This protocol addresses psoriasis where modifiable lifestyle factors — smoking, alcohol consumption, and body weight — are central to clinical management and disease severity.

Treatment Approach

Management centres on structured lifestyle modification. The approach encompasses smoking cessation and alcohol reduction alongside dietary and physical activity interventions aimed at achieving and maintaining a healthy body weight.

The complete regimen, clinical decision pathway, and sequencing are available in the full protocol below.

Treatment Goals

The primary target is a progressive decline in psoriasis severity over time. Smoking and alcohol cessation are directly linked to measurable improvement — increased use of either substance worsens disease severity, while sustained cessation supports skin improvement.

References

DOI: 10.1016/j.jaad.2018.11.058

Efforts aimed at lifestyle modification (dietary changes to achieve and maintain a normal BMI, smoking cessation, exercise regimen) are also important.
Dermatologists should strongly advise patients with psoriasis to avoid smoking and limit alcohol intake for overall health improvement and to help improve skin disease.
Increased usage of either substance further affects disease severity, while cessation can improve psoriasis over time.

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Psoriasis Treatment Through Lifestyle Modification: Smoking, Alcohol, and Weight

Treatment Approach

Treatment Goals

References