It’s a chronic disease of the skin, characterized by itchy lesion with well defined margins and with excessive white color scaling. On attempt to remove the scale it shows pinpoint bleeding. Common sites are scalp, elbow,, knee, trunk, legs and hands, nails etc

it can start at any age and can be seen even with single plaque or multiple lesions.

The disease can be transmitted genetically. There are factors like environment and season, worries stress etc has direct relation with the condition. Certain medicines also aggravate the condition. Remission and Recurrences is the characteristic of the disease and it is very difficult to predict the prognosis of the condition.

There are  many presentations and variants of  psoriasis like Guttate psoriasis, Psoriasis of nails, Psoriatic arthropathy, Psoriasis of oral cavity and genital psoriasis, Inverse psoriasis, scalp psoriasis etc.

What are the treatments available for psoriasis? 

There are medicines that can control the disease. PUVA or Narrow band UVB that  can give very good results for psoriasis for some time, but now with the help of LASERS you can achieve control over the disease for as long as life time.

How does Laser work in psoriasis?

Lasers they inhibit the cell growth cycle by blocking the lymphocytic pathway .It also reverses the inflammatory proliferations in the deeper layers of the skin.

Does it work on all the types of psoriasis?

Lasers work on all the types of psoriasis except the psoriatic arthropathy.

How is the treatment performing?

The treatment is non ablative. The lesion is lased with the Laser delivery hand piece at specific energies. Immediately after the treatment patient can join his daily activity. It has no down time or hospitalization required.

What is the post operative medication required?

You don’t require any kind of post operative medications, rather they are contraindicated. Maximum one may require would be an emollient or an antipruritic as there may be itching sensations as the lesion heals.

How many treatments are required?

Depending upon the extent of the disease, 5 to 20 treatments may be required.

What is the desired interval between 2 treatments?

The interval between two treatments varies from case to case, but it can be any thing between 2 days to 30 days.

Does it cause any side or adverse effect?

No, no side effects are produced with the disease. IT is always very safe laser and maximum it can cause sun burn like effect that requires few hours or days to disappear.

What are the chances of recurrences?

Very few patients require some touch ups in the future may be once in 3 to 4 years. The recurrences are not aggressive until and unless it is produced by some oral medications or secondary changes in the body. The patient will not require even any topical applications in between.

Can it be done on child or pregnant women?

One can perform treatment on child above 4 years of age and even pregnant women as Laser is not teratogenic like retinoid, but the inconvenience caused to the patient and the rest advised to the patients during the pregnancy should be considered.

What are the advantages over the Medications and Phototherapy?

Usual medications used in psoriasis are either Steroids or Immunosuppressive like methotraxate , cyclosporine and  reptavir or the Psoralen .Steroids are one of the silent poison and when given in larger and continuous dosages creates very hazardous effect on all the systems of the body . All the other drugs are immunosuppressive and they may lead to bone marrow suppression and severe immunosupression when given in the large dose or longer duration.