Facial involvement presents as a therapeutic challenge because facial skin is thin, sensitive and more complicated to treat. What are the clinical features of facial psoriasis? Facial psoriasis has various clinical presentations. [dermnetnz.org]

• Dermatitis

  Gisondi P, Ellis CN, Girolomoni G: Pimecrolimus in dermatology: atopic dermatitis and beyond. Int J Clin Pract 2005;59:969–974. [karger.com]

  These include: Periorificial dermatitis (spotty acne-like rash around the mouth, nose and eyelids) Easy bruising and tearing of the skin Thin, transparent skin especially if the eyelids are treated Telangiectasia (enlarged blood vessels) Rarely, increased [dermnetnz.org]

  Topical steroids can cause a variety of side effects, including irritation or rashes (contact dermatitis), thinning of the skin, acne breakouts, excessive hair growth, or changes in skin color. [3] If you experience any of these symptoms, stop using the [wikihow.com]

• Eczema

  Pimecrolimus (Elidel) and tacrolimus (Protopic) are two drugs the FDA has approved for eczema, a different skin condition. Some dermatologists recommend these drugs for psoriasis on the face. [webmd.com]

  Topical pimecrolimus has been shown to be effective in atopic eczema and recently in psoriasis. [karger.com]

• Dry Skin

  Emollients not only reduce the dry skin buildup associated with psoriasis, but they may also make your skin more receptive to other topical treatments. [1] Ask your doctor to recommend an emollient that will work well with your skin type. [wikihow.com]

• Irritability

  However, vitamin D analogues can irritate the skin, so they should be used sparingly and with caution. [4] In many cases, vitamin D will be combined in a cream with corticosteroids. [wikihow.com]

  Eyes Dry, inflamed, irritated eyes Trouble seeing Ears Scales build up and can block your ear canal, causing hearing loss. Usually, psoriasis doesn’t affect the inner ear. [webmd.com]

  The vitamin D analogues, calcipotriol/calcipotriene and calcitriol tend to irritate facial skin. Cream or gel formulations may be tolerated, especially in combination with topical steroids. Coal tar creams may cause staining and irritation. [dermnetnz.org]

Your skin there is thinner and may be more sensitive to treatments. [webmd.com]

The frequency of these treatments may depend on the condition of your skin or the type of UVB treatment. [wikihow.com]

Mansouri P, Farshi S: Pimecrolimus 1% cream in the treatment of psoriasis in a child. Dermatol Online J 2006;12:7. Schleyer V, Landthaler M, Szeimies RM: Novel pharmacological approaches in the treatment of psoriasis. [karger.com]

Systemic treatment Severe facial psoriasis sometimes warrants treatment with tablets or injections such as methotrexate, ciclosporin, acitretin or biologic agents. [dermnetnz.org]

Pimecrolimus and Tacrolimus for the Treatment of Intertriginous and Facial Psoriasis : Are They Effective? Arch Dermatol. 2005;141(9):1152–1153. doi:10.1001/archderm.141.9.1152 Download citation file: © 2019 New! [jamanetwork.com]

What is the prognosis? Facial psoriasis tends to persist, although its severity may vary with season, stress and other factors. It may be a marker of more severe disease with early-onset, long duration and more extensive plaques. [dermnetnz.org]

Cardiovascular risk factors in patients with plaque psoriasis: a systematic review of epidemiological studies. Prey S, Paul C, Bronsard V, Puzenat E, et al. J Eur Acad Dermatol Venereol. 2010 Apr;24 Suppl 2:23-30. Review. 22. [passeportsante.net]

Psoriasis--pathophysiology, conventional, and alternative approaches to treatment. Traub M, Marshall K. Altern Med Rev. 2007 Dec;12(4):319-30. Review. 28. Reimann S, Luger T, Metze D. [passeportsante.net]

Follow your doctor’s instructions for taking the medication so you can prevent side effects, especially with steroids. Ask your doctor if you can use makeup to conceal the psoriasis on your face. Some products can prevent treatment from working. [webmd.com]

Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive [jamanetwork.com]

Prevention, septembre 2000. 26. A report on three recent clinical trials using Mahonia aquifolium 10% topical cream and a review of the worldwide clinical experience with Mahonia aquifolium for the treatment of plaque psoriasis. [passeportsante.net]