Real Doctor, Beautiful Results

Psoriasis

There are a number of points that must be considered in the successful treatment of psoriasis

Exact diagnosis of psoriasis and the sub-type of psoriasis

Contributing factors
Other medical conditions
Topical treatment
Device treatment
Oral and or injection treatment

Exact diagnosis of psoriasis and the sub-type of Psoriasis

Often patients believe that they have psoriasis when in fact they have a condition that appears like psoriasis but is not and requires a different treatment. Examples include eczema, tinea and lupus.

Often patients will have one type of psoriasis, such as guttae and will be treated as if they had plaque type psoriasis.

In order to tailor an appropriate specific treatment modality, the exact diagnosis is mandatory.

Contributing factors

Before starting with medical treatment, Dr. Friedman believes that it is smartest to identify and eliminate any practice which can be contributing to and or causing the psoriasis.

The issues include:

How is the patient washing their psoriasis?
Which type of soap does the patient use?
What does the patient do to alleviate itching?
Does the patient avoid or burn in the sun?
Does the patient use oral or topical steroids?

Other medical conditions

Does the patient have a disease requiring the use of lithium antimalarial or beta-blocker medications?

Topical Treatment

Almost every psoriatic patient will be advised to start on a topical regimen consisting of one to two prescription creams for twice daily use. Often, the proper use of the appropriate creams can help patients avoid taking oral medications or device treatments. Once the psoriasis is controlled, Dr. Friedman will reduce the number of creams so as to maintain the results.

Device Treatment
Dr. Friedman adds to the topical regimen, a targeted 311nm phototherapy device for those patients who either have not had the desired results and or have more moderate disease necessitating the phototherapy device from treatment onset.

The device treatments are performed once a week and most patients require six to ten treatment sessions.
The advantage of the targeted phototherapy over the standard phototherapy widely available is that the targeted phototherapy works faster and is safer. The targeted phototherapy is safer since only the affected psoriasis receives the light , allowing for fewer treatment sessions with higher energy used.

How does Dr. Friedman approach his psoriasis patients?

Every psoriasis patient is unique and must be treated as an individual. Your particular case will be analyzed and a treatment program that you can live with will be personally developed for you by Dr. Friedman.

How Do I Get Started?

Dr. Friedman and his staff will be happy to discuss our treatments for all concerns regarding your skin. Please feel free to call for a private consultation at one of our offices in Jerusalem or Tel Aviv. Dr. Friedman and his staff provide personalized care to residents of the Jerusalem and Tel Aviv areas with state-of-the-art technology for optimal health, aesthetics and patient satisfaction. To receive more information or schedule a consultation, please feel free to call 02 563 5673 or 03 612 2322 to speak with our friendly staff.