Category Archives: Psoriasis

Lifestyle changes -- including stress reduction -- can help weaken your triggers.

By Christina Boufis WebMD Magazine - Feature

Anne Jeffres, 41, an acupuncturist in New York, was in the midst of a stressful time at work when she noticed her scalp was flaking. Her fingers became inflamed; her nails were brittle and pitted. The mild psoriasis she once had as a child had returned in full force. "The flare-up was bad enough that I lost patches of hair on my head," Jeffres says.

"Psoriasis is a lifelong disease" that's mainly inherited, explains Erin Boh, MD, PhD, professor and chair of the dermatology department at Tulane University Health Sciences Center. "You can't change having psoriasis, but you can certainly change the things that can [worsen] it." Here's how:

Short-circuit stress. "Stress does not cause psoriasis," Boh says. "But stress can certainly make it worse." How to defuse stress? Exercise can help, she says. Or try relaxation exercises or meditation. Jeffres practices yoga and mindfulness-based stress reduction, and she also switched jobs to ease her stress.

Reach out. About 25% of people with psoriasis have depression, the National Psoriasis Foundation says. Let your doctor know if you're feeling down. You can also join a psoriasis support group. "Support groups allow you to talk with other people who have the disease and see how they cope," says Boh.

Think colorful. Eat healthy foods, such as brightly colored vegetables, and cut down on meat and fatty food, Boh advises. Though there's little data to show certain foods can make psoriasis better or worse, if you have the disease, you may be at greater risk of other health conditions like diabetes, high blood pressure, and heart disease.

"A healthy diet will certainly improve your overall well-being and probably improve your psoriasis to a degree," Boh says.

Note triggers. For some, psoriasis flares up after an infection, such as strep throat. For others, prescription or over-the-counter medications can trigger it. "If you have allergies, that can activate your immune system and cause psoriasis to be worse," Boh says. "It's important to recognize what makes your psoriasis worse, so obviously you can then try to avoid it."

But don't blame yourself if you follow these tips and you still have flare-ups, she says. "Psoriasis is a very frustrating disease," she adds. "I don't ever tell people that if you change what you eat, exercise, [and] reduce all stress, your psoriasis goes away. It's just not true."

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How to Prevent Psoriasis Flare-Ups

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Psoriasis Chronicles - Dealing with Depression, Anxiety and Anger

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Can Acupuncture treat psoriasis and other scalp disorders?
Stacy Vason and client ( Shelly Hooks) visits Dr. Orlando Ly (Acupuncture Clinic) to treat her psoriasis with acupuncture.

By: Stacy Vason

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How to Cure Psoriasis - Psoriasis Symptoms, Treatment, Causes, Medication Information
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Un article de Wikipdia, l'encyclopdie libre.

Le psoriasis (du grec ruption galeuse, psore ayant aussi autrefois dsign la gale en France) est une maladie auto-immune de la peau d'origine inconnue et non contagieuse. Cette affection dermatologique touche 1 3% de la population mondiale.

Dans sa forme bnigne et typique, le psoriasis se caractrise par des lsions rouges et squameuses du cuir chevelu, des genoux et des coudes, associe une atteinte des ongles. Dans les cas graves, l'atteinte cutane peut tre gnralise (rythrodermie) et il peut exister des atteintes des articulations. Cette dermatose volue de faon chronique avec des pousses entrecoupes de priodes de rmissions de dure variable au cours desquelles les lsions sont minimes. Aucun traitement permettant la gurison n'est connu; le traitement propos permet uniquement de contrler l'volution de la maladie, en permettant la rgression transitoire plus ou moins complte des lsions. Le traitement est adapt en fonction de la gravit et du retentissement sur la qualit de vie des patients.

Les causes prcises en sont inconnues bien que, dans prs de 30% des cas, une prdisposition familiale existe, surtout si des facteurs externes viennent se rajouter. La maladie aurait des composantes gntiques, auto-immunes[1], microbiologique et environnementale ou alimentaire (l'arrt de la consommation de produits laitiers ou certaines autres denres reviennent souvent dans les tmoignages de personnes ayant russi s'en dbarrasser sans faire intervenir un traitement en parallle[rf.ncessaire]).

L'piderme se renouvelle trop rapidement, en seulement quatre six jours, au lieu des trois semaines habituelles ce qui engendre des inflammations localises. Les cellules pidermiques s'accumulent la surface de la peau et forment une couche de pellicules blanches appeles squames. Parfaitement inoffensives, celles-ci ont pourtant le dsavantage d'tre inesthtiques. La prsence de nombreux leucocytes dans le derme a suggr le rle du systme immunitaire.

Comme indiqu prcdemment, il existe pour un petit tiers des personnes atteintes une composante familiale au psoriasis (restent dterminer les autres facteurs entrant en jeu): prs de 30% des patients atteints ont un membre de leur famille ayant galement la mme maladie[2]. Un certain nombre de gnes ont t identifis comme marqueurs potentiels de risque, dont le PSORS. Le plus important semble tre le PSORS1 situ sur le chromosome 6 et qui serait responsable de prs du tiers des psoriasis familiaux[3]. Seize gnes (en 2012[4]) ont des mutations pouvant favoriser cette maladie.

Les pousses de psoriasis sont parfois lies au stress. Elles peuvent aussi avoir pour origine un facteur infectieux (infection streptococcique, par exemple). Leur frquence est trs variable et, d'une manire gnrale, le facteur dclenchant de la pousse n'est pas identifiable. La consommation excessive d'alcool est un facteur d'aggravation du psoriasis.

Certains mdicaments exacerbent parfois le psoriasis mais leur arrt doit tre discut au cas par cas, celui-ci pouvant comporter d'autres risques, cardio-vasculaires en particulier. Ce sont essentiellement ceux de la classe des bta-bloquants. D'autres molcules ont t rapportes comme potentiellement aggravantes, avec un risque cependant moindre. Ce sont les sartans[5] et l'nalapril[rf.souhaite].

Au contraire, l'exposition solaire a un rle protecteur net. Durant la grossesse, une diminution des pousses avec une aggravation par contre la suite de celle-ci est gnralement observe. Le mcanisme invoqu est celui d'une immuno-modulation par les taux levs de progestrone et d'strognes qui entranent une stimulation de l'immunit dpendant des lymphocytes B mais une diminution de l'activit immunitaire des lymphocytes T. La progestrone est reconnue comme ayant un rle immuno-modulateur cl durant la grossesse[6].

Certaines formes peuvent se dvelopper la suite d'un traumatisme articulaire.

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Psoriasis - Wikipédia

Psoriatic nails Classification and external resources

Psoriasis of a fingernail

Psoriatic nails is a nail disease. It is common in those suffering from psoriasis, with reported incidences varying from 10% to 78%. Elderly patients and those with psoriatic arthritis are more likely to have psoriatic nails.[1]:7812

The Nail Psoriasis Severity Index (NAPSI) is a numeric, reproducible, objective, simple tool for evaluation of nail psoriasis.[3] It evaluates several signs separately, each on a 13 scale: pitting, Beau's lines, subungual hyperkeratosis and onycholysis. A 2005 study proposed a modified NAPSI scale for persons with psoriasis and named the title of their publication "Modification of the Nail Psoriasis Severity Index".[4] Then, in 2007, a study found that there was a high level of inter-rater variability of the 2003 NAPSI scale and proposed another index which was, like the 2005 article, a modification of the 2003 article, and was named modified NAPSI.[5] A 2008 study found that Cannavo's qualitative system[6] correlated with NAPSI (P<0.001) and is less time-consuming.[7]

There is a risk of misdiagnosis with onychomycosis.

The causes of nail psoriasis are unknown. It has been suggested that fungi may play a role.[8]

There exist numerous treatments for nail psoriasis but there is little information concerning their effectiveness and safety.[9] Treatments include topical, intralesional, radiation, systemic, and combination therapies.

Available studies lack sufficient power to extrapolate a standardized therapeutic regimen.[9] As of April 2009, an assessment of the evidence for the efficacy and safety of the treatments for nail psoriasis is in progress.[20]

Active clinical trials investigating nail psoriasis:[22]

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Psoriatic nails - Wikipedia, the free encyclopedia

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