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How to identify and treat reverse psoriasis

The treatment of reverse psoriasis is difficult due to the location of lesions.

Skin folds often prove to be one of the most sensitive skin in the body, which increases the risk of reaction to many topical drugs available for the treatment of psoriasis. Doctors often have to treat not only psoriasis, but also support in infections caused by yeast or fungus.

Treatments for reverse or flexion psoriasis include:

Topical corticosteroids These drugs remove the immune system and reduce inflammation, but they can also cause skin thinning and should be used carefully on the skin already thin located in skin folds.

If you also have an infection, doctors will sometimes use a topical steroid mixed with another medication – for example, a hydrocortisone cream of 0.5 or 1% mixed with antibacterial or antifungal medicine.

Roflumilast (Zoryve) and Tapinof (Vtama) creams These topical drugs without steroids remove the immune system, reduce inflammation and are sure to use in the long term.

Roflumilast was approved by the US Food and Drug Administration (FDA) in 2022, with data showing its effectiveness in the processing of reverse psoriasis.

Calcipotrian This topic, available in several formulations, contains a synthetic form of vitamin D3 which can slow the renewal of skin cells.

It can irritate the skin, so it should be used with care in the treatment of flexion psoriasis. It is not recommended for use on the genitals.

Coal tar This soothing agent is available in a variety of over -the -counter and prescription formulations which can be applied to lesions.

It is also available in cash which can be added to bath water to help relieve symptoms.

Castellani’s painting This product, with the phenol active ingredient, can be purchased at the counter.

It is a liquid that is painted on the skin and can help dry lesions in skin folds that have become wet.

Luminotherapy Also known as phototherapy, this implies exposing lesions to ultraviolet light, generally via a prescribed UVB therapy device for domestic use or in your doctor’s office.

The natural sunlight is sometimes recommended, but it is not as effective as UVB devices and can be contraindicated if you take certain drugs. You can be prescribed a drug to accompany light therapy to improve the body’s response.

Systemic drug People with severe reverse psoriasis may need to take pills or receive injections to help treat their symptoms.

Options include immunosuppressive drugs, such as methotrexate (Trexall, Rheumatrex) and cyclosporin (Sandimmune, neural) or biological drugs that target specific immune reactions. An oral drug called Deucravacitinib (sotyktu), which blocks a specific enzyme involved in inflammation, was approved by the FDA in 2022.

Although reverse psoriasis can be painful and disruptive, there are several approaches to treat it. Talk to your doctor or dermatologist in the best way to relieve your symptoms and find relief.

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