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Psoriasis Treatment

Psoriasis Treatment In Trivandrum

Psoriasis is a chronic autoimmune condition that causes rapid skin cell buildup, leading to thick, red, scaly patches. It can affect any part of the body, most commonly the scalp, elbows, knees, and lower back. Psoriasis is not contagious but can significantly impact quality of life.

Symptoms and Causes

What are the symptoms of Psoriasis?

Psoriasis symptoms can vary depending on the type and severity, but common signs include:

  • Red, inflamed patches.
  • Silvery or white scales.
  • Itching or burning.
  • Dry or cracked skin.
  • Nail changes.
  • Joint pain (psoriatic arthritis).

What are the different types of Psoriasis?

Psoriasis can present in several forms, each with distinct features:

  • Plaque Psoriasis: The most common type, characterized by raised, red patches covered with thick, silvery scales, usually appearing on elbows, knees, scalp, and lower back.
  • Guttate Psoriasis: Appears as small, drop-shaped red spots, often triggered by infections such as strep throat, and commonly affects children and young adults.
  • Inverse Psoriasis: Smooth, red patches that develop in skin folds, including under the breasts, in the armpits, or around the groin, often worsened by friction and sweating.
  • Pustular Psoriasis: Marked by white, pus-filled blisters on red, inflamed skin, typically localized but can become widespread in severe cases.
  • Erythrodermic Psoriasis: A rare and severe form causing extensive redness, scaling, and discomfort; it may lead to serious complications and requires urgent medical attention.

What causes Psoriasis?

Psoriasis occurs due to an overactive immune system, triggering rapid skin cell growth. Factors include:

  • Genetic Predisposition: Family history increases the likelihood of developing psoriasis.
  • Immune System Dysfunction: Autoimmune reactions cause inflammation and rapid skin cell turnover.
  • Environmental Triggers: Stress, infections, certain medications, and skin injuries can trigger flare-ups.

Diagnosis of Psoriasis

Our hospital uses advanced diagnostic approaches to accurately evaluate psoriasis:

  • Medical History and Physical Exam: The doctor evaluates the pattern, size, and severity of skin lesions while discussing triggers and family history to guide diagnosis.
  • Skin Biopsy: A small sample of affected skin is examined under a microscope to confirm psoriasis and rule out other skin disorders.
  • Blood Tests: Blood tests may be used to detect inflammation or help identify related conditions such as psoriatic arthritis.

What are the Psoriasis risk factors?

Certain factors can increase the risk of developing psoriasis or trigger flare-ups:

  • Family History: Inherited genes can make individuals more prone to psoriasis.
  • Stress: Emotional or physical stress may provoke or worsen symptoms.
  • Infections: Infections such as strep throat can trigger certain types of psoriasis, especially guttate psoriasis.
  • Medications: Drugs like beta-blockers, lithium, or antimalarials may induce or aggravate flare-ups.
  • Lifestyle Factors: Smoking, alcohol consumption, and obesity are linked to a higher risk and more severe psoriasis.

What treatment options are available for Psoriasis?

Our multidisciplinary team provides personalized care to manage psoriasis symptoms and improve quality of life:

Topical Therapies: For mild to moderate psoriasis, topical treatments applied directly to the skin are usually the first step. These include corticosteroid creams and ointments to reduce inflammation, vitamin D analogues to slow skin cell growth, retinoids to normalize cell turnover, calcineurin inhibitors for sensitive areas, and salicylic acid or coal tar products to reduce scaling. These medicines can improve skin appearance and relieve itching and thickness.

Phototherapy (Light Therapy): Controlled exposure to ultraviolet (UV) light helps slow excessive skin cell growth and reduce inflammation. Phototherapy can be done using natural sunlight in a safe manner or specialized UVB or PUVA light in a clinical setting. Regular sessions are typically required for the best results.

Systemic and Oral Medications: For moderate to severe psoriasis or when topical treatments and phototherapy do not provide sufficient relief, systemic medications may be prescribed. These include oral drugs like methotrexate or retinoids and targeted immune‑modulating medicines that calm the overactive immune response that drives psoriasis.

Biologic Therapies: Biologics are advanced medications given by injection or infusion that specifically target parts of the immune system involved in psoriasis. These drugs can provide significant improvement in moderate to severe cases and are especially useful when other treatments fail. Examples include agents that block specific immune signals responsible for inflammation.

Combination Approaches: Often, a combination of treatments—such as topical therapies with phototherapy or systemic medicines—is used to achieve better control of symptoms with fewer side effects. Long‑term management plans are tailored to each patient’s needs and may change over time based on response and tolerance.