Psoriasis appears an inflammation of the skin, recognizable as well-defined red areas that are often covered with silvery flakes. The most common areas affected by Psoriasis are the scalp, nails, elbows, knees, abdomen, and lower back/buttocks. Itching may or may not be present.
Psoriasis is caused by an abnormal overgrowth of skin cells in a process driven by inflammation within the skin. Hereditary factors also contribute in about 33% of cases.
Possible Psoriasis Treatments:
- Topical agents for limited areas of skin affected by Psoriasis
- Oral medications have been used to treat Psoriasis for over 50 years
- Ultraviolet light therapy - for large areas affected by Psoriasis
- Laser treatments - for limited areas affected by Psoriasis
- Biologic injectable agents - to treat large areas of skin affected by Psoriasis
Topical Treatments for Psoriasis Topical Steroids, Coal Tar distillates and Anthralin have been used to treat Psoriasis for a long time (over 50 years). Recently, a combination of a Vitamin D derivative (Calcipotriol) and a strong topical Steroid (Betamethasone Dipropionate) named Taclonex has been found to be reliably effective in a majority of cases of Psoriasis with limited skin area involvement. More recently, a novel Vitamin D product named Vectical has also shown marked effectiveness.
Oral Treatments for Psoriasis Methotrexate has been used in the treatment of Psoriasis for almost 50 years. With close supervision, it can be very effective in treating numerous cases of Psoriasis.
Ultraviolet Lamp Treatments for Psoriasis
For patients with large areas of skin involved with Psoriasis, a series of Narrow Band Ultra-Violet treatments can be very beneficial, especially if used in combination with topical treatments. In more severe cases, for women of non child bearing age and for men, adding a Retinoid Soriatane (Acitretin) can be of great benefit. One inconvenience is that 2 or 3 treatments weekly are necessary, often for several weeks.
Laser Treatments for Psoriasis
For more limited areas affected by Psoriasis such as palms and soles, or both, as well as for some large patches on the trunk or limbs, the Extrac Laser (XTRAC) - a relatively new and safe laser treatment - can be very effective. Between 5 and 10 treatments, every 7 to 14 days, can clear up resistant patches. Most insurance plans cover these treatments.
The XTRAC Excimer Laser Treatment System is a laser that emits very concentrated ultraviolet light.
Highly precise and sophisticated, the XTRAC excimer laser allows the physician to concentrate the high dose of UVs right on the problem spot (Excimer lasers are commonly used in eye surgeries).
XTRAC Laser Benefits
Is faster than other psoriasis/vitiligo treatments (single treatment takes only minutes)
Doesn't burn healthy skin with the concentrated UVs
Doesn't require additional topical creams or Psoriasis
There is no risk of skin thinning or stretch marks (as with steroids)
XTRAC is Covered by Insurance
Most insurance companies, including Medicare, BCBS, United etc. cover Psoriasis treatments with XTRAC. Our office can determine if your insurance company will approve this highly effective Psoriasis treatment.
XTRAC for Scalp Psoriasis
XTRAC treats scaly scalp skin plaques affected by Psoriasis quickly and effectively, often in a few brief treatment sessions. Probably the best Psoriasis treatment available today, XTRAC provides long-lasting relief from Psoriasis, typically several months totally free of symptoms.
At Lakeview Dermatology, Drs. Eugene and Steven Mandrea, Board Certified Dermatologists, are proud to offer this higly effective Laser Therapy for Psoriasis (in Palos Heights and Park Ridge), as well as other Psoriasis treatments: Narrow Band UVB Psoriasis Treatment (in Palos Heights) and Biologics Psoriasis Treatment in all 3 Offices.
Biologic Treatments for Resistant Psoriasis
For resistant Psoriasis cases with extensive involvement Biologics have become very popular. There are 2 classes of Biologic treatments for Psoriasis:
At Lakeview Dermatology, Drs. Eugene and Steven Mandrea, Board Certified Dermatologists, provide all the above Psoriasis treatments: Extrac Psoriasis Treatment (in Palos Heights and Park Ridge), Narrow Band UVB Psoriasis Treatment and Biologics Psoriasis Treatment in all offices.
- Anti Tumor Necrosis Factor treatments: The most common in use are: Etanercept (Enbrel) and Adalimumab (Humira). Both can be self-injected subcutaneously by the patient. A 3rd one, Infliximab, has to be injected intravenously in a doctor's office or in a special infusion center. At least 2 new Anti TNF factors are soon to be approved. Before considering biologics, a patient must get a number of tests, especially regarding Tuberculosis, inasmuch as the above mentioned treatments may cause it to flare. Insurance coverage, while not automatically peovided, is relatively easy to obtain.
- T Cell antagonists: Since the withdrawal of Efalizumab (Raptiva), there is mainly one biologic left: Alefacept (Amevive). It is less commonly prescribed than the anti TNF drugs. Same insurance coverage as for the latter.
To discuss your Psoriasis (UVB light and XTRAC laser treatments) Chicago treatment with a Board Certified Dermatologist please make an online appointment or call 773-281-9200 today.Book Online
Prices on website subject to change and may not reflect actual prices after consultation.
Related Dermatologic Conditions:
Actinic Keratoses (precancers)
Basal Cell Carcinoma
Fungal Infections (ringworm, athlete's foot)
Hair Loss/Hair Problems
Herpes Simplex (cold sores)
Herpes Zoster (shingles)
Hyperhidrosis (Excessive Sweating)
Rosacea and Acne Rosacea
Squamous Cell Carcinoma
Psoriasis (UVB light and XTRAC laser treatments) Treatments - Chicago Dermatology Treatments by Board Certified Dermatologists
Psoriasis (UVB light and XTRAC laser treatments) Treatments - Chicago Dermatology - Board Certified Dermatologists