What To Think About
Some medicines used to treat psoriasis can cause serious side effects. You and your doctor will discuss how long to use treatments that could cause harm. You will also need to see your doctor regularly and may have blood tests while using some medicines.
Many oral or injected medicines used to treat psoriasis aren’t safe during pregnancy. If you are pregnant, talk to your doctor before taking any medicines.
Do All Types Of Psoriasis Itch
Plaque psoriasis, a type that causes scaly, often gray-looking patches, is the most common type of psoriasis. It is also the most common cause of psoriatic itching, although other forms of psoriasis may also itch.
However, the severity of an itch may vary between one flare and the next. One psoriasis flare may only cause mild itching, while the following flare could result in severe itching sensations.
It is possible for one person to have multiple types of psoriasis at once and develop lesions that do not itch or only cause mild itching.
Many treatment options are available to help people who experience psoriatic itching.
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Shingles: A Rash And Severe Pain That Lingers
Shingles is another viral infection that shares some symptoms with psoriasis. Like psoriasis, shingles can make your skin burn and itch and produces a red, blistered skin rash. Shingles is caused by the same virus that first brings on chickenpox. The virus stays in your body and can come back years later to cause shingles, especially during times of stress or infection. The skin rash of shingles follows the course of a single nerve, usually on the trunk. In some cases, severe pain lasts long after the burning, itchy rash disappears. Shingles is more common in people over age 50.
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Measles: A Facial Rash That Can Cover The Body
Like guttate psoriasis, measles also follow symptoms of an upper respiratory infection in children and cause a skin rash of small, red spots. However, the measles skin rash usually starts on the face and spreads down to cover the body and is accompanied by fever, cough, and a runny nose. Measles rash is also flat, while the rash of psoriasis is typically raised. Measles is caused by a virus and is contagious, though the measles vaccination has made this a rare disease in the United States.
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.
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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.
Exercise Eat Right And Maintain A Healthy Weight
Although no studies have shown a link between diet and psoriasis, experts recommend that people with the condition eat a well-balanced diet thatâs high in fruits and vegetables. Some people say their symptoms improve when they remove dairy or gluten. Exercise may also help. Some studies show excess weight can trigger flares, so stay at a healthy weight.
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Risk Factors For Psoriasis That Spreads
Psoriasis is more likely to spread and become severe when it is left untreated. So treatment from a doctor who specializes in psoriasis can significantly reduce the risk that psoriasis will spread, or that the next flare-up will be worse than the last.
A family history of psoriasis, having another immune system disorder, smoking, trauma to the skin, and exposure to many psoriasis triggers are additional risk factors that might cause psoriasis to spread.
It is essential to moisturize the skin because it can speed the healing process and prevent itching. A range of moisturizing lotions that are suitable for psoriasis are available without a prescription.
Tar shampoo and soap may also help. Ingredients that encourage old skin cells to fall off, such as salicylic acid, can reduce the appearance of flaky plaques. However, some of these products can be harsh on the skin, so getting advice from a professional can help determine the most suitable lotion.
Steroid creams, such as hydrocortisone, are also safe and effective for most people. They help with itching and can speed healing. Using steroid creams for a very long time may cause side effects, however, so talk to a doctor about the safe use of steroids.
Are There Complications Of Psoriasis
In some people, psoriasis causes more than itchiness and red skin. It can lead to swollen joints and arthritis. If you have psoriasis, you may be at higher risk of:
- Use medicated shampoo for scales on your scalp.
Other steps you should take to stay as healthy as possible:
- Talk to your healthcare provider about lowering your risk for related conditions, such as heart disease, depression and diabetes.
- Lower your stress with meditation, exercise or seeing a mental health professional.
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How Is Guttate Psoriasis Treated
Guttate psoriasis may go away on its own in a few weeks or months. If it doesnt, it can be treated with topical medications, says UFHealth, though applying creams and ointments to the hundreds of tiny drops on your skin can be tedious. Ive done numerous steroid creams over the years, Shurlow says. Dandruff shampoos and moisturizers may help, too, UFHealth says.
is often an effective treatment for guttate psoriasis. Light therapy helped me a lot at first, says Shurlow. But phototherapy can make your skin sensitive to light, UFHealth notes.
If you have a severe case, your doctor might prescribe oral or injectable medications to dampen your inflammatory response. Shurlow has been on a biologic for about 14 years, and it has really helped clear her skin. I feel very fortunate that insurance has covered most of the cost, she says. I still have a copay, but its reasonable. And really, my skin has been much better since Ive been on the biologic.
Antistreptococcal treatment like penicillin or amoxicillin is sometimes used to treat the acute form of guttate psoriasis, especially in children and young adults, but when researchers in Brussels, Belgium, reviewed the literature, they found no evidence of its efficacy or safety. They published their findings in March 2019 in the Cochrane Database of Systematic Reviews.
More trials are needed to assess this guttate psoriasis treatment, they concluded.
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Who Should Avoid Contact With Shingles
Anyone with an active shingles rash should avoid coming into contact with:
Pregnant women who have never had chicken pox or its vaccination
If a pregnant woman develops chicken pox, especially before giving birth, it can be dangerous for the unborn child.
Children who have not had chicken pox or its vaccination
Children should avoid contact with blisters of chicken pox or shingles until they have had the vaccination, to reduce the risk of illness and complications.
People with weak immune systems
- infants born early or with a low birth weight
- people with certain health conditions, such as HIV, leukemia, or lymphoma
- people who take medications that suppress their immune systems, such as chemotherapy
- people who have had organ transplants
If a person in any of these groups comes into contact with the varicella virus, their immune system may not be able to defend them adequately against the effects. This means that they have a higher risk of developing chicken pox if they have not had it before.
Once a person with a weak immune system has the chicken pox virus, they have a higher risk of developing shingles and its complications. They are also likely to have these diseases for longer, and the symptoms may be more severe.
People who are at risk of developing shingles include:
- anyone who has had chicken pox, which includes almost everyone born before 1980
- people with weakened immune systems
- people over the age of 60, as the risk increases with age
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Can Psoriasis Affect Only My Nails
In some cases, psoriasis may involve only the fingernails and toenails, although more commonly, nail symptoms will accompany psoriasis and arthritis symptoms. The appearance of the nails may be altered, and affected nails may have small pinpoint pits or large yellow-colored separations on the nail plate called “oil spots.” Nail psoriasis can be hard to treat but may respond to medications taken for psoriasis or psoriatic arthritis. Treatments include topical steroids applied to the cuticle, steroid injections at the cuticle, or oral medications.
Want To Know More About Scaly Or Non
The overactive immune system causes psoriasis, a chronic skin disease. Flaking, inflammation, and thick, translucent, silvery, or red patches of skin are some of the signs and symptoms. Steroid creams, occlusion, light therapy, and oral drugs like biologics are among the remedies for psoriasis.
Psoriasis normally appears in early adulthood, but it may appear at any age. Psoriasis can affect people of any age, gender, or race. It can improve and deteriorate over your life.
However, the main question is can you have psoriasis without scales? Therefore, to get into detail on the same, lets get right into the blog.
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Can Psoriasis Be Treated
Yes, there are many forms of treatment for psoriasis, which range from those you apply to the skin to tablets, and more recently injectable therapies, See Treatments for Psoriasis.
Many people who have psoriasis find that the sun and artificial ultraviolet light helps to improve their skins appearance. For some the change is dramatic. Be aware that exposure to the sun and artificial UV therapy can cause damage to the skin. See Psoriasis and the sun and Psoriasis and phototherapy
For some people, talking therapies such as cognitive behaviour therapy can also help them understand the psychological impact of psoriasis and provide a safe therapy which may help them cope with psoriasis. See our free online CBT programme
Your general practitioner or dermatologist will be best placed to advise you and keep you informed of all current and new treatments available and to recommend the best treatment programme for you personally.
Remember: Your treatment can only be as good as you allow it to be â that means if the treatment takes six weeks, you have to follow it as instructed for six weeks and no ducking out! Adherence to treatment instructions is an essential part of managing your psoriasis.
At What Age Does Psoriasis Usually Start
While it can begin at any age, psoriasis has 2 peaks of onset, the first at age 20 to 30 years and the second at age 50 to 60 years. It affects men and women equally but is more common in non-Hispanic whites. Some patients are more prone to developing psoriasis, especially if there is a family member with psoriasis.
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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
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.
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Questions To Ask Your Doctor
- How long does treatment last?
- Will I have to be on medicine for the rest of my life?
- Should I make any changes to my skin care routine?
- Are there any skin products or foods that I should avoid?
- If symptoms get worse, when should I call the doctor?
- If I have psoriasis, will my children get it?
- Is there a support group that you recommend?
What Are The Main Causes Of Plaque Psoriasis
The following are considered the triggering environmental factors of plaque psoriasis: Trauma or injury to skin. These may include cuts, burns and even insect bites. Infection. This includes HIV- AIDS, which is basically a common ailment that can develop psoriasis. Certain medications. It has been implicated that beta-blockers, antimalarial drugs and NSAIDs can cause psoriasis. Stress/anxiety/depression. Smoking and alcohol consumption.
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How Do You Get A Psoriasis Diagnosis
Your physician will do a physical exam if they think you have psoriasis. They will probably also ask if you have any symptoms like itchy skin in addition to getting your medical history so they can learn if you have blood relatives with the condition or if youve experienced possible psoriasis triggers.
Your doctor may also remove a very small piece of your skin that can be analyzed to confirm that you have psoriasis, according to the AAD3. A biopsy can also help your doctor rule out other skin disorders and diagnose your specific form of psoriasis, according to the Mayo Clinic1.
For people of color, getting diagnosed with psoriasis can be really frustrating. Often, people with dark skin are misdiagnosed with other skin conditions because theres not enough medical awareness about how psoriasis looks on skin of color.
The length of time youve have psoriasis, any treatments you are using to help your symptoms, and scratching your flare can change the way psoriasis looks, according to Dr. Wassef. So, your physician might do a biopsy just to confirm that you do have psoriasis if they cant tell visually.
What Happens After The First Outbreak
Usually it comes and goes and then thatâs all there is to it. In about 80% of people the spots will fade in three weeks to three months and never come back. But in some people it carries on to be long-term plaque psoriasis. Sometimes you can get a second outbreak, particularly if the streptococcus germ is still in your throat or tonsils.
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A Final Word On Why Eczema Isnt Contagious
The bottom line? Eczema is not contagious so if youre self-conscious about your itchy, dry skin, know that you and people around you shouldnt worry about the possibility of it being passed along to someone else. If your skin becomes infected, whether by itching eczema or through some other means, that infection can be passed on to somebody else through skin-to-skin contact but not the underlying condition of eczema itself.
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And you can talk with a dermatologist about all the ways to manage eczema, including moisturizing as often as possible and doing your best to lock in that moisture, such as with a fragrance-free cream. Allergy testing can also help you pinpoint some of the triggers of your eczema, Prete notes.
Daily self-care, using soothing emollients, and regular visits to a board-certified dermatologist can help control this itchy, annoying, and sometimes debilitating condition, Rieder says.
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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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Psoralen Plus Ultraviolet A
For this treatment, you will 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 of the treatment 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.