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It's a problem that's more than skin-deep.

About seven and a half million Americans have psoriasis and about 40% of those patients also have joint inflammation that produces painful arthritis symptoms.

Now, new research suggests one surprising potential cause for the condition and some preventive measures patients can take.

Douglas Levin struggled with psoriatic arthritis before he adopted a healthier lifestyle to help counter the inflammation caused by his disease.

"Anytime you can control it by moderating your intake of food or other things you're that much better off."

Researchers know that a problem with the immune system can trigger psoriasis.

Now, Ohio State medical dermatologist Benjamin Kaffenberger is studying a potential linkbetween poor oral health, bacterial infections in the mouth, and psoriasis.

"When your body is attempting to fight this bacteria, probably it develops a little bit of a cross-reaction with the skin at the same time," he explained.

Researchers surveyed 100 patients with psoriasis, and 165 without psoriasis about their lifestyle and diet.

The results showed that poor dental and oral health, especially gum pain was associated with psoriasis.

"Unfortunately, a lot of patients don't have good access to dental care, or maybe just are too busy at a certain time frame," said Dr. Kaffenberger.

"So, they may not be getting that message when they have this disease in the first place."

Patients who had higher fruit consumption reported less significant psoriasis.

Ohio State University researchers said that indicates fresh foods may be a protective factor.

The study also reinforced earlier studies that found family history of psoriasis, smoking and obesity could be predictors of the condition.

For Levin, lifestyle changes means psoriasis no longer controls his life.

If this story has impacted your life or prompted you or someone you know to seek or change treatments, please let us know by contacting Jim Mertens atjim.mertens@wqad.comor Marjorie Bekaert Thomas atmthomas@ivanhoe.com.

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YOUR HEALTH: Psoriasis and your mouth | wqad.com - WQAD.com

Woman's Doctor: Knowing the symptoms of psoriatic arthritis

Updated: 9:21 AM EST Nov 28, 2020

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LACEE: IN THIS MORNING'S WOMAN'S DOCTOR, KNOWING THE SYMPTOMS OF PSORIATIC ARTHRITIS, IT'S A DOUBLE WHAMMY OF AUTOIMMUNE DISORDERS. NOT ONLY DO PSORIATIC ARTHRITIS SYMPTOMS MIMIC THOSE OF PSORIASIS, LIKE PATCHES OF RED, SCALY SKIN, BUT THEY CAN ALSO CAUSE THE PAINFUL, SWOLLEN JOINTS THAT ARE COMMON WITH RHEUMATOID ARTHRITIS. THE SYMPTOMS CAN CHANGE FROM DAY TO DAY AND PERSON TO PERSON, MAKING PSORIATIC ARTHRITIS A PARTICULARLY TRICKY DISEASE TO DIAGNOSE AND MANAGE. MERCY MEDICAL CENTER DR. SADE YA KHAN SAYS THAT SYMPTOMS LEFT UNTREATED CAN LEAD TO PERMANENT JOINT DAMAGE. >> SYMPTOMS OF IT CAN BE INVOLVEMENT OF DIFFERENT AREAS OF THE SKELETON. IT COULD BE IN JOINT INVOLVEMENT, INCLUDING FINGERS AND FEET, WHICH WILL BE CONSIDERED SMALL JOINTS. IT COULD INVOLVE LARGER JOINTS, INCLUDING HIPS AND SHOULDERS. AND SOMETIMES, IT CAN ALSO AFFECT SPINE. LACEE: JOINING US THIS MORNING FROM MERCY MEDICAL CENTER, DR. JOSEPH CIO TOLA. THANK YOU FOR JOINING US. >> GOOD MORNING. LACEE: THIS SEEMS LIKE A PAINFUL CONDITION. TELL ME ABOUT THE BEGINNING SYMPTOMS OF PSORIATIC ARTHRITIS. >> IT'S SIMILAR TO REGULAR ARTHRITIS. JUST INFLAMED AND SWOLLEN, VERY SORE JOINTS. THEY GET A LOT OF FLUID BUILT UP ON THEM SOMETIMES. WE MANAGE THEM WITH CORTISONE INJECTIONS AND RELIEVING THE INFLAMMATION. LACEE: IS THIS SOMETHING THAT AFFECTS A CERTAIN GROUP MORE THAN OTHER? YOUNG OR OLD, MEN OR WOMEN? >> NO. NOT PARTICULARLY. IT CAN BE YOUNGER BECAUSE PSORIASIS CAN AFFECT YOUNGER PEOPLE. IT CAN AFFECT JOINTS AS WELL. LACEE: AT WHAT POINT IS IT TIME TO TALK TO A DOCTOR. IT CAN BE CONFUSED WITH PSORIASIS AT FIRST OR ARTHRITIS. >> WHEN SOMEBODY HAS PSORIASIS AND THEIR JOINTS BEGIN TO HURT, I THINK THAT'S THE TIME WHERE THEY NEED TO REALLY GET AGGRESSIVE WITH TREATING IT. LACEE: IN TERMS OF TREATMENT, WHERE DOES TREATMENT START FOR IT? >> IT STARTS WITH MANAGING THE INFLAMMATION. SO THEY WOULD SEE EITHER THEIR DERMATOLOGIST OR THEIR REGULAR PHYSICIAN TO GET ON ANTIINFLAMMATORY REGIMEN. AND THEN WHEN IT COMES TO THE POINT WHERE THEY'RE READY FOR AN ORTHOPEDIC SURGEON, WE BEGIN MANAGING IT BY CONTROLLING THE INFLAMMATION AT THE JOINT LEVEL WITH INJECTIONS. LACEE: WHAT KIND OF POSSIBLE SURGERY COULD THIS LEAD TO? >> IT LEADS TO JOINT REPLACEMENT. IT'S VERY SIMILAR TO RHEUMATOID ARTHRITIS. WHEN THE CARTILAGE IS ERODED ENOUGH AND THE JOINT CAN'T RECOVER, WE REPLACE IT. LACEE: IS IT SOMETHING THAT YOU CAN CURE? >> NO, IT'S JUST MANAGEMENT. IT'S MANAGEMENT OF THE INFLAMMATION. LACEE: WHAT CAN YOU DO TO PREVENT IT IN THE FIRST PLACE? >> I MEAN, I THINK YOU WANT TO BE AS HEALTHY AS POSSIBLE. ANTIINFLAMMATORY DIET AND DOING THE BEST YOU CAN TO CONTROL SUGAR AND INFLAMMATORY PRODUCTS IN YOUR LIFE STYLE. BUT THAT'S REALLY ABOUT IT. LACEE: GOT TO STAY HEALTHY. >> IT'S NOT SOMETHING WE CAN CURE. LACEE: THIS TIME OF YEAR IS HARD BECAUSE THERE'S A LOT OF SUGAR AND THAT STUFF IN FRONT OF US. THANKS FOR TAKING TIME OUT OF YOUR MORNING TO JOIN US. APPRECIATE

Woman's Doctor: Knowing the symptoms of psoriatic arthritis

Updated: 9:21 AM EST Nov 28, 2020

Psoriatic arthritis is a double-whammy of autoimmune disorders. Not only do psoriatic arthritis symptoms mimic those of psoriasis -- like patches of red, scaly skin -- but they can also cause the painful, swollen joints that are common with rheumatoid arthritis. Mercy Medical Center's Dr. Joseph Ciotola explains.

Psoriatic arthritis is a double-whammy of autoimmune disorders. Not only do psoriatic arthritis symptoms mimic those of psoriasis -- like patches of red, scaly skin -- but they can also cause the painful, swollen joints that are common with rheumatoid arthritis. Mercy Medical Center's Dr. Joseph Ciotola explains.

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Woman's Doctor: Knowing the symptoms of psoriatic arthritis - WBAL TV Baltimore

The diagnosis and treatment of skin conditions such as eczema, psoriasis and skin cancer could be improved by using T-rays to analyse the structure of skin.

This is the claim of scientists from Warwick University and The Chinese University of Hong Kong (CUHK) who have built a more detailed picture of the skins structure and hydration levels by analysing T-rays fired from several different angles.

Warwick leads breakthrough in terahertz imaging

Their method, detailed inAdvanced Photonics Research, could provide a new tool for scientists and clinicians for characterising the properties of skin in individuals.

Sitting between infrared and WiFi on the electromagnetic spectrum, T-rays (Terahertz (THz)) radiation sees through plastics, ceramics and clothes. They are non-ionising also, so safe for use in biological settings.

Only the T-rays passing through the outer layers of skin (stratum corneum and epidermis) before being reflected back can be detected, making T-ray imaging a potentially effective way of monitoring these outermost layers. The University said that to test this, terahertz light is focused onto the skin via a prism to align the ray in a particular focal plane. Depending on the properties of the skin, that light will be reflected back slightly differently. Scientists can then compare the properties of the light before and after it enters the skin.

Limitations in standard THz reflection spectroscopy were overcome by using ellipsometry, which involves focusing T-rays at multiple angles on the same area of skin.

By using ellipsometry they could accurately calculate the refractive index of skin measured in two directions at right angles to each other. The difference between these refractive indices is termed birefringence and the research marks the first time that the THz birefringence of human skin has been measuredin vivo.

Professor Emma Pickwell-MacPherson, from the Department of Physics at Warwick University and the Department of Electronic Engineering at CUHK, said: We wanted to show that we could doin-vivoellipsometry measurements in human skin and calculate the properties of skin accurately. In ordinary terahertz reflection imaging, you have thickness and refractive index combined as one parameter. By taking measurements at multiple angles you can separate the two.

Hydrated skin will have a different refractive index from dehydrated skin. For people with skin disorders, well be able to probe the hydration of their skin quantitatively, more so than existing techniques. If youre trying to improve skincare products for people with conditions like eczema or psoriasis, we would be potentially be able to make quantitative assessments of how the skin is improving with different products or to differentiate types of skin.

For skin cancer patients, you could also use THz imaging to probe the skin before surgery is started, to get a better idea of how far a tumour has spread. Skin cancer affects the properties of the skin and some of those are unseen as theyre beneath the surface.

To test their method, volunteers placed their arm on the imaging window of their T-ray equipment for 30 minutes, after acclimatising to the ambient temperature and dryness of the laboratory. By holding their skin against the surface of the imaging window, they blocked water from escaping from their skin as perspiration, a process called occlusion.

The researchers then made four measurements at right angles to each other every two minutes over half an hour, so they could monitor the effect of occlusion. Because T-rays are particularly sensitive to water, they could see a noticeable difference as water accumulated in the skin, suggesting that the method could show how effective a product is at keeping skin hydrated.

Further research will look at improving the instrumentation of the process and how it might work as a practical device.

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T-rays help to characterise psoriasis and skin cancer - The Engineer

To our knowledge, this study is the first to assess the rate of any type of psoriasis flare during or immediately following the administration of systemic corticosteroids in patients with a known history of psoriasis.To determine the rates and types of psoriasis flares during or within 3 months after concluding systemic corticosteroid administration in adult patients with a known history of psoriasis.This retrospective cohort study assessed adult patients (18 years at the time of psoriasis diagnosis) evaluated in the Marshfield Clinic Health System (Marshfield, Wisconsin) with an established diagnosis of psoriasis and exposure to at least 1 systemic corticosteroid from October 31, 2012, to July 1, 2018. Exclusion criteria were patients younger than 18 years, patients with a diagnosis of psoriatic arthritis, and patients receiving only topical, intraarticular, or intrabursal corticosteroids.The primary outcome was rate of psoriasis flares during or within 3 months of discontinuation of the patients first course of systemic corticosteroids. Secondary measures included rates of specific types of psoriasis flares, including pustular, erythrodermic, and worsening plaque stage psoriasis.Of 516 cohort patients, 288 (55.8%) were women, and the mean (SD) age at first psoriasis diagnosis was 49.6 (17.0) years. Among 1970 patients with a diagnosis of psoriasis before receiving systemic corticosteroids, a 1.42% (95% CI, 0.72%-2.44%) psoriasis flare rate of any type was identified when prescribed their first course of systemic corticosteroids. Further stratification identified only 1 severe flare (erythroderma) among all flares reported, with no pustular psoriasis flares identified (0.07%; 95% CI, 0.00%-0.26%).In this study, the rates of psoriasis flares were low, especially for severe psoriasis flares. Our results suggest that systemic steroids may be much less likely to trigger severe flares in patients with psoriasis than what is traditionally taught in dermatology.

PubMed

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Psoriasis Flares Following Systemic Glucocorticoid Exposure in Patients With a History of Psoriasis. - Physician's Weekly

Dermatologic conditions are routinely overlooked and misdiagnosed in people of color. The COVID-19 pandemic provides another notice of why dermatology training needs urgent updating.

During a recent Ethics Talk videocast from the AMA Journal of Ethics (@JournalofEthics), Jenna Lester, MD, assistant professor of dermatology at the University of California, San Francisco, School of Medicine talked about why COVID toes should bring physicians attention to long-standing health inequities.

Accounting for differences

The most well-known dermatologic manifestation of COVID-19 is COVID toes, a purplish-red discoloration of the tops and tips of the toes. There are other cutaneous manifestations, such as papulosquamouseruptions, pityriasis rosea-like eruptions and more vasculitic-type lesions.

"A lot of these have a basis of inflammation, and inflammation appears differently in different tones of skin, Dr. Lester said. So what may look red or pink in someone with light skin may actually look purple to blue, or darkerdark brown evenin someone with darker skin. So if your eye is not trained to recognize these things in different skin tones, it might be quite easy to miss it.

The good news

If properly trained, however, physicians can help patients keep an eye out for skin signs of COVID-19 infection.

One of the great things about the skin is that it's an external organ that patients can look at with us, she said. So if doctors, and then subsequently patients, are aware of the manifestations in all different skin tones we might be able to say, If you notice something like this on your skin, this could be an early sign of COVID-19. You should consider sheltering in place, self isolating, getting testing if you can.

Check out how to tackle health inequities with science, data during pandemic.

Whats in the way

The problem is that most physicians are not, in fact, trained to recognize dermatologic conditions in varying skin tones, Dr. Lester said. Most of the photos in medical education textbooks, for example, show white patients.

We need to think about increasing representation in our photographs in dermatology specifically, she said, adding that terminology is important too. So we're not saying the salmon pink patches of psoriasis are classic presentations of psoriasis, because psoriasis in someone with dark skin does not look like that.

But there are also systemic forces in play, Dr. Lester noted. Economics, for example, plays a role in patient access: Dermatology is a lucrative specialty, and many dermatologists do not accept Medicaid.

Dr. Lester started a skin-of-color clinic at UCS, that provides high-quality dermatologic care for Black, Latino, Asian, Native Indian and Pacific Islander communities.

Theres research that suggests that patients of color, particularly Black patients, appreciate having a dermatology space that is built for them. They feel better getting care in a skin of color clinic than in a general dermatology clinic, she said. My ultimate goal would be that these clinics don't have to exist, that we're able to provide this same type of care where patients feel as comfortable in any dermatology setting. For now, I think it's important to create a place where these patients feel comfortable coming and returning to.

For a model like this to work at a wider level, though, the system itself needs to change, Dr. Lester noted.

We know that there are fewer Black men in medical school now than there were in the 70s, she said. So how can we, as a profession, diversify the people who make up our professionthat we have a diversity of thoughts and ideas and approaches to problems and solutions, as well? I really think that that is central to solving a lot of these issues.

Check outprevious episodesof the Ethics Talk podcast or subscribe to the series iniTunesor other services.

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Dermatology a bellwether of health inequities during COVID-19 - American Medical Association

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Plaque Psoriasis Treatment Market to receive overwhelming hike in Revenues by 2026 - Cheshire Media

Fort Collins, Colorado The Psoriasis Treatment Market 2020 Research Report provides information on the market size, share, trends, growth, competitive landscape, challenges and opportunities, revenue, and forecast to 2027. Reports Globe recently incorporated a comprehensive overview of the Psoriasis Treatment market into its extensive database. The Psoriasis Treatment Market report has been aggregated by collecting informative data on various dynamics such as market drivers, restraints, and opportunities.

This innovative report uses SWOT, PESTLE, and Porters Five Forces analysis to get a deeper look at the Psoriasis Treatment market.

Download Exclusive Sample PDF along with few company profiles @ https://reportsglobe.com/download-sample/?rid=65209

The Major Players Profiled in this Report include

Impact of Covid-19 on this Market:

The coronavirus pandemic (COVID-19) has affected all aspects of life around the world. The study provides a comprehensive overview of the impact of the COVID-19 pandemic on the Psoriasis Treatment market and its key segments. It also covers the current and future impact of the pandemic and offers a post-COVID-19 scenario to provide a deeper understanding of the dynamic changes in market trends and scenarios.

Competitive Landscape:

Competitive Analysis is one of the best sections of the report, comparing the progress of leading companies using key metrics like market share, new developments, global reach, local competition, pricing, and production. . From the nature of the competition to future changes in the vendor landscape, the report offers an in-depth competitive analysis in the global Psoriasis Treatment Market.

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Market Segments and Sub-segments Covered in the Report are as per below:

Psoriasis Treatment Market Segmentation, By Type

Psoriasis Treatment Market Segmentation, By Applications

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Psoriasis Treatment Market To Observe Exponential Growth By 2020-2027 | Reports Globe - Cheshire Media

Psoriasis Treatment Marketresearch report is the new statistical data source added byA2Z Market Research.

Psoriasis Treatment Market is growing at a High CAGR during the forecast period 2020-2026. The increasing interest of the individuals in this industry is that the major reason for the expansion of this market.

Psoriasis Treatment Marketresearch is an intelligence report with meticulous efforts undertaken to study the right and valuable information. The data which has been looked upon is done considering both, the existing top players and the upcoming competitors. Business strategies of the key players and the new entering market industries are studied in detail. Well explained SWOT analysis, revenue share and contact information are shared in this report analysis.

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Top Key Players Profiled in this report are:

Sun Pharmaceutical Industries Ltd., Amgen Inc., Novartis AG, LEO Pharma A/S, Eli Lilly and Company, UCB S.A., Johnson and Johnson Services, Inc., CELGENE CORPORATION, Pfizer Inc.,, AbbVie Inc., Merck and Co., Inc..

The key questions answered in this report:

Various factors are responsible for the markets growth trajectory, which are studied at length in the report. In addition, the report lists down the restraints that are posing threat to the global Psoriasis Treatment market. It also gauges the bargaining power of suppliers and buyers, threat from new entrants and product substitute, and the degree of competition prevailing in the market. The influence of the latest government guidelines is also analyzed in detail in the report. It studies the Psoriasis Treatment markets trajectory between forecast periods.

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Global Psoriasis Treatment Market Segmentation:

Market Segmentation: By Type

TNF InhibitorsInterleukinsOthers

Market Segmentation: By Application

Hospital PharmaciesRetail PharmaciesOnline pharmacies

Regions Covered in the Global Psoriasis Treatment Market Report 2020:The Middle East and Africa(GCC Countries and Egypt)North America(the United States, Mexico, and Canada)South America(Brazil etc.)Europe(Turkey, Germany, Russia UK, Italy, France, etc.)Asia-Pacific(Vietnam, China, Malaysia, Japan, Philippines, Korea, Thailand, India, Indonesia, and Australia)

The cost analysis of the Global Psoriasis Treatment Market has been performed while keeping in view manufacturing expenses, labor cost, and raw materials and their market concentration rate, suppliers, and price trend. Other factors such as Supply chain, downstream buyers, and sourcing strategy have been assessed to provide a complete and in-depth view of the market. Buyers of the report will also be exposed to a study on market positioning with factors such as target client, brand strategy, and price strategy taken into consideration.

The report provides insights on the following pointers:

Market Penetration:Comprehensive information on the product portfolios of the top players in the Psoriasis Treatment market.

Product Development/Innovation:Detailed insights on the upcoming technologies, R&D activities, and product launches in the market.

Competitive Assessment: In-depth assessment of the market strategies, geographic and business segments of the leading players in the market.

Market Development:Comprehensive information about emerging markets. This report analyzes the market for various segments across geographies.

Market Diversification:Exhaustive information about new products, untapped geographies, recent developments, and investments in the Psoriasis Treatment market.

Table of Contents

Global Psoriasis Treatment Market Research Report 2020 2026

Chapter 1 Psoriasis Treatment Market Overview

Chapter 2 Global Economic Impact on Industry

Chapter 3 Global Market Competition by Manufacturers

Chapter 4 Global Production, Revenue (Value) by Region

Chapter 5 Global Supply (Production), Consumption, Export, Import by Regions

Chapter 6 Global Production, Revenue (Value), Price Trend by Type

Chapter 7 Global Market Analysis by Application

Chapter 8 Manufacturing Cost Analysis

Chapter 9 Industrial Chain, Sourcing Strategy and Downstream Buyers

Chapter 10 Marketing Strategy Analysis, Distributors/Traders

Chapter 11 Market Effect Factors Analysis

Chapter 12 Global Psoriasis Treatment Market Forecast

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Impact of COVID-19 on Psoriasis Treatment Market 2020 | Size, Growth, Demand, Opportunities & Forecast To 2026 | Sun Pharmaceutical Industries...

The Chronic Plaque Psoriasis Therapeutics Market grew in 2019, as compared to 2018, according to our report, Chronic Plaque Psoriasis Therapeutics Market is likely to have subdued growth in 2020 due to weak demand on account of reduced industry spending post Covid-19 outbreak. Further, Chronic Plaque Psoriasis Therapeutics Market will begin picking up momentum gradually from 2021 onwards and grow at a healthy CAGR between 2021-2025

Deep analysis about market status (2016-2019), competition pattern, advantages and disadvantages of products, industry development trends (2019-2025), regional industrial layout characteristics and macroeconomic policies, industrial policy has also been included. From raw materials to downstream buyers of this industry have been analysed scientifically. This report will help you to establish comprehensive overview of the Chronic Plaque Psoriasis Therapeutics Market

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The Chronic Plaque Psoriasis Therapeutics Market is analysed based on product types, major applications and key players

Key product type:ClinicalNon-ClinicalInactive

Key applications:HospitalsAmbulatory Surgical CentersOthers

Key players or companies covered are:AbbvieNovartis InternationalPfizerMerckAstelllas PharmaGlaxoSmithKline

The report provides analysis & data at a regional level (North America, Europe, Asia Pacific, Middle East & Africa , Rest of the world) & Country level (13 key countries The U.S, Canada, Germany, France, UK, Italy, China, Japan, India, Middle East, Africa, South America)

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Key questions answered in the report:1. What is the current size of the Chronic Plaque Psoriasis Therapeutics Market, at a global, regional & country level?2. How is the market segmented, who are the key end user segments?3. What are the key drivers, challenges & trends that is likely to impact businesses in the Chronic Plaque Psoriasis Therapeutics Market?4. What is the likely market forecast & how will be Chronic Plaque Psoriasis Therapeutics Market impacted?5. What is the competitive landscape, who are the key players?6. What are some of the recent M&A, PE / VC deals that have happened in the Chronic Plaque Psoriasis Therapeutics Market?

The report also analysis the impact of COVID 19 based on a scenario-based modelling. This provides a clear view of how has COVID impacted the growth cycle & when is the likely recovery of the industry is expected to pre-covid levels.

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Chronic Plaque Psoriasis Therapeutics Market Research Report: Industrial Chain, Sourcing Strategy and Downstream Buyers with Forecast 2026 - The...