How to prevent psoriasis from spreading

Psoriasis / psoriasis

So far, there are currently no treatment that can completely cure psoriasis, but there are numerous ways to relieve symptoms effectively.

So-called basic therapy should always be carried out to treat psoriasis. Depending on the severity of the psoriasis, the doctor can also prescribe additional therapy. Since psoriasis is mainly characterized by a significantly accelerated multiplication and impaired maturation of the uppermost skin cells and an inflammation of the skin, the psoriasis medication is primarily aimed at removing dandruff, slowing the reproduction of the uppermost skin cells and containing inflammation.

When choosing the right measures, the doctor takes into account both the objective degree of complaint and the individual psychological stress of the patient.

Therapy goals

For a successful therapy, it makes sense to work with the doctor to determine an individual therapy goal that is to be achieved within a certain period of time. A complete absence of symptoms on the skin would of course be optimal. However, this goal is often difficult to achieve, which is why one often strives for a reduction of the body area affected by psoriasis by 75%, the minimum target is a reduction of this area by 50%.

Basic therapy skin care

Since the skin of psoriasis is generally very dry, careful skin care is very important. The application of care products prevents the skin from drying out and the skin is less brittle. In this way, the skin barrier remains intact and the formation of cracks, into which pathogens such as bacteria and fungi could easily penetrate, is reduced. In basic therapy, creams are used as the basis, which have a moisturizing and nourishing effect.

Basic care products containing fat should not be used in the genital area, as this can cause itching there. Here, moisturizers without allergens and without irritating substances such as perfume are the better choice.



Keratolysis

Before starting topical therapy, keratolysis, i.e. gentle dandruff removal, is essential. Otherwise, the scales would form a barrier and prevent the active ingredients from reaching their target. Preparations with urea or salicylic acid or preparations with olive and / or jojoba oil are suitable for removing dandruff.

Local therapy (topical therapy)

Local therapy is carried out with ointments, creams and bath additives. Above all, the gentle removal of the thickened horny layer is important, because only then can the drugs to be applied subsequently get to where they are supposed to work. In the treatment, cortisone preparations are mainly used, because they are anti-inflammatory and able to effectively reduce cell proliferation. Vitamin D supplements have also proven effective in treatment. They slow down cell division, stop inflammation and in this way have a positive effect on the condition of the skin.

Taking medication (systemic therapy)

Systemic therapy is carried out with tablets or injections. However, it is usually only necessary if the skin disease becomes very severe. Either drugs that suppress the immune system or anti-inflammatory drugs are used. So-called biologics, i.e. biotechnologically manufactured preparations, have also proven themselves in treatment, because they intervene in the communication between the immune system and skin cells and thus have an anti-inflammatory effect.
Since they are genetically engineered and are very similar to the body's own molecules, they are usually well tolerated. There are several active ingredients to choose from, both vulgaris in psoriasis as are also suitable for psoriatic arthritis.

Phototherapy

During phototherapy, the skin is irradiated with a special light. UV light is used for this; UVB radiation is often used. In the so-called photochemotherapy (PUVA), on the other hand, UVA radiation is used and a drug is also taken to increase the effect of the radiation. In a special form, the irradiation is carried out in a brine pool (balneophototherapy). It also makes sense to combine phototherapy with topical or systemic therapy.


Since UV radiation can promote the development of cancer, accompanying skin cancer prevention and early detection is important when using phototherapy.

Climatic therapy

Climate therapy is recommended for patients with psoriasis that has been in need of treatment for years. The Dead Sea is particularly suitable for a vacation for climate therapy. The region offers dry, pollen-poor air and the composition of the sun's rays is somewhat more beneficial for the skin than in our latitudes. The water of the Dead Sea has a high salt and mineral content and has an anti-inflammatory effect on the skin. It should be noted that climatic therapy is not suitable as a short-term therapy or for acute treatment.

Psychosocial Therapy

Psoriasis patients not only suffer from the visible symptoms, but are also often negatively influenced by the disease in the social, emotional and psychological areas. They often feel impaired by stigmatization and exclusion, in sports and leisure activities, in relationships and sexuality, in personal development, in choosing a career, by exclusion in the workplace, a decline in performance at school or at work and by limited career opportunities. This means that they often have a lower quality of life and suffer more from depression, anxiety and addictions than healthy people. The severity of the depressive symptoms can be higher than the actual extent of the psoriasis, as they depend very much on the patient's subjective perception of the situation.