[guide.chat] to carol

  • From: "harold kitching" <harold.kitching01@xxxxxxxxxxxxxx>
  • To: "guide chat" <guide.chat@xxxxxxxxxxxxx>
  • Date: Wed, 10 Apr 2013 15:07:52 +0100

About Psoriasis. 
Psoriasis is a common skin condition affecting up to 3% of the population of 
the United Kingdom and Ireland. 
Psoriasis is an immune condition, which causes symptoms on the skin and 
sometimes the joints. When a person has psoriasis, their skin replacement 
process speeds up, taking just a few days to replace skin cells that usually 
take 21-28 days. This abundance of skin cells builds up to form raised 
'plaques' on the skin, which can also be flaky, scaly, red on caucasian skin, 
darker patches on darker skin tones, and itchy. Psoriasis can occur on any area 
of the body, including the scalp, hands, feet and genitals, although  different 
types.  tend to occur on different areas.Who gets psoriasis?. 
The current thinking is that psoriasis affects between 2% and 3% of the UK 
population- up to 1.8 million people- although this is an estimate. It affects 
males and females equally. Psoriasis can occur at any age, although there seem 
to be two 'peaks'; from the late teens to early thirties, and between the ages 
of around 50 and 60. 
Some people with psoriasis may also get psoriatic arthritis- a type of 
arthritis associated with the skin condition. However, just having psoriasis 
doesn't mean you will get psoriatic arthritis, and not everybody who goes on to 
develop psoriatic arthritis necessarily has psoriasis of the skin, either. Why 
does it happen?. 
Recent research has found that the psoriasis-causing changes in the skin begin 
in the immune system when certain immune cells (T cells) are triggered and 
become overactive. The T cells act as if they were fighting an infection or 
healing a wound, which leads to them producing inflammatory chemicals, again 
leading to the rapid growth of skin cells causing psoriatic plaques to form. 
You may therefore hear psoriasis being described as an "auto-immune disease" or 
"immune-mediated condition". It is not yet clear what initially triggers the 
immune system to act in this way.
Some people will have a family history of the condition, but others may not. A 
flare-up of psoriasis can be triggered by a number of factors, such as stress 
or anxiety, injury to skin, hormonal changes, or certain infections or 
medications.Can psoriasis be treated?. 
Yes, there is a wide variety of  treatments for psoriasis. , and many people 
find that their psoriasis can be managed successfully. However, finding the 
right treatment or combination of treatments can be a process of trial and 
error. Is psoriasis catching?. 
Not at all. It can't be passed from one person to another, nor can it be 
'spread' across the body by touching an area of psoriatic skin to an area of 
non-psoriatic skin.How will psoriasis affect me?. 
Psoriasis is a complicated condition that is very unique to each individual. 
Everyone has different ways in which they cope with their psoriasis, and the 
amount of skin affected by psoriasis can differ markedly from person to person. 
For example, someone with a relatively small amount of skin affected by 
psoriasis may find it difficult to come to terms with, whereas another with 
more affected skin may cope with it much more easily. It is important, 
therefore, that both the physical signs of psoriasis (how much of your skin is 
affected by it) and the psychological aspects of psoriasis (how you cope with 
the condition) are assessed together, and regularly, so that the most 
appropriate treatment can be prescribed.  
Your healthcare professional will asses the extent of your psoriasis and ask 
you how your psoriasis affects you. If you have been prescribed or recommended 
psoriasis treatments, it is always very helpful to bring your treatments to 
your appointment. If you are referred to hospital, you may be assessed by the 
dermatology specialist who will measure your physical signs and symptoms of 
psoriasis using a Psoriasis Area Severity Index (PASI). This tool not only 
assesses how much psoriasis you have, but also the thickness of the plaques, 
level of scaling and the redness of those plaques. A score between 0 and 72 is 
calculated, with anything over 10 being classed as severe psoriasis.  
How well you are coping with your psoriasis, and the impact it may be having on 
your daily life can be measured using the Dermatology Life Quality Index 
(DLQI). This is a questionnaire that you, the patient completes. A score 
between 0 and 30 is calculated, with anything over 10 being classed as having a 
severe impact on your quality of life. It is hoped that as the psoriasis is 
treated, both the PASI and DLQI scores would get lower. 
If you are finding it difficult to cope with your psoriasis, please visit your 
GP, or  get in touch with the Psoriasis Association.  for information and 
advice. 
If you'd like to speak with others who have psoriasis, and share personal 
experiences and advice, feel free to register for our  Connect Forum. . What 
should I do if I think I have psoriasis?. 
The most important thing to do is to make an appointment to see your GP to get 
the diagnosis confirmed. Many dermatological conditions can mimic each other, 
so it's important to make sure the diagnosis is correct. They can then begin to 
treat your skin, or refer you to a Dermatologist to confirm diagnosis and start 
treatment. You can also use the links on the left to learn more about 
psoriasis, or  get in touch with the Psoriasis Association.  if you have any 
questions.
For further information about psoriasis, or for a list of resources used in the 
production of this resource,  please contact the Psoriasis Association. .
September 2012 (Review: Sept 2013)
Under 21? Visit our Psoteen site!  Under 21? Visit our Psoteen site!. . Under 
21? 

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