Although medical science has made great advances in the understanding of psoriasis, permanent cures are not yet possible. However, in many, the psoriasis skin can be completely cleared and returned to normal with effective treatment. In some persons where complete clearance is not possible, treatment can improve or control the extent of disease.
Relapses of psoriasis are problems for which there are no easy answers. Avoidance of aggravating factors may prevent or reduce relapses.
Treatment is aimed at slowing down the rapid cell division of the skin. By restoring the skin to its normal condition, the physical discomforts and the socio-economic disadvantages of psoriasis are reduced and this will lead to an improvement in the quality of life for those with psoriasis.
A variety of treatments are available. The external forms of treatment include tar shampoo, tar creams, calcipotriol (Vitamin D3) ointment, dithranol creams and ointment and steroid cream. Internal therapy in the forms of tablets includes methotrexate, cyclosporin and retinoids. Ultraviolet light therapy in the form of UVB or PUVA (a combination of oral psoralen and ultraviolet light A) are effective physical forms of treatment.
Recent scientific advances in psoriasis research has resulted in the development of biologic treatment. Unlike other medicines which are made by combining chemicals, biologics are created from human or animal proteins. Biologics are given as injections and treat psoriasis by targeting and blocking overactive immune cells in the body.
Sometimes a combination of treatments may be offered. The dermatologist must plan with the patient the most suitable treatment for that individual. The choice is based on the age, sex, general health, extent of disease, the type of psoriasis and the ability to comply with the treatment program.
Certainly, but this is unlikely in the immediate future. Medical research in treatment of psoriasis is being carried out in many parts of the world. Over the last decade great strides have been achieved in the treatment of psoriasis. Intensive research is necessary not only for us but also for our future generations.
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