What Causes Psoriasis Outbreaks
Psoriasis outbreaks differ from person to person. No one knows exactly what causes flare-ups. Common psoriasis triggers may include:
- Skin injury .
- Streptococcal or other infection that affects the immune system.
- Certain prescription medications .
- Cold weather, when people have less exposure to sunlight and humidity and more to hot, dry indoor air.
Heres My Diet And The List Of Products I Use:
Nothing sold in a convenient store, all that is garbage.
No beef or cured pork.
No white bread.
Coffee thats diluted with an inch of milk. When Im at home, I use coconut milk.
IPAs and hard ciders are the only alcohols that dont trigger my psoriasis. I have read online other people who say IPAs do not cause outbreaks either. If I drink a Bud or Coors or whiskey, my skin gets bad immediately.
I drink one to two cups of detox tea a day.
What Are The Complications Of Psoriasis
People with severe psoriasis have an increased risk of developing diabetes, cardiovascular disease, arthritis, obesity, some types of cancer, inflammatory bowel disease and other immuneârelated disorders, and liver and kidney disease.
The condition can affect the nails and joints, and can seriously affect someone’s emotional and social wellbeing. It may affect their ability to work, go to school or participate in physical activities.
You May Like: Patients With Psoriasis Frequently Have
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 people, 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 for a while and then switch to another. Or a doctor may combine different therapies. It’s all about finding one that works for each person.
Sometimes what works for a while might stop working. This is one reason why it’s important to work closely with a doctor. Trying out new treatments can get a little frustrating, but most people eventually find one that works.
What Are The Types Of Psoriasis
Common types of psoriasis include:
Plaque psoriasis. This is the most common type of psoriasis. It causes plaques and silvery scales, usually on the knees, elbows, lower back, and scalp. They can be itchy and painful and may crack and bleed.
Guttate psoriasis. This type often shows up after an illness, especially strep throat. It causes small red spots, usually on the trunk, arms, and legs. Spots also can appear on the face, scalp, and ears.
Inverse psoriasis. This causes smooth, raw-looking patches of red skin that feel sore. The patches are in places where skin touches skin, such as the armpits, buttocks, upper eyelids, groin and genitals, or under a girl’s breasts.
You May Like: Corn Huskers Lotion For Psoriasis
Are There Home Remedies For Late
While home remedies will not make psoriasis go away, many people with mild to moderate psoriasis manage their symptoms using natural and alternative remedies. Tea tree oil and apple cider vinegar can relieve itching and loosen plaques especially in scalp psoriasis. An oatmeal bath or Epsom salts can soothe irritated skin. Adding omega-3 fatty acids to your diet can help reduce inflammation.
Is It Time To Evaluate Your Psoriasis Treatment
If you are treating psoriasis and have celebrated your 65th birthday, dermatologists recommend that you get evaluated. A careful evaluation will make sure that you are using an appropriate treatment at a dose thats right for you.
Having an evaluation also helps prevent possible side effects and interactions with other medications that you take.
If you need to find a board-certified dermatologist, you can search for one in your area at: Find a dermatologist
ReferencesGrozdev IS, Van Voorhees AS, et al. Psoriasis in the elderly: From the Medical Board of the National Psoriasis Foundation. J Am Acad Dermatol 2011 65:537-45.
Hodak E, Gottlieb AB, et al. Climatotherapy at the Dead Sea is a remittive therapy for psoriasis: Combined effects on epidermal and immunologic activation. J Am Acad Dermatol 2003 49:451-7.
Kushelevsky AP, Harari M, et al. Climatotherapy of psoriasis and hypertension in elderly patients at the Dead-Sea. Pharmacol Res. 1996 34:87-91.
Papp K, Reich K, et al. Apremilast, an oral phosphodiesterase 4 inhibitor, in patients with moderate to severe plaque psoriasis: Results of a phase III, randomized, controlled trial . J Am Acad Dermatol. 2015 73:37-49.
Rich, P, Gooderham M, et al. Apremilast, an oral phosphodiesterase 4 inhibitor, in patients with difficult-to-treat nail and scalp psoriasis: Results of 2 phase III randomized, controlled trials . J Am Acad Dermatol2016 74:134-42.
You May Like: What Cream To Use For Psoriasis
What Is Cdc Doing About Psoriasis
In 2010, CDC worked with experts in psoriasis, psoriatic arthritis, and public health to develop a public health perspective that considers how these conditions affect the entire population. The resulting report is Developing and Addressing the Public Health Agenda for Psoriasis and Psoriatic Arthritis pdf icon. You can read a short article about the agendaexternal icon in The American Journal of Preventive Medicine.
CDCs National Health and Nutrition Examination Survey , an intermittent source of national psoriasis data, has included questions about psoriasis as late as the 2013-2014 cycle. A recent analysis of NHANES data estimates that 7.4 million adults had psoriasis in 2013external icon.
- Psoriasis causes patches of thick red skin and silvery scales. Patches are typically found on the elbows, knees, scalp, lower back, face, palms, and soles of feet, but can affect other places . The most common type of psoriasis is called plaque psoriasis.
- Psoriatic arthritis is an inflammatory type of arthritis that eventually occurs in 10% to 20% of people with psoriasis. It is different from more common types of arthritis and is thought to be related to the underlying problem of psoriasis.
- Psoriasis and psoriatic arthritis are sometimes considered together as psoriatic disease.
Who is at risk for psoriasis?
Anyone can get psoriasis. It occurs mostly in adults, but children can also get it. Men and women seem to have equal risk.
Can I get psoriasis from someone who has it?
What Is The Genetic Predisposition
Genetic predisposition means an inherited tendency to develop the disease. Recent research has greatly increased our knowledge about how and what we inherit from our parents and the role played by genes. As our knowledge increases so does our appreciation of the complexity of the process. While it was originally hoped that a specific disease might be associated with a specific gene, it now appears that for many diseases that have a genetic component, including psoriasis, there are probably multiple genes involved in producing the sequence of events that results in the expression of disease. This is further complicated by the way these genes interact.However, the evidence to support the belief that a genetic predisposition plays a major role in the cause of psoriasis can be summarised as follows:
- One third of people with psoriasis have a family member who is also affected
- There is an increased incidence of psoriasis in children when one or both parents have the disease
- In twins, psoriasis is more likely to appear in both identical twins than in both non-identical twins. This finding also confirms that more than one gene must be involved.
Also Check: Best Vitamins To Take For Psoriasis
Will Dietary Supplements Help With My Psoriasis
There are a lot of dietary supplements available over the counter and available on line. Please remember that some of these products may not be of a high quality or reputable standard. Please always consult your doctor or healthcare professional before embarking on any supplementation to avoid overdosing in vitamin nutrients as these may cause undesired side effects.
What Type Of Psoriasis Treatment Will I Need
Several treatment options can relieve psoriasis. Creams or ointments may be enough to improve the rash in small areas of skin. If the rash affects larger areas, or you also have joint pain, you may need other treatments. Joint pain may be a sign that you have arthritis.
Your provider will decide on a treatment plan based on:
- Severity of the rash.
- Vitamin A or retinoid creams.
Read Also: What Are Symptoms Of Plaque Psoriasis
Does This Mean I Will Have Psoriasis For Life
In the absence of a cure you will always have psoriasis, but this does not mean that the signs will always be visible. Normally, the rash tends to wax and wane . There will be periods when your skin is good, with little or no sign of psoriasis. Equally, there will be times when it flares up. The length of time between clear skin and flare-ups differs for each individual and is unpredictable. It may be weeks, months or even years.
How Is Psoriasis Diagnosed And Treated
Psoriasis often has a typical appearance that a primary care doctor can recognize, but it can be confused with other skin diseases , so a dermatologist is often the best doctor to diagnose it. The treatment of psoriasis usually depends on how much skin is affected, how bad the disease is , or the location . Treatments range from creams and ointments applied to the affected areas to ultraviolet light therapy to drugs . Many people who have psoriasis also have serious health conditions such as diabetes, heart disease, and depression. Some people with psoriasis also have an inflammatory condition which affects their joints, called psoriatic arthritis.
Psoriatic arthritis has many of the same symptoms as other types of arthritis, so a rheumatologist is often the best doctor to diagnose it. The treatment of psoriatic arthritis usually involves the use of drugs .
Psoriatic disease may be treated with drugs or a combination of drugs and creams or ointments.
Also Check: Psoriasis And Inflammatory Bowel Disease
Is Psoriasis The Same As Eczema
Psoriasis and eczema are two different skin conditions. They differ in where the disease appears on the body, how much it itches and how it looks. Eczema tends to appear more often behind the knees and inside the elbows. Eczema also causes more intense itching than psoriasis. Many people, especially children, can get both eczema and psoriasis.
Is It Psoriasis Or Eczema
Like psoriasis, eczema is a very itchy skin condition. In fact, eczema usually results in a more intense itch than psoriasis. Scratching causes inflammation of the skin, leading to a worsening of the eczema. Scratching can also cause a secondary bacterial infection.
Eczema is not a specific disease, but rather a term referring to a group of rash-like conditions. The most common type of eczema is caused by a reaction to irritants, like detergents, soaps, or household cleansers.
Eczema often shows up on the back of the knees or the inside of the elbows.
Eczema can affect anyone and affects children more than psoriasis does.
Read Also: A And D Ointment For Psoriasis
How Does Psoriasis Affect Quality Of Life
It is widely accepted that psoriasis can severely affect an individuals quality of life although for many the condition is mild and a mere inconvenience. The severity of the disease does not always relate to the severity of anxiety that an individual will have. The area where the psoriasis is located such as the hands or face can severely affect an individuals ability to work or lead to discrimination due to ignorance.
Will Good Dietary Nutrition Help My Psoriasis
A healthy diet is important for well-being and can reduce your risk of many long term illnesses, including coronary heart disease, inflammatory conditions and even cancer. However there is no clear link between what you eat and the severity of psoriasis symptoms.
- The British Nutrition Foundation suggests eating at least 300g oily fish per week for general health . Fish oil has been shown to benefit psoriasis
- Aim to eat more green leafy vegetables, nuts, seeds and wholegrain cereals which also contain important essential fatty acids.
- Cut back on saturated fats and vegetable oils and use more olive oil and rapeseed oil products
- Eat fresh home made foods rather than pre-packaged, convenience foods
- Certain foods may worsen your symptoms. If you experience any adverse effects from foods it may be worth making a note of these to discuss with your doctor and generally for your own avoidance when preparing and eating food
Don’t Miss: Prescription Foam For Scalp Psoriasis
How Can I Be Sure That Its Psoriasis And Not Something Else
For people with plaque or nail psoriasis, a primary care doctor can diagnose and treat the condition. People with unusual symptoms may need to see a dermatologist to rule out other conditions that can be mistaken for psoriasis. These include eczema, fungal infections, drug reactions, pityriasis rubra pilaris, and a form of skin cancer called cutaneous T cell lymphoma.
What Happens If My Gp Cannot Help
If you are referred for further treatment or advice it is likely to be to outpatients at your local hospital where a consultant dermatologist or a specialist dermatology nurse will assess you or it may be to another General Practitioner with enhanced role often referred to as GP with special interest .
It is likely that you may be offered the same treatment that your GP has already given you or other treatments that your GP is unable to prescribe.
What If Those Psoriasis Treatments Dont Work
If psoriasis doesnt improve, your healthcare provider may recommend these treatments:
- Light therapy: UV light at specific wavelengths can decrease skin inflammation and help slow skin cell production.
- PUVA: This treatment combines a medication called psoralen with exposure to a special form of UV light.
- Methotrexate: Providers sometimes recommend this medication for severe cases. It may cause liver disease. If you take it, your provider will monitor you with blood tests. You may need periodic liver biopsies to check your liver health.
- Retinoids: These vitamin A-related drugs can cause side effects, including birth defects.
- Cyclosporine: This medicine can help severe psoriasis. But it may cause high blood pressure and kidney damage.
- Immune therapies: Newer immune therapy medications work by blocking the bodys immune system so it cant jumpstart an autoimmune disease such as psoriasis.
Psoriasis And Fatigue: Why Am I So Tired
People diagnosed with psoriasis or psoriatic arthritis often experience fatigue mental or physical exhaustion that occurs regardless of how much rest a person gets. Fatigue is more common in psoriatic arthritis, affecting at least 3 out of every 10 people with the condition.
Feeling tired after physical exertion, a busy day, or a night of insufficient sleep is normal. Having fatigue, however, is different from simply being tired. Understanding this fatigue, how it affects ones physical and emotional state, and how to manage it can help minimize its effects.
Recommended Reading: Treating Scalp Psoriasis And Seborrheic Dermatitis
Who Does It Affect
It affects men, women and children alike. It can appear at any age in varying degrees but usually between the ages of 10 and 30. The extent of disease varies enormously from a minute patch to large patches covering most body areas. Psoriasis can also run in families and much research is being done into the genetics of this disease. It is known that the disease is multi genetic and therefore children may not necessarily inherit psoriasis.
Identifying Triggers Is The First Step In Preventing Symptoms
Psoriasis is a chronic autoimmune disorder characterized by the spontaneous appearance or worsening of symptoms, known as flares, followed by periods of remission. The cause of flares is poorly understood but triggers such as skin trauma, cold weather, stress, and smoking are known to set the stage. It’s believed that the sudden rise in inflammation that these psoriasis triggers prompt reactivates the autoimmune response.
When this happens, the immune system releases compounds called cytokines as if the body has encountered an actual threat. The ensuing inflammation is what causes the outbreak of symptoms, primarily skin lesions known as plaques.
Also Check: What Is The Treatment For Scalp Psoriasis
Signs And Symptoms Of Psoriasis
Psoriasis plaques can range from a few spots of dandruff-like scaling to major eruptions that cover large areas. The diseases symptoms and appearance vary according to the type and severity of psoriasis.
Some common signs and symptoms include:
- Discolored patches or raised plaques of skin that are covered with scales
- Burning, itching, or soreness near the affected areas
- Pitted or thickened fingernails or toenails
What Treatment Options For Late
The National Psoriasis Foundation recommends topical ointments for older adults with mild psoriasis. These include over-the-counter products like coal tar and salicylic acid, and prescription treatments such as retinoids, steroid creams, and forms of vitamin D. For older adults with severe psoriasis, the NPF recommends or biologic drugs, but only with careful monitoring.
Also Check: Can You Have Just One Patch Of Psoriasis
Articles On Types Of Psoriasis
Knowing which kind of psoriasis you have helps you and your doctor make a treatment plan. Most people have only one type at a time. Sometimes, after your symptoms go away, a new form of psoriasis will crop up in response to a trigger.
In general, most types of psoriasis result from the same triggers:
Here’s how you can spot the 7 types of psoriasis and what you can do to treat them.
What Causes Scalp Psoriasis
Psoriasis has the same cause, no matter where it forms. It develops when a persons immune system malfunctions and tells skin cells to grow too quickly. New skin cells form in days rather than weeks.
The body does not shed these excess skin cells. The skin cells pile up on the surface of the skin, causing patches of psoriasis to appear. This process ultimately leads to the redness and flaking on the scalp.
You May Like: Methotrexate Vs Biologics For Psoriasis