Clinicians Must Be Ready To Treat Such Flares Which Are Inevitable
While psoriasis is by definition a chronic disease, it can be successfully controlled for long periods of time.
One way of looking at how well a patientâs psoriasis is controlled is to see how it is affecting a patientâs quality of life, said Laura K. Ferris, MD, PhD, of the University of Pittsburgh Medical Center. The disease can be considered to be well controlled âif itâs not interfering with your life anymore, and youâre not uncomfortable in terms of pain or sleep, and youâre satisfied with your treatment,â she said.
But there are also objective measures. For example, the National Psoriasis Foundation has established a treatment strategy called âtreat to targetâ under which âwell-controlled psoriasisâ would mean clear or almost clear skin â the presence of psoriasis on 1% or less of the body â within 3 months of the start of treatment.
But no matter how well controlled the disease is, a patient is likely to experience exacerbations or âflaresâ at some point. âItâs the nature of the disease,â said Ferris.
And while the disease can get worse or better on its own, it can be susceptible to certain triggers, such as stress. âItâs one of the biggest ones we see,â said Ferris. âIf my patients are under a lot of emotional stress, or family stress, or stress at work, their skin will definitely get worse.â
Menter pointed out that some medications are also known to act as triggers, such as beta blockers and lithium.
What Causes Scalp Psoriasis
Regardless of where psoriasis forms, the cause is the same. Psoriasis develops when a persons immune system has faulty signals that tell 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.
What Are Risk Factors For Guttate Psoriasis
- Streptococcal infection: As many as 80% of people with guttate psoriasis have a streptococcal infection, usually in the form of tonsillopharyngitis , before the outbreak. Even though the connection between these infections and the outbreaks has been known for over 50 years, the exact mechanism by which the infection triggers the lesions is unknown.
- Viral infections, such as chickenpox, rubella, and roseola, may also trigger outbreaks in children.
- Small, salmon-pink papules usually appear suddenly on the skin two to three weeks after a streptococcal throat infection, or tonsillitis.
- The drop-like lesions may causes symptoms such as itching.
- The outbreak usually starts on the trunk, arms, or legs and sometimes spreads to the face, ears, or scalp. The palms and the bottoms of the feet are usually not affected.
- Nail changes, such as pits and ridges, which are characteristic of chronic psoriasis, may be absent.
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Are Triggers Causing Your Psoriasis Flare
If your psoriasis seems to flare for no reason, one or more triggers could be to blame. Everyday things like stress, a bug bite, and cold temperatures can trigger psoriasis.
Triggers vary from person to person. By finding your triggers and learning how to manage them, you can gain better control of your psoriasis and have fewer flares.
To find yours, youll have to do a bit of detective work. A good place to start is by looking at this chart of the common triggers, which also gives you signs that that it could be a trigger for you.
Explore Psoriasis Treatment Options At Kessel Dermatology
If you are living with psoriasis and it is affecting your quality of life, the skin disease specialists at Kessel Dermatology can help you find the best course of treatment for you. We offer all the safest and most advanced treatment options for psoriasis, including:
- Biologic medications such as Otezla.
- Topical medications such as corticosteroids and retinoids
- such as laser therapy and Psoralen with Ultraviolet A light
Our dermatologists will consider the severity of your psoriasis and other individual factors in order to guide you to the most appropriate treatment for you. We can also provide information on what causes psoriasis to flare up and help you determine what may be contributing to your flare-ups.
If youd like to schedule an appointment, call the Kessel Dermatology office today at 609-890-2600. We look forward to helping you keep your skin condition under control so that it does not interfere with your life.
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Avoid Medications That Cause Flare
Let your doctor know about all the medications you take, even over-the-counter ones. Ask if they could affect your psoriasis. Drugs that are known to make things worse include:
- Lithium, used to treat psychiatric disorders
- Propranololand possibly other beta-blockers, which are prescribed for heart conditions
- Quinidine, medication for irregular heart beat
If youre using any of these medications, ask your doctor about substitutes. Know about these and other drugs that can trigger psoriasis flares.
Epidemiology Of Guttate Psoriasis
The guttate form of psoriasis is relatively uncommon in the United States, occurring in less than 2% of the psoriatic population. International surveys on the guttate form of psoriasis among patients with psoriasis have found a wide range of prevalences, from 1.6-44%. A 2009 study has shown that the prevalence of psoriasis correlates with the distribution and mortality of streptococcal epidemics.
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What Are The Symptoms Of Psoriasis
Symptoms of psoriasis can vary from patient to patient. Some will have fewer flare-ups than others and may enjoy periods of remission for months or years. Because there are several different types of the condition, you may experience some of the following common symptoms:
- Patches of plaque that are characterized by red areas on the skin covered with silver-colored scales
- Scaly patches that are small and round
- Bleeding skin that is dry and cracked
- Intense itchiness or burning sensations
- Fingernails that are thickened and ridged
- Painful joints
What Triggers Can Cause A Psoriasis Flare
The following factors can trigger psoriasis flare-ups:
- Stress- The most common cause of psoriasis flare-ups. Trying different activities for stress management such as yoga, exercise, and meditation can control flare-ups.
- Cold Air- The colder the outdoor temperatures, the more likely you are to experience a psoriasis flare-up. Ultraviolet light from the sun kills the overactive white blood cells that are attacking healthy skin cells and causing rapid cell growth. Light therapy may help reduce symptoms.
- Dry Skin- Dry skin cracks and damages skin, letting psoriasis take hold. Keep your skin moisturized with high quality, fragrance-free cream or lotion.
- Upper Respiratory Infections- See your doctor immediately if you get a cold or sore throat, which may push the immune system into overdrive and cause a psoriasis flare-up. Antibiotics will destroy any infection and lessen the stress on your immune system.
- Beta Blockers and Lithium- Beta blockers, which are used to treat high blood pressure, have been linked to increased psoriasis flare-ups. Your doctor may be able to change your medication. Lithium, used to treat depression, also increases your chance for a flare-up.
If you have psoriasis and are looking to reduce flare-ups contact Skin Care Research or call us at 561-948-3116. Our clinical research center has more than 25 years of experience executing clinical trials focusing on a variety of dermatological conditions.
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Dealing With Eczema And Psoriasis Flare
Eczema and psoriasis are two of the most severe and widespread skin conditions. Eczema is characterized by small red bumps, while psoriasis is identified by stingy, painful red patches and a scaly appearance of the skin.
Although they are separate conditions, both cause a lot of suffering and discomfort due to the unpredictability of the flare-ups. Surveys on patients diagnosed with inflammatory skin disorders found high levels of psychological distress and periods of social isolation due to flare-ups.
To help you avoid flare-ups, we asked our specialist, Dr.Kimberly Stone, all about eczema and psoriasis. Read on to learn what causes them, as well as the available treatment options.
Rethink The Ink: Tattoos
Tattoos and Psoriasis
You may like the look of tattoos, but they may not be a good idea if you have psoriasis. Piercing the skin and injecting dye underneath the skin is associated with skin trauma that may trigger psoriasis. Some people who have psoriasis develop new psoriatic lesions 10 to 14 days after getting a tattoo. Tattooed skin may also become infected. Skin infections are also potential psoriasis triggers.
Skin Trauma and Psoriasis
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Foods That Contain Gluten
Some studies have found a positive association between psoriasis and celiac disease. But what is perhaps even more interesting is that according to a study published in the British Journal of Dermatology, also psoriasis patients who don’t have celiac disease may experience symptom relief after adopting a gluten-free diet in some cases.
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.
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What You Should Know About Forehead Rashes
Symptoms of Forehead Rash Temporary unconsciousness and inability to understand things Pain, swelling and irritation on the forehead or on the different areas of the skin. In case of mumps and measles the person might face difficulty in breathing, start feeling the wheezing or chocking. Neck stiffness, dryness of the lips, forehead, and cheeks More items
Can Exercise Cause Psoriasis To Flare Up
Psoriasis is an autoimmune disease where the immune system causes the skin to grow too fast. The rapid skin growth can cause raised.
and helping prevent flare-ups. A person should always.
6. Avoid Scrapes, Cuts, Bumps, and Infections. It’s extra important for people with psoriasis to avoid bumps and cuts. Trauma to the skin can cause a flare, a condition called “Koebner’s phenomenon.”
Researchers arent entirely sure what causes psoriatic arthritis.
all during a particularly painful flare-up. If you can, doing some range of motion exercises first to warm up can help.
My 15-Year Path to an Inverse Psoriasis Diagnosis Years later, I woke up one morning.
block proteins that cause inflammation), which are recommended for more severe cases. But biologics can be used to treat inverse psoriasis as well, along.
5 skin care tips for psoriasis Psoriasis causes patches of skin to become inflamed and itchy. Treatments can help prevent flare-ups and reduce symptoms, and a person can often take additional steps to reduce symptom severity.
Knowing what triggers your flare-ups and making some simple changes can help you: Reduce flares. Get better results from treatment. Prevent rosacea from worsening. This is why dermatologists often ask patients to find their triggers before beginning treatment. Even when treating rosacea, triggers can cause rosacea flare-ups. You can find your.
It affects some people with psoriasis, a condition that causes red, scaly patches to form.
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Foods That Contain Alcohol
Foods and drinks that contain alcohol pop up on almost every list of common psoriasis triggers, but studies examining the association between alcohol consumption and psoriasis have yielded mixed results. However, if you find that alcohol triggers your psoriasis flare-ups, it can’t hurt to cut it from your diet. Also worthy of note is that alcohol can lead to serious side effects for patients using certain psoriasis drugs such as methotrexate or acitretin.
What Causes Psoriasis To Flare Up 5 Common Triggers
Psoriasis is a chronic skin disease which causes itchy red patches with a scaly texture to appear on the body. Areas commonly affected by psoriasis include the knees, hands, elbows, lower back, scalp, nails and feet. For some individuals, psoriasis breakouts may spread to the entire body. While there is a strong genetic component to psoriasis, there are certain factors which can aggravate the condition and trigger breakouts. As for what causes psoriasis to flare up, here are a few possibilities:
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What Is Psoriasis Symptoms Causes Diagnosis Treatment And Prevention
Psoriasis is an autoimmune disease that causes plaques, which are itchy or sore patches of thick, dry, discolored skin.
While any part of your body can be affected, psoriasis plaques most often develop on the elbows, knees, scalp, back, face, palms, and feet.
Like other autoinflammatory diseases, psoriasis occurs when your immune system which normally attacks infectious germs begins to attack healthy cells instead.
Medications For Severe Scalp Psoriasis
If you have moderate to severe scalp psoriasis, your doctor may prescribe a drug you take by mouth or one thats injected or pumped through a needle into a vein. Oral medications include:
- A strong form of vitamin A called a derivative
- , a small molecule inhibitor taken twice daily
Since these medications can cause serious side effects, including liver damage, they require a doctorâs close eye. Its also important to know that oral vitamin derivatives are different from and more powerful than vitamin supplements bought over the counter. Ordinary vitamin A and D supplements do not help.
The latest class of FDA-approved medications are called biologics. These drugs, which you get by injection or IV, may keep your skin from making too many cells. According to the American Academy of Dermatology, 11 biologics may work:
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What Else Should I Know
Making healthy choices can help with psoriasis. Here are some things you can do:
- If you smoke, quit. Smoking can trigger outbreaks of psoriasis in some people.
- Avoid alcohol. It can make psoriasis treatments less effective.
- Eat healthy foods. Eating a lot of fruits and vegetables can help fend off diseases that might trigger psoriasis.
- Stay at a healthy weight. This decreases the risk of inverse psoriasis.
- Keep skin clean and well moisturized. Bathing daily with bath salts or oils and then applying moisturizer can help ease the symptoms of psoriasis.
People who have psoriasis may feel self-conscious about how it looks. That’s one reason why some people turn to a therapist or join a support group of people who understand what they might be going through.
The key to psoriasis treatment is keeping up on whatever your doctor prescribes. If that means applying an ointment twice a day, then find a way to remind yourself to do it so you don’t forget. Psoriasis is one of those things that you need to stay focused on treating, even when you’re feeling OK.
Whether your psoriasis is mild or severe, learn all you can about it. Talk to your doctor or check websites like:
Psoriasis Triggers And Avoiding Flare
Psoriasis is common, affecting about 125 million people worldwide. While its not entirely understood, medical experts believe psoriasis is an immune response. The immune system causes skin cells to regenerate quicker than usual. There is no cure, but there are ways to avoid psoriasis triggers and avoid symptom flare-ups. Weve gathered some common triggers and treatment options that may help control symptoms.
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Drinking Frequently Or In Excess
If you drink daily or have more than 2 drinks in a day frequently, your treatment for psoriasis may have little or no effect. Even treatment that could be effective for you may not work and youll continue to have flare-ups.
Reduce the risk of flare-ups from drinking
If you continue to drink, limit how much you drink in a day. Women should stop after 1 drink. Men should limit themselves to 2 drinks per day.
Be sure to tell your dermatologist if you drink alcohol. Drinking can make it risky to take some psoriasis medications like methotrexate.
Drinking frequently or in excess
If you drink daily or have more than 2 drinks in a day frequently, your treatment for psoriasis may have little or no effect.
Beware Of Insect Bites
Psoriasis sufferers are vulnerable to suffering from the Koebner phenomenon, where symptoms get worse after the skin is damaged.
An insect bite will break the skin and could set this reaction off, so it’s well worth taking care during the warmer months.
If you’re worried, it’s a good idea to cover up with long-sleeved tops and long trousers to prevent insects from getting close to your skin.
You should also invest in an effective insect repellent. However, bear in mind that one of the key ingredients in these products, DEET , can react badly with your psoriasis and cause plaques to get worse.
Choose a product with low levels of DEET and never spray insect repellent directly on patches of irritated skin or open sores.
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Research And Statistics: Who Has Psoriasis
According to the National Psoriasis Foundation, about 7.5 million people in the United States have psoriasis. Most are white, but the skin disease also affects Black, Latino, and Asian Americans as well as Native Americans and Pacific Islanders.
The disease occurs about equally among men and women. According to the National Institutes of Health , it is more common in adults, and you are at a greater risk if someone in your family has it. A study published in September 2016 in the journal PLoS One concluded that interactions between particular genes as well as genetic and environmental factors play an important role in the diseases development.
People with psoriasis generally see their first symptoms between ages 15 and 30, although developing the disease between 50 and 60 years of age is also common.
The biggest factor for determining prognosis is the amount of disease someone has, says Michael P. Heffernan, MD, a dermatologist at the San Luis Dermatology and Laser Clinic in San Luis Obispo, California.