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Psoriasis (cont.)

Follow-up After Treatment of Psoriasis

  • Plaque psoriasis is a chronic disease that goes away and returns. Follow-up care depends on the severity of the disease at any given time.
  • If a patient has evidence of psoriatic arthritis, a consultation with a rheumatologist (a physician who specializes in arthritis) is helpful.

Is There a Psoriasis Diet? Can People Prevent Psoriasis?

  • Avoiding environmental factors that trigger psoriasis, such as smoking, and stress, may help prevent or minimize flare-ups of psoriasis. Sun exposure may help in many cases of psoriasis and aggravate it in others.
  • Alcohol is considered a risk factor for psoriasis, even moderate amounts of beer. People should avoid or minimize alcohol use if they have psoriasis. This is especially important if they are taking medications such as methotrexate or acitretin.
  • Specific dietary restrictions or supplements other than a well-balanced and adequate diet are not important in the management of plaque psoriasis.
  • Recently, some data has supported that an "anti-inflammatory" diet that is high in fruits and vegetables and low in saturated and trans fats may help manage psoriasis, although the value in preventing its onset is less certain.

What Is the Prognosis of Psoriasis?

Psoriasis is more of an inconvenience in most cases than it is threatening. However, it is a chronic systemic inflammatory disease for which there is no true cure. The itching and peeling of skin can lead to significant pain and self-esteem issues. By far, the patient's quality of life is affected most with plaque psoriasis. Self-consciousness and embarrassment about appearance, inconvenience, and high costs of treatment options all affect one's outlook when living with psoriasis. It has recently become apparent that most patients with psoriasis are predisposed to diabetes, obesity, and premature cardiovascular disease. It is important that such patients seek good overall medical care aside from simply treating their skin disease. Anxiety, depression, or stress may worsen symptoms and increase the tendency to itch. Most patients can expect significant improvement from the treatment of their psoriasis.

Medically Reviewed by a Doctor on 9/19/2017

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Psoriasis is a chronic, noncontagious, multisystem, inflammatory disorder.

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