Psoriasis is a chronic, relapsing, immune-mediated skin condition. The worldwide prevalence is 2%.
It has strikingly different clinical presentations varying from red scaly well-demarcated patches on the skin, thickening, and discoloration of nails, scaly plaques on the scalp to joint ache (Psoriatic arthritis).
Psoriasis has a direct correlation to our lifestyle and is affected by diet, exercise, smoking, and alcohol consumption.
Various factors known to aggravate psoriasis are:
- Alcohol consumption
- Drugs like few antihypertensives, antianxiety, antimalarials.
- Infections like sore throat, urinary tract infections.
There is a strong correlation between Psoriasis and Metabolic syndrome (diabetes type 2, dyslipidemia, hypertension, glucose intolerance, increased cardiovascular diseases, and heart stroke).
Prolonged course and relapsing nature of the disease often results in a high incidence of stress and anxiety. Improvement in psoriasis often leads to improvement in anxiety and depression.
Our treatment line is determined by the severity of the disease and comorbidities present.
Treatment of psoriasis can be limited to just topical therapy in case of a mild disease. Systemic therapy in the form of oral medications and biologicals is indicated in moderate to severe disease. Phototherapy including Narrowband UVB, PUVA and also Excimer LASERS have shown excellent results.
Early detection and treatment not only results in better outcomes but also reduces the chance of other comorbidities.