Skin disorders psoriasis

Methoxypsoralen 188 is a naturally occurring linear furocoumarin found in citrus fruit rind and celery and parsley leaves. The use of oral or topical 5-methoxypsoralen plus UVA irradiation in the management of the skin disorders psoriasis and vitiligo was the subject of a medically oriented review <1998MI667>. 

Desferrioxamine and several related iron chelators have been demonstrated to inhibit the proliferation of a variety of malignant cell lines [148,149] as well proving inhibitory in acute neonatal leukaemia [150]. In addition desferrioxamine also exhibits in vivo anti-malarial activity in both humans and rats [151,152], Iron chelators have also been used to treat the inflammatory skin disorder, psoriasis, where there is hyperproliferation of keratinocytes and T-lymphocytes [153,154], A general problem still to be overcome with a number of powerful iron chelators is their lack of cell specificity and thus general toxicity for example to bone marrow function [144],... 

Anthralin [1143-38-0] is acetylated using acetyl chloride in toluene and a pyridine catalyst to furnish 1,8-dihydroxy-lO-acetylanthrone [3022-61-5], an intermediate in the preparation of medications used in treating skin disorders, such as warts, psoriasis, and acne (38). Sugar esters can be similarly prepared from acetyl chloride under anhydrous conditions (39). 

These dru are contraindicated in patients with known hypersensitivity. Hydroxychloroquine is contraindicated in patients with porphyria (a group of serious inherited disorders affecting the bone marrow or the liver), psoriasis (chronic skin disorder), and retinal disease (may cause irreversible retinal damage). MTX is contraindicated during pregnancy because it is a Pregnancy Category X dmg and may cause birth defects... 

Pemphigus, bullous dermatitis herpetiformis, severe erythema multiforme (Stevens-Johnson syndrome), exfoliative dermatitis, mycosis fungoides, severe psoriasis, severe seborrheic dermatitis, angioedema, urticaria, various skin disorders, such as lichen planus or keloids... 

Topical corticosteroids exert localized anti-inflamma-toiy activity. When applied to inflamed skin, they reduce itching, redness, and swelling. These drugs are useful in treating skin disorders, such as psoriasis, dermatitis, rashes, eczema, insect bite reactions, and first-and second-degree burns, including sunburns. 

Psoriasis is a common inflammatory skin disorder which is estimated to affect 1.5% to 3% of the Caucasian population.1,2 It may present at any age.3,4 Ethnic factors influence disease prevalence. In the United States, prevalence among blacks (0.45% to 0.7%) is lower than in the remainder of the United States population (1.4% to 4.6%).1 Between 10% and 30% of patients with psoriasis will also have psoriatic arthritis.5 In 10% to 15% of psoriatic patients with arthritis, joint symptoms actually appear prior to skin involvement.3 Clinical depression is another frequent comorbid illness in these patients. A recent United States survey showed that 8% to 10% of psoriatic patients aged 18 to 54 years old actively contemplated suicide because of their psoriasis.6... 

Patient age and hormonal status in women should be considered in the initial evaluation of patients with skin disorders. Older patients are predisposed to developing psoriasis, seborrhea, and other skin conditions. Atopic dermatitis is most likely to occur in children. Menopausal women tend to develop brown hyperpigmentation, or melasma. Pregnant women may develop hyperpigmentation of the areola and genitalia as well as melasma. 

The symptoms of many chronic diseases, such as rheumatoid arthritis, multiple sclerosis, asthma and chronic obstructive pulmonary disease (COPD) are caused in large part by an excessive and chronic inflammatory response and are therefore potential human diseases for drugs which inhibit the SSAO/VAP-1 activity. Notably, it has been recently shown that patients suffering from either atopic eczema or psoriasis, both chronic inflammatory skin disorders, demonstrate an increase in SSAO/VAP-1 positive vessels in their skin compared to skin from healthy controls [47,48]. 

A potentially interesting application of (acyloxy)methyl ester prodrugs can be found in delivery through skin of antibacterial agents. Nalidixic acid (8.53, R = H), a topoisomerase II inhibitor, showed promising activity in the treatment of antiproliferative skin disorders, notably psoriasis. To improve the... 

Phototherapy is the generic term covering therapies which use light either with or without a sensitiser. Those that do not require a sensitiser use the natural chromophores within the tissue to perform this function e.g. treatment of vitamin D deficiency in rickets, and neonatal jaundice). Those that do use an added sensitiser include photochemotherapy (largely psoriasis and skin disorders) and photodynamic therapy (currently mainly cancer). Photodynamic therapy is differentiated from photochemotherapy by its additional requirement for the presence of oxygen at molecular or ambient levels.In this text we will deal only with photodynamic therapy since, at the present time, this is the main driving force in phototherapy. ° ... 

ALA-proto-porphyrin IX Levulan (DUSA) 635 (5000) 0.56 60 50-150 500-1500 Skin cancers, dermatological conditions (psoriasis) No skin phototoxicity Can be used topically with blue light for skin disorders (Approved, actinic keratoses)... 

Posner and coworkers have prepared a series of semi-synthetic and synthetic ether and ester-linked dimers that were found to have potent anti-proliferative and antitumour activities in vitro. Some of these trioxane dimers were found to be as antiproliferative as calcitriol, the hormonally active form of vitamin D, which is used to treat psoriasis, a skin disorder characterized by uncontrolled cell prohferation. Of the semi synthetic dimers, a polyethylene glycol-linked dimer 107, with S-stereochemistry at both of the lactol acetal positions, was found to be very anti-proliferative and showed activity against leukaemia and colon cancer cell hues in the National Cancer Institute (NCI), USA 60-cell line assay. 

These are the agents which can be used in various skin disorders e.g., atopic dermatitis, seborrheic dermatitis and certain types of psoriasis and other related disorders. 

Early in the course of lithium therapy, exacerbations of psoriasis and acneiform eruptions as well as other skin reactions may occur. Possible mechanisms have included lithium s ability to decrease cAMP as well as to increase the number and activity of polymorphonuclear leukocytes. Those with a predisposition to skin disorders are most at risk for this complication, with women more likely than men to experience a dermatological reaction to lithium. These problems may clear spontaneously or may require lithium dose reduction, appropriate dermatological intervention, or lithium discontinuation ( 77). 

The most frequent skin disorder, which affects about 2% of the world s population is psoriasis. The thickened, scaly patches can cover much of the skin and become disabling. The inflammation and excessive epidermal growth are usually a T-cell mediated immunologic response to antigenic stimuli.P u v However, there is a hereditary form.31 Other common skin disorders include actinic keratosis induced by light and cancer. 

Psoriasis is a chronic skin disorder, in which an abnormally fast transition of basal cells into corneocytes results in a thickening of the stratum corneum. Transmission electron microscopy studies show an aberrant stratum corneum lipid ultrastructure in psoriatic skin [66], which is expected to be related to abnormalities in the lipid profile. Particularly, a significant reduction in ceramide 1 and a predominance of sphingosine ceramides at the expense of phytosphingosine ceramides are reported in psoriatic stratum corneum [67,68],... 

Daily administration of colchicine is useful for the prevention of attacks of familial Mediterranean fever (familial paroxysmal polyserositis) and for prevention and treatment of amyloidosis in such patients. Colchicine appears to benefit patients with primary biliary cirrhosis in terms of improvement of liver function tests and perhaps of survival. Colchicine also has been employed to treat a variety of skin disorders, including psoriasis and Behcet s syndrome. 

These properties could provide additional preventive/therapeutic effects toward psoriatic lesions. Thus, the potential use of green tea constituents as an alternative nontoxic preventive agent or therapeutic component to treat psoriasis and other skin disorders needs to be explored. 

The stratum corneum consists of denucleated corneocytes filled with cross-linked proteins, while the intercellular space is occupied by lipids synthesized prior to and during cornification [24], Formation of this barrier relies on the cornification of epidermal keratinocytes, which undergo growth arrest, terminal differentiation, and an epidermal-specific cell death, referred to as planned cell death [25], Abnormalities in any of these programmed events may lead to epidermal disorders such as psoriasis, atopic dermatitis, and cancer. Flowever, biological events that enable basal cells (stem cells) to proliferate, differentiate, and commit planned cell death are still poorly understood [10]. The keratinocyte differentiation process can be stimulated by prodifferentiation agents such as extracellular calcium and 1,25-dihydroxy cholecalciferol (referred to as vitamin D3 hereafter) [23], Aberrant or absent differentiation can be found in other skin disorders such as atopic keratosis, seborrheic keratosis, and rosacea. 

Many skin disorders are associated with at least one of the characteristics of inflammation, oxidative stress, hyperproliferation, hypodifferentiation, infection, apoptosis, and autoimmune reactions. GTPs are uniquely positioned to antagonize these conditions with anti-inflammatory, antioxidant, antimicrobial, prodifferentiation, anti-apoptosis, and inhibition of autoantigen properties. Thus, many skin conditions, including autoimmune-induced lupus and psoriasis, wounds created by trauma or infections, damage induced by environmental factors such as UVB, and seborrheic dermatitis (dandruff), could be treated or managed by topical application of GTPs. 

Individual disorders Psoriasis,Acne, Urticaria, Skin infections... 

Fumaric acid esters are used to treat a variety of skin disorders, including psoriasis (1), cutaneous sarcoidosis (2), necrobiosis lipoidica diabeticorum (3), and disseminated granuloma annulare (4). 

Skin tolerability in patients with a history of eczema, psoriasis, or other skin disorders has been studied in 1481 participants (33). The adverse effects reported were erythema, rash, pruritus, irritation, edema at the site of application, musculoskeletal pain related to the application site, dreaming, and other sleep disturbances. 

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