Psoriasis Causes Symptoms Treatment
Psoriasis is a common inflammatory disease of the skin which affects 2-3% of New Zealanders.
Characteristic symptoms are thick, red skin, with flaky, silver-white patches. These patches can be small and may or may not be itchy and sore. More severe cases can cover large areas of the body and have a major impact on quality of life. The aim of treatment is to minimise symptoms and prevent infection of the skin.
Psoriasis is often a life-long condition. Anyone can get psoriasis, but it is more likely to occur in people aged between 15 and 35 years and those aged between 50 and 60 years. It is not contagious, i.e. it cannot be caught from or spread to another person.
There are several different types of psoriasis, each with its own distinctive appearance. Some people will develop stiff swollen joints in combination with their psoriasis a condition known as psoriatic arthritis. The persistent visual, and sometimes disabling, nature of psoriasis can result in social, psychological, and economic consequences for people with the condition. Hence, it is important to seek effective treatment and support.
Shark Cartilage May Offer Relief At A Price
Research is inconclusive, but some preliminary studies suggest that shark cartilage which contains a mixture of protein, minerals, and carbohydrates and is available in powder or pill form can help relieve symptoms of plaque psoriasis. However, shark cartilage can be costly, and you may find relief with other, less expensive psoriasis home remedies. Women who are pregnant or breast-feeding should avoid shark cartilage. If you have diabetes, it may be off-limits because it can lower blood sugar levels. Always talk to the dermatologist helping you manage your psoriasis before starting a shark cartilage regimen. And you should be especially careful if you take calcium supplements, because taking calcium along with shark cartilage may lead to an overload of calcium in your blood.
Integrative Approaches To Care
The use of natural treatment options can be effective for some individuals when used in conjunction with traditional treatment options. The National Psoriasis Foundation suggests that you talk with your health care provider before trying any integrative treatment approaches, and especially before taking any herbal remedies to avoid dangerous interactions with your medications. Also, you should not take some herbal remedies if you are pregnant or breastfeeding or if you have pre-existing medical conditions such as diabetes, high blood pressure or mood disorders. Stop usage and consult your health care provider immediately if you experience side effects.
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Put Cucumbers On Your Eyes
Putting cucumbers on your eyes has many benefits: they will cool your eyes, help reduce puffiness, and get rid of dark circles. But they are also good to reduce anti aging signs from your skin and can be used as a natural eye moisturizer to treat dry skin around your eyes.
Applying slices of cucumbers to your eyes will also boost your skins elasticity to remove fine lines. In fact, the scientific journal Archives of Dermatological Research stated that the ascorbic acid and free radical scavenging activity of cucumbers makes them a potential anti-wrinkle agent for the skin.20
The moisturizing properties of cucumber were also reported on in the medical journalPharmacognosy Magazine. Researchers tested various plant-based extracts in moisturizers to see which provided the best results. Moisturizers containing cucumber extracts were the best and also helped to improve the skins elasticity.21
It is very easy to use fresh cucumber on your eyes just by cutting up a few slices of chilled cucumbers, and because cucumbers are so beneficial for the dry skin around your eyes, you dont even have to add any more ingredients to help improve the appearance of your eyes.
Fight Inflammation With Turmeric Supplements
Some people with psoriasis have found relief with turmeric as a natural psoriasis treatment. Turmeric is part of the ginger family youll find it in foods such as curry powders, mustards, and cheeses. Other supplements that have been tried for psoriasis home remedies include evening primrose oil, milk thistle, and oregano oil, which are available in various forms, including capsules and teas. Though a few people report some success with turmeric and other supplements because of their anti-inflammatory properties, keep in mind that there are no scientific studies to back up these claims, Weiss cautions.
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What Is Eyelid Psoriasis
An estimated 50 percent of people with psoriasis may develop symptoms on their faces, most commonly on or near the eyebrows, between the nose and upper lip, or across the upper forehead and hairline, according to the National Psoriasis Foundation.
Eyelid psoriasis isnt all that common, says Jerry Bagel, MD, a dermatologist at East Windsor Dermatology in East Windsor, New Jersey, and a member of the National Psoriasis Foundations board of directors.
Eyelid psoriasis could be spillover psoriasis from your scalp, eyebrows, or ears.
Symptoms of eyelid psoriasis include:
- Redness or discoloration
These symptoms may lead to irritation, pain, and itching.
When this occurs, you can develop blepharitis, an inflammation of the eyelids, Dr. Bagel says.
Its not just the eyelid skin either. The hair follicles, where the eyelashes come from, can get involved and become clogged, he adds. This sets the stage for bacterial infections and painful eye styes.
Diet And Psoriasis: What’s The Connection
Can your diet help keep psoriasis under control? Maybe. An observational study published online July 25, 2018, by JAMA Dermatology found that people with psoriasis who followed a Mediterranean diet an eating pattern rich in fruits and vegetables, legumes, whole grains, fish, fruit, nuts, and extra-virgin olive oil experienced fewer severe flare-ups. This was only an association and more research is needed, but experts believe the Mediterranean diet contains many foods that have an anti-inflammatory effect in the body and may offer extra protection against psoriasis triggers.
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What Are The Clinical Features Of Facial Psoriasis
Facial psoriasis has various clinical presentations. There are three main subtypes:
- Hairline psoriasis
- An extension of scalp psoriasis beyond the hairline onto facial skin
- Bright red, thickened plaques with variable white scale
Psoriasis affecting hairline
- Patchy involvement of the hairline
- Often affects the eyelids, eyebrows, nasolabial folds and beard area
- Salmon-pink, thin plaques with bran-like scale
- Usually associated with diffuse or patchy scalp psoriasis
- Psoriasis may or may not be present at other sites
- Sharply demarcated, red, scaly plaques
- May affect any part of the face
- Plaques tend to be symmetrical
- Associated with psoriasis at other sites including ears, genitals, scalp, elbows, knees, and trunk
- Soreness and skin sensitivity, which are usually mild
What Causes Psoriasis On Eyelids
The cause of psoriasis is associated with a faulty immune response. When it comes to the cause of psoriasis on eyelid, experts suggest that this condition is caused because of the abnormal activation of the natural immune system that leads to the inflammation of the skin. This causes increase proliferation and multiplication of the skin cells. The increase in proliferation may lead to skin, scaling damage as well as thickening of the skin. There are also some experts who believe that the condition has a genetic predisposition. Some other people consider that this is caused due to environmental factors such as injuries, medications, infections and stress.
Some other factors that may cause psoriasis on eyelid are as follows:
- Smoking is another aggravating factor
- Yeast infection of the skin can aggravate the condition
- Ultraviolet radiation or increased exposure to sun rays aggravate the symptoms
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When Should I Go To The Emergency Department
Go to the emergency department right away if your eyelids swell up so much that you cant see. Unrelated to dermatitis, you should go to the emergency department if you have:
- Trouble breathing/shortness of breath, or if you stopped breathing for any reason.
- Severe chest pain or pressure.
- Any pain that is so severe that you cant stand it.
- Injury to your head, neck or spine.
- Loss of consciousness .
- Sudden weakness, especially if you cant speak or move.
- Dizziness that doesnt stop.
- Coughing or throwing up blood.
- Heavy bleeding.
- High fever that doesnt get better with medicine.
- Severe burn, electric shock or lightning strike.
- Stroke symptoms slurred speech, numbness, weakness, loss of balance and/or vision problems.
A note from Cleveland Clinic
Although eyelid dermatitis wont stop you from going about your daily activities, it is a nuisance. It can cause itching and sometimes pain, so its important to get checked out by a healthcare provider as soon as possible to keep the symptoms from getting severe. Try your best with the help of the people around you to figure out what may have caused the dermatitis. If you can figure that out and avoid the trigger, then you can prevent future flares. Around 15% to 20% of people experience contact dermatitis at some point in their lives, so know that youre not alone.
Last reviewed by a Cleveland Clinic medical professional on 10/25/2021.
Psoriasis Flares And The Eyes
Although they are relatively rare, psoriasis flare-ups near the eyes can be especially painful and hard to treat. Scales and dryness may cause the edges of the eyelids to curve up or down, which may produce drying of the cornea or allow the eyelashes to actually scrape the cornea.
In such cases, the National Psoriasis Foundation recommends the following:
- Wash the affected lids and lashes with a mixture of water and baby shampoo.
- Use an over-the-counter eyelid cleaner, such as OCuSOFT, to remove stubborn scales.
- Apply a topical medication, such as Elidel or Protopic , around the eyes. These medications are only available by prescription and should be used with your healthcare provider’s supervision.
- Have your intraocular eye pressure tested by tonometry regularly by an ophthalmologist to ensure that these topical treatments aren’t harming your eyes.
Dermatologists will sometimes prescribe low-potency steroids for use on the eyelids. This can help, but, due to the risk of cataract and glaucoma development, you should not continue the use of these steroids beyond the time recommended by your healthcare provider.
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What Causes Facial Psoriasis
The causes of facial psoriasis are the same as for psoriasis in general. Psoriasis is associated with inappropriate activation of the immune system resulting in inflammation and increased proliferation of skin cells. There is a geneticpredisposition, but environmental influences are important, including stress, infection, injuries and certain medications.
Facial psoriasis may also be aggravated by:
- Ultraviolet radiation some patients have where the psoriasis is aggravated by exposure to the sun
- Skin flora, particularly the yeast Malassezia
There Are Ways To Shorten Flare
Psoriasis is a big star on TV drug ads, but this autoimmune skin disease is something most people try to keep well hidden.
“Psoriasis is among the most common skin conditions, affecting about 2% of the U.S. population, and while the condition doesn’t affect everyone the same way, the approach to treatment and prevention is often similar,” says Dr. Gideon Smith, an assistant professor of dermatology at Harvard-affiliated Massachusetts General Hospital.
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Symptoms Of Psoriasis Around The Eyes
The symptoms of psoriasis around the eyes match many of the symptoms of psoriasis that affects other areas of the body.
But psoriasis on and around your eyes may impact your daily life more because of its location. For example, the buildup of skin cells may lead to patches so large that you have trouble closing and opening your eyelids.
Other symptoms of psoriasis around the eyes include:
- red, scaly growths in the area
- dry, cracked skin that might bleed
- pain when moving your eyelids
- trouble opening and closing your eyelids
- eyelashes rubbing against the orbit of the eye because scales push the eyelid inward
- eye dryness because scales pull the eyelid outward
Ways To Treat Psoriasis At Home
Even though it affects your skin, psoriasis actually begins deep inside your body in your immune system.
It comes from your T cells, a type of white blood cell. T cells are designed to protect the body from infection and disease. When these cells mistakenly become active and set off other immune responses, it can lead to psoriasis symptoms.
Even though theres no cure, many treatments exist to ease the symptoms of psoriasis. Here are 12 ways to manage mild symptoms at home.
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How Is Psoriasis Treated
Psoriasis is usually treated by a dermatologist . A rheumatologist may also help with treatment. Treatments can include:
- ultraviolet light from the sun or from home or office treatments. But in some children, sunlight can make psoriasis worse.
- creams, lotions, ointments, and shampoos such as moisturizers, corticosteroids, vitamin D creams, and shampoos made with salicylic acid or coal tar
- medicines taken by mouth or injected medicines
A doctor might try one therapy and then switch to another, or recommend combining treatments. It’s not always easy to find a therapy that works, and sometimes what works for a time stops helping after a while.
Scalp Psoriasis Vs Seborrheic Dermatitis
Certain skin diseases look like psoriasis but actually fit another diagnosis. One example of this is seborrheic dermatitis, a red, itchy rash that appears most often on the scalp.
Seborrheic dermatitis seems to have roots in stress, genetic factors, a particular yeast that lives on skin, certain diagnoses or medications and cold, dry weather. Newborns, men and people with oily skin are at the highest risk of this particular form of dermatitis.
Dandruff is caused by seborrhea. Infants with the condition are often referred to as having cradle cap, as well as given an improper diagnosis of diaper rash when the redness occurs around the groin.
Like psoriasis, seborrheic dermatitis most often clears and flares throughout the lifetime. If you have symptoms of these disorders, see a dermatologist for a confirmed diagnosis and treatment options. Since seborrhea is not an autoimmune disease, treatment looks different although many of the same items and supplements on my psoriasis diet are similar for those with seborrhea.
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Practice Good Skin Care
A good skin care routine for psoriasis can go a long way toward preventing flares and making sure your eyelid psoriasis doesnt become infected or inflamed, Dr. Goldenberg says.
Moisturizing this area is important.
Choose a hypoallergenic product, he says, noting itll be less likely to cause any irritation. I recommend a gentle skin care regimen too.
Natural Oils To Hydrate Your Skin
You can also use a solution of natural oils like jojoba oil, sweet almond oil and avocado oil to treat dry skin. They provide a protective layer over your skin that can lock in moisture and prevent dry skin flare-ups.
You only need to message a few drops of any of the above oils to keep the skin in the eye area soft and elastic.
You can also mix the natural oils with a drop of an essential oil such as chamomile essential oil. A medical study found that chamomile oil can help to alleviate atopic dermatitis .13
When using essential oils, pay special attention not to put them at the eye itself to avoid irritation.
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Psoralen Plus Ultraviolet A
For this treatment, you’ll first be given a tablet containing compounds called psoralens, or psoralen may be applied directly to the skin. This makes your skin more sensitive to light.
Your skin is then exposed to a wavelength of light called ultraviolet A . This light penetrates your skin more deeply than ultraviolet B light.
This treatment may be used if you have severe psoriasis that has not responded to other treatment.
Side effects include nausea, headaches, burning and itchiness. You may need to wear special glasses for 24 hours after taking the tablet to prevent the development of cataracts.
Long-term use of this treatment is not encouraged, as it can increase your risk of developing skin cancer.
Diagnosis & Treatment Options
Eczema is not a contagious condition. There is also no cure for it.
There are many treatment options that can help to manage eczema breakouts, reducing their severity and frequency. Eczema treatment is focused on repairing damaged skin and alleviating uncomfortable symptoms.
Current treatment options include:
- Topical corticosteroid creams and ointments. Anti-inflammatory creams target skin itchiness and inflammation.
- Systemic corticosteroids. Prescription corticosteroids can be swallowed or injected when topical creams are not effective enough.
- Antibiotics. These are prescribed when a bacterial skin infection is also present.
- Antifungal/antiviral medications. These are used to treat fungal or viral infections related to eczema.
- Antihistamines. These reduce itchiness and improve sleep.
- Topical calcineurin inhibitors. These are used to decrease inflammation of the immune system that is causing flareups.
- Skin barrier-repairing moisturizers. These help to keep moisture in and repair the skin.
- . Ultraviolet A or B light waves can be used to treat moderate eczema.
- Wet wrap therapy. This treatment is used for severe eczema. Three lukewarm baths per day are given, followed by the application of topical medications and moisturizers. The skin is then wrapped in wet gauze.
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