After the diagnosis, the goal of psoriasis treatment is first and foremost to improve the patient’s quality of life by improving the appearance of their skin. There is no cure for psoriasis permanently.
HOW IS PSORIASIS DIAGNOSED?
The diagnosis of psoriasis is based primarily on the appearance and location of the skin lesions. Dermatologists know how to recognize them and it is generally not necessary to supplement their diagnosis with other examinations. A biopsy (taking a small sample of skin) is done in some cases to rule out other skin conditions, such as a fungus infection (yeast infection) or eczema .
HOW DO YOU MEASURE THE SEVERITY OF PSORIASIS?
The severity of psoriasis can be measured either by looking at the appearance of the skin and lesions, or by asking the patient about the impact of the disease on their quality of life.
The skin appearance is assessed using the PASI score (Psoriasis Area and Severity Index). The dermatologist assesses the area of the skin affected (in% of the total surface area of the body), the degree of redness of the lesions, their thickness and the intensity of the scaling. The PASI score ranges from 0 (no severity) to 72 (maximum severity).
The measurement of the patient’s quality of life uses the DLQI score (Dermatology Life Quality Index) where ten questions are asked to the patient: aesthetic impact, consequences on work, leisure, love, sexual and family life, etc. The DLQI score ranges from 0 (no impact) to 30 (severely reduced quality of life).
WHAT ARE THE TREATMENTS FOR PSORIASIS?
There is no cure for psoriasis permanently, but the lesions can be reduced by various types of drugs, topically, orally or by injections. The objective is above all to improve the patient’s quality of life by improving the appearance of his skin. In addition, people who suffer from psoriasis must take care of their skin to avoid irritation and dryness: moisturizing milk, super-rich soap, clothing made of natural materials, etc.
HOW IS THE CHOICE OF TREATMENT MADE?
The severity of psoriasis is subjective (it depends a lot on the impact of the disease on the patient’s quality of life). Consequently, the implementation and the nature of the treatment at skin clinic in south delhi vary greatly according to the patient’s experience and his motivation to treat himself. Two patients with similar lesions may receive different treatments depending on whether or not they feel very affected by their psoriasis. The choice of treatment therefore depends on the conjunction of several factors: extent and location of the lesions, impact on the patient’s life, constraints on taking or applying the treatment, effectiveness of the treatment, adverse effects, etc.
To be fully effective, treatment for psoriasis should always be continued for several weeks after the plaques have disappeared .
Systemic treatments for severe forms of facial psoriasis
If topical corticosteroids and immunosuppressants are insufficient, psoriasis of the face should be treated with systemic drugs , that is, they act on the whole body. These basic treatments can be of 3 types:
- These may be retinoids takenorally daily.
- As a basic treatment for psoriasis, the dermatologist may also prescribe methotroxatewhich prevents cells from multiplying. Unlike the first, this one is taken once a week.
- Among the DMARDs, it is also possible to take an immunosuppressant for up to one year: cyclosporine.
Living with facial psoriasis: the right things to do every day
The psoriasis face is very visible and therefore difficult to live . In times of an outbreak, the skin itches, the skin tightens, the skin peels, the skin hurts, and the gaze of others seems overwhelming.
How to wash your face with psoriasis
If medical treatment is required, these are not the only solutions. Indeed, to get rid of facial psoriasis, you must also clean your skin well with a dermatological bar or a soap-free cleansing gel with a neutral pH.
To avoid attacking your facial skin , you should always favor gentle care . Disturbed by the presence of visible plaques, some people prefer to hide them. For this, it is better to avoid flattening your hair on it, preventing the skin from breathing and healing properly.
As France Psoriasis reminds us , the moment of washing must also be carried out with care: “Use non-irritating, gentle toiletries, generally recommended for the care of fragile skin. After showering, get in the habit of patting the skin dry, not rubbing it. Then apply a moisturizer ; this measure is particularly important during the winter months and when the air is dry because the ambient air accentuates the dryness of the skin ”.
Psoriasis of the face: what to do in case of itching?
In case of itching , it is possible to apply compresses soaked in thermal water or physiological serum which instantly soothe the skin. Every day, everything must be done to preserve the skin. For example, it is recommended to use an electric razor which will be gentler than a mechanical device.
Psoriasis of the face: how to hide it?
It is quite possible to use corrective makeup to camouflage certain areas of the skin. Some covering creams make it possible to conceal red and unsightly patches , they are indicated for both men and women. However, it is better to avoid wearing any cosmetic and to favor quality covering products.
How to protect the face from the aggressions of the climate?
France Psoriasis advises how to take care of your skin when the weather conditions are complicated. “During the autumn and winter , the cold and wind to dry out . Before going out, apply a protective cream to the face. In spring and summer, heat and sunlight can also make inflammation worse ”. Moreover, during the summer, it is advisable to avoid direct exposure to the sun so as not to attack your skin. On the contrary, moderate exposure helps good plaque healing .