Psoriasis

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Psoriasis is a non-contagious, 全世界近3%的人口患有终身皮肤疾病. It appears as a red, thickened area with silvery scales that form most often on the scalp, elbows, knees or lower back.

银屑病有多种形式,每一种在严重程度、持续时间、部位、形状和鳞片模式上都不同. The most common form, plaque psoriasis, 开始是小的红色肿块,逐渐增大,然后形成鳞片. 顶部的鳞片很容易经常脱落,但表面以下的鳞片会粘在一起,经常会扩大.

罗利皮肤科对银屑病患者的治疗目标是减少炎症和控制皮肤脱落. We often prescribe medication containing cortisone compounds, synthetic vitamin D analogues, retinoids, tar or anthralin. Light Therapy is another option available as Puva or UVB.

罗利皮肤科的XTRAC准分子激光提供最新的牛皮癣治疗可用和提供快速, effective relief from dry, itchy and unsightly lesions. XTRAC准分子激光器的工作原理是将一束光直接聚焦在病变处, 允许应用高剂量的光迅速清除病变. 在XTRAC激光治疗过程中,大多数患者感觉不到疼痛或不适. 偶尔,患者报告治疗部位有温暖的感觉,类似于轻度晒伤.

轻度至中度银屑病患者,局部治疗没有成功经验, oral medications, injections or traditional phototherapy, should consider undergoing XTRAC Excimer Laser treatments.

牛皮癣的最新医学治疗包括一个新的类别的系统药物称为“生物制剂.” Under this category, we are commonly using Enbrel and Humira. 这些新产品每周通过自我注射的方式注射一次. All of the “Biologics” products function at the immuno-cellular level, blocking the activation of inflammatory cells.

Xtrac Excimer Laser Therapy

UVB(紫外线)是最常见的形式的光疗用于治疗各种皮肤疾病, including psoriasis. 你将暴露在这种高能量紫外线下,时间长短不一. 这种治疗方法不能治愈,但可以有效地控制或改善你的疾病. 患者已经成功地使用这种治疗多年,往往能够维持改善皮肤的清洁在延长的时间.

准分子激光是一种新型的中波紫外线光疗技术,它能发射出更多的选择性光线. 激光发出的光线用于治疗,并趋向于消除那些可能引起烧伤的光线. 临床研究表明,这种治疗可以清除银屑病的范围约10+治疗(其他皮肤状况可能不同的治疗长度),但, 每个人都是不同的,并没有相同的反应,可能需要几个月的治疗,每周一次或两次,以取得更好的结果.

The expected benefits of excimer laser phototherapy are:

  1. Improvement of existing lesions
  2. Reduction of new lesions (new lesions will still come up)
  3. 缓解-在许多情况下,光疗已经导致一个几乎完全清除疾病的过程. The duration of this      remission varies with each patient.
  4. Maintenance therapy may be required.
  5. Treatment of the affected areas only, healthy skin is avoided

Risk and side effects of the excimer laser phototherapy:

  1. The most common side effect of this therapy is UVB induce sunburn. This may occur at any time during therapy. Certain drugs may also cause you to get sunburned. 请告知您的医生/护士您正在服用的任何药物, or any that you begin while undergoing therapy.
  2. A blistering sunburn-type reaction can occur. 如果发生这种情况,在受影响的区域应用多孢素,并用创可贴覆盖. 你仍然可以来到你的治疗区域,水泡将被避免,直到痊愈.
  3. Increased pigmentation may occur, 特别是在晒伤型反应后(在治疗完成后,随着时间的推移,被治疗的区域会变暗和褪色).
  4. 有可能与任何形式的紫外线相比,皮肤癌的发病率增加可能发生在一些患者的后期, usually only with many UV light treatments
  5. UV treatments may cause dryness, flakiness and itching. If this occurs use a moisturizing cream often as needed.
  6. 紫外线疗法会使皮肤随着时间的推移而老化,可能会增加雀斑和皮肤色素沉着.
  7. 紫外线可能会损害眼睛,增加患白内障的风险. This is preventable with protective eye goggles worn during treatment, or you can keep your eyes closed.
Questions on the Xtrac Photomedex Laser Therapy

1. WHO SHOULD CONSIDER THE XTRAC THERAPY?
几乎所有的斑块型银屑病患者都是XTRAC治疗的候选者. 如果你有轻度、中度或重度牛皮癣,你应该考虑XTRAC治疗.

2. ON WHAT BODY AREAS CAN THE XTRAC THERAPY BE USED?
XTRAC治疗可用于任何斑块银屑病,无论在身体的位置. XTRAC疗法对于头皮、膝盖或肘部等难以治疗的部位非常有效.

3. IS THE XTRAC THERAPY SAFE TO USE ON CHILDREN?
Yes. XTRAC治疗已经在几岁大的儿童身上进行.

4. 额外治疗用于孕妇或哺乳期妇女是否安全?
Yes.

5. HOW QUICKLY WILL I SEE RESULTS?
大多数患者在6 - 10次治疗后会开始注意到他们的银屑病的改善, Individual results will vary.

6. IS THERE ANY PAIN ASSOCIATED WITH THE XTRAC THERAPY?
No. Most patients feel no pain or discomfort during the XTRAC Therapy.

7. IS ANESTHESIA REQUIRED WITH THE THERAPY?
No. The XTRAC treatment is pain free.

8. HOW LONG DOES A TREATMENT TAKE?
Treatments are relatively quick. 确切的时间取决于有多少银屑病区域正在接受XTRAC治疗. 通常情况下,病人可以在10到15分钟内进出治疗室.

9. HOW LONG WILL PSORIASIS CLEARING LAST?
Each patient is unique, 但经历过XTRAC疗法的牛皮癣患者发现,这种缓解可以持续很长一段时间, typically 4 to 6 months or longer than other psoriasis treatments.

10. IS THE XTRAC THERAPY COVERED BY MY INSURANCE COMPANY?
主要的保险公司和医疗保险为XTRAC激光治疗牛皮癣提供保险.

11. HOW MUCH DOES THE THERAPY COST?
XTRAC疗法是由大多数保险公司和医疗保险. If you are covered by insurance, 通常情况下,你的成本将是标准的共同支付或扣除成本. 如果您没有保险,我们办公室可以讨论现金支付方案.

12. HOW OFTEN IS THE XTRAC THERAPY GIVEN?
The XTRAC Therapy is performed two times per week. 你的医生会与你讨论适合你需要的最佳治疗方案.

13. 除了额外的治疗,我还可以使用其他的治疗方法吗,比如局部治疗或生物治疗?
是的,我们的服务提供者会在您第一次就诊时为您介绍最佳的治疗方案.

Light Box Therapy

Psoralite 57000C光疗是一种将皮肤暴露在紫外线下的治疗方法. The physician who is treating determines this. Supervised by a physician, 紫外线B (UVB)窄带是中重度银屑病的标准治疗方法. Its actions are to slow down the reproduction of skin cells. In controlled doses, UVB can be used to treat many skin disorders.

Please contact us at 919-876-3656 to learn more about Psoriasis or to schedule an appointment.

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