| What is this Condition?
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| | Scale Removal
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| Psoriasis is a chronic, recurrent skin
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| | To remove psoriatic scales, the doctor
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| disease in which the skin's outermost
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| | may instruct the person to apply
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| layer is abnormally overgrown. Red
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| | ointments, such as Vaseline, salicylic
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| patches form and are covered by thick,
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| | acid preparations, or preparations
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| dry, silvery scales. These lesions vary
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| | containing urea. These medications soften
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| widely in severity and distribution.
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| | the scales; the person then removes them
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| Psoriatic skin cells have an abnormally
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| | by scrubbing them carefully with a soft
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| short life cycle - 4 days as opposed to
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| | brush while bathing.
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| 28 days for normal skin cells. Four days
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| | Ultraviolet Light Treatment
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| isn't enough time for skin cells to
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| | To retard rapid skin cell production, the
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| mature. As a result, the outermost skin
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| | doctor may recommend exposure to light
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| layer becomes thick and flaky.
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| | (either ultraviolet B or natural
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| Typically, the disease goes through
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| | sunlight) to the point of minimal skin
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| partial remissions and flareups.
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| | redness. Ultraviolet B light exposure is
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| Flare-ups are often related to specific
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| | the most common treatment for generalized
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| factors but may be unpredictable. They
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| | psoriasis.
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| can usually be controlled with therapy.
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| | The person may apply tar preparations or
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| Psoriasis affects about 2% of the
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| | crude coal tar to affected areas about 15
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| population in the United States.
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| | minutes before exposure, or may leave
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| The incidence is higher among whites than
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| | these preparations on overnight and wipe
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| other races. Although this disorder is
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| | them off the next morning. Exposure time
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| most common in young adults, it may
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| | can increase gradually. Outpatient or day
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| strike at any age, including infancy.
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| | treatment with ultraviolet B light avoids
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| What are its Symptoms?
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| | long hospitalizations and prolongs
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| The most common symptom of psoriasis is
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| | remission.
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| itching; occasionally, pain from dry,
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| | Steroid Therapy
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| cracked, encrusted lesions may occur.
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| | Steroid creams and ointments are useful
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| These lesions are red and usually form
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| | to control psoriasis. A potent
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| well-defined patches (also called
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| | fluorinated steroid works well (except on
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| plaques), which sometimes cover large
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| | the face and areas where two skin
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| areas of the body. They're most common on
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| | surfaces come into contact). These creams
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| the scalp, chest, elbows, knees, back,
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| | must be applied twice daily, preferably
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| and buttocks.
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| | after bathing to promote absorption;
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| The patches consist of silver scales that
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| | overnight, the person covers the areas
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| either flake off easily or can thicken,
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| | with occlusive dressings, such as plastic
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| covering the lesion. If the scales are
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| | wrap, plastic gloves or booties, or a
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| removed, fine points of bleeding may
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| | vinyl exercise suit (under direct medical
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| occur. Occasionally, small
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| | or nursing supervision). Small, stubborn
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| teardrop-shaped lesions appear, either
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| | plaques may require steroid injections
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| alone or with plaques. Typically, these
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| | into the lesions.
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| lesions are thin and red, with few
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| | Calcipotriene
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| scales. Widespread shedding of scales is
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| | Calcipotriene ointment, a vitamin D3
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| common in exfoliative (inflammatory)
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| | analogue, is a new topical agent used to
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| psoriasis and may also develop in chronic
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| | treat psoriasis.
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| psoriasis
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| | Therapy for Severe Psoriasis
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| Pustular psoriasis is a rare, severe form
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| | For someone with severe chronic
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| of the disorder marked by bright red
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| | psoriasis, the doctor may prescribe the
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| patches and small, raised areas that
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| | Goeckerman regimen, which combines tar
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| contain pus.
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| | baths and ultraviolet B light treatments.
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| In about 30% of cases, psoriasis spreads
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| | This therapy may induce remission and
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| to the fingernails, producing small
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| | dear the skin in 3 to 5 weeks. The Ingram
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| indentations and yellow or brown
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| | technique, a variation of the Goeckerman
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| discoloration. In severe cases, buildup
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| | regimen, uses anthralin instead of tar.
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| of thick, crumbly debris under the nails
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| | In a therapy called PUVA, the person
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| causes them to separate from the nailbed.
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| | first receives psoralens (an agent that
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| Some people with psoriasis develop
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| | promotes the action of ultraviolet light)
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| arthritic symptoms, usually in one or
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| | and then is exposed to high-intensity
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| more joints of the fingers or toes, or
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| | ultraviolet A light.
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| sometimes in the joints of the lower
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| | As a last resort, a drug that inhibits
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| back. Some people suffer morning
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| | cell proliferation - usually Rheumatrex -
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| stiffness. People with joint symptoms
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| | may help to relieve severe psoriasis
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| experience remissions and flare-ups
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| | that's unresponsive to conventional
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| similar to those of rheumatoid arthritis.
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| | treatment.
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