Treatment of psoriasis

Excimer laser treatment

Excellent
efficiency

Painless laser treatment

Laser therapy is used for mild to moderate psoriasis, treating only the affected skin without damaging healthy skin. A controlled beam of UVB light is directed at her plaques.

The FDA approved the excimer XTRAC laser for the treatment of psoriasis in 2009. This laser beam concentrates a dose of ultraviolet UVB radiation on the area affected by psoriasis. XTRAC is a device that penetrates the skin and destroys the DNA of harmful T cells that cause psoriasis. The 308nm wavelength is the most efficient and effective painless treatment of psoriatic lesions.

XTRAC is a safe device that provides a safe, painless and effective treatment for psoriasis. The treatment is suitable for children and adults who have a mild to moderate form of psoriasis.

Before and during treatment

Before and during treatment

Before and after treatment

How is it going?

The treatment takes place in the form of irradiation of the area affected by psoriasis. The treatment takes a few minutes depending on the size of the affected area on the body. A minimum of two treatments per week for several weeks is recommended (individually for each patient). The treatment is very short and painless.
After the treatment, the patient may experience mild to moderate side effects such as redness of the skin, burning. In rare cases, blisters, itching, increased pigmentation in the treated areas.

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The treatment must be repeated

The price for treatment is individual and depends on the size of the affected area.
Bearings up to 500 cm2/1 treatment up to 50 euros depending on the size of the affected area. Each additional area of 100 cm2 10 euros.

Price list

The price depends on the extent of necessary treatments. Arrange a consultation with us.

Description of psoriasis

Psoriasis is a chronic skin condition that accelerates the life cycle of skin cells. The result is their rapid accumulation on the surface of the skin. Sharply demarcated red itchy parts, raised deposits that are covered with silvery-white scales are typical. The main goal of treatment is to stop the rapid growth of skin cells.

The disease is related to a problem with the immune system and white blood cells (T cells). These travel through the body to protect it from foreign substances such as viruses or bacteria. In psoriasis, white blood cells attack healthy skin cells as if to heal a wound or fight infection. Overactive T cells therefore trigger increased production of healthy skin cells. Dilated blood vessels in the areas affected by psoriasis create heat and redness in the skin lesions.
Psoriasis is also triggered by skin infections and injuries such as cuts or scratches and severe burns. It appears when a person experiences too much stress, with excessive smoking, heavy alcohol consumption, lack of vitamin D and when taking certain medications, for example, for bipolar disorder, high blood pressure, beta blockers or antimalarials.

The symptoms of psoriasis are different for everyone. Common symptoms include red patches of skin covered with thick silvery scales, small spots (commonly seen in children), dry, cracked skin that may bleed, itching, burning or pain, and swollen, stiff joints.
The size of the affected area can range from a few spots and scales to large eruptions that cover large areas. Most types of psoriasis go through a cycle from its spread to its complete disappearance.

Types of psoriasis

  • Psoriasis vulgaris – the most common form, causes dry red skin lesions (plaques) covered with silvery scales. They can occur anywhere on the body, including the genitals and soft tissue in the mouth.
  • Psoriasis guttata – this type mainly affects children and adolescents. It is usually caused by a bacterial infection. Small spots resemble scale on the bones, hands, feet and scalp.
  • Psoriasis pustulosa – this unusual form of psoriasis can occur in smaller areas on the hands, feet or fingers. It usually develops quickly, with pus-filled blisters.
  • Psoriasis erythrodermica – the least common type, covers the whole body with a red peeling rash that burns.
  • Psoriasis arthritis – in addition to inflamed scaly skin, it causes swollen and painful joints that are typical of arthritis. It can cause stiffness and progressive damage to the joints, which in the most serious cases leads to their permanent deformity.
  • Nail psoriasis – affects the nails, causing them to grow abnormally and change color. Psoriatic nails loosen and separate from the bed (onycholysis). Severe cases can cause the nail to disintegrate.

Diagnostics

Diagnosis In most cases, the diagnosis of psoriasis is relatively simple. A dermatologist will detect it by examining the scalp and nails. He will perform a skin biopsy, taking a small sample of skin for observation under a microscope. The sample is examined to determine the exact type of psoriasis and to rule out other disorders.

Treatment of psoriasis

Psoriasis treatment reduces inflammation and clears the skin. It is divided into three main types: topical treatment, light therapy and systemic drugs.

Topical treatment

It includes creams and ointments that the patient applies to the skin. They effectively treat mild to moderately severe psoriasis. If the disease is more severe, creams are combined with oral medications such as topical corticosteroids, vitamin D analogs, or salicylic acid. They relieve inflammation and itching, slow down the growth of skin cells. Medicines such as Anthralin, in turn, improve the smoothness of the skin. Moisturizers do not cure psoriasis, but they can reduce its dryness. Topically applied coal tar has helped treat psoriasis for centuries. The use of tar is severely limited by its ability to stain everything around it.

Light therapy (phototherapy)

The treatment uses natural or artificial ultraviolet light. The simplest form of phototherapy consists of exposing the skin to controlled amounts of natural sunlight. Even weaker daily exposure and a small amount of sunlight can improve the condition of psoriasis. Other forms of light therapy include the use of artificial ultraviolet light (UVA and UVB), either alone or in combination with medication.
Narrow-band UVB phototherapy is a newer type of psoriasis treatment, it is more effective than broad-band UVB treatment. It is usually applied two or three times a week until the skin condition improves. The Goeckerman method, in turn, combines UVB treatment with the use of coal tar, and the PUVA method is a certain form of photochemotherapy.