The features psoriasis challenges in aesthetic care
Abstract
Psoriasis can affect many areas of the body, respectively; treatment should be directed to the affected areas according to their localization. The most difficult in treatment and aesthetic care are considered to be psoriasis of the nails, scalp, and palmar-plantar localization. These areas are visible all the time and well-groomed condition is of great importance for women. This article is devoted to the analysis of data on the peculiarities of care and the complexities of the treatment of psoriasis of aesthetic areas. Nail psoriasis is difficult to treat with topical therapy since the remedy must be optimized for penetration into the nail and surrounding tissues. Part of the inflammation in nail disease is located deep in the nail matrix and, therefore, is difficult to treat locally. Psoriasis of the scalp is difficult to treat with local and phototherapy, due to the need for specific hair and scalp care. Palms and soles often have particularly thick psoriasis plaques, which can interfere with the absorption of topical therapy and resist phototherapy. Patients with predominantly palmar-plantar disease often do not respond to several treatments, and many require combination therapy to control the disease. Collectively, psoriasis of the nails, scalp, and palmar-plantar psoriasis are considered complex conditions and often do not respond to standard treatment protocols and require aesthetic medicine measures.
Keywords: nail psoriasishead psoriasisplaque psoriasisaesthetic medicinephototherapy
References
- Brownstone ND, Hong J, Mosca M, et al. Biologic treatments of psoriasis: an update for the clinician. Biologics. 2021; 15: 39–51.
- Mocanu M, Toader MP, Rezus E, et al. Aspects concerning patient adherence to anti-TNFα therapy in psoriasis: A decade of clinical experience. Exp Ther Med. 2019; 18(6): 4987–4992.
- Lin PT, Wang SH, Chi CC. Drug survival of biologics in treating psoriasis: a meta-analysis of real-world evidence. Sci Rep. 2018; 8(1): 16068.
- Feldman SR, Zhang J, Martinez DJ, et al. Real-world treatment patterns and healthcare costs of biologics and apremilast among patients with moderate-to-severe plaque psoriasis by metabolic condition status. J Dermatolog Treat. 2021; 32(2): 203–211.
- Wu B, Muser E, Teeple A, et al. Treatment adherence and persistence of five commonly prescribed medications for moderate to severe psoriasis in a U.S. commercially insured population. J Dermatolog Treat. 2021; 32(6): 595–602.
- Kisielnicka A, Szczerkowska-Dobosz A, Nowicki RJ. The influence of body weight of patients with chronic plaque psoriasis on biological treatment response. Postepy Dermatol Alergol. 2020; 37(2): 168–173.
- van der Velden HMJ, Klaassen KMG, van de Kerkhof PCM, et al. The impact of fingernail psoriasis on patients' health-related and disease-specific quality of life. Dermatology. 2014; 229(2): 76–82.
- Reich A, Szepietowski J, Adamski Z, et al. Psoriasis. Diagnostic and therapeutic recommendations of the Polish Dermatological Society. Part II: Moderate to severe psoriasis. Dermatol Rev. 2018; 105: 329–357.
- Armesto S, Esteve A, Coto-Segura P, et al. Nail psoriasis in individuals with psoriasis vulgaris: a study of 661 patients [article in Spanish]. Actas Dermosifiliogr. 2011; 102(5): 365–372.
- Werner B, Fonseca G, Seidel G. Microscopic nail clipping findings in patients with psoriasis. Am J Dermatopathol. 2015; 37(6): 429–439.
- Radtke MA, Beikert FC, Augustin M. Nail psoriasis — a treatment challenge. J Dtsch Dermatol Ges. 2013; 11(3): 203–220.
- de Vries AC, Bogaards NA, Hooft L, et al. Interventions for nail psoriasis. Cochrane Database Syst Rev. 2013(1): CD007633.
- Oram Y, Akkaya AD. Treatment of nail psoriasis: common concepts and new trends. Dermatol Res Pract. 2013; 2013: 180496.
- Langley RG, Saurat JH, Reich K, et al. Nail Psoriasis Delphi Expert Panel. Recommendations for the treatment of nail psoriasis in patients with moderate to severe psoriasis: a dermatology expert group consensus. J Eur Acad Dermatol Venereol. 2012; 26(3): 373–381.
- Armstrong AW, Tuong W, Love TJ, et al. Treatments for nail psoriasis: a systematic review by the GRAPPA Nail Psoriasis Work Group. J Rheumatol. 2014; 41(11): 2306–2314.
- De Simone C, Maiorino A, Tassone F, et al. Tacrolimus 0.1% ointment in nail psoriasis: a randomized controlled open-label study. J Eur Acad Dermatol Venereol. 2013; 27(8): 1003–1006.
- Armstrong AW, Siegel MP, Bagel J, et al. From the medical board of the National Psoriasis Foundation: treatment targets for plaque psoriasis. J Am Acad Dermatol. 2017; 76(2): 290–298.
- Medovic MV, Jakovljevic VLj, Zivkovic VI, et al. Psoriasis between autoimmunity and oxidative stress: changes induced by different therapeutic approaches. Oxid Med Cell Longev. 2022; 2022: 2249834.
- Li Y, Cao Z, Guo J, et al. Assessment of efficacy and safety of UV-based therapy for psoriasis: a network meta-analysis of randomized controlled trials. Ann Med. 2022; 54(1): 159–169.
- Zelenková H. Carboxytherapy — a non-invasive method in aesthetic medicine and dermatology, and the combined usage of carboxytherapy and PRP in the periorbital area. Glob Dermatol. 2017; 4(1).
- Kamel AM, Abdelghani R. Carboxytherapy for treatment of localized chronic plaque psoriasis: Clinical and histopathologic evaluation. J Cosmet Dermatol. 2018; 17(3): 527–532.
- Psoriasis Treatments — National Psoriasis Foundation. https://www.psoriasis.org/about-psoriasis/treatments (5.02.2019).
- Feldman SR, Zhang J, Martinez DJ, et al. Real-world treatment patterns and healthcare costs of biologics and apremilast among patients with moderate-to-severe plaque psoriasis by metabolic condition status. J Dermatolog Treat. 2021; 32(2): 203–211.
- Wu B, Muser E, Teeple A, et al. Treatment adherence and persistence of five commonly prescribed medications for moderate to severe psoriasis in a U.S. commercially insured population. J Dermatol Treat. 2021; 32(6): 595–602.
- Bakshi H, Nagpal M, Singh M, et al. Treatment of psoriasis: a comprehensive review of entire therapies. Curr Drug Saf. 2020; 15(2): 82–104.