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Psoriasis

From , former About.com Guide

Updated April 18, 2006

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Psoriasis is a skin disorder that affects about 1 in every 50 men. There are various types of psoriasis but the most common is known as plaque psoriasis. Skin cells are normally replaced over 28 days, but in psoriasis the process is more rapid and takes just four days. These new skin cells form a raised red rash and thick dry patches called plaques. If scratched the area bleeds in a characteristic pin-head manner, known as the Auspitz sign.

Psoriasis usually appears on the knees, elbows or the scalp but can appear pretty much anywhere on the body. It is itchy, uncomfortable and can be very embarrassing. So-called 'geographic plaques' can occur when smaller patches eventually merge into one or more very large patches on the body. Despite its sometimes distressing appearance psoriasis is not infectious and has nothing to do with personal hygeine.

What Causes Psoriasis?
The precise cause is not fully understood. Around 40% of cases occur under the age of 20 and there is some evidence of the condition running in families. There is also some evidence that it occurs more often in cold climates and especially in Caucasians and African Americans. Psoriasis often appears to be triggered by an infection, sunburn or some other skin injury. Other triggers seem to be stressful life events such as exams, relationship problems or bereavement.

How Long Does Psoriasis Last?
Psoriasis is a life-long condition for which there is currently no cure. Large areas of psoriasis can persist for years, yet it most cases the condition will go into spontaneous remission, sometimes giving relief for years.

Mental Health Effects of Psoriasis
Severe skin conditions like psoriasis can have a very negative effect on emotional states. The sufferer is all too aware of how unattractive the condition will appear to others and can withdraw from social contact as a result. Many men turn to alcohol and smoking as a way of coping, ironically two activities that may actually make the condition worsen.

Treatment & Management of Psoriasis
Wear light cotton clothes and avoid synthetic fabrics. Keep the skin well moisturised to prevent itching and irritation. A variety of ointments, gels, creams , soap substitutes, special shampoos, etc are available. Your doctor is likely to prescribe corticosteroids, for example hydrocortisone, in order to help reduce inflammation and reduce itching. Some people appear to benefit from ultraviolet light treatment. Stress reduction techniques may also help as will a healthy diet to include folate-rich foods such as green-leaf vegetables, peas and juice.

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04/18/2006

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