Dr.G.Raghurama Rao, MBBS, M.D.( Derm.) Former Prof & HOD - Dermatology of Andhra Medical college - Visakhapatnam. Consultant Dermatologist, Surya Skin Care & Research Center - Visakhapatnam
Psoriasis is a common chronic auto inflammatory skin disease of unknown origin that manifests in a genetically predisposed individual. It is characterized by appearance of slightly itchy multiple scaly red patches on the body, trunk, dorsal aspects of arms, forearms, thighs and legs. Scalp, nails, palms and soles are also affected. Approximately 2-4% of the population are affected through out the world. In India, the prevalence rates are 0.5-1.5%. It is seen in all age groups in both sexes. Relapses and remissions are common. The disease has a significant impact on quality of life.
Facts about Psoriasis: Â
Is Psoriasis beyond the skin disease?
Patients with moderate to severe psoriatic skin disease have a higher association with these comorbidities, which may be related through common pathogenic mechanism.
Psoriasis and Longevity: Due to the above comorbidities, psoriatic patients may have decreased longevity. There is 3–4-year reduction in life expectancy in patients of severe psoriasis. Â
Psoriasis and Cancer:Â The cancer risk is elevated in severe psoriatic cases. Psoriasis patients over 65 years have a threefold increase in both skin and systemic cancers.
Management of Psoriasis: Though there is no permanent cure for psoriasis, but the disease can be manageable and controlled, like any other chronic diseases (diabetes, thyroid disease, asthma etc.). With the advent of newer biological therapies, various immunomodulators, phototherapies and topicals the disease can be treatable. Lifestyle modification methods like yoga, meditation, exercise, low calory diets, no alcohol and no smoking would certainly play a supportive role in the management of Psoriasis.
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