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Psoriasis LOOKS AND CORUTERS: How to face

1. Hydrate your skin at least twice a day

The use of emollients (hydrating) is the key to reducing itching and scaling psoriasis. Overwhelming moisturizers containing active ingredients such as salicylic acid and coal tar can be particularly useful.

“This should be done in addition to the therapy prescribed by your doctor,” said Michelle Pelle, MD, dermatologist in San Diego. Apply a moisturizer twice a day for the best results. You can also use it to appease itching, which can help you withstand the urge to scratch.

2. Avoid picking scales

“Scars generally only occur if people scratch or handle their plates,” said Dr. Pelle. “This can cause trauma to the skin and cause linear scars (such as a scar from a cut or incision).

“The scale shooting can cause bleeding and trauma to the skin, which can increase the risk of scars,” explains Kassouf. Instead, use emollients to keep the scales in place until they naturally exfoliate.

3. Apply cooling relief

If the itching is really going crazy, try a fresh fabric or even an ice pack as an alternative to scratch.

Scraping a plate can worsen a rocket, which increases your risk of discoloration.

4. Jump the shaving during the thrusts

Shaving with psoriasis can worsen the areas of the plates and lead to scars, especially for people affected by the Koebner phenomenon, a reaction that leads to the formation of new plates on the site of a skin infection or an injury.

“Even the shaving of an area where the skin is normal can be risky because you can cause a small abrasion, and the psoriasis can then jump into this area,” explains Kassouf.

5. Use steroid creams as indicated

In some cases, psoriasis treatments can contribute to the problem. The overuse of topical steroids, for example, can lighten the skin and cause modifications to its collagen structure. This can lead to an atrophic (or back) scar or even stretch marks, notes Kassouf.

Use only light corticosteroid ointments on sensitive areas, such as your face or skin folds, and to treat widespread patches, recommends Kassouf. Use powerful steroid creams for only a short period of time and only on thick skin areas.

6. Tell your doctor to update your treatment plan

Psoriasis treatments (including oral, topical and injectable drugs and light therapy) can help reduce inflammation, cure lesions and help normal function.

If you have trouble managing the lighting rockets, talk to your dermatologist about new treatments to consider. “We have such good medication now that many patients who have had persistent plates for years are able to feel clear skin,” says Kassouf.

7. Weigh the risks and advantages of phototherapy

Speaking of phototherapy (light therapy) can be an effective treatment for plate psoriasis, it stimulates pigment cells of the skin, which can make discoloration caused by the plates of psoriasis more visible and sometimes permanent. “It was more a problem with the older forms of light treatment,” notes Kassouf. “More recent and narrow UVB therapy has considerably minimized the risk of permanent pigment changes, but there is still a certain risk.” Talk to your dermatologist benefits and disadvantages of light therapy for your individual health.

8. Consider laser treatment if you have scars

If you have scars or changes of pigments from the lighting rockets of psoriasis that do not improve with time and treatment, ask your dermatologist if you are a candidate for laser treatment, recommends Kassouf. “In some cases, we will use fractional or vascular lasers to treat the scars,” she says Kassouf. “The laser sends signals to this skin area to tell him to continue to renovate, which can encourage these scars to get closer to normal.”

The point to take away

  • Psoriasis scars are rare but can occur in particular with scraping or picking on the plates or not using steroid cream as indicated.
  • Moisturizing regularly and applying a fresh cloth to affected areas can help relieve itching, while avoiding shaving during lighting rockets, helps prevent complications and scars.
  • Talk to your doctor to update your treatment plan if you find it difficult to manage pushes.

Additional research by Julia Califano.

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