An appraisal of measures to prevent and control psoriasis

Prevention in a broad sense refers to limiting the progress of disease at any stage of its course; control refers to reduction in frequency and/or severity of a disease in a population. Measures to prevent and control psoriasis require a knowledge on behalf of both the physician and the patient to recognize genetic and environmental components in the onset and course of the disease. Triggering factors include streptococcal throat infection, injury, drugs, low humidity, and emotional stress. From a study of 102 severely affected psoriasis patients, the "Three-P Concept" for the management of psoriasis has evolved encompassing: (1) prevention of injury, (2) persistence in avoiding overtreatment, and (3) pauses or rest periods in the course of treatment with sedation, emolliation, and humidification. Educating psoriasis patients about their disease and encouraging them to take responsibility for self-care will lessen the morbidity.