Psoriasis

Psoriasis is a chronic inflammatory, chronically recurring disease of the skin and the joints. It is an immune disorder for which there may be a genetic predisposition. Today, psoriasis is understood as a T-cell auto-immune response to an as yet unknown antigen (an antigen triggers an immune reaction). The illness often starts in early adulthood and then usually accompanies those affected all their lives.

Psoriasis is a multifactorial disorder and is one of the most common skin diseases (occurring in roughly 2 % of the population of Western industrialized countries). Its severity differs and it has a great variety of clinical manifestations.

Depending on the age of onset and the clinical course the disorder takes, a differentiation is made between two types of psoriasis:

Type I psoriasis peaks in the second decade of life (between the ages of 20 and 30), tends to run in families, is usually severe, recurs frequently and is exanthematous (occurs all over the body).

The onset of type II psoriasis is much later in life (peaking between the fifth and sixth decade), usually no other members of the family are affected, and it takes a more stable course. However, type II psoriasis is more frequently associated with the nails and joints.

Psoriasis attacks are influenced by trigger factors (factors that increase the likelihood of an outbreak), the most frequent ones being infections, stress and various medicines. Above all, beta blockers, anti-malaria preparations and lithium should only be used very critically and carefully by people suffering from the skin disorder. It should also be considered that certain medicines taken for more than a year may trigger psoriasis. There are also numerous trigger factors that can cause psoriasis plaques through mechanical or inflammatory skin irritation (the Koebner phenomenon = isomorphous irritation effect). These include skin injuries, acupuncture, tattoos and sunburn, just to name a few.

Source: Psoriasis – auf einen Blick, E. Christophers, U. Mrowietz, W. Sterry (editors), Blackwell Wissenschafts-Verlag Berlin Vienna, 2002.

Basic dermacosmetic care: 

Strict basic care with lipid-restoring products (once to twice a day) and bath oils (twice a week) is the foundation stone of a successful psoriasis therapy. It also helps to prevent new skin lesions since it assists in avoiding skin dryness and itching, which are known to be psoriasis triggers.

Creams containing urea, creamy ointments and lipid lotions or balms that are absorbed well by the skin and bind moisture in it, are particularly suitable. The preparations should be free of or as low as possible in fragrances and preservatives. Lipid-restoring bath oils can also be recommended.

If the scalp is affected by psoriasis, very mild shampoos containing salt from the Dead Sea are among the preparations that can be used. These soothe the scalp and support regeneration.

 

DADO SENS care recommendation:

  • Dry skin:

ExtroDerm

  • Mature facial skin:

ExtroDerm Intensive Cream and Ectoin Anti-Aging Fluid

  • Severely irritated areas:  

ProBalance Akut Soothing Acute Cream

  • Scalp:

ExtroDerm Shampoo

  • Sun protection:

Sun Cream SPF 50 or Sun Lotion SPF 30