Dermatologist Dr. Susan Evans from Cosmetic Physicians of Beverly Hills performs a laser treatment for psoriasis on Alina’s fingernails.
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Psoriasis Nail Pitting Treatment Dr. Lisa Masterson: This is an example of pitting and some changes or lines associated with psoriasis. Dr. Travis Stork: Because I was cheating before we started and I was seeing some pitting in these nails here and so -- Female: Pitting, scaling and -- yes. Dr. Travis Stork: And you’re about to say that pitting is associated with skin condition called psoriasis. Dr. Lisa Masterson: Absolutely, psoriasis which is not only immune problem where your body is actually fighting off the skin cells and typically you have it in the knees and on the elbows but you get a thickening of the top layer of the skin. It looks scaly, it looks silvery like the reptile -- Dr. Travis Stork: Do you remember something like that elsewhere? Female: I do. Dr. Travis Stork: Where do you have those? Female: Most of it is on my nails but some of it on my fingers whine is painful and as you can see -- Dr. Travis Stork: Yeah, the picture I think of your hands when you had a few of these outbreaks too. Female: My nails cracked and my fingers cracked and just a lot of dryness and -- Dr. Lisa Masterson: Typically it was hard to put creams on. It was so thick that the creams couldn’t penetrate. You have to take other medications by mouth that has a lot of side effects associated with it. But now we’re able to treat it with a laser. Dr. Travis Stork: And we’ve got a laser here, so let’s try this out. And so the whole idea with this laser is you’re trying to penetrate those heaped on layers of scaly skin that people with psoriasis have. Dr. Lisa Masterson: Exactly. This is a UVB ray that penetrates and actually removes the top layer. So what’s it able to do with the help of this right here is focused on a specific area that she needs to get treatment. This treatment is not a painful treatment but I just want to let you know that you’ll feel this on three, here we are. One, two, three, how was that? Female: I felt fine, just a little bit of warm sensation. Dr. Travis Stork: And how often with someone with psoriasis need to get a treatment like this. Dr. Lisa Masterson: Usually, they get twice a week treatment. Dr. Travis Stork: Twice a week. Dr. Lisa Masterson: And often times, you should do it for about say six weeks, sometimes 12 weeks. Dr. Travis Stork: And then you’ll see benefits and improvements. Dr. Lisa Masterson: And the great thing about it, you actually get clearing and this is for mild, moderate and severe psoriasis. And the clearing can last anywhere from four to six months, and in some cases, for a year. Female: Wow.