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The Cadogan Clinic is currently offering a reduced service in light of the government's January lockdown guidelines.

All of our services will be delivered in line with the UK government's social distancing measures and fully compliant with all PPE guidance from Public Health England and NHS England.

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When are topical treatments most suitable for psoriasis treatment?

Topical treatment is best suited for mild to moderate cases of psoriasis and consists of creams, ointments or gels. Sometimes topical treatment will be used as a supplement to a larger medical plan for severe psoriasis.

These can include:

+ Emollients or moisturizers to moisturize dry skin, reduce scaling and relieve itching. These are first-line treatment and can be used with other psoriasis treatments.
+ Topical steroids work by reducing skin inflammation. Mild strength topical steroid creams can be useful for flexural and facial psoriasis but their use needs to be monitored as they can cause skin atrophy (thinning ) if overused.
+ A topical steroid with a Vitamin D analogue such as Dovobet is a good treatment for plaque psoriasis on the body
+ Vitamin D analogues such as calcipotriol can be used on the face and for flexural psoriasis, help regulate the immune response to slow down the rate of cell turnover
+ Coal Tar slows down the rate of cell turnover and has been a treatment for psoriasis for many years but has a distinctive smell, stains clothes and is now mostly used for widespread small plaque psoriasis or guttate psoriasis characterized by widespread small patches of inflamed skin.
+ Dithranol is another well-established treatment for thick plaques of psoriasis on the limbs. It is now mostly used with a short contact regime of gradually increasing concentrations of Dithrocream. It also stains clothes.
+ Calcineurin inhibitors such a Tacrolimus or Pimecrolimus originally developed to treat eczema and used on the face and for flexural psoriasis.

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In The Press This Week

This month Cadogan Clinic consultants feature in Glamour Magazine and The Strategist discussing facial oils and skin issues related to face masks, whilst Clinic Founder Mr Bryan Mayou discusses post-lockdown trends in the plastic surgery market and a faster than expected rebound for the sector

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