healthcare professional to ensure appropriate dosing and monitoring. It is essential to consult with a healthcare provider to evaluate your specific needs and determine if high-dose vitamin supplementation is suitable as part of your psoriasis treatment plan. They can assess your nutritional status, guide you on proper dosing, and monitor your progress for optimal outcomes.
Diet Management In Psoriasis
Diet management can play a supportive part in managing psoriasis symptoms. However, it is important to note that diet alone cannot cure or eliminate psoriasis. Here are some dietary considerations that may help manage psoriasis:
- Anti-inflammatory diet: Incorporating anti-inflammatory foods can help reduce psoriasis-related inflammation. These include omega-3 fatty acid-rich foods (like flaxseeds, fatty fish, and chia seeds), colorful fruits and vegetables, legumes, whole grains, and healthy fats (such as avocados and olive oil).
- Gluten-free diet: Some individuals with psoriasis may have an associated celiac disease or gluten sensitivity. Adopting a gluten-free diet may be beneficial. Gluten is found in wheat, rye, barley, and connected products.
- Avoid trigger foods: Certain foods may exacerbate psoriasis symptoms in some individuals. Common triggers include alcohol, processed foods, sugary snacks, and foods high in saturated fats. Keeping a food diary to identify any specific triggers for your condition can be helpful.
- Weight management: Maintaining a healthy weight helps manage psoriasis. Obesity worsens inflammation and symptoms. A balanced diet and exercise promote weight management.
- Stay hydrated: Drinking adequate water helps keep the skin hydrated and may support overall skin health.
Remember, dietary changes should be part of a comprehensive approach to psoriasis management and should be discussed with a healthcare professional to ensure they are appropriate and tailored to your specific needs.
Conclusion
Experience unconventional treatments at CWMC: high-dose Vitamin D, ozone therapy, and medical cannabis. Vitamin D boosts the immune system and skin cell growth. Ozone therapy reduces inflammation and modulates immunity.
Medical cannabis offers anti-inflammatory, immunomodulatory, and analgesic effects for psoriasis relief. High-dose vitamins B12, D, and E are studied for psoriasis management. Manage psoriasis with diet, weight, and hydration. Consult a healthcare professional for proper treatment and diet guidance.
