篮球跨步急停和跳步:How to cure erythrodermic psoriasis?

http://skin-care.health-cares.net/erythrodermic-psoriasis.php

Erythrodermic psoriasis can disrupt the body's ability to control its temperature and can lead to severe illness. In severe cases, people with this type of psoriasis may need to be hospitalized if they have lost a lot of fluid, have an infection or have poor blood flow (circulation). The initial treatment typically includes a combination of topical steroids, moisturizers and oatmeal baths, along with bed rest. However, if the disease worsens, oral medications and even hospitalization may be needed.
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http://www.emedicinehealth.com/psoriasis/page6_em.htm

Psoriasis Treatment

Self-Care at Home
Exposure to sunlight helps many people with psoriasis.

Keeping the skin soft and moist is helpful. Apply heavy moisturizers after bathing.

Do not use irritating cosmetics or soaps.

Avoid scratching or itching that can cause bleeding or excessive irritation.

Soaking in bath water with oil added and using moisturizers may help. Bath soaks with coal tar or other agents that remove scales and reduce the plaque may also help.

Cortisone creams can reduce the itching of mild psoriasis and are available without a prescription.

Some people use an ultraviolet B unit at home under a doctor’s supervision. A dermatologist may prescribe the unit and instruct the patient on home use, especially if it is difficult for the patient to get to the doctor’s office for phototherapy treatment.
Medical Treatment
Psoriasis is a chronic skin condition. Any approach to the treatment of this disease must be considered for the long term. Treatment regimens must be individualized according to age, sex, occupation, personal motivation, other health conditions, and available resources. Disease severity is defined not only by the number and extent of plaques present but also by the patient's perception and acceptance of the disease. Treatment must be designed with the patient's specific expectations in mind, rather than focusing on the extent of body surface area involved.

Many treatments exist for psoriasis. However, the construction of an effective therapeutic regimen is not necessarily complicated.

There are 3 basic types of treatments for psoriasis: (1) topical therapy (drugs used on the skin), (2) phototherapy (light therapy), and (3) systemic therapy (drugs taken into the body). All of these treatments may be used alone or in combination.

Topical agents: Medications applied directly to the skin are the first course of treatment options. The main topical treatments are corticosteroids, vitamin D-3 derivatives, coal tar, anthralin, or retinoids. There isn't one topical drug that is best for all people with psoriasis. Because each drug has specific adverse effects, it is common to rotate them. Sometimes drugs are combined with other drugs to make a preparation that is more helpful than an individual topical medication. For example, keratolytics (substances used to break down scales or excess skin cells) are often added to these preparations. Some drugs are incompatible with the active ingredients of these preparations. For example, salicylic acid (a component of aspirin) inactivates calcipotriene (form of vitamin D-3). On the other hand, drugs such as anthralin (tree bark extract) require addition of salicylic acid to work effectively.

Phototherapy (light therapy): The ultraviolet (UV) light from the sun slows the production of skin cells and reduces inflammation. Sunlight helps reduce psoriasis symptoms in some people. If psoriasis is widespread, as defined by more patches than can easily be counted, then artificial light therapy may be used. Resistance to topical treatment is another indication for light therapy. Proper facilities are required for the two main forms of light therapy. The medical light source in a physician's office is not the same as the light sources generally found in tanning salons.

UV-B: Ultraviolet B (UV-B) light is used to treat psoriasis. UV-B is light with wavelengths of 290-320 nanometers (nm). (The visible light range is 400-700 nm.) UV-B therapy is usually combined with one or more topical treatments. UV-B phototherapy is extremely effective for treating moderate-to-severe plaque psoriasis. The major drawbacks of this therapy are the time commitment required for treatments and the accessibility of UV-B equipment.

The Goeckerman regimen uses coal tar followed by UV-B exposure and has been shown to cause remission in more than 80% of patients. Patients may complain of the strong odor when coal tar is added.

In the Ingram method, the drug anthralin is applied to the skin after a tar bath and UV-B treatment.

UV-B therapy is usually combined with the topical application of corticosteroids, calcipotriene (Dovonex), tazarotene (Tazorac), or creams or ointments that soothe and soften the skin.

PUVA: PUVA is the therapy that combines a psoralen drug with ultraviolet A (UV-A) light therapy. Psoralen drugs make the skin more sensitive to light and the sun. Methoxsalen is a psoralen that is taken by mouth several hours before UV-A light therapy. UV-A is light with wavelengths of 320-400 nm. More than 85% of patients report relief of disease symptoms with 20-30 treatments. Therapy is usually given 2-3 times per week on an outpatient basis, with maintenance treatments every 2-4 weeks until remission. Adverse effects of PUVA therapy include nausea, itching, and burning. Long-term complications include increased risks of sensitivity to the sun, sunburn, skin cancer, and cataracts.
Systemic agents (drugs taken within the body): These drugs are generally started only after both topical treatment and phototherapy have failed. For generalized pustular psoriasis, systemic agents such as retinoids may be required from the beginning of treatment. This may be followed by PUVA treatment. For milder and chronic forms of pustular psoriasis, topical treatment or light treatment may be tried first. Systemic agents may be considered for very active psoriatic arthritis. People whose disease is disabling because of physical, psychological, social, or economic reasons may also be considered for systemic treatment.
Medications
Medications applied directly to the skin are the first course of treatment options. The main topical treatments are corticosteroids, vitamin D-3 derivatives, coal tar, anthralin, or retinoids. For more detailed information on each medication, see Understanding Psoriasis Medications. Generic drug names are listed below with examples of brands in parentheses.

Topical medications

Vitamin D: Calcipotriene (Dovonex) is a form of vitamin D-3 and slows the production of excess skin cells. It is used in the treatment of moderate psoriasis. This cream, ointment, or solution is applied to the skin 2 times a day.

Coal Tar: Coal tar (DHS Tar, Doak Tar, Theraplex T) contains literally thousands of different substances that are extracted from the coal carbonization process. Coal tar is applied topically and is available as shampoo, bath oil, ointment, cream, gel, lotion, ointment, paste, and other types of preparations. The tar decreases itching and slows the production of excess skin cells.
Corticosteroids: Clobetasol (Temovate), fluocinolone (Synalar), and betamethasone (Diprolene) are commonly prescribed corticosteroids. These creams or ointments are usually applied twice a day, but the dose depends on the severity of the psoriasis.
Tree Bark Extract: Anthralin (Dithranol, Anthra-Derm, Drithocreme) is considered to be one of the most effective antipsoriatic agents available. It does have potential to cause skin irritation and staining of clothing and skin. Apply the cream, ointment, or paste sparingly to the patches on the skin. On the scalp, rub into affected areas. Avoid the forehead, eyes, and any skin that does not have patches. Do not apply excessive quantities.
Topical retinoid: Tazarotene (Tazorac) is a topical retinoid that is available as a gel or cream. Tazarotene reduces the size of the patches and the redness of the skin. This medicine is sometimes combined with corticosteroids to decrease skin irritation and to increase effectiveness. Tazarotene is particularly useful for psoriasis of the scalp. Apply a thin film to the affected skin every day or as instructed. Dry skin before using this medicine. Irritation may occur when applied to damp skin. Wash hands after application. Do not cover with a bandage.
Systemic medications (those taken by mouth or injection)

Psoralens: Methoxsalen (Oxsoralen-Ultra) and trioxsalen (Trisoralen) are commonly prescribed drugs called psoralens. Psoralens make the skin more sensitive to light. These drugs have no effect unless carefully combined with ultraviolet light therapy. This therapy, called PUVA, uses a psoralen drug with ultraviolet A (UV-A) light to treat psoriasis. This treatment is used when psoriasis is severe or when it covers a large area of the skin. Psoralens are taken by mouth several hours before PUVA therapy or sunlight exposure. They are also available as creams, lotions, or in bath soaks. More than 85% of patients report relief of disease symptoms with 20-30 treatments. Therapy is usually given 2-3 times per week on an outpatient basis, with maintenance treatments every 2-4 weeks until remission. Adverse effects of PUVA therapy include nausea, itching, and burning. These drugs cause sensitivity to sunlight, risk of sunburn, skin cancer, and cataracts.

Etanercept (Enbrel): This is the first drug that the FDA approved for treating psoriatic arthritis. It is a manufactured protein that works with the immune system to reduce inflammation. Etanercept is given as an injection 2 times per week. The drug can be injected at home. Rotate the site of injection (thigh, upper arm, abdomen). Do not inject into bruised, hard, or tender skin. Enbrel affects your immune system and rarely is associated with heart failure.

Methotrexate (Rheumatrex): This drug is used to treat plaque psoriasis or psoriatic arthritis. It suppresses the immune system and slows the production of skin cells. Methotrexate is taken by mouth (tablet) or as an injection once per week. Women who are planning to become pregnant or who are pregnant should not take this drug. Men must not take this drug if there is a possibility that they will impregnate their partners because it can go into the sperm. The doctor will order blood tests to check your blood cell count and liver and kidney function on a regular basis while on this medicine.

Cyclosporine (Sandimmune, Neoral): This drug suppresses the immune system and slows the production of skin cells. Cyclosporine is taken by mouth once a day. Your doctor will order tests to check your kidney and liver function and levels of cyclosporine in your blood while you are on this medicine. Cyclosporine may increase the risk of infection or lymphoma, and it may cause high blood pressure.

Alefacept (Amevive): In 2003, the FDA approved this drug for the treatment of psoriasis. It suppresses the immune system to slow down the production of skin cells. Alefacept is given as an injection once per week. Women who become pregnant while taking alefacept should be enrolled in the manufacturer’s pregnancy registry by calling (866) 263-8483. Alefacept may increase the risk of malignancy or infection; may cause allergy or swelling of the throat or tongue; and may cause a hard lump, inflammation, or bleeding at the injection site.

You must know about Psoriasis:
Psoriasis is still somewhat of a mystery to health care providers and researchers. One thing that is fairly certain is that it is a genetic condition that involves the immune system; it is not a bacterial infection and can't be spread from person to person. Also, according to the National Psoriasis Foundation, cortisone treatment does cause skin to thin, as do all other steroid medications. When considering different treatments, health care providers and patients must weigh the advantages and disadvantages of specific approaches, and then determine which is best for the patient. Any medical regimen needs to be closely supervised by a dermatologist or other medical provider.

In the past few years, health care providers have developed new light treatments, oral medications, and biologics (medicines made from living organisms) for psoriasis. However, none are curative; they just treat the symptoms. Biologics are of particular interest nowadays because they work against the disease in its early stages and offer advantages over other treatments. Whether or not these new treatments are effective for someone who has a localized case needs to be discussed with a dermatologist or primary care provider.

As for prevention, there is no certain technique for preventing psoriasis from appearing. Psoriasis has no predictable pattern — one could get new spots or patches at any time. For some people, certain triggers bring about a flare of psoriasis: stress, particular types of infections, injury to the skin, certain medications, and weather. Making note of certain triggers and how they affect you may help you manage the condition.

While it's difficult to predict when or if there'll be a cure for psoriasis, researchers do know much more about its causes and the involvement of certain cells. Currently, research is being done to find a cure. In the meantime, we'll keep our fingers crossed.

THE CURE METHOD:
As known, Kangal psoriasis fishy treatment center is unique in the world. Scientific researches and the observation on current patients show us there are many factors to recover the psoriasis in the thermal center. There are mainly 5 natural effect for recovering the psoriasis:

1- The physical contact of doctor fish, 4 to 8 hours decapitage of squams by fish.
2- The effect of selenium that spa has
3- The direct effect of natural ultraviolet radiation thanks to the high altitude (1650 mt.)
4- Jacuzzi effect of the pools since the source of spa is spreaded at the base of the each pool.
5- Reverse Koebner phenomenon
For more information about each method we kindly would like you to browse scientific researches pages. During the treatment sessions, patients also should help themselves in order to get the full advantage of the spa. This point is essentially important for the treatment sessions. Here are the important effects and rules that must be taken great care by the patients:

1- Drinking at least 3 glasses of healing water before breakfast with an empty stomach
2- Entering the pool after having breakfast
3- Therapy starts through healing water rich in minerals and healing fishes.
4- The healing sessions by the doctor fish living at the a water temperature of 37 C (Scientifically no fish live in water with temperature exceeding 28 C). There are 2 different types of this fish: The strikers and lickers
5- Along with the healing water containing the element selenium (known to be most effective in curing dermatological diseases) the healing fish starts the healing process
6- Entering the pool twice a day, staying in the water for eight hours in total per day
7- No alcohol should be taken during the therapy
8- No other medicine or any medication for psoriasis should be taken during the cure
9- The therapy must continue for 21 days; a period of stay of 8 hours per day in the pool must be observed. Patients will gain 100% result by considering this important step
10- Psoriasis affected patients applying these important rules will leave the springs with total healing.

** The concentration of selenium, the friendliest element for the skin is 1g per liter at the spa.

As can be seen from the explanations and the researches, the treatment is a simple collaboration of the nature and the patient. As long as the patient obey the rules, whatever the degree of your illness the success is such close. ..........

Donkeywalker

No,i'can t.I'm only a student,i'm not a doctor.