【Common Diseases】Psoriasis
A Complete Guide to Psoriasis Treatment | Hong Kong Editor's In-Depth Compilation
Psoriasis, also known as "psoriasis," is a chronic, autoimmune skin disease characterized by red, scaly patches, and itching. While there's currently no cure, most patients can effectively manage the condition and reduce recurrences through appropriate treatment and lifestyle management. Based on information from the Hong Kong medical community and international research, this editor has compiled detailed treatment options and tips.
1. Common psoriasis treatments in Hong Kong
(1) Topical treatments
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Corticosteroids
Your doctor will prescribe a steroid cream of varying strengths to help reduce redness, inflammation, and itching. These creams are usually used short-term to avoid long-term side effects (such as thinning of the skin). -
Vitamin D analogues (such as Calcipotriol)
It can slow down the excessive growth of skin cells and is often used with steroid ointments to enhance their effectiveness. - Coal tar and salicylic acid ointments <br>Can help remove thick scales and improve skin appearance, but they have a strong odor and may irritate the skin.
(2) Phototherapy
- Narrowband UVB phototherapy is available in some major hospitals or specialist clinics in Hong Kong.
The principle is to use ultraviolet light of a specific wavelength to suppress the immune response and reduce skin cell proliferation. It needs to be performed regularly (such as 2-3 times a week) under the supervision of a doctor.
(3) Systemic treatments
- For moderate to severe psoriasis requiring prescription and monitoring:
- Methotrexate : Suppresses the immune system and reduces inflammation.
- Cyclosporine : Rapidly controls the condition, but requires monitoring of renal function and blood pressure.
- Acitretin (oral tretinoin): Regulates skin proliferation and has strict restrictions on female pregnancy.
- These medications may have significant side effects and must be evaluated by a dermatologist.
(4) Biologics
- Injectable medications that target specific inflammatory molecules in the immune system (such as TNF-α, IL-17, and IL-23).
- In Hong Kong, some public hospitals may need to meet specific conditions before applying for subsidies. Private clinics also provide subsidies, but the fees are higher.
- Examples: Adalimumab, Secukinumab, Ustekinumab, etc.
- The advantages are obvious efficacy and relatively few side effects, but long-term injection and monitoring are required.
2. Common treatment misunderstandings among Hong Kong patients
- Many patients stop taking medication on their own when they see improvement, only to experience a relapse and worsening of their condition. A doctor should lead the treatment plan.
- Over-reliance on folk remedies <br>There are many "secret remedies" online that claim to cure psoriasis, but most lack scientific evidence and may even irritate the skin or damage the liver and kidneys.
- Neglecting mental health <br>Psoriasis affects your appearance and can easily lead to anxiety or depression. Some hospitals in Hong Kong offer medical social workers or psychological counselors for support.
3. Life management and daily care tips
- Keep your skin moisturized : Use a fragrance-free moisturizer, especially immediately after bathing.
- Avoid triggering factors : such as excessive stress, skin injuries, infections, smoking, and excessive drinking.
- Healthy diet : Eat more fish containing omega-3 (such as salmon), more fruits and vegetables, and less high-sugar and high-fat foods.
- Moderate sunlight : Short periods of sunlight can help improve symptoms, but avoid sunburn.
- Exercise and stress relief : Yoga, meditation, jogging, etc. can help reduce stress response.
4. Channels for seeking medical treatment in Hong Kong
- Dermatology clinics in public hospitals : Referral from a family doctor or general practitioner is required and the waiting time may be longer.
- Private dermatology : Treatment can be started quickly, but the cost is higher.
- NGO support : such as the Hong Kong Psoriasis Association, which provides mutual assistance to patients and the latest treatment information.
💡Editor 's Summary <br>While psoriasis can't be cured all at once, modern medicine offers a wide range of treatment options, from topical medications to biologics, tailored to varying severity levels. The key is to seek medical attention early, follow your doctor's instructions, and consistently manage your lifestyle to minimize recurrences and improve your quality of life. The editor also recommends that readers seeking medical treatment in Hong Kong inquire about the latest funding programs and treatment options to mitigate financial burdens.
⚠️ Disclaimer : This article is for reference only and does not constitute any medical advice. The source is referenced from various major medical articles.
