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Psoriasis Vulgaris, Skin Causes Scaling, Itching, and Crusting

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Psoriasis vulgaris may not be so familiar among Indonesians. Psoriasis vulgaris or commonly only called psoriasis is a disease that attacks skin cells. Psoriasis is basically not contagious and is classified as autoimmune, namely the body's immune system attacks itself. Basically, psoriasis occurs when skin cells produce excessively. In normal conditions, the body will produce and replace dead skin cells in a few weeks. But not for people with psoriasis. They will experience dead skin cell changes in just a matter of days. Finally, there is a buildup of skin cells that form thickening. This is one symptom of psoriasis that is very clearly visible.

Types of Psoriasis

Psoriasis disease consists of several types. Here are some of them: - Plaque psoriasis is the most common type of this disease. Common symptoms are silver scaly skin, dryness, itching, and pain. - Nail psoriasis is a type of psoriasis that affects nails and growth. As a result of this psoriasis, the nails experience discoloration, damage, or detachment. - Inverse psoriasis is a type of psoriasis that attacks the skin in the armpits, groin, under the breast, and around the genitals. Usually, this type of psoriasis is experienced by people who are overweight. Symptoms will be aggravated by friction and sweating. - Psoriasis arthritis is a psoriasis disease that affects your joints, but it will not cause paralysis. The symptoms of psoriasis arthritis are stiffness in the joints and sometimes result in joint pain. Other symptoms are the same as psoriasis in general, which is thickened and scaly skin.


Causes of psoriasis


Until now, the exact cause of psoriasis is unknown. However, genetic or hereditary is referred to as one of the risk factors for psoriasis. Allegedly, a combination of environmental and genetic factors, changing the regulatory system of skin cells that increases a person's risk of developing psoriasis vulgaris. Psoriasis is a chronic skin disease, so it should not be underestimated if symptoms have arisen.


Symptoms of Psoriasis


The symptoms caused by psoriasis are a rash, thick reddish patches, skin peeling like layered white scales and well-defined. If it is very dry, psoriasis will break and bleed. Symptoms of psoriasis are usually accompanied by itching and pain. Knee, legs, lower back, elbows, hands or scalp, are parts of the body that usually feel the effects of psoriasis. However, it does not rule out the symptoms of psoriasis also affects other body parts. Even though most attack adults, children and adolescents can also feel the effects of psoriasis vulgaris. The severity of psoriasis symptoms varies from person to person. Not only that, the intensity of the symptoms can change from time to time. It is possible, patients do not feel the effects of psoriasis for a long time. However, at other times, symptoms of psoriasis that appear so severe that it interferes with activity.


Prevention of Psoriasis


Patients with psoriasis vulgaris will have this disease for life. Therefore, as a precaution, sufferers need to manage factors that are thought to trigger psoriasis so they don't recur. Some experts say stress can trigger psoriasis. Or if symptoms have appeared, stress can cause psoriasis. Therefore, avoiding stress is one of the right precautions if you suffer from psoriasis. Not only that, there are several risk factors that are thought to trigger psoriasis, including throat infections, skin injuries, and the use of certain drugs. As a precaution against psoriasis, you can do an early examination to diagnose it. Examination can be done through physical examination, medical history, and skin biopsy. This biopsy procedure is done by taking a small sample of skin for examination. If you have psoriasis, you can take medication and minimize the risk. 

Proper Psoriasis Treatment 
Generally, psoriasis treatment aims to reduce symptoms and improve skin texture that is affected by this disease. Treatment methods for psoriasis have many types and depend on the type and severity. There are several types of psoriasis treatments that are commonly done, namely:

1. Topical medicine

Psoriasis medications applied to the skin work by reducing inflammation and decreasing the speed of production of skin cells. This drug in the form of ointments and creams, commonly used to treat psoriasis with mild to moderate levels. It can also be used to treat psoriasis that appears on the scalp and is safely combined with shampoo. 

2. Corticosteroids 
Just like topical medications, corticosteroid psoriasis drugs also work by reducing skin inflammation. However, you need to be careful and pay attention to the dose of use, because if excessive can cause skin thinning. Therefore, this type of psoriasis drug can only be used with a doctor's prescription. 
3. Calcineurin Inhibitors 
Calcienurin inhibitors are thought to inhibit the workings of the immune system so as to reduce skin inflammation.

4. Vitamin D analogues 

This drug is a cream that can inhibit skin regeneration. The analogue types of vitamin D that are commonly used are calcipotriol and calcitriol. 
5. Coal tar 
Coal tar has been used as a psoriasis treatment tool for a long time. Its efficacy is reducing thick scales and itching due to psoriasis rash. 
6. Dithranol 
Dithranol is generally used in the short term to treat psoriasis rashes on the legs, arms, and upper body.

7. Light therapy


Light therapy is an alternative treatment for psoriasis that cannot be treated with topical medications. Of course, this therapy must be done by a specialist by using ultraviolet light A and B. The duration of therapy is only a few minutes and is carried out several times a week. Its function is to reduce the speed of production of skin cells.


8. Oral medications, infusions and injections 

Use of oral medications, infusions, or injections is recommended if other treatments are no longer effective for treating psoriasis. There are many other psoriasis treatments that can be used. You only need to consult a doctor to get the right treatment and in accordance with the psoriasis conditions experienced.
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