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Proceedings ArticleDOI

Hairbrush for psoriasis scale removal

TL;DR: This technique consists of sucking the flakes without any bleeding with the help of a comb like vacuum device which has an added feature of providing phototherapy from an arrangement of UV light emitting diodes integrated in the device which is safe.
Abstract: Skin is the largest and vital organ for the protection of internal body from the outer environment. But due to the diseases of the skin, the protectiveness and hygiene of the internal body environment is at risk. Among the prevailing skin problems, psoriasis is being a widespread infection which causes irritation. Many people worldwide are suffering from psoriasis which is a recurring problem. In this paper we have developed a technique for the management of scalp psoriasis and skin psoriasis. People with scalp psoriasis are finding it difficult to take hair washes even once in a week. When high tension is applied on the scalp of patients with psoriasis, there is itching and finally bleeding. Therefore our technique consists of sucking the flakes without any bleeding with the help of a comb like vacuum device. With the help of this device, the vacuum created removes the unattached scalp flakes thereby providing a clean scalp. It also has an added feature of providing phototherapy from an arrangement of UV light emitting diodes integrated in the device which is safe.
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Journal ArticleDOI
TL;DR: Management of scalp psoriasis requires long term strategies in order to reach an optimal improvement of the condition, while avoiding the adverse effects associated with the long term use of treatments.
Abstract: Coal tar shampoos, containing 2 to 10% coal tar solution, are effective in scalp psoriasis. However, no double-blind studies are available to support such an assumption. Salicylic acid 5 to 10% has a pronounced keratolytic effect. Salicylic acid should be formulated in an ointment, which can be washed off easily. Crude coal tar is the most effective tar available for the treatment of psoriasis. An important feature of coal tar is its potent efficacy against pruritus. At the scalp, the application of crude coal tar is difficult. Therefore coal tar solution is the most frequently applied tar preparation in scalp psoriasis. Dithranol 0.1 to 3% is manufactured in various formulations. Treatment is initiated at a low concentration and the concentration is increased stepwise until a slight irritation, the feeling of warmth, is reached. In the treatment of scalp psoriasis, cream formulations are used. Imidazole antifungals have been used with success in scalp psoriasis. Overgrowth of the scalp with pityrosporon is a well-known feature of scalp psoriasis and seborrheic dermatitis. In case of resistance to other topical treatments use of a topical or systemic imidazole derivative might be helpful. So far, topical corticosteroids are the most frequently used treatments for psoriasis of the scalp. Corticosteroids inhibit epidermal proliferation, inhibit inflammation and modulate immune functions. Topical corticosteroids are fast acting: within 3 to 4 weeks maximal efficacy is reached. No data are available to support the efficacy and safety of topical corticosteroids during long term use. However, from epidemiologic surveys we know that these treatments are used by the majority of patients for more than 8 weeks. Since 1992 vitamin D3 formulations have been developed for the treatment of psoriasis. Calcipotriol is available in most countries. Tacalcitol is available in Japan and several other countries. Vitamin D3 analogues inhibit epidermal proliferation, enhance cornification and inhibit inflammation. Therefore, vitamin D3 analogues have a substantial antipsoriatic effect. Systemic treatments such as methotrexate, cyclosporine and acitretin are indicated in patients with recalcitrant disease. Management of scalp psoriasis requires long term strategies in order to reach an optimal improvement of the condition, while avoiding the adverse effects associated with the long term use of treatments.

124 citations

Journal Article
01 Jun 1992-Cutis
TL;DR: The frequency, clinical aspects, and treatment of scalp psoriasis in childhood, adulthood, and in the geriatric age groups are described.
Abstract: The scalp is a common site of involvement at onset and throughout the course of psoriasis. Worldwide census studies report that approximately half of the psoriasis population are afflicted with psoriasis of the scalp. We describe the frequency, clinical aspects, and treatment of scalp psoriasis in childhood, adulthood, and in the geriatric age groups. Measures of prevention and control are reviewed.

52 citations


"Hairbrush for psoriasis scale remov..." refers background in this paper

  • ...It can be called as an autoimmune disorder with patches of abnormal skin [2]....

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Journal Article
TL;DR: Narrowband UVB as the most widely used modality of phototherapy for psoriasis has a relatively good efficacy, cost, availability and minimal side effects.
Abstract: This article reviews recent literature on phototherapy for psoriasis, particularly narrowband UVB. The efficacy, safety, tolerability and acceptance of phototherapy are discussed. It focuses in detail on how to improve the efficacy and safety in practice by trying to optimize the protocols, using combination therapy, monitoring the cumulative dose and providing skin cancer surveillance. Careful patient selection, individualized treatment, long-term therapy plan and complex approach to patients are the prerequisites for this. Narrowband UVB as the most widely used modality of phototherapy for psoriasis has a relatively good efficacy, cost, availability and minimal side effects. It represents a valuable treatment, which deserves more utilization and research. Although not so dynamic as in systemic drugs, research into phototherapy is ongoing. Even in the era of biologics, phototherapy remains an important therapeutic modality for psoriasis and other dermatoses and represents an essential part of modern dermatological therapy.

13 citations


"Hairbrush for psoriasis scale remov..." refers background in this paper

  • ...In 1836, world’s first place devoted for the treatment of psoriasis was at Broome Street in New York by Henry Daggett Bulkley [4]....

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  • ...In addition to this, treatment through phototherapy is available in the same device which is cost effective, convenient to use and portable [4]....

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Journal ArticleDOI
TL;DR: The aim of this review is to collate data from research studies on targeted phototherapy and to provide a concise description of currently available devices, their clinical indications and therapeutic efficacy.
Abstract: Summary Targeted ultraviolet B (UVB) phototherapy is defined as UVB radiation applied only to clinically diseased skin, with sparing of adjacent normal skin, unlike conventional phototherapy, which involves irradiation of both diseased and normal skin. Targeted UVB radiation is a relatively new concept, which is now widely available because of advances in technology. Devices developed for targeted UVB phototherapy of the skin include the monochromatic excimer laser and lamp, both of which are now used by dermatologists in developed and developing countries. The aim of this review is to collate data from research studies on targeted phototherapy and to provide a concise description of currently available devices, their clinical indications and therapeutic efficacy. Additionally, potential adverse effects are summarized, and the limitations of these novel devices are highlighted.

10 citations


"Hairbrush for psoriasis scale remov..." refers background in this paper

  • ...The UVB produces a stronger immunosuppressive effect and the DNA is damaged by photoproducts released by UVB and hence UVB is used in this paper [1]....

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Journal ArticleDOI
TL;DR: In the coming review, ‘what is new in phototherapy’ is highlighted by tackling some of the most important studies published during the past year of 2014 by highlighting the efficacy, safety profile, and cost-effectiveness of phototherapy.
Abstract: Phototherapy is a unique tool in the hands of dermatologists that has proved its efficacy, excellent safety profile, and cost-effectiveness along the decades. In this respect, it still stands its ground regardless of the development of newer medications in this rapidly evolving field. Furthermore, it remains a focus of attraction among scientists who will never cease in their attempts to obtain a clearer understanding of its mechanisms of action. Newer protocols aiming for higher efficacy, faster results, and wider safety margin will continue to be suggested and evaluated. In the coming review we will highlight ‘what is new in phototherapy’ by tackling some of the most important studies published during the past year of 2014.

1 citations


"Hairbrush for psoriasis scale remov..." refers background in this paper

  • ...Since the targeted phototherapy narrows down its exposure to only diseased skin, it is possible to provide UVB for long duration without affecting the nearby skin [3]....

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