PoreWise

Skin concern

Psoriasis

Primary source

Psoriasis: a chronic immune-mediated condition that speeds up skin-cell turnover, producing raised, red, scaly plaques. The strongest evidence comes from a 2017 human trial: In 24 people with mild-to-moderate plaque psoriasis, a vitamin B12-containing ointment reduced PASI by 87.6% from baseline at week 12 versus 23.1% with a standard glycerol-petrolatum emollient on the opposite side (p < 0.001).

The two studies tested emollient or vitamin-B12 / zinc-pyrithione moisturizer care in diagnosed patients as supportive therapy. This is adjunct care alongside a clinician's plan.

Where the definition comes from

Source wording

“Approximately 125 million people worldwide have psoriasis … Plaque psoriasis is the most common variant of psoriasis.” — Armstrong et al., JAMA 2020 (PMID 32427307).

Ingredients at a glance

2017 · 24 people · patients with plaque psoriasis · PMID 29048238

Ingredient Measured outcome Based on Certainty Year
— Skin effect Human trial Low 2017
— Skin effect Human trial Low 2011

Study limits

Study conditions and measured outcomes.

  • ev-psoriasis-vitamin-b12-emollient Human trial · 2017

    Single centre, 24 participants, single-blind, localised left-right design in the maintenance phase; the mainstream high-quality evidence for psoriasis still comes from prescription drugs and biologics.

  • ev-psoriasis-zinc-pyrithione-rct Human trial · 2011

    Limited to localised, mild psoriasis; an over-the-counter active ingredient.

Research-backed approaches

These studies measured finished products and whole routines.

  1. 1 Skin effect
    Superiority of a vitamin B(12)-containing emollient compared to a standard emollient in the maintenance treatment of mild-to-moderate plaque psoriasis

    In 24 people with mild-to-moderate plaque psoriasis, a vitamin B12-containing ointment reduced PASI by 87.6% from baseline at week 12 versus 23.1% with a standard glycerol-petrolatum emollient on the opposite side (p < 0.001).

    Human trial · 2017 · 24 people · patients with plaque psoriasis · Adults with plaque psoriasis in the maintenance phase, applying the ointment twice daily for 12 weeks in a randomised, single-blind, left-right paired design. · Single centre, 24 participants, single-blind, localised left-right design in the maintenance phase; the mainstream high-quality evidence for psoriasis still comes from prescription drugs and biologics.

    PMID 29048238

  2. 2 Skin effect
    Treatment of localized psoriasis with a topical formulation of zinc pyrithione

    In a randomized, double-blind trial of 60 people with localised psoriasis, a 0.25% zinc pyrithione cream reduced mean PASI from 3.4 to 0.9 over 3 months (p < 0.01) and was significantly better than the emollient base, which changed from 4.3 to 3.9 (p > 0.05).

    Human trial · 2011 · 60 people · patients with localised psoriasis (30/30) · People with localised psoriasis affecting less than 10% of body surface area, applying the cream twice daily for 3 months. · Limited to localised, mild psoriasis; an over-the-counter active ingredient.

    PMID 22367374

Common questions

How many people were studied?
2 findings · 2017 · 24 people · patients with plaque psoriasis · PMID 29048238
What can I use for Psoriasis?
2017 · 24 people · patients with plaque psoriasis · PMID 29048238
Can I use these every day for Psoriasis?
Adults with plaque psoriasis in the maintenance phase, applying the ointment twice daily for 12 weeks in a randomised, single-blind, left-right paired design(2017 · 24 participants · 24 patients with plaque psoriasis · PMID 29048238) People with localised psoriasis affecting less than 10% of body surface area, applying the cream twice daily for 3 months(2011 · 60 participants · 60 patients with localised psoriasis (30/30) · PMID 22367374)

Other concerns