| Psoriasis a detailed overview Psoriasis is a common skin inflammation   		(irritation and swelling) characterized by frequent episodes of redness;   		itching; and thick, dry, silvery scales on the skin.  Overview, Causes, & Risk Factors of Psoriasis 
 Psoriasis is a very common condition, with approximately 3 million   		Americans affected. It can appear suddenly or gradually. In many cases,   		psoriasis goes away and then flares up again repeatedly over time. The   		disorder may affect people of any age, but it most commonly begins   		between ages 15 and 35.
 
 Psoriasis seems to be an inherited disorder, probably related to an   		inflammatory response in which the immune system accidentally targets   		the body's own cells. Evidence of the condition is most commonly seen on   		the trunk, elbows, knees, scalp, skin folds, or fingernails, but it may   		affect any or all parts of the skin.
 
 Normally, it takes about a month for new skin cells to move up from the   		lower layers to the surface. In psoriasis, this process takes only a few   		days, resulting in a build-up of dead skin cells and formation of thick   		scales.
 
 Psoriasis may be aggravated by injury or irritation (such as cuts,   		burns, rashes, insect bites). It may be severe in immunosuppressed   		people (like those with AIDS or undergoing chemotherapy for cancer), or   		those who have other autoimmune disorders (such as rheumatoid   		arthritis).
 
 Medications, viral or bacterial infections, excessive alcohol   		consumption, obesity, lack of sunlight, sunburn, stress, general poor   		health, cold climate, and frequent friction on the skin are also   		associated with psoriasis flare-ups. The condition is not contagious.
 
 Psoriasis Symptoms & Signs   
					Skin patches Dry or red Usually covered with silvery scales Raised patches of skin Accompanied by red borders May crack and become painful Usually discrete, demarcated patches Usually located on the elbows, knees, trunk, scalp, hands or nails 
					Skin lesions, including pustules, cracking of skin, skin redness or   		inflammation 
					Itching Small scaling dots on the skin (especially in children) 
					Joint pain or aching, which may be associated with a special type of   		arthritis (psoriatic arthritis)
					
 Additional symptoms that may be associated with this disease: 
				
 
					Nail abnormalities Genital lesions in males Eye burning, itching, and discharge 
					 Increased tearing    Psoriasis Prevention  None is known. Keep flare-ups to a minimum by avoiding anything that   		aggravates your psoriasis
 
 Psoriasis Diagnosis & Tests
 
 The diagnosis is usually based on the appearance of the skin.
 
 
					
					A skin biopsy, or scraping and culture of skin patches, may be needed   		to rule out other disorders.
					
					An x-ray may be used to check for psoriatic arthritis if joint pain is   		present and persistent.
					
 
 Psoriasis Treatment 
				 
				 Treatment is focused on control of the symptoms and prevention of   		secondary infections. It varies with the extent and severity of the   		disorder. Severe or resistant cases may require intensive treatment.
 
 Psoriasis lesions that cover all or most of the body are an emergency   		symptom that require hospitalization. The disorder may be acutely   		painful. The body loses vast quantities of fluid and is susceptible to   		severe secondary infections that can become systemic, involve internal   		organs and even progress to septic shock and death. Treatment includes   		analgesics, sedation, intravenous fluids, and antibiotics.
 
 Mild cases are usually treated at home. Topical medications include:
 
					
					Prescription or non-prescription dandruff shampoos
					
					Shampoos or lotions that contain coal tar
					
					Hydrocortisone or other corticosteroids
					
					Lubricants 
					Antifungal medications 
					Antibiotics 
					Phenol 
					Sodium chloride or  Other ingredients
					 Oral or injected immunosuppressive medications (such as corticosteroids   		or methotrexate) may be prescribed, but only in very severe cases. Other   		medications may include retinoids or cyclosporine.
 
 Other treatments may include moderate exposure to sunlight or   		phototherapy. The skin is sensitized by the application of coal tar   		ointment or by taking oral psoralens (a medication that causes the skin   		to become sensitive to light). The person is then exposed to ultraviolet   		light. Avoid sunburn, which can worsen the condition.
 
 Psoriatic arthritis, which occurs in a very small percentage of patients   		with psoriasis, may be treated with non-steroidal analgesics in much the   		same way as normal arthritis.
 
 Maintain good general health to reduce the risk of flare-ups. Obtain   		adequate rest and exercise, eat a well-balanced diet and avoid stress   		(see stress management). Treat respiratory and other infections   		promptly.
 
 Maintain good skin hygiene to prevent secondary infections. Daily baths   		or showers are recommended. Avoid harsh scrubbing, which can irritate   		the skin and cause new outbreaks.
 
 Oatmeal baths may be soothing and may help to loosen scales. Commercial   		preparations may be used, or mix one cup of oatmeal into a tub of warm   		water.
 
 
 Psoriasis Prognosis (Expectations) 
				Psoriasis is a chronic, lifelong condition that can be controlled with   		treatment. It usually does not adversely affect general health, unless   		it is neglected or occurs in the elderly or very young. 
				
 Psoriasis Complications
 
 - Complications that result from the treatment itself
 - Secondary skin infections which spread to internal organs
 
 Psoriasis Support Groups
 
 If having psoriasis is causing significant stress, consider joining a   		psoriasis support group where members share common experiences and   		problems.
 
 skin condition characterized by rounded, silvery scaly patches of skin. These can appear on the scalp,   	elbows, knees and genital region. Nail changes are common and include   	pitting and a yellowish discoloration that resembles a fungal infection.   	Psoriasis may also cause hair loss.
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