Psoriasis and COVID-19. Treatment and Precautions. | Edutechcore


People with psoriasis may be wondering how COVID-19 will affect them. COVID-19 is a new disease caused by a coronavirus or SARS-Cov-2 infection.

Currently, it is unclear how Covid-19 can affect people with psoriasis, which is an immune-mediated condition. This means the condition occurs as a result of abnormal immune activity. Scientists are also not sure how this could affect the treatment of these individuals.

Some treatments for psoriasis, which are immunosuppressive drugs, can increase the risk of serious illness caused by Covid-19 or the virus. However, its consequences are not yet known.

Continue reading to learn more about the potential risks of Covid-19, including what precautions people can take to reduce the risk of Covid-19 and its complications.

How does Covid-19 affect people with psoriasis?

Psoriasis and COVID-19

The details of how Covid-19 affects people with psoriasis are unknown, but there is no evidence that it affects them more than people without the condition.

According to the National Psoriasis Foundation (NPF), if a person does not take immunosuppressive drugs and is free of other underlying diseases, there may be a “minimal additional risk” of SARS-Cove-2 infection compared to the rest of the population. .

However, the virus is highly contagious, spreads rapidly, and replicates rapidly, putting everyone at risk. Even people with the disease can infect others with the virus.

The NPF notes that people with severe forms of psoriasis, such as those treated for immunodeficiency diseases or those with other medical conditions, may be at higher risk of infection.

Is Covid-19 more dangerous for people with psoriasis?

Because psoriasis is an acute immune-mediated condition, some people may take immunosuppressive drugs to control their symptoms.

These drugs can reduce immune function, which can increase the risk of infection with SARS-Cove-2 or other infectious agents. Immunosuppressive drugs can also increase the risk of severe symptoms.

According to the Centers for Disease Control and Prevention (CDC), conditions or drugs that weaken the immune system and cause people to become immunocompromised increase the risk of severe covid-19.

The International Psoriasis Council (IPC) recommends that people with psoriasis who are diagnosed with COVID-19 consult a doctor about stopping or postponing the use of immunosuppressive drugs.

However, the IPC warns that physicians should carefully measure the risk from the benefit of individual immunosuppressive treatment.

NPF’s medical board does not recommend that people with psoriasis stop their treatment until they have an active infection. They suggest that people in high-risk groups discuss their options with their doctor.

The CDC is listed below as high risk:

  • 65 years and older
  • People living in a nursing home or care facility
  • Smokers
  • With underlying medical conditions (especially if poorly controlled) or risk factors:
  • Chronic lung disease
  • Moderate or severe asthma
  • Severe heart condition
  • Weakened immune systems, for example, due to cancer treatment or HIV
  • Severe obesity
  • Diabetes
  • Acute kidney disease
  • Liver disease

The World Health Organization (WHO) and other expert organizations are still learning about the side effects of Covid-19 on co-patients.

The WHO lists the most common Covid-19 symptoms:

  • Dry cough
  • Fatigue
  • Heat
  • They point out that other possible symptoms include:
  • Throat and pain
  • Diarrhea
  • Difficulty breathing
  • Nose off
  • Runny nose
  • Shortness of breath
  • Throat sore throat

Some people with covid-19 also report a decrease in taste or odor.

Symptoms occur within 2-14 days of viral infection. They range from mild to severe, although most people have a relatively mild form of the disease that does not require specialist hospital treatment.

Some people may be asymptomatic even after testing positive for the virus for Covid-19 reasons. However, asymptomatic individuals can still infect others with the virus.

Extra Care and Caution

The risk of exposure to coronavirus can be reduced by:

  • Wash your hands regularly with soap and water for at least 20 seconds or using an alcohol-based hand sanitizer
  • Maintain a distance of 6-feet (2-meters) or more, especially those that are showing symptoms
  • Stay at home as much as possible and limit how much time they can spend in public places, including parks and grocery stores.
  • Stockpiling food, medicine, and other essentials to reduce the number of trips outdoors
  • Avoid unnecessary travel
  • Clean and disinfect surfaces and objects daily in the home, including plumbing, door handles, toilet handles, and remote controls.
  • Avoid sharing cutlery, towels, and other personal items with family members
  • Isolate yourself as much as possible until sick members of the household have symptoms
  • Covering or masking the face in a public place outside the house
  • Sick persons should wear a mask in the presence of others

Anyone who thinks they are infected should think:

Monitor their symptoms closely and check their temperature daily

Call their doctor immediately if symptoms occur

Seek immediate medical attention if you have difficulty breathing or chest pain

If you feel the need to take measures in a safe place, it is advisable to speak before attending an emergency facility.

The NPF recommends that people with psoriasis discuss their treatment with their doctor. Doctors may recommend continuous medication or a break from them.

It is important that people adjust or stop their treatment only after consulting a doctor.

Treatment and symptom management

So far, there is no specific treatment or vaccine for Covid-19. For those who are infected with the virus and develop symptoms, treatment is to reduce the symptoms. Treatments include:

People with serious illnesses need to be hospitalized. At the hospital the doctor may put them on oxygen or a ventilator or take care of other specialists.

In some cases, the doctor may talk to a person about participating in a clinical trial, which is very important to help the specialist about the disease and find an effective treatment.

People with psoriasis who develop covid-19 should talk to their doctor about their psoriasis treatment when they are sick.

Those who are taking immunosuppressive drugs will often have to stop treatment temporarily until their doctor tells them it is safe to start again. The doctor will recommend other treatments for psoriasis on a case-by-case basis.

What to do if the test is positive

When someone tests positive for coronavirus, their doctor will instruct them to recover. They will also explain to others how to differentiate themselves to reduce the spread of the virus.

People with mild symptoms usually recover at home, while those with serious illnesses usually have to stay in the hospital.

Outlook

It is difficult to determine the perspective of people with COVID-19 and psoriasis, but it usually depends on:

  • The severity of the disease.
  • Age, gender, and ethnicity of the person.
  • Under the presence of additional basic health conditions.

Statistics from China show that 80% of people who develop Covid-19 have moderate to moderate symptoms and recover. Of the rest, 13.8% develop severe disease, and 6.1% become severe and require intensive care.

Immediate medical treatment can improve the outlook of people with serious illnesses and reduce the risk of complications, including pneumonia and organ failure. In some cases, covid-19 can even cause death.

Summary

Currently, experts are well aware of the side effects of Covid-19 of Psoriasis.

However, it appears that those who do not take immunosuppressive drugs and who do not have another co-occurring disorder are at the same risk as the rest of the population.

People who are receiving immunosuppressive therapy who have been diagnosed with Covid-19 should consult a doctor immediately. Doctors often advise you to stop taking these medications until you recover.

There is no specific cure for coronavirus, but individuals can reduce the risk of contracting it by keeping a physical distance from others, avoiding unnecessary public outings, and practicing good hygiene.

People with psoriasis should talk to their doctor about their specific case. The doctor will look into any problem a person has and they can adjust their treatment plan accordingly

Does psoriasis increase the risk of coronavirus contractions or more severe symptoms in 2019?

We are still learning more and more about Covid-19 every day.

It is unknown at this time what he will do after leaving the post.

It is also not known if the risk of a serious form of Covid-19 is increased if psoriasis occurs, you have contracted from the 2019 coronavirus contract.

However, there are some factors that increase the risk of serious illness or complications if you contract a new coronavirus and develop Covid-19.

Psoriasis and COVID-19

Advanced age

According to the Centers for Disease Control and Prevention (CDC), Covid-19 increases the risk of serious illness or complications with age.

For example, a person in their 60s has a higher risk of serious illness than someone in their 50s. Adults aged 85 and over are at the highest risk.

Basic health conditions

According to recent statistics, the CDC has identified the following health conditions as risk factors for serious illness or complications if you develop COD-19:

  • Acute kidney disease
  • Acute obstructive pulmonary disease (COPD)
  • Including heart disease, cardiovascular, coronary artery disease, and heart failure
  • Obesity
  • Sickle cell disease
  • Type 2 diabetes
  • Organ transplants weaken the immune system

Should you continue to take your medication for psoriasis?

Many people with psoriasis take medications that can suppress the immune system. As a result, they may be more likely to become infected. Immunosuppressive therapies used for psoriasis include:

Traditional immunosuppressive therapy. This type of therapy uses drugs that greatly suppress the immune system and help control the symptoms of psoriasis. Some examples include methotrexate and cyclosporine.

Biological therapy. Biology are drugs that target and suppress specific parts of the immune system associated with psoriasis symptoms. Examples of biology are not limited to Itanercept (Enbrel), Delimumb (Hamira) and Eustakinumb (Stella).

So what do you know about these drugs and Covid-19 now? A recent small case study of people taking immunosuppressive drugs such as methotrexate and biologics found that:

In total, 14 out of 86 participants in the study were hospitalized. As of the release date, 11 of them had been discharged.

Of those hospitalized, the percentage of those taking biology was comparable to those taking methotrexate (43 percent).

The overall hospitalization rate for individuals taking immunosuppressive drugs was the same as for the general population.

However, the overall effect of immunosuppressive drugs on the risk of severe COVID-19 disease is still limited. Studies and clinical trials are underway to address this issue.

Current recommendations

The American Academy of Dermatology (AAD) currently recommends that people taking immunosuppressive drugs continue to take them as directed unless they have symptoms of Covid-19 or have tested positive for it.

The CDC also recommends that you take at least a 30-day supply of any medication you are taking, including immunosuppressive drugs. This (epidemic) helps protect your psoriasis medication from expiration all over the country (or continent).

If you are currently taking immunosuppressive drugs for psoriasis and have any questions or concerns related to Covid-19, do not hesitate to talk to your doctor.

They can help you by providing additional information and guidance.

What should you do if you test positive for COVID-19?

Below, we will put down some important things to know if you have psoriasis and tested positive for Covid-19.

Common steps

If you test positive for Covid-19, follow these steps:

Stay home. Plan to stay in your home, without just seeking medical help. If you live with other people, try to isolate yourself by using separate bedrooms and bathrooms if possible.

Consult your doctor. Let them know that you have tested positive for COVID-19. Be sure to discuss your symptoms, how you can ease them, and what medications you are taking. (Epidemic) All over the country (Epidemic) All over the country (or across the continent) are making personal visits and making telephone visits.

Take care of yourself. Follow your doctor’s guidance on how to take care of yourself when you are sick.

Track your symptoms. Carefully track your symptoms. If they get worse, don’t hesitate to seek medical attention.

Specific guidance for people with psoriasis

If you have psoriasis and have tested positive for Covid-19 or have symptoms of Covid-19, the International Psoriasis Council (IPC) recommends that you stop taking immunosuppressive drugs until you have completely recovered.

This recommendation is in line with guidelines from both the AAD and the European Dermatology Forum (EDF). These guidelines state that immunosuppressive drugs should not be used during active infections.

Treatment of mild cases of COVID-19

Most cases of Covid-19 are mild and can be treated at home.

According to the CVC, fever, cough and shortness of breath are usually associated with Covid-1 with, in Covid-19 cases the following symptoms are not usually hospitalized:

  • Fatigue
  • Headaches
  • Pain and soreness on the body
  • Sore throat
  • Runny or tasty nose

Although there are currently no specific treatments approved for Covid-19, there are some steps you can take at home to help reduce the symptoms of a mild event:

Get some rest. Resting helps your body fight infections.

Stay hydrated. Drinking plenty of water helps prevent dehydration.

Use over-the-counter (OTC) medications. OTC medications such as acetaminophen (Tylenol) can help relieve symptoms such as fever, headache and sore throat.

What steps should we take to avoid the 2019 coronavirus contract?

The National Psoriasis Foundation (NPF) encourages people with psoriasis to follow the guidelines of the CDC and the World Health Organization (WHO) that 2019 should not contract coronavirus and get sick in Covid-19.

These include:

Regular hand washing. Wash your hands frequently with soap and water. If this is not available, use a hand sanitizer with at least 60 percent alcohol. Avoid touching your nose, mouth or eyes if your hands are not clean.

• Social (physical) distance Try to limit your contact with people outside your home. Aim for a distance of at least 6 feet (2 meters) if you are going around others.

• Mask-like facial coverings. Covering the face helps to limit the transmission of Covid-19. If you are walking around others, cover your face with a cloth covering both your nose and mouth.

Disinfect Disinfect high-touch surfaces in your home regularly. Examples include doorcombs, equipment handles, and TV remotes.

Staying healthy. Keep taking steps to promote your overall health. Examples include regular exercise, a healthy diet, and stress management.

How to manage your mental health during COVID-19 (epidemic) all over the country (or across the continent)

Increased stress is associated with psoriasis flares. Thus, COVID-19 (epidemic disease) can place an additional burden on the mental health of people with psoriasis all over the country (or across the continent).

A 2020 study of 9220 people with psoriasis found that participants found moderate to severe severity in their symptoms. This effect (epidemic) is related to factors such as loss of income and inhibition of external activity due to illnesses all over the country (or continent).

So what are some ways to help reduce your stress levels across the country (or continent) across Covid-19? Try some of the suggestions below:

Limit your news intake. Try to avoid the temptation to refresh your news feed too often. Constant exposure to the news media increases your anxiety about stress or epidemics.

Keep a routine. Aim to stay on a regular schedule for things like meals, bedtime and work. This can help keep you in check. Consider these tips to get you started.

Stay busy. Try to keep yourself busy, whether it’s through work, an action that you’re really enjoying or both. Doing so can distract your mind from current events.

Exercise regularly. Exercise is not only good for your overall health but can also help improve your mood.

Try to relax. There are many activities that encourage relaxation. Some that you can try include yoga, meditation, or breathing exercises.

Link to others. It is important to have a support network to manage stress. It is still possible to communicate with others in the age of social distance. Video chats, phone calls and text messaging can all help you communicate with your friends and family.

Psoriasis drugs are being tested for the treatment of Covid-19

Biology, used to treat psoriasis, works to lower levels of chemicals known as cytokines. Increased levels of certain cytokines are associated with inflammation in the body.

Targeted by biology in some types of cytokines

Tumor necrosis factor alpha (TNF-A): Atanercept (Enbrel), Dalimunub (Hamira), Infliximab (Remixed)

Interleukin-23 (IL-23): Guselquumab (Tremphia) and Tildraquizumab (Ilumya)

• Interleukin-12 (IL-12) and IL-23 together: Istekinub (Stella)

Interleukin-1 ((IL-1)): Cicuquinumab (Cocentex), Ixecizumab (Taltz), Brodalumab (Silic)

The increase in the above cytokines is associated with the symptoms of psoriasis.

In addition, excessive production of some of these cytokines, such as TNF and severe covid-19, is also associated with disease.

Because of this, drugs that affect the levels of these cytokines are being investigated as possible Covid-19 treatments.

However, it is important to note that it is not yet known how these drugs will affect the course of Covid-19 disease.



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