Talk:Psoriasis

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PASI score[edit]

PASI stands for Psoriasis Area and Severity Index. PASI includes the amount of body surface area that is affected by psoriasis in addition to three major symptoms: redness, inflammation, and the thickness of the scale on the skin. A patient is given a PASI score from 0-72 where 0 means no psoriasis and 72 means the most severe psoriasis. A PASI score is given to a patient before treatment and then after treatment to determine the effectiveness of the therapy. The goal of successful psoriasis treatment is to reduce the PASI score as close to 0 (no psoriasis) as possible.

Ultraviolet info seems self-contradictory[edit]

Ultraviolet wavelengths are subdivided into UVA (380–315 nm), UVB (315–280 nm), and UVC (< 280 nm). Ultraviolet B (UVB) (315–280 nm) is absorbed by the epidermis and has a beneficial effect on psoriasis. Narrowband UVB (311 to 312 nm), is that part of the UVB spectrum that is most helpful for psoriasis.

Query: If UVA is from 380-315 nm, it includes 311-312 nm. So how come Narrowband UV (311 to 312 nm) is supposed to be UVB instead of UVA?

Answer: 380-315nm does not included 311-312nm. 311-312 is less than 315.

Mention the generic (calcitriol) along with the patented (calcipotriol)?[edit]

Moisturizers and emollients such as mineral oil, petroleum jelly, calcipotriol or calcitriol, and decubal (an oil-in-water emollient) were found to increase the clearance of psoriatic plaques. Emollients have been shown to be even more effective at clearing psoriatic plaques when combined with phototherapy.[1] However, certain emollients have no impact on psoriasis plaque clearance or may even decrease the clearance achieved with phototherapy. The emollient salicylic acid is structurally similar to para-aminobenzoic acid (PABA), commonly found in sunscreen, and is known to interfere with phototherapy in psoriasis. Coconut oil, when used as an emollient in psoriasis, has been found to decrease plaque clearance with phototherapy.[1] Medicated creams and ointments applied directly to psoriatic plaques can help reduce inflammation, remove built-up scale, reduce skin turnover, and clear affected skin of plaques. Ointment and creams containing coal tar, dithranol, corticosteroids (i.e. desoximetasone), fluocinonide, vitamin D3 analogs (for example, calcipotriol or calcitriol), and retinoids are routinely used. The use of the finger tip unit may be helpful in guiding how much topical treatment to use.[2][3]


References

  1. ^ a b Asztalos ML, Heller MM, Lee ES, Koo J (May 2013). "The impact of emollients on phototherapy: a review". J Am Acad Dermatol. 68 (5): 817–24. doi:10.1016/j.jaad.2012.05.034. PMID 23399460.CS1 maint: multiple names: authors list (link)
  2. ^ Cite error: The named reference Clarke2011 was invoked but never defined (see the help page).
  3. ^ Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb A, Koo JY, Lebwohl M, Lim HW, Van Voorhees AS, Beutner KR, Bhushan R; American Academy of Dermatology (2009). "Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 3. Guidelines of care for the management and treatment of psoriasis with topical therapies". J Am Acad Dermatol. 60 (4): 643–59. doi:10.1016/j.jaad.2008.12.032. PMID 19217694.CS1 maint: multiple names: authors list (link)

Strange that the discussion of UV phototherapy does not mention vitamin D[edit]

especially considering the UVB will produce vitamin D, and vitamin D is known to help psoriasis symptoms and help regulate immune system. - Rod57 (talk) 07:44, 2 May 2018 (UTC)

Permanent cure from psoriasis[edit]

I was suffering from plaque psoriasis for many years. Who was in my foot, but now I am fine. I took the root of white Abrus precatorius for 5 days and psoriasis was cured forever. I took the medicine as follows - Abrus precatorius root 1 cm long, 3 mm smooth / thick. Rise at 6 o'clock in the morning and chew and eat before leaving the foot from the bed. I took the medicine. I did this for 5 days. And I was freed from psoriasis. WHICH PERSON that he had given me medicine, he had asked me to take this 15 days and told that if I had diarrhea, then I would have eaten KHICHADI of MUNG BEAN AND RICE. This was the story of being free from my psoriasis. https://en.wikipedia.org/wiki/Abrus_precatorius

Your account is encouraging but it is also anecdotal. Such claims can only be included on Wikipedia if they are supported by high-quality medical sources (see WP:MEDRS). JFW | T@lk 10:54, 12 August 2018 (UTC)