Psoriasis is a chronic autoimmune inflammatory condition with multifactorial aetiology including genetic, environmental and immunological factors. Characterized by thickened dry and raised red or silvery/white patches/ plaques on the face, hairline, scalp or other areas w/wo burning, itching, soreness or painful stiff / swollen joints.
Psoriasis
PSORIASIS
PSORIASIS
- Psoriasis is a chronic autoimmune relapsing and remitting inflammatory disorder with a pattern of genetic inheritance whereby 30% of sufferers have a family history
- Environmental triggers include – Sunlight, Infection, immuno-compromised, Trauma, Psychological stress, Hormonal changes, and medication/ vaccine reactions.
- The immunological pathogenesis entails a T-cell mediated cascade with proliferation of cytokines and keratinocyte and increased dermal-antigenic adhesion molecules in vessels, leading to a cyclic inflammatory response.
Sub-Types
Sebopsoriasis: refers to an overlap of psoriasis + seborrheic dermatitis with patches on the face or chest
Flexural: red areas in the groin, armpits or under the breasts.
Guttate: multiple small spots that erupt on the trunk following a sore throat/illness
Erythrodermic: extensive covering >90% of the body surface
Palmoplantar pustular: pus-filled inflamed spots on palms / soles
Pustular: a severe form with red pus filled lesions with tenderness.
PRESCRIPTIVE TREATMENTS
Mild Psoriasis
Topical emolients and vitamin-D supplements have shown to improve and in some cases be sufficient to manage psoriasis. Alternative / Alongside
Moderate Psoriasis
Tetracycline: Doxycycline or Erythromycin /Trimethoprim) + Anti-androgen therapy: Cyproterone Acetate/ Ethinylestradiol Or Isotretinoin
Severe: Psoriasis
Symptoms of fever, arthralgia, bone pain, ulcerated/extensive skin lesions require a dermatology referral plus oral antibiotics +/- Isotretinoin
Advanced Treatments
- Topical corticosteroids (i.e., steroids) reduce skin inflammation, they come in a range of strengths including mild, moderate, strong, note long-term can cause skin thinning
- Combination treatments – combine active ingredients (e.g., Corticosteroid + Vit-D +/or Salicylic Acid) b are unsuitable in pregnancy/breastfeeding/sensitive skin
- Topical calcineurin inhibitors – are suitable for reducing facial inflammation you may experience a burning sensation
- Salicylic acid – helps reduce excessive scaling on thick areas; it is advised to use a moisturiser alongside to minimise dryness
- Vitamin A – (e.g. topical Tazarotene) can improve psoriasis but must be avoided if pregnant/breast-feeding
- Tar Treatments – available in creams, ointment and shampoos reduce inflammation, some report it is messy with a distinct odour
- Anti-psoriatic drugs – (e.g., Dithranol) can treat stubborn areas including knees/elbows
SALON TREATMENTS
Deep Cleanse Facials
Following a skin consultation our specialist commences your facial with a deep cleans & exfoliation with steam, followed by a prescriptive treatments tailored to your skins specific needs
AHA & BHA Peels
Salicylic, Glycolic & Lactic acid peels are effective at removing sebum and dead skin cells + decongesting clogged pores and unplug hair follicles for a clearer more radiant complexion.
Psoriatic Treatments
Treatments effective at reducing inflammation and smoothing thickened psoriatic scales include salicylic or lactic acid peels and moisturising facials, or Intense Pulsed Light (IPL)
Microneedling
Is an effective treatment for skin conditions including acne, stria, dark spots, superficial scars and an impressive anti-aging treatment minimising the appearance of soft lines.
Dermaplaning
Dermaplaning is performed using an exfoliating blade effective at removing dead skin cells & shearing facial hairs, to reveal a smoother, more radiant and youthful looking complexion,
Mesotherapy
A renowned treatment famous for it's active & potent ingredients packed with vitamins A&C, Collagen & Retinol. That have the capability to transform your skin with one course of facials.
