How can psoriasis be safely managed in a 41-year-old?
Patient's Query
Hello doctor,
I am 41 years old. I have had psoriasis for almost ten years, mainly on my elbows and scalp, and recently, I got patches on my lower back. It is very itchy and embarrassing, especially when people notice the scales. I have used creams and UV (ultraviolet) therapy, but the results do not last. Blood work showed mildly high cholesterol, and joint pain is starting in my knees, maybe psoriatic arthritis. My doctor mentioned biologic injections, but I am worried about infections.
Are there only effective long-term treatments, or any other safer options?
Please suggest.
Thank you.
Hello,
Welcome to icliniq.com.
I have read your query and can understand your concern.
Psoriasis is an autoimmune condition that typically leads to silvery white scales on the skin. The skin layers regenerate way faster than the areas with normal skin. As a result, too much keratin keeps getting deposited on the upper layers of skin, leading to visible scales. I understand that psoriasis can be very uncomfortable to deal with and often leads to social stigma, but this disease is well-known to people.
Topical ointments and oral immunosuppressants do help and keep symptoms under control. However, periods of stress, like an improper sleep schedule, unhealthy lifestyle, etc., can cause a flare-up of symptoms for any autoimmune disease in the body. Joint involvement is called psoriatic arthritis, and again, it can only be managed symptomatically, as there is no cure.
Biologics are a very safe option for psoriasis. Many people have shown positive results and feedback, and studies are still ongoing to develop better and more effective biologics. You can go ahead with the treatment suggested by your treating dermatologist. If comfortable, you may share a picture of the lesions along with the prescription so that I can give you better clarity on the role of each drug that has been prescribed.
I hope this answers your query.
Let me know if I need to assist you further.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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