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Psoriasis Treatment
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Psoriasis Treatment
Topical Therapies
Topical treatments are often the first line of defense against psoriasis. These treatments are applied directly to the skin to reduce inflammation, slow down skin cell turnover, and alleviate symptoms such as scaling and itching. Common topical therapies include:
- Topical Corticosteroids: These anti-inflammatory medications help reduce redness and itching. They come in various strengths, and your dermatologist will prescribe the appropriate potency based on the severity and location of the psoriasis.
- Topical Vitamin D Analogues: Calcipotriene and calcitriol help slow down skin cell growth and flatten lesions. They are often used in combination with corticosteroids for better results.
- Topical Retinoids: Tazarotene is a vitamin A derivative that helps to reduce inflammation and slow skin cell growth. It can be used alone or in combination with other treatments.
- Coal Tar: This traditional treatment reduces scaling, itching, and inflammation. It is available in shampoos, creams, and ointments and is particularly useful for scalp psoriasis.
- Salicylic Acid: This helps remove scales and smooth the skin. It is often used in combination with other topical treatments to enhance their effectiveness.
Oral Therapies
For moderate to severe psoriasis, oral medications may be necessary to control symptoms and reduce inflammation:
- Oral Retinoids: Acitretin is used to reduce the speed of skin cell growth. It is often used for severe psoriasis that does not respond to other treatments.
- Immunosuppressants: Methotrexate, cyclosporine, and mycophenolate mofetil can be used to manage severe psoriasis by suppressing the immune system's overactivity. These medications are usually reserved for cases that do not respond to other treatments due to potential side effects.
- Oral PDE4 Inhibitors: Apremilast (Otezla) is a newer oral medication that helps reduce inflammation by inhibiting phosphodiesterase 4 (PDE4) enzyme activity. It is effective for moderate to severe psoriasis and has a different side effect profile than traditional immunosuppressants.
Injectable Therapies
Injectable biologic therapies have revolutionized the treatment of moderate to severe psoriasis. These therapies target specific pathways in the immune system that contribute to psoriasis:
- Tumor Necrosis Factor (TNF) Inhibitors: Medications such as adalimumab (Humira), etanercept (Enbrel), and infliximab (Remicade) block TNF, a substance involved in inflammation.
- Interleukin Inhibitors: These include ustekinumab (Stelara), which targets IL-12 and IL-23, and newer drugs like secukinumab (Cosentyx) and ixekizumab (Taltz), which target IL-17, as well as guselkumab (Tremfya) and risankizumab (Skyrizi), which target IL-23. These medications help to reduce inflammation and skin cell production.
Phototherapy
Phototherapy, or light therapy, is another effective treatment option for psoriasis. It involves exposing the skin to controlled amounts of ultraviolet (UV) light under medical supervision:
- Narrowband UVB Phototherapy: This is the most common form of phototherapy for psoriasis. It helps reduce inflammation and slow skin cell turnover. Treatments are typically administered two to three times a week over several months.
- PUVA (Psoralen plus UVA) Therapy: This combines a drug called psoralen with UVA light to enhance the skin's response to light therapy. It is used for more severe cases of psoriasis but is less commonly used due to the potential for side effects.
Comprehensive Psoriasis Management
Managing psoriasis effectively often requires a combination of these therapies tailored to the individual's specific condition and response to treatment. At True Dermatology, our board-certified dermatologists provide personalized care plans to help patients manage their psoriasis and improve their quality of life. Regular follow-ups and adjustments to the treatment plan are essential to achieve the best outcomes.
Contact us now at one of our locations to schedule your consultation:
Newport Beach, Orange County:
Arcadia, Los Angeles:
Monterey Park, Los Angeles:
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Patient success stories
Evlyn O.
As a teenager, I suffered from cystic acne which left some indented acne scars behind. I often felt self-conscious about those scars and decided to make an appointment with Dr. Sung after reading all his amazing reviews. I saw Dr. Sung for a cosmetic consultation and he attentively listened to all my concerns and recommended we try using fillers to fill in the small pits.
Dr. Sung and his wonderful assistant Mary made my first time getting fillers as comfortable and painless as possible. It has only been a few days since the procedure but I can already see a huge improvement in the appearance of my scars. I can finally feel confident in my own skin! Overall, I had a great experience at True Dermatology and would definitely return for all my skin needs. Dr. Sung is a kindhearted and highly-skilled dermatologist who really cares about his patients and I would highly recommend him to all my family and friends.
Gerardo L.
I am an ER physician and a couple of weeks ago my nephew developed a skin condition that I had not seen before. I consulted Dr. Sung right away and sent him a picture. He replied in less than a minute with the diagnosis and treatment. I sent it to my nephews doctors who also didn't know what it was. They were able to confirm the diagnosis and start treatment right away.
Without Dr. Sun's quick diagnosis there would have been a delay of treatment and the infection could have spread to my nephews brain. Luckily it didn't and my nephew is back at home now laughing and playing as before. I went to medical school with Dr. Sung. He was the top student in our class all 4 years and I knew if there is anyone who would have an answer it was going to be him and he did. I knew that he is still the best and is always studying the latest research papers. This is the kind of dermatologist you want taking care of your skin.
Francis S
I found true dermatology through a friend of mine who came here before and came in after discovering hair loss due to an immune reaction that the doctor was able to diagnose immediately. He started me off with some local injections and while i was quite concerned initially due to the large patch of baldness and after a few months it went away completely. Now i can't even spot where the bald soot used to be and i am truly thankful for the treatments. I'm now visiting Dr.sung for preventative hair loss treatments since this seems to be a genetic issue within the family. Highly recommend this caring and thoughtful doctor!!..who would haave thought hair loss could be fixed??!!!
Tina L
I recently saw Dr sung for early signs of hair loss as this is something that runs in our family. He had administered five sessions of the true Derm PRP and several months later i had significant hair growth that people around me have been commenting on. I feel so much more confident and would highly recommend to others and who are also battling out similar conditions. In addition, Dr.sung is very kind and caring which added to the whole experience!
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