Psoriasis is a chronic skin disease known as one of the diseases of the 21st century (along with metabolic syndrome, hypertension, diabetes, etc.). It affects the skin, and in about 30% of the cases, the skin, in the form of psoriatic arthritis. Characteristic of the sold appears in red, raised spots covered with grayish scales.
Psoriasis is not contagious and occurs at any age. The cause of the build-up is the increased and inefficient cycle of cell division in the skin, which produces immature cells that slough off on the surface. In healthy skin, this cycle occurs in 28 days, while in psoriatic skin, it occurs in 3-4 days.
The processes that cause this abnormality in cell division are still not fully understood. In approximately 30% of cases, the result is hereditary, but it can be provoked by some types of infections (viral, bacterial), medications (beta-blockers, tetracyclines, corticosteroids) or an aggressive external environment (freezing, burning).
The most characteristic manifestation of the disease are red spots covered with gray-white scales. at the same time, however, there may be only cracked skin on the hands and feet or profuse dandruff. Joints are affected by swelling, stiffness and pain.
Psoriasis significantly worsens the quality of life because it causes low self-esteem, social isolation, and depression.
A cardinal treatment for the disease has not yet been discovered. The aim of the therapy is to stop the increased division of cells, which leads to a reduction of the enlarged processes and the formation of plaques, and to remove the scales, with an overall more effective action of the healing creams.
In milder forms, it is sufficient to use it for creams, lotions and other skin hydrating and plaque exfoliating products.
Phototherapy is the “gold standard” in the treatment of psoriasis. It is especially suitable in the winter and autumn seasons, when the sun is weaker. The goal is to suppress inflammation and rapid cell division. Esteline Dermatology Clinic has the latest generation of UVB phototherapy, suitable both for the whole body and for individual areas.
Drug therapy is used in more severe forms of psoriasis, unresponsive to other treatment. The most used preparations have a good effect, not only on the condition of the skin, but also on the joints, but they are dose-dependent and are used only for a limited time. Other commonly used drugs, which are not dose-dependent, often cause severe dryness and thinning of the skin and mucous membranes.
In recent years, organic products have become more and more widespread. There are several approved for use in Bulgaria and they are administered by injection (muscle, subcutaneous) at different intervals. They are used in the absence of response to standard therapy in moderate to severe forms of psoriasis.