Is psoriasis contagious?
Q: Is psoriasis contagious.
A: Psoriasis is somewhat hereditary, but not contagious. Most of the “ringworm” that people refer to as “ringworm” is contagious, such as tinea pedis, tinea nail, and lichen planus. Psoriasis is easily misunderstood to mean that psoriasis is contagious, but in fact it is not.
Q: My mother has tinea capitis, which is round, white and thick, with a lot of flakes and itching.
A: Adults do not suffer from ringworm, except for ringworm (commonly known as scalding head, which is now rare). There is a disease that people often call psoriasis, which is medically known as psoriasis. In fact, it is not ringworm and is not contagious. There is a lot of dandruff in scalp psoriasis, which can be treated with carbotriol scalp application or tacalcitol scalp application.
Q: Can psoriasis invade internal organs?
A: Psoriasis is a benign disease! In general, the health of the whole body is not affected! However, the psychological impact on people should not be underestimated! So, treat psoriasis with a correct attitude, “both suffer from, is safe”, an optimistic state of mind is important! A few patients with psoriasis can develop joint symptoms, called psoriatic arthritis. It often starts with swelling and pain in the interphalangeal joints, and ankylosing spondylitis can occur in severe cases.
Treatment of psoriasis
Q: What treatments are available for psoriasis?
A: There are many treatments for psoriasis. By and large, there are internal medications (such as tretinoin polysaccharide, methotrexate, etc., all internal medications should be taken under the guidance of a professional doctor!) The treatment methods are: external medication, phototherapy (mostly with narrow-wave ultraviolet light at present), hydrotherapy (hot spring bath), etc. The specific treatment plan should be based on the extent of the lesion, the duration of the disease, the location and other factors. In the last decade, biological agents have provided a new way for the treatment of psoriasis and are more frequently used in western countries. Biological agents are also available in China, but this drug is expensive and may recur after stopping!
Q: What are the topical medications for psoriasis?
A1: Commonly used topical medications include corticosteroid ointment; retinoic acid such as tazarotene ointment, Dewi cream; vitamin D3 derivatives such as carbotriol ointment (Darex), tacalcitol ointment (Menger skin); salicylic acid ointment, anthralin ointment, anthralin wax stick, etc. Topical hormone creams should not be used over a large area and for a long time!
A2: Anthralin (dithranol) ointment, anthralin wax stick are all topical drugs officially approved by the state for the treatment of psoriasis, with certain efficacy and low price. The disadvantages of this drug limit its use: one is irritation, which needs to be used from low concentration; the second is staining, which can make clothes dyed red.
A 3: Vitamin A acid class such as tazarotene ointment, Dewi cream for external use has irritation, the initial use of the site can be red, burning sensation, a few days later will reduce. Can not be used on the head, face, pubic area and skin folds. Wash your hands after using the medicine.
Q: 42 years old, psoriasis on lower legs for many years, small area, very itchy, what topical medication should I use?
A: For limited psoriasis, topical medication of vitamin D3 class can be used. In China, there are carbotriol ointment (Darex) and tacalcitol ointment (Moerskin). The newly released Dvorbo ointment (containing the powerful hormone betamethasone and bianpositol) is more effective! Due to the strong hormones contained in DoveBow, it should not be used on the skin folds and face. It is also not suitable for use on children.
Q: My grandfather has been suffering from psoriasis for more than thirty years. If I apply medicine, which one is better to use topically?
A: If the skin lesions are thick, first apply 10% salicylic acid ointment topically. When the lesions are thin, you can use a hormone-containing ointment such as dermaplanin (which can be used continuously for two weeks) and repeat it after a break! For stubborn lesions, you can use Darex ointment or Moerskin ointment topically.
Q: I am 22 years old, female. I have had psoriasis for 8 years, with large patches on my head and back, and also on my legs and arms, and it works with tazarotene gel and harcinexide cream. But it comes back within a week or so of stopping the medication. Can you make it not come back so often?
A: Both of the medications you used are good! Don’t stop taking the medication as soon as the rash gets better. In fact, under the microscope, the lesions are still there! Therefore, after the surface is well, you must continue to medication, can be two or three times a week, maintain a period of time. If available, go to the hospital at the same time for narrow-wave UV treatment to help consolidate the effect!
Q: Are there hormones in any of the topically applied creams? My sister has psoriasis and is 16 years old. Is it bad to apply this for a long time?
A: No. Hormonal creams should properly be called glucocorticoid preparations and are available as ointments, creams, solutions, etc. There are many hormone-free ones for the treatment of psoriasis, such as carbotriol ointment (Darex), tacalcitol ointment (Moerskin), anthralin ointment, anthralin wax stick, tazarotene ointment, pine distillation oil ointment, salicylic acid ointment, etc.
Q: Male, 27 years old, in recent months, my dandruff is particularly high, very itchy, and a large amount of white flakes can be seen at the roots of my hair. I had seborrheic dermatitis, but I am worried about psoriasis?
A: There are two possibilities for large flakes on the scalp: psoriasis and seborrheic dermatitis. The former often has the same lesions in other parts of the body such as the elbows and calves. The former often has the same lesions on other parts of the body such as the front of the elbows and calves. Scalp psoriasis can be treated with Darex application and Mengel Skin application. Seborrheic dermatitis of the scalp can be treated with Celebrex lotion or Hilsen lotion! After that, topical application of bifidazole solution.
Q: My psoriasis is very heavy, there are lesions all over my body and limbs, and topical medication {can’t be used over, what should I do?
A: If the lesions are widespread, the treatment options: one is narrow-wave ultraviolet irradiation treatment (need to go to the hospital), initially three times a week, after good can be reduced to two times a week, or even once! The disease is often heavy in winter and light in summer, thought to be related to ultraviolet light, receive ultraviolet radiation in winter, the treatment effect is very good! Second, internal medication, such as methotrexate tablets, usually once a week, 10 mg each time. This drug has certain side effects and needs to be taken under the guidance of a specialist. Blood leukocytes and liver function should be checked regularly while taking the drug. Once abnormalities appear, it should be discontinued.
Q: Recently, I had a sudden rash all over my body after tonsillitis, red, itchy, with peeling skin, and went to the hospital and said it was acute punctate psoriasis, what should I do?
A1: Acute punctate psoriasis is a special type of psoriasis! The onset of the disease is often accompanied by a history of fever and tonsillitis. The prognosis is good when anti-infective drugs are taken and drugs that clear heat and detoxify the body, such as compound Qing Dai capsules, are taken. About half of the patients with acute punctate psoriasis do not relapse after they get well!
A2: Acute punctate psoriasis occurring after tonsillitis, if treated in time, most of them can gradually subside within one or two months, and some of them do not recur. Take antibiotics. In case of chronic tonsillitis, surgical removal is recommended after anti-inflammatory treatment. Take oral compound penicillin capsules. Use 5% salicylic acid ointment or dermatoprost ointment externally. Diet should be light.
Q: If a psoriasis patient has caused some degree of liver damage due to long-term medication, how should he or she be treated now?
A: Get your liver well first! Chronic liver damage can eventually lead to hepatic steatosis, which is life-threatening. Psoriasis is not life-threatening! For chronic diseases like psoriasis, care must be taken with medication. I often caution patients “not to use life-threatening drugs to treat diseases that may be life-threatening”!
Q: I am 24 years old and have had psoriasis since I was 7 years old. Because I take all kinds of drugs, I have damaged my kidneys, and now I need dialysis, what should I do?
A: Treat the disease right! Some diseases such as psoriasis, the cause of the disease is still not clear and the treatment is not yet curable! But this is a benign disease, not life-threatening! Learn to “live in peace” with the disease! The goal of treatment is to achieve the basic disappearance of the rash! Do not “treat evil”, always use the official state approved drugs. Do not believe in small advertisements, “ancestral secret recipes” and so on. The lesson you learned is extremely deep and painful, so be sure to keep it in mind!
Q: Should I avoid eating psoriasis? Can I eat beef and eggs?
A: Psoriasis is not an allergic skin disease. It is generally not necessary to avoid eating. However, some patients may be aggravated after eating certain foods and should avoid such foods at this time. In short, I advocate that “eat a lesson, grow a wisdom”, found after eating a food aggravated lesions and then taboo! But you don’t have to be afraid to eat much of anything.
Beware of false advertising!
Q: I’m 21 years old and have had psoriasis for seven years, and it came back this winter. My parents are going to give me a prescription and I’ve heard it works well. Do you have any good advice?
A1: There is no cure for psoriasis yet! Be careful of those who claim to be able to cure it. Beware of false propaganda and advertising! Be sure to find out what the ingredients are with any medicine! There are clinics that give small packets of medicine or capsules, claiming to be secret recipes, but refusing to tell you what ingredients they contain. Be especially cautious with such medications, whether they are for internal or external use! My opinion is: If you refuse to tell the ingredients of the medicine, then you should refuse to take it or use it externally! You should use drugs that are labeled with the “State Drug Certificate”!
A2: It can’t be cured. It does not mean that having psoriasis means having a rash for the rest of your life. In fact, most people will be relieved after a period of time. Some can stay for years, and some never do again after being cured. The difficulty is that it is often unpredictable or unpredictable. Only a charlatan would dare to say “I can cure it”! You have to be more careful with those who say such big words to avoid being cheated!
Post: “Pure Chinese medicine for psoriasis, pay after healing, XX city XX county”.
Comment: Please be careful of those who claim to be able to cure psoriasis and pay after the cure! Don’t fall for it!
Palmoplantar pustulosis
Q: How can palmoplantar pustulosis be treated?
A: Palmoplantar pustulosis is a special type of psoriasis, which manifests itself as small pustules on the palms of the hands and the feet and plantars. The pustules are sterile and are not septic infections. The course of the disease is chronic and often recurrent. Treatment is difficult. Patience is needed. It is recommended to soak your hands in hot water at night or soak them in water with Chinese herbs such as Phellodendron, Diyu, and Bitter Ginseng 15 grams each, and then wrap the lesion with plastic wrap after applying compound tretinoin ointment or paregoric ointment, and then apply ichthyol ointment or black bean distillation oil cream on the affected area the next morning. Take Ermiao pill (when not attacked) or Shuanghuanglian oral liquid (when attacked). Also with ultraviolet radiation, can improve the effectiveness of treatment.