Can psoriasis be scratched?

Written by Liu Gang
Dermatology
Updated on September 14, 2024
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Psoriasis, commonly known as psoriasis vulgaris, is a disease that may be related to reduced immunity, genetic factors, and recurrent tonsillitis. Some patients also have a history of trauma. After the onset of the disease, if the symptoms are mild and there is itching, it is permissible to scratch, but the force should be gentle to avoid creating scratches or further injuries on the skin. Otherwise, psoriasis can spread and worsen along these scratches or injuries, a phenomenon known as the Koebner response. If there are many lesions on the body, try to avoid scratching as it can exacerbate the symptoms. Once diagnosed with this disease, it is essential to seek standardized and formal treatment, which generally involves oral medications combined with topical treatments, and the use of narrow-band ultraviolet light therapy, which can be effective.

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Is psoriasis a precursor to AIDS?

Psoriasis is not a precursor to AIDS; they are two separate diseases. Currently, psoriasis is mainly considered to be caused by factors such as genetics, infections, endocrine issues, medication, environment, etc. AIDS, on the other hand, is primarily caused by an infection with the HIV virus, leading to severe immunodeficiency. Therefore, under normal circumstances, psoriasis cannot turn into AIDS, but it is possible for AIDS to be complicated by psoriasis.

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Can psoriasis be cured?

Psoriasis is a type of chronic inflammatory skin disease, with the plaque type being the most common and is treatable. However, symptoms can recur, often worsening in winter and improving in summer. It requires enhanced skin cleansing and moisturizing care, a light diet, supplementation with vitamins and high-quality proteins, and the oral intake of medications such as total glucosides of peony capsules, tripterygium glycoside tablets, folic acid tablets, as well as indigo naturalis psoriasis capsules or curcuma psoriasis tablets. Topical tacalcitol ointment should be applied to the affected skin, combined with physical treatments like narrow-band ultraviolet light therapy. Some cases may require medicated baths or treatment with retinoic acid medications, particularly for special types of psoriasis such as erythrodermic, pustular, and psoriatic arthritis types. (Medication should be used under the guidance of a physician.)

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Has the psoriasis started to peel? Does that mean it's about to get better?

Psoriasis flaking is not a sign of improvement. The primary characteristic of psoriasis is the appearance of small red papules on the body trunk, face, or scalp. As the condition progresses, fine scales will develop on these papules. These are white and will fall off after scratching but will reappear after several days, continuously recurring. When this situation occurs, it is crucial to seek proper treatment at a dermatology department in a reputable hospital. Besides flaking, psoriasis may also cause itching. Try not to scratch repeatedly, as doing so can lead to cuts and wounds, which may worsen the psoriasis through a phenomenon known as the Koebner response. It is advisable to receive proper medical treatment at a reputable hospital.

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How is psoriasis treated effectively?

Psoriasis, commonly known as psoriasis vulgaris, is a disease potentially related to decreased immunity, genetic inheritance, and recurrent tonsillitis. Once this disease occurs, it cannot be completely eradicated and may be carried for life. Therefore, it is crucial to follow standard medical treatments and avoid relying on folk remedies or secret recipes, as they could delay treatment progress. The most common treatment methods include oral and topical medications, such as Xiaoyin granules and compound clobetasol propionate cream. If possible, it is advisable to visit a dermatology department in a reputable hospital for narrowband ultraviolet light therapy. For more severe symptoms, treatment with biological agents through injections is also an option. This disease can achieve clinical control and clinical remission but cannot be completely eradicated.

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Does psoriasis affect the fetus during pregnancy?

Psoriasis generally does not cause any adverse effects on the fetus during pregnancy. Psoriasis is a recurrent chronic inflammatory skin disease, with a long course and a high tendency to relapse. There is a certain hereditary aspect to psoriasis, with about 20% of cases having a family history, but it is not absolute. It is recommended that pregnant women with psoriasis pay attention to nutrition, new lifestyle habits, emotional adjustment, and psychological regulation, as these factors can be helpful during pregnancy for those with psoriasis.