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Psoriasis

OneScrewLoose's Photo OneScrewLoose 16 Mar 2008

My dad has psoriasis real bad, and my sister and I both have it on our scalp. I've noticed small batches come and go on me, and would like to do what I can to prevent this from getting worse. Where should I start?
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Eva Victoria's Photo Eva Victoria 15 May 2008

Seeing a dermatologist!

UVB rays + salt water is a good combo to keep it at bay.
Cortison is widely used to treat psoriasis. Even though it only treats it on the surface.
You have to avoid what causes psoriasis: like stress, certain food etc.

My dad has psoriasis real bad, and my sister and I both have it on our scalp. I've noticed small batches come and go on me, and would like to do what I can to prevent this from getting worse. Where should I start?

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Ben's Photo Ben 22 May 2008

Rosehip oil and Evening Primrose oil (Buy it in capsules, break them open and apply) was the only thing that worked for me.

I had a terrible and aggressive spate of the condition for years.
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lunarsolarpower's Photo lunarsolarpower 22 May 2008

There are an amazing number of things people use to treat/control psoriasis. Some of them have known mechanisms of action like cyclosporin or corticosteroids. Others like anthralin or coal tar have unknown mechanisms but they work so people use them. Here are a few listed recently in my pharmacology class:

Topicals
  • Steroids
  • Anthralin
  • Calcipotriene - a synthetic vitamin D analog that avoids the hypercalcuria and hypercalcemia vitamin D could cause
  • Coal tar - very effective when combined with UV light
  • Salicylic acid
  • Tazarotene
Other Topicals of unknown effectiveness:
  • Aloe vera
  • Jojoba
  • zinc pyrithione
  • capsaicin may help
Phototherapy
  • UVB Phototherapy (UVA of tanning beds is less effective)
  • Sunlight
  • PUVA - Psoralens and UVa
    The UVA activates the psoralens where it contacts the skin
    The downsides to these UV based approaches can be easily envisioned: sunburns, aging the skin and increased risk of skin cancer though
Oral
  • Acitretin (Soriatane) - this can have a really long half life if it is exposed to alcohol.
  • Methotrexate (Rheumatrex) - Pregnancy, breastfeeding, wishing to father a child are contraindications to methotrexate therapy. Wow!
  • Cyclosporine - hypertension and renal disfunction could result
  • Mycophenolate mofetil
  • Alefacept (Amevive)
  • Etanercept (Enbrel)
  • Adalimumab (Humira)
  • Efalizumab (Raptiva)
  • Infliximab (Remicade)

As Eva said, your dermatologist should get you on the right track with this. Psoriasis is quite common. One thing I personally wonder is if eating a CRON diet would modulate the immune system sufficiently to abate the symptoms on its own?
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cillakat's Photo cillakat 15 Jun 2008

i had psoriasis on my hands, feet and one leg......fully in remission on a gluten free, dairy free diet. it does seem it was the gluten rather than the other things. oh, and now my d levels are suffcient as well from supplementation. that certainly can't hurt when it comes to autoimmune and immunity issues.

K
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grizzles's Photo grizzles 17 Jun 2008

has he tried pure coconut oil? My friend said it worked really well for him.
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