Psoriasis

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  • What is Psoriasis?

    Psoriasis is actually a very prevalent, long-standing and non- transmissible skin condition, which causes the skin cells to excessively regenerate and grow in a matter of days instead of weeks. Psoriasis usually leads to mild to severe skin disorders, with the most concerned areas being the hands, feet, head, knees, elbows, face and other parts of the body. Such skin conditions often bring about painful, swollen, irritating and scratchy patches on the skin, which may also lead to bleeding in some cases.

    • Mild Psoriasis usually occurs when about 5% of the body surface area is affected.
    • Moderate Psoriasis usually occurs when about 5% -30% of the body surface area is affected.
    • Severe Psoriasis usually occurs when more than 30% of the body surface area is affected.

    In the world, there are approximately more than 125 million people who are struggling with their Psoriasis, and about 30% of this category of people tend to develop Psoriatic arthritis, which causes the joints to be painful, swollen and stiff. In addition, Psoriasis is one significant skin condition that can have an impact on an individual’s physical level through visible skin problems or on a psychological level through continuous depression, disgrace, embarrassment, uneasiness and thus, lack of self-assurance. Psoriasis can thus affect a person’s personal and professional life in many ways.

  • Who can get Psoriasis?

    The number of patients affected by Psoriasis can be very broadand this is mainly because there is no specific age of contracting such a skin condition; starting from the age of 5 till the age of 60, anyone can be prone to having Psoriasis. According to recent surveys though, it has been found that the most common age of people having Psoriasis are between 15 to 25 years old, and between 50 to 60 years old. While the true and core cause of such a skin condition has not been identified till now, most cases have somehow been linked to genetics. People suffering from psoriasis basically have at least one or two family or relative suffering from similar skin conditions. Nevertheless, this is only a theory for now as it has not been proven yet that this can increase a patient’s risk of having such a skin condition.
    Men and women are at equal risks of having such skin conditions. However, Psoriasis is more prone to occur in fair-skinned individuals as compared to dark-skinned individuals who are at very low risk of having such skin conditions. Nevertheless, it is more visible in dark-skinned people.Therefore, your patients may range from various age ranges, different races and different nationality.

  • So, what actually causes Psoriasis?

    The origin of Psoriasis is still unknown as at today. However, according to several researched conducted so as to determine to exact cause of Psoriasis, it has been found that the genetic factor, the body’s immune system as well as the environment plays a great part in contributing towards such skin condition. Furthermore, there are also other factors that have surfaced that may have led to Psoriasis, such as traumatic events, strep oesophagus, medicines or injectionscomprisingof lithium, cold seasons, dry skin or even a simple cuts or sunburn. Additionally, bad habits such assmoking, fast foods, alcohol and obesity are also somehow considered as major contributors in this case.
    owever, despite the numerous researches and assumptions, no one has been able to accurately determined or directly link such factors to Psoriasis so far. Therefore, there has been no cure for this skin condition. Nevertheless, it can always be treated through various means, such as Phototherapy, maintaining a healthy lifestyle, healthy exercises and amongst others.

  • Symptoms of Psoriasis

    The signs and symptoms of Psoriasis may differas per different persons, conditional to the kind and severity of the skin conditions. The most common symptoms are typically:

    • Irritated red plaques which can be itchy and aching, and in some cases, may lead to bleeding.
    • Flakingareas on the skin which may be scratchy, dehydratedand sore; often silvery or whitish in colour.
    • White pus which may be fullof blisters that may in turn peel off with an unpleasant discharge.
    • Reddish and smooth scratches which mainly result from the irritation in sensitive parts of the body.
    • Red spots which may not be very thick but are widespread on the body surface area.
    • Pitting, discoloration or abnormal thickening of the nails of both hands and feet.
    • Inflamed and rigid joints.

  • Types of psoriasis

    There are various types of psoriasis that can affect a person on different levels and severity:
    1) Plaque Psoriasis- Also known as “Psoriasis Vulgaris”. This comprises of mainly of reddened, thick and sore skin areas that are covered with whitish or silvery scales that are called plaques. This is usually the most common type of Psoriasis.
    • Signs and symptoms: itching, thickening of patches, localised or combined plaques of different sizes, commonly around knees, elbows, lower back, scalp, and nails.Silvery coated plaques and ridged nails.

    2) Guttate Psoriasis-This consists of mainly little and random patches at localised areas such as the hands, feet, the back or the scalp. This is the second most common type of psoriasis.
    • Signs and symptoms:pink, scaled and irritated skin at the affected areas.Can cause infections in the upper respiratory system leading to strep throats.

    3) Pustular Psoriasis- This type of psoriasis is typicallytriggered by medications, contaminations, pressure or anxiety or contactwith hazardous materials. It is most frequently found in areas such as the palms of the hands or the soles of the feet.
    • Signs and symptoms:white blisters with pus on the skin surface, painful or irritated skin. Discomfort and ache with the blisters, scarring brown dots on skin after pus is dried.

    4) Inverse Psoriasis- This type of Psoriasis is usually associated with the other types of Psoriasis that may be seen at the same time in a person. This may be more prominent in skin folds areas such as the armpits which may get worse by friction and heavy sweating during strenuous physical activities.
    • Signs and symptoms: irritated red patches with smooth and glossy effect.

    5) Erythrodermic Psoriasis- This consists of the type of Psoriasis that usually affects the greatest body surface area with inflamed red skin. This may be the result of prolonged time under the sun or medications or even due to negligence incontrolling the initial stages of psoriasis. Erythrodermic Psoriasis may be very risky in some cases as it may be linked with cardiac arrest, hypothermia and electrolytes disproportion.
    • Signs and symptoms: largely inflamed and red skin areas with little scaling that can cover almost the whole-body surface area. It comes withintense itching and severe aches.

    In some cases, a patient may find himself or herself with more than one type of Psoriasis at a particular time. Such conditions thus need to be taken care of without any delay, as it may lead to other harmful health conditions, such as cardiovascular diseases, cancer, Crohn’s diseases, depression, obesity, diabetes, metabolic syndrome, osteoporosis, uveitis and liver diseases. In some severe cases, Psoriasis may be linked with Arthritis.

  • Psoriatic Arthritis

    Psoriatic Arthritis- Now this consists ofan inflammation that may be caused in the joints of the person suffering from the condition, most commonly in the knees, hands, elbows and ankles. It can range from mild to severe, and in the long run may lead to stiffness and progressive damage without the necessary precautions. The signs and symptoms of the Psoriatic arthritis may be swollen, stiff and painful joints as well as inflamed skin patches. According to the National Psoriasis Foundation, there are approximately 10-30% of the patients suffering from Psoriasis that are more prone to having Psoriatic Arthritis.

  • Diagnosis of Psoriasis

    Psoriasis can be diagnosed by putting together a complete medical history and thorough examination of the skin, scalp and the nails. For some people, a microscopic examination may be required. In addition, in order to detect or eliminate the possibility of psoriatic arthritis, blood tests may be required. However, for other cases of arthritis, such as Rheumatoid arthritis, the antibodies of the individual may be tested as these are different as compared to the antibodies found during psoriatic arthritis.

  • Latest stats

    Despite being able to live with Psoriasis, patients tend to be very affected in terms of their emotions and their looks. And this can lead to some serious issues on a personal level, which may include shame, embarrassment, depressions, anxiety difficulties in concentrating and working, lack of self-confidence or even affect the sexual life of the patient. According to a recent survey conducted in 2017 among people suffering from Psoriasis, the percentage of people who felt embarrassed of their situations were as follows: 25% in the US, 55% in the UK, 23% in Denmark and 45% in Australia. In the UK, at least one fifth of the people who had Psoriasis, missed at least one work or important event due to their condition.



    Why such negativity among Psoriasis sufferers? The answer is simply because of the way that Psoriasis is treated and regarded through a negative insightin our society.P & V Care thus try to increase the awareness and promote a more positive insight by shedding more light on the conditionin our society as a whole. Thereby, helping the patients to be among the remaining 45% of the population who are living freely with their Psoriasis, and also to decrease the 55% of negative mindset to the lowest possible level.
    Technically speaking, Psoriasis cannot be cured so far. However, no one said that you cannot offer a better treatment to your patients to lead a more positive life.

  • How can you treat Psoriasis?

    As we say, there is no one size fits all kind of treatment.Therefore, in order to ensure better results, the patient might have to adopt different types of treatment so as to find the best one or even use a mix of these treatments.
    As there are no cure for such skin condition, there are several ways that can be used to relieve the symptoms, pains and ease the lifestyle of the patients.

    The following are some important methods of treating your patients’ Psoriasis, namely:

    1) Topical Treatments
    Topical treatments are usually a form of therapy that comprisesof topicals, that is, creams and ointments, that may be applied directly onto the affectedzone on the skin so as to reduce the irritation and avoid further erroneous skin cell development. This type of treatment is typicallyappropriate for those who suffer from mild to moderate form of Psoriasis. Important topical treatments may include:
    • Salicylic acid which aids in the slowing down of dead skin cells and reduces scaling.
    • Coal Tar which decreases itching, scaling and irritation.
    • Products with Vitamins D that help in the slowing down of irregular skin growth.
    • Vitamin A derivatives to reduce irritation of the skin.
    • Effective moisturisers and ointments which help in reducing the dryness and scaling off of the skin.
    • Efficient shampoos, conditioners and scalp oil that may help with the scalp Psoriasis, such as the M-Folia products.

    2) Systemic Medications
    This form of treatment usually consists of medical drugs that can be obtained from doctors’ prescriptions, that may need to be taken orally or through injections. Some important examples are:
    • Retinoids which are derivatives of Vitamin A
    • Methotrexate which help to reduce unnecessary skin growth and decrease irritation, and may even help in Psoriasis Arthritis
    • Biologics such as etanercept (Enbrel), infliximab (Remicade), adalimumab (Humira), ustekinumab (Stelara), golimumab (Simponi), apremilast (Otezla), secukinumab (Cosentyx) and ixekizumab (Taltz)

    However, such medications are normally prescribed for short periods of time due to their severe side effects.

    3) Phototherapy
    Phototherapy is one of the most efficient, quick and risk-freetype of treatment for Psoriasis. The Phototherapy treatment makes use of UV Rays that are shedrightonto the affected zones, that in turn helps to reduce the infected skin cells and decreasethe irritation. The Phototherapy treatment thus stops the skin cells from growing erroneously and hence, cause them to regenerate at a normal pace. This method makes use ofeither UVA or UVB rays, which are effective, non-invasive and non-carcinogenic in nature. Thanks to its efficiency and securecharacteristics, this type of light therapy has been found to be the most common and most preferred type of treatment among Psoriasis sufferers.
    Below are some of the important and most efficient products of Phototherapy:
    • Personal Phototherapy products: Dermalight 80, Dermalight 80 Wood light, Dermalight 200, Dermalight 500 Home.
    • Professional Phototherapy products: Dermalight 500 Pro, Dermalight 1000, Dermalight 2000, Dermalight 3000.

    The benefits of using our phototherapy products are as follows:
    • Cost effective treatment
    • Easy to use and pain free treatment
    • Safe with no side effects after the treatment
    • Very successful products with proven success rates
    • Convenient for children, elders and pregnant women alike
    • Normally, quick results as compared to other treatments
    • Can also carry out treatment at home with the home prescribing units
    • Medically tested and in compliance with all international standards
    • Most preferred mode of treatment among patients according to recent surveys
    • Very professional products that can add value to your clinic or hospital
    • Guaranteed end results

    (Please refer to the Phototherapy section for more details on the different products and how they work).

    4) Natural treatments and supplements
    In order to get to the root of the problem, the natural treatments and supplements along with phototherapy are one of the best options for your patients. For many people, opting for anti-inflammatory foods combined with a healing psoriasis diet is one of the best ways to naturally treat psoriasis.According to some researchers, psoriasis is actually caused by intestinal permeability, specifically in the area between the duodenum and the jejunum. Consequently, the body seeks to eliminate the toxins through the skin. In this model, psoriasis represents the body’s desperate effort to cleanse itself.

    Therefore, it is no doubt that natural products can contribute in the treatment of Psoriasis in the patients. Some helpful products may be the KIKI products with probiotics foods as well as other foods rich in high-fibre, anti-oxidants and high zinc concentration. In addition, essential oils have also been found to be very efficient in treating inflammations.
    (Please refer to our Health Supplements section for more details)

    5) Healthy living
    Healthy living is adopting a healthy lifestyle that can contribute to find the perfect balance and regain control of life, through healthy diets and exercises. This has been proven to reduce the amount of stress considerably and eliminate toxins in the body. Consuming the right food and working out has always been beneficial for everyone’s health. And in the case of Psoriasis patients, this is definitely about making the right and healthy choice. In addition, stress which may be a major factor in contributing or triggering Psoriasis may be eliminated through such a healthy lifestyle effortlessly.
    Diets and exercises support in improving your heart health and as well as help you in your weight loss. This is asignificantstep as it may decrease the risks of diabetes, high cholesterol levels and hypertension. For some it may be easier said than done, but ensure your patients take enough time to relax and eliminate the stress in their life, so that everyone can see a difference.Some important techniques like yoga, meditation, or even deep breathing exercises indeed have surprising benefits in the case of Psoriasis.
    (Please refer to our Healthy living section for more in-depth details.)

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