Psoriasis

"Psoriasis, or psoriasis, is a chronic inflammatory skin disease that most commonly appears on the scalp, elbows and knees. Affected individuals feel stigmatized because of the often highly visible skin changes, which can affect quality of life."

Dr. med. Intan Pramono, physician
Dr. med. Intan Pramono, physician
Symptoms

Psoriasis symptoms

In psoriatics, the cells of the uppermost skin layer (epidermis) reach the skin surface about seven times faster, resulting in psoriasis. This manifests itself as sharply defined, bright red, dry areas covered with silvery-white scales. In about two-thirds of those affected, nail psoriasis also occurs, in which the fingernails and toenails thicken, become deformed and can develop dimples. It can also affect the joints (psoriatic arthritis). Overall, the skin is dry and the raised plaques are aesthetically disturbing and may itch. Scratching worsens the condition.

Psoriasis in itself is not life-threatening, but often has significant consequences for health, occupation and quality of life. In severe cases, it can lead to inability to work and disability.


Photos and videos

Causes

Psoriasis causes

This abnormality can be caused by various factors, such as a genetic predisposition or immune and inflammatory reactions. External factors can also cause psoriasis, such as infections, stress, and medications (including lithium, antimalarials, and beta blockers).

Treatment

Psoriasis treatment

The selection of the appropriate treatment depends on the patient's individual situation, and various therapies are usually combined. The treatment spectrum ranges from highly effective ointments to strong medications that inhibit the immune system. Supporting any therapy is regular, careful and individually tailored skin care.

Every treatment must begin with a diagnosis. That is why every treatment begins with an examination, after which a therapeutic approach is developed that is tailored to the patient.

Combination with excimer lamp

In recent years, various studies have shown that the simultaneous application of physically generated UV light and local drug therapy leads to faster and better results than local therapy alone. We use the Excimer lampwhich emits so-called UV-B narrow spectrum light (wavelength 308 nm).

This can be applied precisely to the affected areas using stencils, which means low UV exposure for patients. The treatment only takes a few minutes - depending on the number of lesions, of course - and should be carried out twice a week. The dose is increased slightly from treatment to treatment until a slight irritation of the area is achieved.

Further information

Further information

Publications
Tattoos in psoriasis patients: Perceived and objective truths about the Köbner phenomenon.
Rümmelein, B. / SZD 5/2020: 16-17
Publications
Psoriasis therapy with the excimer laser.
Guggisberg, E./Navarini, A./Rümmelein, B. / Aesthetic dermatology skinMAG, Issue 3/20: 16-19
Publications
Combined therapy for psoriasis vulgaris.
Rümmelein, B. / SZD 2/2015
Article
Psoriasis and tattoos - Is the Köbner phenomenon becoming a problem?
Dr. med. (I) Ikonija Koceva
Article
Psoriasis therapy
Dr. med. C. Bettina Rümmelein

Further information

Publications
Tattoos in psoriasis patients: Perceived and objective truths about the Köbner phenomenon.
Rümmelein, B. / SZD 5/2020: 16-17
Publications
Psoriasis therapy with the excimer laser.
Guggisberg, E./Navarini, A./Rümmelein, B. / Aesthetic dermatology skinMAG, Issue 3/20: 16-19
Publications
Combined therapy for psoriasis vulgaris.
Rümmelein, B. / SZD 2/2015
Article
Psoriasis and tattoos - Is the Köbner phenomenon becoming a problem?
Dr. med. (I) Ikonija Koceva
Article
Psoriasis therapy
Dr. med. C. Bettina Rümmelein