Exploring The Treatment Options
Eczema and psoriasis are both long-term conditions that require long-term treatments. Treatment may depend on the severity of symptoms as well as the size and location of the affected area of skin. Common treatments include topical anti-inflammatories, hydrating skin creams, phototherapy, and biologic or systemic drugs to control the bodys inflammatory and immune responses.
In addition to discussing treatment options with your doctor, its important to avoid factors that may trigger or worsen your symptoms. Eczema may be worsened by wetness or allergies as well as certain cleansers, soaps, and detergents. Psoriasis flare-ups are more likely to follow injuries to the skin and can also be brought about by stress or infection.
The first step in resolving your skin issues is to talk to your doctor to receive a diagnosis. Though both eczema and psoriasis can be chronic, finding the right treatment may help relieve symptoms and reduce flare-ups.
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Risk Factors Include Infections And Genetics
Common predisposing factors that can trigger the disease in children include bacterial infections such as strep throat . Flare-ups may also occur after an earache, tonsillitis, or respiratory infection. In some cases, patches of psoriasis appear on areas of skin that have been injured a condition called Koebner phenomenon.
Genetics can raise your odds of developing psoriasis. If one parent has psoriasis, the child has a 10 percent chance of contracting it. If both parents have the condition, the odds rise to 50 percent.
We are also beginning to learn that overweight and obesity may trigger onset of psoriasis in susceptible children, says Cordoro.
Learning The Differences Between Eczema And Psoriasis
Psoriasis causes well-defined, thick, red, scaly patches, commonly in areas like the elbows and knees. It is common to see psoriasis on the face, buttocks, and scalp of a child. Youll also commonly see thick patches of skin with overlying redness.
Eczema tends to appear in the crooks of the knees and the elbows.
Children who have psoriasis tend to have mild itching. In eczema, the itching can be intense.
There are many ways for a dermatologist to tell the difference between eczema and psoriasis, including what one sees on the skin, the amount of itch, and where the disease appears on the skin.
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How Long Does Guttate Psoriasis Last
- Although guttate psoriasis usually clears up within a few weeks, it may also be the first step to chronic plaque psoriasis, especially if it lasts for longer than a year.
- The acute guttate form progresses into the chronic plaque form in an estimated 33% of people.
- In another study of 15 patients, the likelihood of an individual developing chronic psoriasis within 10 years of a single episode of acute guttate psoriasis was suggested to be about one in three. Although further studies with larger numbers of patients are needed to determine the risk more accurately.
Psoriasis Signs In Seniors
There are eight different types of senior psoriasis that may develop, each with their own symptoms.
Plaque psoriasisThe most-common form accounts for about 80 to 90 percent of people with senior psoriasis. Symptoms include:
- Patches of thick, raised skin called plaques
- Scale over some plaque
- Smaller plaques joined together to form larger ones
Guttate psoriasisThis tends to appear after infection. Patches on the skin appear:
- Small and scaly
- Salmon to pink in color
- Temporary, often clearing in a few weeks or months without treatment
Inverse psoriasisThis often develops in areas where skin touches skin Symptoms include:
- Smooth, red patches of skin that look raw
- Little, silvery-white coating
- Sore or painful
Pustular psoriasisThis type causes pus-filled bumps that usually appear on the feet and hands. Symptoms include:
- Red, swollen skin dotted with pus-filled bumps
- Extremely sore or painful
- Brown dots after the pus-filled bumps dry
Pustular psoriasis This type is serious and life-threatening, causing pus-filled bumps to develop. Call your doctor immediately if these symptoms appear:
- Dry, red, and tender skin
- Pus-filled bumps covering most of the skin, often developing within hours
- Smooth, glazed surface when dried skin peels off
- A new crop of bumps may appear in a few days or weeks
Erythrodermic psoriasisSerious and life-threatening, this type of senior psoriasis needs immediate medical care. Symptoms include:
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Dermatology Located In Richland Hills Tx
Psoriasis is known for plaques that are itchy, painful, and take a toll on your overall health, self-esteem, and quality of life. When you need comprehensive care for psoriasis, the board-certified dermatologists at Northstar Dermatology in Fort Worth, Texas, have compassion and years of experience in developing customized treatments that meets your unique skin care needs. To schedule an appointment, use the online booking tool or call the office today.
Whats The Difference Between Eczema And Psoriasis
Eczema and psoriasis are different chronic conditions, though they both cause red, itchy skin rashes. But for doctors, these rashes have slight differences that the trained eye can usually detect.
Atopic dermatitis tends to have less well-defined borders, doesnt have as much thick scale as psoriasis and tends to be just a little bit more crusty, Dr. Wang explains. Overall, atopic dermatitis tends to be itchier. Both are itchy conditions, but atopic dermatitis is probably more itchy.
Neither condition is contagious, and eczema and psoriasis cant be prevented.
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Severe And Pervasive Psoriasis
Like most skin conditions, psoriasis can become widespread and very irritating. For instance, plaque psoriasis may cover almost the entire surface of the body.
In extreme cases, inflammation can become so severe that it appears and feels like burns.
Extensive, highly painful, burn-like psoriasis can be life-threatening. This requires immediate attention from a health professional.
Other widespread psoriasis may simply require standard treatment to partially heal or resolve.
What Are Other Types Of Psoriasis
Plaque psoriasis is the most common type. About 80% to 90% of people with psoriasis have plaque psoriasis.
Other, less common types of psoriasis include:
- Inverse psoriasis appears in skin folds. It may look like thin pink plaques without scale.
- Guttate psoriasis may appear after a sore throat caused by a streptococcal infection. It looks like small, red, drop-shaped scaly spots in children and young adults.
- Pustular psoriasis has small, pus-filled bumps on top of the red patches or plaques.
- Sebopsoriasis typically appears on the face and scalp as red bumps and plaques with greasy yellow scale. This type is a cross between psoriasis and seborrheic dermatitis.
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Generalised Pustular Psoriasis Or Von Zumbusch Psoriasis
This causes pustules that develop very quickly on a wide area of skin. The pus consists of white blood cells and is not a sign of infection.
The pustules may reappear every few days or weeks in cycles. During the start of these cycles, von Zumbusch psoriasis can cause fever, chills, weight loss and fatigue.
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Can You Have Both Eczema And Psoriasis
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What Should You Do If You Develop Another Type Of Psoriasis
Life-threatening signs and symptoms, such as redness that covers most of your body, fever, and chills, require immediate medical care.
When signs and symptoms are not life threatening, you should see a board-certified dermatologist for a diagnosis. Youll find pictures of the different types of psoriasis and learn more about the possible signs and symptoms at Psoriasis: Signs and symptoms
ImagesImage 1: Getty ImagesImage 2: J Am Acad Dermatol 2013 69:245-52.
ReferencesBrummer GC, Hawkes JE, et al. Ustekinumab-induced remission of recalcitrant guttate psoriasis: A case series. JAAD Case Rep. 2017 3: 4325.
Egeberg A, Thyssen JP, et al. Prognosis after hospitalization for erythroderma. Acta Derm Venereol. 2016 96:959-92.
Gottlieb A, Korman NJ, et al. “Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 2. Psoriatic arthritis: Overview and guidelines of care for treatment with an emphasis on the biologics. J Am Acad Dermatol 2008 58:851-64.
Gudjonsson JE and Elder JT. Psoriasis. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine. McGraw Hill Medical, New York, 2008:178-81.
Khosravi H, Siegel MP, et al. Treatment of Inverse/Intertriginous Psoriasis: Updated Guidelines from the Medical Board of the National Psoriasis Foundation. J Drugs Dermatol. 2017 16:760-6.
Navrotski BRF, Nihi FM, et al. Wet wrap dressings as a rescue therapy option for erythrodermic psoriasis. An Bras Dermatol. 2018 93:598-600.
Treatments For Psoriasis And Psoriatic Arthritis
Many medications can help treat both the skin and joints, but there are definitely medications that work better for one than the other, explains Dr. Haberman. When treating PsA, we focus on both domains. We may start with one medication if your skin is worse that is better on the skin, but it should still have effects on the joints, she says.
According to the clinical treatment guidelines by the American College of Rheumatology and the National Psoriasis Foundation , your personal treatment plan should depend on how PsA is impacting your body as well as the severity of your symptoms.
Since patients with psoriatic arthritis may have different degrees of involvement of skin, joint pain, finger and toe swelling , and pain where tendons and ligaments attach to bone , its important to identify the most problematic areas and choose treatment options that are best suited for them, says Dr. Husni.
For example, if you have little joint pain and a lot of skin involvement, your rheumatologist might try newer biologics called IL-17 inhibitors, like secukinumab and ixekizumab , notes Dr. Haberman.
While we have a lot of medication options for PsA, sometimes it is more of trial and error to see which medication the patient will respond to, she says. Sometimes we need to try more than one medication to find the one that is right for that patient.
Medications use to treat both psoriasis and PsA include:
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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 Can I Do To Help Treat My Psoriasis
There may not be a cure yet but there is much you can do to help maintain and control your psoriasis. Psoriasis, regardless of location or type, is often irritated by contact, particularly tight clothing such as elasticated waistbands, socks, tights, and underwear. It may be useful to wear looser clothing where psoriasis is likely to be irritated either when flaring or during periods of treatment. Identifying factors that may cause your psoriasis to flare, using a diary, can be helpful.
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Psoriasis Is Not Contagious
We know patients can feel distressed or depressed because theres still a lot of social stigma toward psoriasis, Wang says. Oftentimes, people who dont know what it is may look at lesions of psoriasis and question whether theyre infectious they may ask, Am I going to catch it?
Wang says psoriasis isnt an infectious disease, and friends, family and strangers shouldnt worry about getting too close to someone who has psoriasis. In fact, genetics play a major role in the likelihood of developing the disease.
What Are The Signs And Symptoms Of Psoriasis
Dry, thick, and raised patches on the skin are the most common sign of psoriasis. These patches are often covered with a silvery-white coating called scale, and they tend to itch.
While patches of thickened, dry skin are common, psoriasis can cause many signs and symptoms. What you see and feel tends to vary with the:
Type of psoriasis you have
Places psoriasis appears on your body
Amount of psoriasis you have
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Main Symptoms Of Psoriasis
Psoriasis typically causes patches of skin that are dry, red and covered in silver scales. Some people find their psoriasis causes itching or soreness.
There are several different types of psoriasis. Many people have only 1 form at a time, although 2 different types can occur together. One form may change into another or become more severe.
Most cases of psoriasis go through cycles, causing problems for a few weeks or months before easing or stopping.
You should see a GP if you think you may have psoriasis.
Problems With The Immune System
Your immune system is your body’s defence against disease and it helps fight infection. One of the main types of cell used by the immune system is called a T-cell.
T-cells normally travel through the body to detect and fight invading germs, such as bacteria. But in people with psoriasis, they start to attack healthy skin cells by mistake.
This causes the deepest layer of skin to produce new skin cells more quickly than usual, triggering the immune system to produce more T-cells.
It’s not known what exactly causes this problem with the immune system, although certain genes and environmental triggers may play a role.
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How Long Does It Take For Psoriasis To Clear Up
Although research is promising, doctors cannot yet cure psoriasis. Once a person has had a psoriasis flare, they are likely to have another one. Patches of psoriasis may clear up after a few months, or they may stay the same, get bigger, or spread across the body. In some people, psoriasis will disappear and not return for years.
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Sex Fertility And Pregnancy
Sex can sometimes be painful for people with psoriatic arthritis, particularly a woman whose hips are affected. Experimenting with different positions and communicating well with your partner will usually provide a solution.
Psoriatic arthritis wont affect your chances of having children. But if youre thinking of starting a family, its important to discuss your drug treatment with a doctor well in advance. If you become pregnant unexpectedly, talk to your rheumatology department as soon as possible.
The following must be avoided when trying to start a family, during pregnancy and when breastfeeding:
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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.
Enhancing Healthcare Team Outcomes
Plaque psoriasis is a complex life long disorder with enormous morbidity. Thus, it is best managed by an interprofessional team.
Insulin resistance and cardiovascular diseases are more common in psoriatic patients as are metabolic comorbidities. Obesity is the most common comorbidity observed in children with psoriasis. Many patients present with reduced quality of life and psychological manifestations and need special attention and counseling. Thus, primary care clinicians should advocate lifestyle modification such as reducing weight, reducing alcohol intake and smoking cessation may help control psoriasis, improve the results of treatment and prevent future complications.
Sudden onset, palmoplantar keratoderma, severe nail dystrophy, the involvement of skin folds should arouse suspicion of associated HIV infection in whom pustular forms are also more common with a higher frequency of arthritis.
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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.