Integrating Alternative Approaches in Psoriasis, Acne, and Warts Treatment

Psoriasis, acne, and warts are common skin conditions that significantly impact patients’ quality of life, and their treatment often requires a multifaceted approach. During his session, “Alternative and Complementary Dermatology: Educating Patients,” presented at Fall Dermatology Week, Dr Peter Lio discussed various alternative treatments for these conditions, emphasizing the importance of integrating these options into conventional therapeutic regimens.

In the case of psoriasis, Dr Lio first highlighted the growing use of fish oil, rich in omega-3 fatty acids like EPA and DHA, which has demonstrated effectiveness in improving psoriasis severity. This alternative therapy is particularly appealing due to its low cost and safety profile, making it a feasible option for patients who may be hesitant to use systemic treatments.

Dr Lio also noted that studies have shown indigo naturalis ointment to be highly effective in treating psoriasis plaques, leading to improvements in erythema, scaling, and induration.

In addition to these treatments, Dr Lio emphasized the importance of managing obesity in patients with psoriasis. Excess weight can exacerbate the condition, and lifestyle changes aimed at weight loss can significantly improve psoriasis outcomes. By framing weight loss as part of a holistic approach to health rather than a focus on aesthetics, dermatologists can help empower patients to take control of their condition and improve their overall quality of life.

For acne, Dr Lio addressed concerns surrounding benzoyl peroxide, particularly regarding the potential contamination of some formulations with benzene. As an alternative, tea tree oil was discussed as an effective treatment. However, it was emphasized that tea tree oil can be irritating if not formulated properly, so patients should opt for products containing prepared tea tree oil rather than pure essential oil.

Dr Lio also pointed out the potential benefits of spearmint tea in treating hormonal acne. Pantothenic acid (vitamin B5) also emerged as a noteworthy alternative for acne treatment. Dr Lio recommended combining this with niacinamide (vitamin B3), another well-researched ingredient that targets inflammatory acne, to provide patients with a safe, low-cost, and effective alternative to traditional acne medications.

Finally, when discussing warts, Dr Lio presented garlic as a promising alternative. The active compound in garlic, allicin, has antiviral properties that are believed to help treat warts. However, garlic can be an irritant, so Dr Lio recommended using garlic juice sparingly and possibly applying a protective barrier, such as zinc oxide paste, to shield surrounding skin.

In conclusion, Dr Lio underscored the importance of integrating alternative treatments into dermatologic practice. While modern therapies, particularly biologics, remain central to managing conditions like psoriasis, acne, and warts, alternative options such as fish oil, indigo naturalis, spearmint tea, and garlic can offer valuable benefits for patients seeking nonpharmacologic treatments. By considering these alternatives, dermatologists can provide more personalized care, ensuring better outcomes and improved quality of life for their patients.

Reference
Lio P. Alternative and complementary dermatology: educating patients. Presented at: Dermatology Week; November 13–16, 2024; Virtual.