Psoriasis and atopic dermatitis: treatment has changed

Psoriasis and atopic dermatitis (eczema) are very common long-term inflammatory skin conditions. For years, many patients simply learned to live with flare-ups, itching and visible patches. Today things are very different: effective treatments allow most people to lead an almost normal life.

An ambitious goal: clear or almost clear skin

With current treatments, the aim is no longer just “a bit better”, but skin that is clear or almost clear, no itch, and a condition that no longer affects sleep, work or social life.

Treatment steps

  • Basic skin care: daily moisturising, gentle cleansers and avoiding triggers. This is the foundation for both conditions.
  • Topical treatments: creams and ointments containing corticosteroids, vitamin D derivatives (in psoriasis) or calcineurin inhibitors, among others.
  • Phototherapy: controlled sessions of ultraviolet light in selected cases.
  • Classic systemic treatments: oral medicines such as methotrexate or ciclosporin.
  • Advanced therapies: biologics (injections that very selectively block the molecules driving inflammation) and new-generation oral medicines such as JAK inhibitors.

Are advanced therapies safe?

They are extensively studied and generally well tolerated. Before starting, blood tests and checks help choose the most suitable option for each patient, followed by regular monitoring.

Beyond the skin

Psoriasis can be linked to psoriatic arthritis and other conditions such as obesity, diabetes or heart disease. Atopic dermatitis is often associated with asthma, hay fever and poor sleep. That is why a full assessment matters.

When to see a dermatologist

If your psoriasis or eczema is not controlled with creams, affects your sleep or quality of life, or you have joint pain, it is worth reviewing your treatment. Book an appointment and we will look at the options together.

This article is for general information and does not replace a medical consultation.

Álvaro Barranquero Fernández - Doctoralia.es

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