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There are five forms of psoriasis:
 * Plaque [plak] psoriasis: The most common form, characterized by inflamed skin lesions topped with white scales
 * Guttate [GUH-tate]: Characterized by small dot-like lesions
 * Pustular [PUHS-choo-ler]: Characterized by pus-filled, blister-like lesions and intense scaling
 * Inverse: characterized by intense inflammation in the folds of the skin
 * Erythrodermic [eh-REETH-ro-der-mik]: Characterized by intense shedding and redness of the skin. If this rare form develops, see a doctor immediately

CePsoriasis


 * LINKS;***
 * 1) http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001470/
 * 2) http://www.mayoclinic.com/health/psoriasis/DS00193
 * 3) http://www.psoriasis.org/
 * 4) []
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 * 7) []
 * 8) [|http://www.foxnews.com/slideshow/health/2011/08/02/celebs-with-psoriasis/#slide=4]
 * 9) []
 * 10) []
 * 11) []
 * 12) []
 * 13) []
 * 14) []
 * 15) []
 * 16) http://beatpsoriasis.com/psoriasis-description.htm (description, causes, and symptoms)
 * 17) Oregon Soap Shop

Research- Jaclyn Freed- Treatment mayo clinic-

focus of treatment is to increase the producation of the skin cells while reducing the inflammation and plauque formation. Treatment can be broken down into 3 groups TOPICAL LIGHT THERAPY SYSTEMIC MEDICINE

Topical---

Used alone, creams and ointments that you apply to your skin can effectively treat mild to moderate psoriasis. When the disease is more severe, creams are likely to be combined with oral medications or light therapy. Topical psoriasis treatments include

To minimize side effects and to increase effectiveness, topical corticosteroids are generally used on active outbreaks until they're under control.
 * Topical corticosteroids.**These powerful anti-inflammatory drugs are the most frequently prescribed medications for treating mild to moderate psoriasis. They slow cell turnover by suppressing the immune system, which reduces inflammation and relieves associated itching.


 * Vitamin D analogues.** These synthetic forms of vitamin D slow down the growth of skin cells. Calcipotriene (Dovonex) is a prescription cream or solution containing a vitamin D analogue that may be used alone to treat mild to moderate psoriasis or in combination with other topical medications or phototherapy. This treatment can irritate the skin. Calcitriol (Rocaltrol) is expensive, but may be equally effective and possibly less irritating than calcipotriene.


 * Anthralin.**This medication is believed to normalize DNA activity in skin cells. Anthralin (Dritho-Scalp) can also remove scale, making the skin smoother. However, anthralin can irritate skin, and it stains virtually anything it touches. recommend short-contact treatment — allowing the cream to stay on your skin for a brief time before washing it off. Anthralin is sometimes used in combination with ultraviolet light.


 * Topical retinoids.**These are commonly used to treat acne and sun-damaged skin, but tazarotene (Tazorac, Avage) was developed specifically for the treatment of psoriasis. normalizes DNA activity in skin cells and may decrease inflammation. sensitivity to sunlight, so sunscreen should be applied while using the medication. Although the risk of birth defects is far lower for topical retinoids than for oral retinoids, your doctor needs to know if you're pregnant or intend to become pregnant if you're using tazarotene.


 * Calcineurin inhibitors.** are approved only for the treatment of atopic dermatitis, but studies have shown them to be effective at times in the treatment of psoriasis. Calcineurin inhibitors are thought to disrupt the activation of T cells, which in turn reduces inflammation and plaque buildup. Calcineurin inhibitors are not recommended for long-term or continuous use because of a potential increased risk of skin cancer and lymphoma. They may be especially helpful in areas of thin skin, such as around the eyes, where steroid creams or retinoids are too irritating or may cause harmful effects.

Salicylic acid is available in medicated shampoos and scalp solutions to treat scalp psoriasis.
 * Salicylic acid.**Available over-the-counter (nonprescription) and by prescription, salicylic acid promotes sloughing of dead skin cells and reduces scaling.


 * Coal tar.** A thick, black byproduct of the manufacture of petroleum products and coal, coal tar is probably the oldest treatment for psoriasis. It reduces scaling, itching and inflammation. Exactly how it works isn't known. Coal tar has few known side effects, but it's messy, stains clothing and bedding, and has a strong odor. Coal tar is available in over-the-counter shampoos, creams and oils. It's also available in higher concentrations by prescription.


 * Moisturizers.** By themselves, moisturizing creams won't heal psoriasis, but they can reduce itching and scaling and can help combat the dryness that results from other therapies. Moisturizers in an ointment base are usually more effective than are lighter creams and lotions.

__//**Light therapy (phototherapy)**//__ this psoriasis treatment uses natural or artificial ultraviolet light. The simplest and easiest form of phototherapy involves exposing your skin to controlled amounts of natural sunlight. Other forms of light therapy include the use of artificial ultraviolet A (UVA) or ultraviolet B (UVB) light either alone or in combination with medications

sunlight or artificial light, the activated T cells in the skin die. This slows skin cell turnover and reduces scaling and inflammation. Brief, daily exposures to small amounts of sunlight may improve psoriasis, but intense sun exposure can worsen symptoms and cause skin damage
 * Sunlight.**

can be used to treat single patches, widespread psoriasis and psoriasis that resists topical treatments. Short-term side effects may include redness, itching and dry skin. Using a moisturizer may help decrease these side effects
 * UVB phototherapy.**

A newer type of psoriasis treatment, narrowband UVB therapy may be more effective than broadband UVB treatment. It's usually administered two or three times a week until the skin improves, then maintenance may require only weekly sessions. Narrowband UVB therapy may cause more severe and longer lasting burns, however.
 * Narrowband UVB therapy.**

UVB treatment and coal tar treatment. The two therapies together are more effective than either alone because coal tar makes skin more receptive to UVB light. Once requiring a three-week hospital stay, a modification of the original treatment can be performed in a doctor's office. Another method, the Ingram regimen, combines UVB therapy with a coal tar bath and an anthralin-salicylic acid paste that's left on your skin for several hours or overnight.
 * Goeckerman therapy.**

taking a light-sensitizing medication (psoralen) before exposure to UVA light. UVA light penetrates deeper into the skin than does UVB light, and psoralen makes the skin more responsive to UVA exposure. PUVA involves two or three treatments a week for a prescribed number of weeks. Short-term side effects include nausea, headache, burning and itching. Long-term side effects include dry and wrinkled skin, freckles, and increased risk of skin cancer, including melanoma, the most serious form of skin cancer.
 * Photochemotherapy, or psoralen plus ultraviolet A (PUVA).**

light therapy, used for mild to moderate psoriasis, treats only the involved skin. A controlled beam of UVB light of a specific wavelength is directed to the psoriasis plaques to control scaling and inflammation. Healthy skin surrounding the patches isn't harmed. Excimer laser therapy requires fewer sessions than does traditional phototherapy because more powerful UVB light is used. Side effects can include redness and blistering.
 * Excimer laser.**

the pulsed dye laser uses a different form of light to destroy the tiny blood vessels that contribute to psoriasis plaques. Side effects can include bruising for up to 10 days after treatment. There is a slight risk of scarring
 * Pulsed dye laser.**


 * Combination light therapy.** Combining UV light with other treatments such as retinoids frequently improves phototherapy's effectiveness. Combination therapies are often used after other phototherapy options are ineffective.

__//**Oral or injected medications**//__ this group of drugs may reduce the production of skin cells if you have severe psoriasis that doesn't respond to other therapies. Signs and symptoms usually return once therapy is discontinued, however. can cause severe birth defects, women must avoid pregnancy for at least three years after taking the medication.
 * Retinoids**

Taken orally, methotrexate helps psoriasis by decreasing the production of skin cells and suppressing inflammation well tolerated in low doses, but may cause upset stomach, loss of appetite and fatigue. When used for long periods it can cause a number of serious side effects, including severe liver damage and decreased production of red and white blood cells and platelets.
 * Methotrexate.**

suppresses the immune system and is similar to methotrexate in effectiveness,increases your risk of infection and other health problems, including cancer, the risk increases with higher dosages and long-term therapy.
 * Cyclosporine.**

medication isn't as effective as cyclosporine or methotrexate, but unlike the stronger drugs it can be combined with phototherapy, Possible side effects include a decrease in red blood cells (anemia) and a decrease in white blood cells and platelets, should not be taken by women who are pregnant or planning to become pregnant.
 * Hydroxyurea.**

drugs are given by intravenous infusion, intramuscular injection or subcutaneous injection and are usually used for people who have failed to respond to traditional therapy or who have associated psoriatic arthritis, work by blocking interactions between certain immune system cells and particular inflammatory pathways. Although they're derived from natural sources rather than chemical ones, they must be used with caution because they have strong effects on the immune system and may permit life-threatening infections. In particular, people taking these treatments must be screened for tuberculosis.
 * Immunomodulator drugs (biologics).**

this drug is more likely to cause anemia, and women who are pregnant or planning to become pregnant must avoid it because it may cause birth defects.
 * Thioguanine.**

over-the-counter cream or ointment containing hydrocortisone or salicylic acid to reduce itching and scaling. If you have scalp psoriasis, try a medicated shampoo that contains coal tar. Infections, injuries to your skin, stress, smoking and intense sun exposure can all worsen psoriasis. may decrease the effectiveness of some psoriasis treatments //__**ALTERNATIVE MEDICINE**__// including special diets, creams, dietary supplements and herbs. Some alternative therapies are deemed generally safe, and they may be helpful to some people in reducing signs and symptoms, such as itching and scaling
 * //__HOME CARE__//**
 * Take daily baths.**
 * Use moisturizer.**
 * Cover the affected areas overnight**
 * Expose your skin to small amounts of sunlight.**
 * Apply medicated cream or ointment.**
 * Avoid psoriasis triggers, if possible**
 * Avoid drinking alcohol.**
 * Eat a healthy diet.**

aloe extract cream may reduce redness, scaling, itching and inflammation. You may need to use the cream several times a day for a month or more to see any improvements in your skin.
 * Aloe vera.**

fish oil supplements may reduce inflammation associated with psoriasis, although results from studies are mixed. Taking 3 grams or less of fish oil daily is generally recognized as safe, and you may find it beneficial.
 * Fish oil.**

Dr. Andrew Blauvelt is hot on the trail of the culprits that cause psoriasis. In his research lab at the Portland, Ore., VA Medical Center, Blauvelt and his team are studying the role of cells called IL-23 and Th17 in the development of this chronic, incurable skin disease. Research into the action of these cells is one of the most promising areas in the study of psoriasis.
 * //__psoriasis.org/__//**
 * //__NEW IN FORMATION__//**

Researchers are investigating how the genes in people with psoriasis make them more likely to get the disease than others. There are some possible genetic changes that could explain why psoriasis occurs. Some chemicals in the DNA may have errors. This could lead to missing proteins. It could also lead to the proteins being misshapen or in the wrong place. Some genes may be turned on or off at the wrong rate, because of errors in the regions of DNA that control the production of proteins.

Discovering the genes that cause psoriasis will help identify the cause of this disease. It will go beyond showing that the immune system is activated to telling us //why// it is activated and causes defects in the skin. This will further open the door to better control of psoriasis through more precise and more effective treatments. Once all the genetic factors causing the disease are found, researchers will be able to study why some people get psoriasis and others don't. By understanding how people who develop psoriasis are genetically different than people who do not, scientists may be able to create treatments that "correct" the behavior of cells. Or, they may be able to fix this difference in the genes themselves.

An October 2006 study confirmed the increased risk of cardiovascular disease for psoriasis patients
 * //__RANDOM__//**

Psoriasis can cause considerable emotional distress for patients, including decreased self-esteem, and an increased incidence of mood disorders, such as depression. One study estimates that approximately one-fourth of psoriasis patients suffer from depression

skin cancer known as squamous cell carcinoma and lymphoma. In some instances, these cancers have been associated with specific psoriasis treatments which suppress the immune system. Patients should follow recommended regular health screenings for cancer and avoid high risk behaviors.

some essential oils will help with the itching, the soaps are all natural. //Our handcrafted bar soap is alcohol free, unlike some of those liquid soaps on the market.// Did you know that liquid soapmaking entails the use of alcohol? Even more alcohol is used to clarify the liquid to a clear state. We're not interested in putting alcohol in our products. Alcohol dries the skin. Our soap is alcohol free, designed to be long lasting and deeply conditioning.
 * //__Oregon Soap Shop__//**

Essential Oils are highly concentrated and potent oils extracted from plants, leaves, flowers, roots, buds, twigs, rhizomes, heartwood, bark, resin, seeds and fruits. Each essential oil has it's very own blueprint that is absolutely unique. The combination of the plants blueprints, the energy of the sun, soil, air and water gives each oil its individual perfume and beneficial healing properties. The same species of plant can produce an essential oil with different properties depending on whether it was grown in dry or damp earth, at high or low altitude, or even in hot or cold climates.We do use fragrance oils in some of our soaps, to give our soaps a nice fresh smell!

Honey contains "skin vitamins" and dates back to the days of Cleopatra. Because honey is a humectant, it attracts and retains water, which makes it naturally perfect to add to our soaps. Honey is a natural antibacterial and very safe for the skin and environment. The acids in honey have been known to help one’s skin look youthful. That’s why you‘ll find it in many of the rejuvenating creams and lotions on the market today.
 * Honey**


 * Description of Psoriasis**:
 * Chronic skin disorder
 * Chronic autoimmune disease that appears on the skin. Psoriasis occurs when the immune system sends out faulty signals that speed up growth cycle of skin cells (the immune system mistakes skin as pathogens).
 * Autoimmune- an overactive immune response of the body against substance and tissue present in the body. (Body attacks its own cells)
 * Statistic: Most common autoimmune disease in the U.S. There are as many as 7.5 million American's with psoriasis.
 * Not contagious
 * Treatable but not curable.
 * Characterized by scaling and inflammation of the skin (with or without itching)
 * __Duration time:__
 * Psoriasis is a long-term disorder, although symptoms may come and go.


 * Causes of Psoriasis:**
 * The cause is not fully known
 * Excessive skin reproduction.
 * One key cell is a type of white blood cell called a T lymphocyte or T cell. Normally, T cells travel throughout the body to detect and fight off foreign substances, such as viruses or bacteria. If you have psoriasis, however, the T cells attack healthy skin cells by mistake, as if to heal a wound or to fight an infection. (Causes: Mayoclinic.com)
 * These changes result in an increased production of both healthy skin cells and more T cells and other white blood cells. This causes an ongoing cycle in which new skin cells move to the outermost layer of skin too quickly — in days rather than weeks. Dead skin and white blood cells can't slough off quickly enough and build up in thick, scaly patches on the skin's surface. This usually doesn't stop unless treatment interrupts the cycle.
 * __Triggers:__
 * Change in climate (cold weather)
 * Stress
 * Smoking
 * Heavy alcohol consumption
 * Injury to skin (cut, scrape, bug bite, or severe sunburn)
 * 1/3 of the cases are inherited (Kim Kardashian)
 * The drug lithium, used to treat bipolar disorder, may also be a cause. (also high blood pressure medications)


 * Symptoms:**
 * Red patches of skin covered with silvery scales
 * Small scaling spots (commonly seen in children)
 * Dry, cracked skin that may bleed
 * Itching, burning or soreness
 * Thickened, pitted or ridged nails
 * Swollen and stiff joints

> If your doctor isn't sure whether you have psoriasis, he or she may order a biopsy. Your doctor will remove a small sample of your skin and have it looked at under a microscope.
 * Tests to diagnose psoriasis:**
 * In most cases, your primary care doctor or dermatologist will be able to diagnose psoriasis by checking your skin. However, since psoriasis can look like eczema and other skin diseases, diagnosing it can sometimes be difficult.


 * Different types of Psoriasis:**
 * * In **plaque psoriasis**, rounded or oval patches (plaques) of affected skin usually are red and covered with a silvery scale. The plaques generally grow slowly and occur on the elbows, knees or scalp or near the buttocks. (Most common form*)
 * **Inverse psoriasis**is a plaque type of psoriasis, but its surface is usually moist, the opposite of typical psoriasis plaques. It tends to affect skin creases, especially those in the underarm, groin, buttocks or genital areas or under the breast.
 * In **pustular psoriasis**, the skin patches are studded with pimples or pustules.
 * In **guttate (meaning droplike) psoriasis**, many dime-sized or smaller red, scaly patches develop suddenly and simultaneously, often in a young person who has had a strep throat or a viral upper respiratory infection.
 * **Nail psoriasis:**Psoriasis can affect fingernails and toenails, causing pitting, abnormal nail growth and discoloration. Psoriatic nails may become loose and separate from the nail bed (onycholysis). Severe cases may cause the nail to crumble.
 * **Scalp psoriasis:**Psoriasis on the scalp appears as red, itchy areas with silvery-white scales. You may notice flakes of dead skin in your hair or on your shoulders, especially after scratching your scalp.
 * **Psoriatic arthritis:** In addition to inflamed, scaly skin, psoriatic arthritis causes pitted, discolored nails and the swollen, painful joints that are typical of arthritis. It can also lead to inflammatory eye conditions, such as conjunctivitis. Symptoms range from mild to severe, and psoriatic arthritis can affect any joint. Although the disease usually isn't as crippling as other forms of arthritis, it can cause stiffness and progressive joint damage that in the most serious cases may lead to permanent deformity.


 * Celebrities with psoriasis**
 * Kris Jenner and Kim Kardashian (psoriasis started around age 30)
 * http://thegossipempire.com/wp-content/uploads/2011/07/kim_kardashian_psoriasis-380x276.jpg
 * LeAnn Rimes (psoriasis started at age 2)
 * treats it with stress reduction
 * Caridee English (America's Next Top Model) (psoriasis started at age 5)
 * Psoriasis covered 70% of her body.
 * Last year, she released photos of herself before and after a particularly bad psoriasis flare-up. “I wanted to make it a source of empowerment,” she said of her decision to publish the pictures. “I thought, ‘How can I best utilize this flare-up to help other people?’ I decided I would document myself fully exposed, with the hope that if a girl can see that out in the open, it can give them hope there’s something concrete out there that can help them.” (LINK TO PHOTOS: http://main.stylelist.com/2010/06/04/caridee-english-psoriasis/ )
 * John Livitz (SNL)
 * “There were nights that I would toss and turn from the itchiness and pain,” he wrote in a Huffington Post essay. “In the morning, I would wake up to flakes covering the bed sheets and my clothes. Everywhere I went, I left a little bit of Jon Lovitz behind… only not in a good way.”
 * Jerry Mathers ("Beaver" from //Leave it to Beaver//)
 * “Psoriasis seems funny to people who don’t have it,” he said in an interview with //USA Today//. “But for those who do, it’s not exactly a laughing matter.”
 * Stacy London (//What Not to Wear//)
 * “I want to help empower people to have a very realistic approach in dealing with these kinds of diseases,” she told //OK!// magazine of her decision to get involved. “I really believe that will lead you to a better, sort of more positive outlook on your life.”
 * Art Garfunkle (Simon & Garfunkle)
 * Years ago, he visited Israel’s Dead Sea in an attempt to soothe his itchy symptoms. “I have psoriasis,” he explained shortly after his visit, “and I've been told that if you float in that salty, buoyant water, it’s very good for the skin.” Alas, he said, “I found it not so much therapeutic as beautiful.”

Treatment
 * Jaclyn Freed 2 articles for Nov. 1st.**

When being treated for your psoriasis the doctors are focusing on your skin cell production and areas where the plaque building up to better figure a line of treatment that is going to work best. The types of treatment can be broken up into 3 different groups and then there are a variety of treatments in the groups. The variety of treatments can be used alone or mixed together depending on your skin type and what works best for you life. Some treatments are used every single day others are only used when an out break occurs. Knowing when to use the treatments is very crucial, since most of them take a great toll on your skin and you don’t want to use them when its not required due to all the side effects. The 3 main groups of treatments are Topical, Light Therapy, and Systemic Treatment. When starting treatment the doctor starts you on a Topical treatment, which is a cream of some sorts. Light Therapy is just what is says, its using a type of light whether natural or artificial light to control out breaks. Then lastly, Systemic Treatment is oral or inject medicine to fight from the inside of the body to kill off psoriasis producing cells. Topical has eight different types treatments under it. Topical corticosteroids are a powerful anti-inflammatory that treats mild to moderate psoriasis. The way they work is by slowing down or suppressing your immune system. By doing this it reduces the inflammation of the skin and relieves any itching associated with it. This is also one of the treatments that is used only when an out break in viewable of the skin. A Vitamin D analogue is a synthetic form of Vitamin D. This one also slows down the slow of your skin cells, as well used on mild to moderated psoriasis. It may be used with another topical treatment or with a type of light therapy, depending on what works best for you. Side effects of this are an irritation of skin. Topical Retinoids is a cream that is commonly used for the treatment of acne and sun-damaged skin. However, the topical retinoid Tazarotene was created just for the treatment of psoriasis. It works by normalizing the difference in the DNA sequence in the skin cells. It also has shown signs of decreasing the inflammation. This one has strong side effects, it causes sensitivity to sunlight, which sun screen is a requirement when going out. Another even harsher side effects is birth defects if you were to become pregnant while using Tazarotene. Calcineurin inhibitors is a treatment for atopic dermatitis, but in a current study they found it to be effective on psoriasis as well. Its believed that it interrupts the start of T cells, it stops inflammation as well as plaque build up. It ,however, is not recommend for long term use or continuous use. It has been shown to be helpful in areas of thin skin. Risks of using it are skin cancer, lymphoma, and irritating effects. Salicylic Acid is an OTC drug as well as by prescription. The acid promotes exuviating of dead skin cells and reduces the effects of scaling. It is available in shampoos and scalp solutions. Coal Tar, the oldest treatment for psoriasis, its not known how it works, but it has few side effects. It reduces the scaling, itching, and inflammation. The down fall to using it is the mess it can make. It stains anything it comes in contact with; clothes, bedding, etc.. It also has a very strong odor that is over powering. Availability of it is in OTC shampoos, creams and oils. A higher concentration of it may be obtain by prescription. Lastly for the Topical treatments are moisturizers. These wont heal psoriasis but they reduce itching and scaling. They work by treating the dryness that can result by other treatments. They are more effective than any of the lighter creams and lotions. Moving on to the next group of treatment, Light Therapy or Phototherapy are also treatments for psoriasis. Light therapy is exposing your skin to controlled amounts of light. This treatment includes many forms of light, artificial ultraviolet A (UVA) and/or ultraviolet B (UVB) as examples. Light Therapy is either used alone or combined with other medications. Sunlight whether it be natural or artificial slows the skin cell turnover reduces the flaking and inflammation. When exposure to brief, daily small amounts of light may improve psoriasis, however side effects can cause skin damage. UVB Phototherapy is used in the treatment of single patches, widespread psoriasis. It is used on psoriasis that is not well treated with topical treatments. It has short-term side effects that include; redness, itching and dry skin. A topical moisturizer will relieve the dryness. Narrowband UVB therapy is a newer treatment that may replace a broadband UVB treatment. It is administered 2 to 3 times a week until the skin shows an improvement. The maintenance requires only weekly sessions. Side effects include long lasting burns. Goeckerman Therapy is a UVB and coal tar treatment. These two therapies together are more effective together. The coal tar makes the skin more receptive to UVB light. It once required a 3-week hospital stay, but modern medicine has toned it down to a doctor office visit. Another form is Ingram regimen, which is UVB therapy and a coal bath along with anthralin-salicylic acid paste which is often left on the skin for several hours or even over night. Photochemotherapy or Psoralen Plus Ultraviolet A (PUVA) is a light sensitizing medication that is taken before exposing skin to UVA light. It helps the light reach deeper in to the skin, deeper than a UVB light can go. The medication makes the skin more responsive to the exposure. PUVA takes two to three treatments a week for a number of weeks. It has both short-term and long-term side effects. Short term consist of; nausea, headache, burning and itching. While long-term includes dry, wrinkled skin, freckles, and increased risk of skin cancer including melanoma the most serious form of skin cancer. Excimer laser treats just the area of skin effected by psoriasis. The light is controlled on the plaques to control scaling and inflammation. The healthy skin is unaffected. The laser therapy requires fewer sessions, and only side effects are redness and blistering. Pulsed dye laser uses light to destroy the tiny blood vessels that contribute to psoriasis plaques. Some side effects include bruising for about 10 days post treatment and minimum scarring. Lastly for Light Therapy, Combination light therapy is combining light therapy with treatments to improve the effectiveness. Mostly used when other treatments fail at treating the affected skin. Finally for the treatments, is the Systemic treatment. This includes oral or injected medications. This is usually administered in a doctors office on a weekly, bi-weekly or when an out break occurs. Starting with Retinoids, it is used to treat only the severe cases of psoriasis that has no response to any of the other types of treatments that are available. It slows down your skin cell production. It is not a cure, so after treatment is discontinued the signs and symptoms come back. Effects are severe birth defects, women must MUST avoid pregnancy for at least three years after taking the medication. Methotrexate, an oral medicine, also decreases the production of skin cells and suppresses the inflammation factor. It is taken better in low doses. Side effects include the following; upset stomach, loss of appetite and fatigue. Then when using for longer periods of time side effects include; severe liver damage and decreased production of red an white blood cells and the platelets. Cyclosporine is a immune system suppressant, which is similar to the methotrexatein in effectiveness. The risks are higher, including cancer. The higher doses and longer therapy the bigger the changes of risks will be harder. Hydroxyurea isn’t as effective as cyclosporine and/or methotrexatein, but it can be combined with phototherapy, unlike the others. Side effects are decrease red blood cells, white blood cells, as well as platelets. This is drug shouldn’t be taken if you are or are thinking about becoming pregnant. Immunomodulator drugs (biologics) are administered by intravenous infusion, intramuscular injection or a subcutaneous injection. Mostly used on people that haven’t had a response to traditional therapy. it works by blocking interactions with certain immune system cells. It is derived from a natural source it must be used with caution because of the strong side effects. This must be taken seriously patients need to be screened for tuberculosis. Lastly, for all the groups and treatments is Thioguanine. This is more likely to cause types of anemia in the people taking. Women who are planning to have a family must avoid it at all cost. The birth defects associated with this is extremely serious and should not be taken lightly.

If you are going for a natural way to treat your psoriasis you may have more options than you think. It is a little bit more work than just popping into the doctors office and you should still visit your doctor to oversea the home treatment. These following treatments however will not cause harm to your skin because they are all natural and healthy. Treating in home, you must take daily baths to soak the skin to keep the skin from drying out. Applying a moisturizer daily is also required to help with inflammation and the drying of the skin. Keep the skin covered at night to keep the skin from drying out, as well as to keep from itching and aggravating the skin yourself. Make sure to expose the skin to sunlight if at all possible. When the itching and scaling is overwhelming an over the counter cream and/or ointment containing hydrocortisone or salicylic acid will help reduce it. Another possible way of treating is to keep your skin away from things that will trigger the out breaks, infections and injuries that put stress upon your skin only does it harm. Keep skin covered and treat accordingly when you sustain injuries. Lastly, we don’t think about it but what we consume has an effect on our psoriasis condition. If at all you want to avoid any and all alcohol consumption. It lessens the effectiveness of other treatments you might be using or doing. Eating healthier is also a good choice to make. Since we are really what we eat, fried and fatty food keep our skin oily longer which is a trigger for an outbreak on some people. Since these are home treatments they aren’t as effective as a doctors treatment but they will help. Creams and ointments that are alternative medicines may also help with the home remedies. Aloe Vera and Fish oil are the top natural creams to use. Aloe Vera can reduce the redness, scaling, itching and the inflammation. You may need to use the cream several times a day for a month or more to see improvements. Fish oil supplements can reduce inflammation as well. Taking it daily you may see improvements and it may be beneficial for you.

( Christina: 2 articles: "Psoriasis & Diet" and "Psoriasis & Exercise." )

Psoriasis and Diet
Although many people assume -- and some are utterly convinced -- that their diet affects their psoriasis, no studies have shown a connection. That's not to say that there might not be one. It's just that so far, there is no proof. According to most experts, the best dietary advice for people with psoriasis is the same as it is for anyone else: eat a sensible diet, low in fats and sweets and high in fruits and vegetables. While you're at it, get regular exercise.

Still, you shouldn't ignore your own experience with psoriasis. "I always say to patients that if you notice that your skin condition worsens after you eat certain foods, then stop eating those foods and see what happens," says Bruce E. Strober, MD, PhD, co-director of the Psoriasis and Psoriatic Arthritis Center at New York University. While he agrees that no studies have shown any real connection between psoriasis and diet, he believes that some people may have food triggers specific to them.

Beware Miracle Diets for Psoriasis
Despite the absence of scientific evidence, you'll find that there are dozens of psoriasis diets described in books and on web sites. Just about everything has been blamed for psoriasis by somebody -- sugar, junk food, wheat products, tomatoes, coffee, and eggs, to name a few. There are also plenty of theories about what foods might be good, among them //herbal teas, some fruit juices, and fish oil supplements//. Unsurprisingly, psoriasis diets tend to disagree on what's good and what's bad. Jeffrey M. Weinberg, MD, Director of the Clinical Research Center at St. Luke's-Roosevelt Hospital Center in New York City, believes that trying a moderate psoriasis diet is okay, within limits. "When people ask about diets, I tell them that I don't have proof that any diets work or don't work," he says. "As long as people aren't trying diets that are harmful, I don't have a problem with it." **No doctor would argue with a psoriasis diet that cuts down on the amount of junk food and alcohol you consume.** But you should be wary of any extreme diets that make amazing claims, like "curing psoriasis," since they won't work. Also be careful of diets that require you to fast, have routine enemas, or take other extreme measures. Extreme diets can be time-consuming, difficult to stick with and, in some cases, even dangerous. Similarly, don't assume that supplements you purchase in the supermarket are helpful or even safe. Taking supplements in extremely high doses, which is recommended by some dubious psoriasis diet gurus, can be toxic. **Always talk to your doctor before going on any diets or using any supplements or alternative medicines.** You may feel so frustrated with your psoriasis that you're ready to try anything. Be careful. Never let desperation make you gullible.



= = = = =Fighting Psoriasis with Exercise=

Living with psoriasis can be difficult and even discouraging at times. Commonly, people who suffer from this affliction may feel trapped in their bodies and find it difficult to rev up the nerve to do a lot of things they once enjoyed. For some, fitness takes the first hit. Whether because of privacy reasons or physical limitation, some psoriasis sufferers find it hard to bring themselves to exercise as a result of this disease.

This is where Jackie Warner comes in. A fitness pioneer who knows all about keeping fit. After watching her grandmother struggle with psoriasis for many years, Jackie has now invested a generous portion of her time to helping those who suffer with psoriasis find a work out regimen that works for them. She spoke with GalTime to give us some of her inside tips, and give us the low-down on fitting fitness with psoriasis.



Jackie recommends that psoriasis sufferers get in some physical activity everyday. Not only does this physical movement have an anti-inflammatory affect on the body, but it also can help to combat some of the larger physical ailments that sometimes coincide with the disease.
 * __Why It’s Important to Exercise__**

“People with psoriasis should absolutely pay close attention to the co-morbid diseases associated with the disease,” she explains. Sufferers are at a higher risk to develop issues such as diabetes, heart disease and obesity. Therefore, it is imperative that they follow a regular exercise regimen to reduce these risks, and maintain a healthy lifestyle.

Jackie explains that often people who have psoriasis feel self-conscious—making it difficult for them to feel comfortable working out in public places such as gyms or parks. The juxtaposition of living with the disease and people who may not quite understand it can make for a few uncomfortable encounters, which many suffers rather bypass. In addition, Jackie notes that some sufferers may be experiencing physical limitations. She explains that someone with lesions on her feet may find that activities such as walking or squatting become a challenge because of the discomfort caused by shoes.

Jackie suggests purchasing some kind of exercise equipment. It can be basic—something like a resistance band or a yoga mat, so that you may exercise in the comfort of your own home, and engage in activity that is both soothing and good for your body. Every year, there are also several Walks to Cure Psoriasis sponsored by the National Psoriasis Foundation. These are also a great way to get exercise, but also to meet other people who are affected in the same way you may be, Jackie says.
 * Solution:**

Because of Jackie’s personal connection with psoriasis sufferers, she decided to get involved with “Fit in Your Skin”, a unique health and wellness program designed for people living with psoriasis. This program recognizes the limitation of living with this disease, and provides tools for coping. It includes comfortable workouts by Jackie herself that you can do in the privacy of your home, healthy diet tips, and more. Visit www.fitinyourskin.com for a free workout and nutrition DVD specially designed by Jackie Warner.



Jaclyn's 3rd article

Dononex Cream DISCONTINUED LEO Pharma has informed the intention of discounting their Dononex Cream. The discontentment isn’t because of a result of it being unsafe or quality concerns. It is still possible to get the cream from pharmacist who have in available in stock. The Donvonex Ointment will remain available, just the cream is being discontinued.

Reducing the Stress with Your Psoriasis: STUDY This study will examine the effectiveness of tow self-help psychological approaches. It’s aim is to reduce the emotional distress we will with trying to manage the psoriasis. The study will be completely web-based. If you would like to partake in this study please contact Zina Muftin at theUniversity ofSheffield.

Shortage in Materials Having problems getting your Alphosyl HC cream, Elocon cream and Diprosalic? Don’t worry they aren’t being discontinued, it has been confirmed that there is a shortage of the raw materials used to make the creams. Along with supply issues with Elocon cream and the Diprosalic, MSD has not commented when they might be rectified.

LEO Pharmaceuticals Release A New Drug Dovobet Gel has be launched by LEO Pharmaceuticals. The Gel is suitable for treatment of mild or moderate plague psoriasis on the body or scalp. It’s an easy to use one a day get treatment. It aims to offer an alternative formulation to cream/ointments. It is the first of its kind to be a only once a day, dual action gel with a patient friendly treatment choice.

Product Discontinued Confirmation of Polytar AF Shampoo and Exorex Scalp moisturizer has both been discontinued. More information at a later date.


 * Christina 11/7/2011 Articles: **

=What Are Some Promising Areas of Psoriasis Research?=

Doctors are learning more about psoriasis by studying:


 * Genes
 * New treatments that help skin not react to the immune system
 * The association of psoriasis with other conditions such as obesity, high blood pressure, and diabetes.

=There are five forms of psoriasis:=
 * Plaque [plak] psoriasis: The most common form, characterized by inflamed skin lesions topped with white scales
 * Guttate [GUH-tate]: Characterized by small dot-like lesions
 * Pustular [PUHS-choo-ler]: Characterized by pus-filled, blister-like lesions and intense scaling
 * Inverse: characterized by intense inflammation in the folds of the skin
 * Erythrodermic [eh-REETH-ro-der-mik]: Characterized by intense shedding and redness of the skin. If this rare form develops, see a doctor immediately

Approximately 10 percent to 30 percent of people with psoriasis will develop **psoriatic arthritis**. This form of arthritis is similar to rheumatoid arthritis. It can develop at any time, but for most people it appears between the ages of 30 and 50. In psoriatic arthritis, the joints and the soft tissue around them become inflamed and stiff. Psoriatic arthritis can affect the fingers and toes and may involve the neck, lower back, knees and ankles. Having psoriasis does not guarantee that you will eventually develop psoriatic arthritis.

=Beer Consumption Increases Psoriasis Risk= Every week I read several medicine journals and I've decided each month to pick an interesting and quirky study to blog about. This one caught my eye. Who decided to address this question? The Nurses' Health Study has resulted in many important findings some of which have changed the way we practice medicine. This observation about beer consumption may change things for those of you who battle the chronic and debilitating skin condition psoriasis. Findings from the Nurses' Health Study indicate that women who consumed at least five bears per week were at increased risk of developing psoriasis. Here is how it went down: the women were followed over a 14 year period and asked about alcohol consumption. In 2005 they were then asked if they had developed psoriasis and those with new onset psoriasis were analyzed. The relative risk of someone drinking 5 beers per week compared to abstainers was 1.83. **//What is interesting is that this was NOT true for light beer, wine or hard alcohol.//** So, what's the deal and why might this be REALLY interesting. A possible explanation for this study's finding is **//that gluten is found in beer and not in the other alcohols.//** Light beer has some gluten but much less, and only the women drinking BEER had an increased risk for developing psoriasis. Does gluten trigger the onset of psoriasis? We aren't sure but as some of our celiac disease patients report, when they go on a gluten-free diet they notice their psoriasis clears up. It may be worth a try! -Dr O.