Psoriasis is a chronic skin disease that is classically characterized by thickened, red areas of skin covered with silvery scales. Psoriasis can range in severity and affect any part of the body, including the nails and scalp. Topical corticosteroids have been the mainstay of topical psoriasis treatment, usually found in the form of creams, ointments, lotions, and foams. New vehicles that are more cosmetically appealing and allow better penetration and efficacy have recently been introduced. Tar products have also been used for decades, effectively. Topical Vitamin D analogs are also beneficial. Research has shown that the activation of T-cells, a type of white blood cell, is the key immune system trigger in the development of psoriasis. Once activated, these cells release cytokines, which are chemicals used by the immune system to communicate messages. In psoriasis, these cytokines tell skin cells to reproduce and mature at an accelerated rate, thereby setting off other reactions that lead to psoriasis.

Biologic therapies, including topical immunomodulators (TIMs) such as tacrolimus ointment and pimecrolimus cream, have been shown to be effective in treating some types of psoriasis. Other treatments for extensive and debilitating psoriasis include the use of ultraviolet light and systemic therapies such as Soriatane , methotrexate, and immunomodalities such as Enbrel. Our approach at DCW is to stay up to date on the research being conducted in this area, and to offer our patients the best therapy available for their condition.



Psoriasis
Eczema
Acne
Pediatric Dermatology
Allergy Testing
Photodynamic Therapy For Pre-Cancerous Lesions
Photodynamic Therapy (PDT) for Acne