Psoriatic Arthritis Nail Care Tips
Treating psoriasis and psoriatic arthritis can help reduce the uncomfortable symptoms of nail psoriasis. The following tips can also help keep your nails healthy and pain-free.
- Avoid using nail polish or polish removers with harsh chemicals, as they may make your nails more brittle. Products labeled 8-free or 10-free are made without harsh ingredients.
- Dont pick at your nails or cuticles.
- Keep your nails trimmed short. Long nails are more likely to catch on things and crack or peel back, says Dr. Husni.
- Protect your hands. Wear gloves when doing dishes or yardwork to keep them dry and protected from damage.
Managing the symptoms of psoriatic arthritis can be a handful. With some TLC, you can keep those hands healthy. Toes, too.
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What Treatments May Or May Not Be Used In Sensitive Areas
If you develop psoriasis in a sensitive area, you should discuss it with your doctor, who will be able to advise you on suitable treatments.
Emollients are an important part of the daily care of psoriasis on all parts of the body, including sensitive areas. They help to make the skin more comfortable. In addition, there is a range of topical treatments available creams and ointments that your doctor can prescribe.
Topical vitamin D creams and ointments are effective in treating psoriasis and some are less likely to cause irritation. However, others do have the potential to irritate sensitive areas. Some doctors recommend cautious use of vitamin D creams and ointments in such instances.
Topical steroid creams may be recommended for sensitive areas. However, care should be taken with their use as the potential for increased absorption may lead to skin fold side effects such as skin thinning. For this reason low-strength topical steroids are generally favoured for use in sensitive areas. It is also important that topical steroids are not used for long periods of time or without close supervision from your doctor. Treatment should never be stopped abruptly as this may trigger a rebound flare of your psoriasis.
Topical steroids may also be combined with antifungal and antibacterial agents because infections with yeasts and bacteria are more common in warm, moist skin flexures.
Is Scalp Psoriasis Curable
Dr. Wofford says, Unfortunately, there is no cure for any form of psoriasis, including scalp psoriasis. However, advancing research has enabled your dermatologist to provide effective treatments to prevent flare-ups and manage symptoms when they do arise. That means most people have mild symptoms that do not last long.
There is a range of treatments available for scalp psoriasis. In most cases, youll begin with medicated shampoos, creams, or other topical treatments that you apply directly to the affected areas. Some of these products are available over the counter and in prescription-strength formulas. Prescription topical treatments may also include ingredients like anthralin, antimicrobials, vitamin D , corticosteroids, and/or vitamin A derivatives.
For severe symptoms that dont improve with topical treatment, a combination of in-office and at-home dermatology treatments may be recommended in addition to continuing topical treatments. Some commonly recommended solutions include:
- Laser therapy using low-heat lasers to address itch and redness and improve scalp psoriasis symptoms
- Oral medications corticosteroids, cyclosporine, methotrexate, retinoids , apremilast
- Biologics adalimumab, brodalumab, certolizumab, etanercept, guselkumab, infliximab, ixekizumab, risankizumab, secukinumab, tildrakizumab, ustekinumab
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Guttate Psoriasis And Similar Conditions
Guttate psoriasis is easy to mistake for other common conditions. Seborrheic dermatitis, or seborrhea, is a type of skin condition involving the oil-producing glands found in the face, scalp, chest, groin, and upper back. Seborrheic dermatitis often results in rashes and lesions in these areas. Lesions tend to be undefined in shape and pink with yellow-brown scales.
Eczema, also known as atopic dermatitis, is another skin condition noted by a rash and patches of dry skin. However, eczema tends to be limited to the back of the knees or the insides of the elbows.
Dandruff is easy to mistake for psoriasis on the scalp. Dandruff is a form of seborrhea relegated to the scalp. It produces fine, greasy scales all over the head. Guttate psoriasis rarely affects only the scalp.
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What Kind Of Doctor Treats Psoriasis
There are several types of doctors who may treat psoriasis. Dermatologists specialize in the diagnosis and treatment of skin disorders, including psoriasis. Rheumatologists specialize in the treatment of joint disorders, including psoriatic arthritis. Family physicians, internal medicine physicians, rheumatologists, dermatologists, and other medical doctors may all be involved in the care and treatment of patients with psoriasis.
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What Does Inverse Psoriasis Look Like
Inverse psoriasis is known for its red, shiny, smooth rash. Unlike the scales, pustular spots, and crusting skin associated with other forms of psoriasis, the rash caused by inverse psoriasis is neither raised nor dry. Inflamed patches of skin are sometimes moist to the touch.
Subsequently, one may also ask, does inverse psoriasis go away?
âIt doesnât ever completely go away,â Beck said. The most common type of psoriasis in the genital area is inverse psoriasis . It usually appears as smooth, dry, red lesions.
Secondly, is inverse psoriasis painful? Inverse psoriasis can be one of the most painful and irritating forms of the disease, due to the location of the lesions around the genitals and armpits and underneath the breasts and buttocks. The affected skin becomes very tender, and is further irritated by sweating and skin rubbing against itself.
Also to know, how do you treat inverse psoriasis naturally?
For persistent and more severe inverse psoriasis, your doctor may also prescribe light therapy or other medications.
Treating inverse psoriasis
How is inverse psoriasis diagnosed?
Diagnosis. A physician will normally diagnose psoriasis after listening to the personâs description of the symptoms and carrying out a physical examination and an inspection of the lesions. If the lesions occur in an area where the skin rubs against itself, the doctor may diagnose inverse psoriasis.
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Nourish Your Skin From The Inside
Taking care of your skin starts with your diet. While theres no scientific evidence that particular types of foods help with psoriasis, many dermatologists and people with psoriasis swear by healthy eating to help keep skin in good condition and prevent flare ups. Good fats are your friends! says occupational therapist Pooja Shah, OTD, OTR/L in an email interview with HealthCentral. She recommends adding ghee oil or avocado oil to your meals to make your skin glow.
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How To Apply Psoriasis Medication On Your Face
Here are a few basic tips:
- Use small amounts.
- Be careful when you apply creams and ointments around the eyes. Some treatments can irritate them.
- Follow your doctorâs instructions for taking the medication so you can prevent side effects, especially with steroids.
- Ask your doctor if you can use makeup to conceal the psoriasis on your face. Some products can prevent treatment from working.
- If your medication doesnât help or causes too many side effects, work with your doctor to figure out a treatment that will help.
So What Does Plaque Psoriasis Looks Like
First, let’s talk about why it looks so scaly. People with plaque psoriasis have an overactive immune system that causes their skin cells to grow at a fast pacein only three to four days, says the National Psoriasis Foundation. However, the cells don’t fall off as quickly, which means they build up on the surface of the skin.
This dead skin creates plaques and scales. They can vary in size and form single patches separated by healthy skin or groups of patches that join together and cover large areas of skin.
“Plaques are a little elevated. They form a plateau elevated above the surrounding skin. If you closed your eyes and touched psoriasis, you could feel it,”Robert T. Brodell, MD, chair of the department of dermatology at the University of Mississippi Medical Center tells Health.
He explains that the scales are referred to as “micaceous” because they resemble the mineral mica, which splits into very thin elastic plates.
“If you stuck your finger underneath one of the scales, a broad white flake comes off unlike some other conditions whereby you might have a fine scale, like dandruff, that doesn’t stick together,” he says.
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What Is The Treatment For Guttate Psoriasis
Usually, this type of psoriasis goes away in a few weeks without treatment. Simple reassurance and moisturizers to soften the skin may be sufficient care. The choice of treatment depends on the severity of the outbreak and the individual’s preferences. For example, applying topical steroids, although effective, could be bothersome because the outbreak occurs over a large portion of the body in most cases of guttate psoriasis.
- Antibiotics: If someone has a history of psoriasis, the doctor will most likely take a throat culture when that individual has a sore throat. If the culture results are positive , then starting immediately on antibiotics for the infection is very helpful.
The doctor may prescribe a short course of artificial light therapy . Broadband ultraviolet B or narrowband ultraviolet B light may be used.
It is probably advisable to avoid the ultraviolet lights provided in tanning salons.
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.
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What Is Psoriasis And What Causes It
Psoriasis is a chronic autoimmune condition. If you have psoriasis, it means your skin cells regenerate much faster than usual, causing them to build up. Anyone can get psoriasis, but its not contagious.
Some common triggers for psoriasis are:
- certain medications
What Causes Psoriasis On Your Face
Psoriasis is an autoimmune condition that causes inflammation and skin cells to grow too quickly. Healthcare providers do not know why some people develop psoriasis while others do not. There appears to be a genetic factor because you are more likely to experience psoriasis if your parents have it.
Common triggers that lead to a psoriasis outbreak include stress, skin injury, infection, cold weather, and certain prescription medications. Facial psoriasis is not contagious, and you cannot give it to or get it from someone else.
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Which Type Of Doctors Treat Guttate Psoriasis
People should see a doctor or health care professional if they develop a sudden eruption of small red drop-like lesions of guttate psoriasis. Dermatologists, doctors who specialize in the treatment of skin disease, are best equipped to diagnose and treat guttate psoriasis. This form of psoriasis is usually a mild inconvenience to most people. Most of the time, the lesions last several weeks to a few months. Other times, the guttate eruption can develop into chronic plaque psoriasis. Scarring is not a problem.
The doctor can prescribe treatments that help relieve the itching. This type of psoriasis usually “runs its course” and goes away without medical treatment in a few weeks.
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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Symptoms Of Facial Psoriasis
There are several forms of facial psoriasis. They all involve skin thats itchy, painful, and irritated.
Scratching psoriasis lesions can also lead to broken skin and, in some cases, infection. Psoriasis can affect your self-image and general quality of life, too.
The three main subtypes of psoriasis that appear on the face are the following:
Psoriasis Treatments Have Improved Greatly In The Last Decade
Doctors are starting to understand psoriasis more now than ever before. This makes psoriasis face treatment, nail psoriasis treatment, guttate psoriasis treatment, and other forms of psoriasis easier to treat. Treatment options range depending on the extent of the condition. Most psoriasis treatment works by targeting inflammation thats caused by the immune system. Topical steroids, emollients, and phototherapy can all be used as outpatient treatment options.
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What Medications Are Used In The Treatment Of Guttate Psoriasis
Doctors may use antibiotics when the guttate psoriasis is related to a streptococcal infection. They may choose an antibiotic that will act on a wide range of bacteria. People should always tell their doctor what drugs they are currently taking because of the possibility of drug reactions.
Be aware of possible allergic reactions to any antibiotic used, especially penicillin. Stop taking the drug if an allergic reaction is suspected. Occasionally, chronic guttate psoriasis resistant to light therapy and antibiotics may require treatment with systemic medications used to treat classical plaque-type psoriasis.
The Redness On Louis Face Drew Unwanted Attention From Others It Became Easier For Him To Explain Once He Had A Diagnosis Of Psoriasis
Itching and scratching at night
- sitting on the hands
Soreness and painSkin flaking
- worrying about other people seeing or touching the skin flakes
- concerns about cooking or working in a job with food
- skin flakes showing up on dark coloured clothes and hair
- getting distracted and picking at skin flakes
- doing more cleaning, such as hoovering and changing bedding
- finding symptom relief products to gently remove flakes, such as exfoliating gloves for Lucy
- difficulties shaving Damini and Lisa found their skin cut more than usual, though Simon found his psoriasis skin was less prone to bleeding
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Psoriasis On The Toenails
The toenails are actually part of the skin. They grow out of the nail plate, which is directly under the cuticle. Because of abnormal growth in the nail plate, psoriasis may affect your toenails.
Toenails that are affected by psoriasis may look thick and ridged. They may lift from the nail bed, develop discoloration, or become pitted over time. Once the nail has grown, it cannot be altered unless it is cut or filed. Treating psoriasis on the toenails usually means treating the skin around the nail, including the nail bed, the cuticle, and the nail folds around the edges of the nail. Nails are difficult to treat but some of the newer biologics have greater success.
Guttate Psoriasis: Small Red Spots
Guttate psoriasis the second most common type of psoriasis is characterized by multiple small, round red spots on the skin, usually widespread across the trunk and limbs. Often resulting from a bacterial or viral infection in children, such as strep throat, these spots come on suddenly and sometimes require oral medication or injections. Mild cases, however, may clear up without treatment.
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Home Treatment For Psoriasis
There are some home remedies that may help minimize outbreaks or reduce symptoms of psoriasis:
- Exposure to sunlight.
- Apply moisturizers after bathing to keep skin soft.
- Avoid irritating cosmetics or soaps.
- Do not scratch to the point you cause bleeding or excessive irritation.
- Over-the-counter cortisone creams can reduce itching of mild psoriasis.
A dermatologist may prescribe an ultraviolet B unit and instruct the patient on home use.
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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