Sunday, July 14, 2024

Treatment For Psoriasis On Lips

Is It Oral Psoriasis Or Geographic Tongue

A guide for patients: Treatments for psoriasis

People who have psoriasis may be more prone to a condition called geographic tongue, says Dr. Chase. The American Academy of Oral Medicine describes this as an inflammatory condition that typically appears on the top and sides of the tongue.

While it doesnt cause pain, the condition can change the tongues appearance with red areas of varying size surrounded by a white border. Its believed that 10 to 15 percent of people with psoriasis will develop geographic tongue at some point in their lifetime.

What Are The Symptoms

Since its rare, lip psoriasis may be mistaken for other, more common conditions, such as cold sores or eczema. It may also be confused with lip lesions caused by lupus, another autoimmune condition.

The main symptom distinguishing lip psoriasis from other conditions are the white, silvery scales that form over red or white raised patches of skin.

Unlike psoriasis, cold sores are caused by a viral infection. They look like tiny, clustered, fluid-filled blisters, which may burst or ooze and then crust. Psoriasis on the lips may be long lasting, whereas cold sores resolve within 2 to 3 weeks.

Lip eczema is often caused by environmental irritants or allergens, such as the ingredients in lipsticks, lip balm, or toothpaste. Lip eczema can sometimes resemble lip psoriasis.

Symptoms of lip psoriasis include:

  • cracked skin

Lip psoriasis may be accompanied by psoriasis in the mouth. If so, you may see:

  • small white bumps that bleed when scraped
  • red or white plaques on your tongue or gums

Concern For Sexual Health Or Activities

When psoriasis affects the penis, it does not mean that if you have sex will pass it on to your partner.

However, penis psoriasis can interfere with your sexual life. Besides the likely emotional stress and lowered self-esteem, having sex with penile psoriasis can worsen symptoms or be the risk for flare-ups especially if you have mild presentations.

With or without protection, if you have been diagnosed with penile psoriasis, sexual intercourse can be the least if you want to increase your chances of living a better life without many frustrations.

Also Check: What Type Of Psoriasis Do I Have

Dry And Cracked Lips Due To Seasonal Changes

Dry and cracked lips are in cold winters and more arid summers and can cause cheilitis. A person may mistake psoriasis for dry lips because both conditions can cause patches of dead skin or peeling.

When people lick their lips to compensate for lip dryness, the problem can worsen, causing lip dermatitis.

How To Treat Your Symptoms

Lip dermatitis or Eczema on the lip is an inflammatory ...

If you think you’re experiencing symptoms, talk to your dentist or dermatologist to discuss the best way to treat and manage your symptoms. In most cases, your doctor will probably order a biopsy to ensure you’re receiving the proper diagnosis. If it’s confirmed oral psoriasis, then they’ll prescribe you a treatment specific to your needs.

According to Medical News Today, common treatments for psoriasis in your mouth can be:

  • Topical steroid creams
  • Anti-inflammatory oral medications

These medications can help reduce inflammation and pain, making it easier to eat and drink. Also, you may find that your oral psoriasis improves if you’re already treating skin symptoms.

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What Psoriasis Treatments Are Available

Psoriasis is a chronic skin condition that may worsen and improve in cycles. Any approach to the treatment of this disease must be considered for the long term. Treatment regimens must be individualized according to age, sex, occupation, personal motivation, other health conditions, and available economic resources.

Disease severity is defined by the thickness and extent of plaques present as well as the patient’s perception and acceptance of the disease. Treatment must be designed with the patient’s specific expectations in mind, rather than focusing only on the extent of body surface area involved.

Many treatments exist for psoriasis. However, the construction of an effective therapeutic regimen is not necessarily complicated.

There are three basic types of treatments for psoriasis:

  • Laser therapy : A laser that produces UV-B light in the same wavelength as full body phototherapy units can target smaller areas of psoriasis without affecting the surrounding skin. Because the light treats only the psoriasis plaques, a strong dose of light can be used, which may be useful to treat a stubborn plaque of psoriasis, such as on the scalp, feet, or hands. This is an impractical treatment for psoriasis that covers a large area and, like other forms of phototherapy, requires regular visits over several months.
  • When To Talk To Doc

    In general, if this is the first time youre noticing red, flaky lips, give your doc a call. Theyll be able to diagnose whether its a psoriasis rash. Its also important to reach out if your symptoms are getting worse.

    If you start to notice symptoms such as pain, swelling, tenderness, stiff muscles and joints, or a noticeable change in the appearance of your nails, says Markowitz, call your doctor.

    Never try a new treatment including OTC ones without checking with your doctor either.

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    What Should I Do If I Have Psoriasis In A Sensitive Area

    Consult your doctor, who may refer you to a dermatologist. You will need expert advice on the correct treatment in sensitive areas. Psoriasis affecting the hairline and scalp is dealt with in more detail in Scalp Psoriasis.

    There are organisations that specialise in camouflage make-up, including the British Association of Skin Camouflage, Changing Faces and the Skin Camouflage Network. You can find their contact details at the end of this leaflet.

    However, make-up could interfere with the effectiveness of your topical psoriasis treatments and this is something that should be considered very carefully and discussed with your doctor. It is likely that make-up can be applied following treatment if enough time has reasonably elapsed.

    The treatments used for facial psoriasis should be used carefully and sparingly as creams and ointments can irritate the eyes and mouth areas. They should always be used under the guidance of your doctor. If you are unsure about using over-the-counter products such as make-up and moisturisers then, again, you should consult your doctor or your pharmacist. This is because facial skin is delicate and irritation can easily occur. Using steroid medication, for instance, may cause facial skin to thin, appear shiny and be prone to spider veins.

    Turmeric + Lavender Oil

    Psoriasis Treatment I Psoriasis on Face Treatment

    img source: shopify.com

    Combining these two great natural healers for skin ailments can be a step to getting relief from inflammation on the penis skin and the sensitive penis glans.

    • Measure a small amount of turmeric powder
    • Add 1 tablespoon lavender oil to turmeric
    • Apply to the affected areas when or best before the inflammation is likely
    • Use warm water to rinse especially in the colder mornings and evenings

    IMPORTANT: Avoid any additions of ingredients that may cause irritations on the scrotum

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    Why Diagnosis Is Important

    img source: medium.com

    Not only is it crucial for more suitable remedies but also to help rule out skin conditions with almost similar presentations or signs and symptoms.

    Common procedures you may undergo include:

    • A physician closely looking at the affected penile skin while/asking questions like what you feel
    • Tissue biopsy where scrapping is removed and then is examined under a microscope

    In many cases, a differential diagnosis would be preferred where a clear examination to distinguish psoriasis from other diseases/conditions are not reached at.

    In that case, you may be asked to have blood tests, medical review of past treatments

    How To Be Intimate When You Have Genital Psoriasis

    If you have genital psoriasis, you can still be intimate. Following this advice can help reduce irritation:

    • When the skin on or around your genitals is raw, postpone sex.

    • Before sex, gently cleanse the area. Be sure to use a mild, fragrance-free cleanser. Cleansing will also help prevent psoriasis medication from rubbing onto your partner.

    • Men: Use a lubricated condom. Whether a man or woman has genital psoriasis, this lessens the risk of irritating the inflamed area.

    • After sex, gently wash the area. This helps reduce irritation. If you are using medicine, apply it.

    Psoriasis is not contagious

    If you have sex with someone who has psoriasis, you will not get psoriasis. Psoriasis is not contagious. Its not a sexually transmitted disease.

    Images

    ReferencesBergstrom, KG, Kimball AB. 100 questions & answers about psoriasis. Sudbury, Mass: Jones and Bartlett.

    Meeuwis KA, de Hullu JA, et al. Genital psoriasis awareness program: Physical and psychological care for patients with genital psoriasis. Acta Derm Venereol. 2015 Feb 95:211-6.

    Ryan C, Sadlier M, et al. Genital psoriasis is associated with significant impairment in quality of life and sexual functioning. J Am Acad Dermatol. 2015 Jun 72:978-83.

    Turner J. Inverse psoriasis. National Psoriasis Foundation webinar, presented September 16, 2015.

    All content solely developed by the American Academy of Dermatology

    The American Academy of Dermatology gratefully acknowledges the support from Amgen and .

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    How Do I Know If I Have It

    This can be tricky because oral psoriasis is controversial. Some experts don’t believe it’s really a type of psoriasis. They think the symptoms are caused by another condition.

    To figure out what’s causing your symptoms, your doctor may:

    • Ask you questions about your medical history
    • Take a small sample of skin from inside your mouth to check under a microscope
    • Do genetic tests

    What Is Scalp Psoriasis And What Causes It

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    Psoriasis can appear on any part of the skin, even the scalp. With scalp psoriasis, scalp plaques produce excess scales and can cause your scalp to itch.

    Symptoms of scalp psoriasis appear as the following:

    • A small bump, called a papule, with a scale on top.
    • The plaque typically is covered by thick layers of horny scale. When the scale sheds, it can look like dandruff.
    • Sometimes these plaques can itch.
    • Scratching these plaques can worsen the condition and lead to what’s called the Koebner phenomenon, or isomorphic response, which can cause psoriasis to develop in areas where there’s inflammation and trauma.

    The causes of scalp psoriasis, like all psoriasis, is related to genetic defects that affect the immune system. It is not known if stress causes or makes psoriasis worse.

    In some severe cases, scalp psoriasis can cause alopecia, or a loss of hair, which is rare and may be controlled with treatment. Scalp psoriasis can be treated with topical medications, which can sometimes be difficult to apply when the scalp is covered with enough hair that can create a barrier.

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    Ways To Avoid Irritating Genital Psoriasis

    To get the best results from treatment and avoid flares, you want to avoid irritating genital psoriasis. The following can help you do just that:

  • When treating genital psoriasis, use the treatment that your dermatologist prescribed for this area. Psoriasis treatment that youre using on another part of your body can be harmful in the genital area. Tazarotene can irritate the area, making genital psoriasis worse. Any type of phototherapy can increase your risk of developing genital cancer. Strong coal tar therapy may also increase the risk of genital cancer.

  • Tell your dermatologist if the treatment irritates any skin in your genital area.

  • Use a mild, fragrance-free cleanser. When bathing, you want to avoid deodorant or antibacterial soaps and body washes. These can irritate the delicate skin, causing genital psoriasis to flare.

  • Moisturize. Gently applying a fragrance-free moisturizer to the psoriasis after bathing and when the area feels dry can reduce chaffing and irritation.

  • Use quality toilet paper. This can help reduce irritation.

  • Avoid getting urine or feces on genital psoriasis. These can cause psoriasis to flare.

  • Wear loose-fitting underwear and clothing. Tight-fitting clothing can cause friction, which can worsen genital psoriasis.

  • Get plenty of fiber in your diet. Eating a high-fiber diet or taking a fiber supplement will ease bowel movements.

  • What Are The Types Of Psoriasis

    In children, 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 develop in places where skin touches skin, such as the armpits, buttocks, upper eyelids, groin and genitals, or under a woman’s breasts.

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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.

    What Psoriasis Medications Can I Take

    How To Heal Eczema On Lips | How To Treat Lip Eczema Naturally | Lip Eczema Treatment

    Systemic Medications

    Biologics for Psoriasis

    The following drugs are categorized under the term biologic because they are all proteins produced in the laboratory by industrial cell culture techniques and must be given either subcutaneously or intravenously. The frequency of treatment depends on the specific drug. All of these medications are very precise in that they block only one or two parts of the inflammatory reaction and are moderately immunosuppresive.

    Biologics are expensive and do not cure psoriasis but as a group are quite effective and reasonably safe. If it is decided to start a patient on a biologic drug, the choice will depend on the particular physician’s expertise, as well as insurance coverage and payment issues.

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    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?

    Why Diagnosing Oral Psoriasis Can Be Tricky

    According to a study published in June 2016 in the journal Dermatology, diagnosing oral psoriasis is challenging because it can trigger different symptoms that resemble other conditions affecting the mouth and lips, such as stomatitis, oral thrush, or chronic eczema. Symptoms may include oral pain, burning, or changes in taste perception.

    A case study published in January 2013 in the European Journal of General Dentistry described one patients oral psoriasis symptoms as including gum bleeding, chronic irritation, intolerance to salt and spicy food, and frequent occurrence of painful mouth ulcers with a fissured tongue.

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    How Is Psoriasis On Your Lips Treated

    Theres no cure for lip psoriasis, but there are treatments that can help you manage it. They include:

    • Moisturizers. Topical lotions and oils that alleviate dryness, scaling, and cracked skin can make other topical treatments more effective. Moisturizers to try include coconut oil and emollient creams that dont contain perfume or other potentially irritating ingredients.
    • Topical vitamin D. Calcipotriol, a vitamin D derivative, has been found to be effective at treating lip psoriasis.
    • Corticosteroids. Prescription-strength corticosteroids can reduce itching and relieve inflammation.
    • Tacrolimus ointment. This prescription cream weakens the immune system, reducing allergic reactions. Its used to treat eczema but has also been found to be helpful at treating lip psoriasis.
    • This in-office treatment exposes skin to ultraviolet light on a regular basis. Several treatments may be required before you see an improvement in symptoms.
    • Methotrexate. If your symptoms are severe or widespread, your doctor may prescribe this oral medication for you. Methotrexate slows the growth of skin cells, which stops psoriasis scales from forming.

    Lip Balms And Other Moisturizers

    Case report: Fluocinonide

    A variety of moisturizers and lip balms claim to work for psoriasis on the lips. However, the efficacy of these moisturizers has not always been thoroughly tested. Thick, petrolatum-based ointments will provide the best protection for dry, cracked lips. You should work with a dermatologist to find the right one for you.

    Many of our members recommend using coconut oil to help with psoriasis. Ive been using the organic coconut oil with a tea tree oil mixture. It helps the itching and redness, one member said. Food-grade coconut oil is safe for use on the lips.

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