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Timely diagnosis and correct treatment are important for this disease

 


According to Global Psoriasis Atlas, an estimated 3.59 million people in India have psoriasis. Psoriasis is an autoimmune and inflammatory condition in which T lymphocytes (a type of white blood cell) cause abnormal inflammation of the skin and other parts of the body. This causes the skin cells to develop rapidly before the body peels off old skin, resulting in visible signs of inflammation such as raised, dry, itchy flaky red spots and silvery scales on the skin. .. Relapses of psoriasis usually appear on the skin of the hands, feet, neck, scalp, face, and folds of the skin. In rare cases, psoriasis can affect the nails and genitals.

The exact cause of psoriasis remains unknown, but genetic and environmental factors play an important role in causing the symptoms of psoriasis. Based on some studies, some of the identified triggers are stress, smoking, drinking, skin damage, etc. Triggers can be specific to an individual patient.

Delayed diagnosis has a negative effect

People with psoriasis tend to ignore the initial symptoms, ignoring the relapse of psoriasis and often overlooking it as a normal skin rash. They often self-treat through home remedies to achieve immediate relief, which can exacerbate the condition. Lack of treatment due to delayed diagnosis can also lead to serious comorbidities such as psoriatic arthritis, cardiovascular disease, diabetes and depression. Psoriatic arthritis is one of the major comorbidities of psoriasis. About one in four psoriasis patients has psoriatic arthritis. Therefore, early recognition and diagnosis are the keys to achieving long-term remission and subsequently reduce the risk of developing comorbidities. In addition to timely diagnosis and treatment, continuous monitoring of symptoms by a dermatologist is essential to detect early signs of these related disorders.

There is no absolute cure available for permanent treatment of psoriasis, but it can be effectively managed by adhering to prescription drugs by a dermatologist. Examine the severity of the affected area and prescribe appropriate treatment. Patients with mild psoriasis can be prescribed topical treatment. However, for people with moderate to severe psoriasis, treatment with advanced treatments such as immunosuppressants and biologics may help achieve long-term remission and slow the progression of the disease. ..

Raising awareness of psoriasis and its causes and symptoms can play a vital role in reducing the psychological burden associated with this condition. Therefore, informed patients are in a better position to effectively manage this condition.

New challenges in managing psoriasis with the COVID-19 pandemic

Against a pandemic background, panic and uncertainty can lead to poor adherence to treatment for psoriasis patients. It has also been observed that some patients, especially those receiving immunosuppressive therapies such as biologics, stopped taking the drug for fear of becoming infected with the coronavirus. Restricted access to dermatologists and inadequate treatment created stress and anxiety for patients and affected their mental health. Recent studies have shown that discontinuation of treatment can exacerbate the condition of psoriasis patients.

Our goal

During an ongoing pandemic, the patient should not change any aspect of treatment without consulting a dermatologist. Regarding the continuation of ongoing biological treatment, it is advisable to consult a doctor who may decide whether alternative medications should be prescribed according to various clinical factors. Elderly patients and patients with comorbidities such as cardiovascular disease and diabetes are more likely to develop advanced symptoms and may require closer monitoring and special care. We recommend using virtual channels for regular consultations, but you should avoid visiting the clinic when you need it (with all the necessary precautions).

Psoriasis does not spread through physical contact. Nevertheless, because the common myth of psoriasis is contagious, patients are often exposed to alienation and humiliation. Creating a helping environment is essential to promote the psychological comfort of the patient and to minimize the psoriasis-related stigma of society.

This article was written by Dr. Monica Bambro, Head of Dermatology and Beauty at Artemis Hospital in Gurgaon.

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The News18 health article was created by myUpchar.com, India’s first and largest resource for validated medical information. At myUpchar, researchers and journalists work with doctors to provide all the information about health.

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