From red, flaky patches to joint pain — psoriasis is more complex than you might expect. Doctors might not tell you this! In this article, you'll learn about the early signs, symptoms, risk factors, effective medications, different treatment methods, and everything else you need to know about psoriasis.
What Is Psoriasis?
Psoriasis is an autoimmune condition that causes inflammation in your skin. Symptoms of psoriasis include thick areas of discolored skin covered with scales. These thick, scaly areas are called plaques.
Psoriasis is a chronic skin condition, which means it can flare up unexpectedly and there’s no cure.
Early Signs and Symptoms of Psoriasis
In addition to skin plaques or a rash, you might have symptoms that include:
🔸Itchy skin
🔸Cracked, dry skin
🔸Skin pain
🔸Nails that are pitted, cracked or crumbly
🔸Joint pain
If you scratch your plaque, you could break open your skin, which could lead to an infection. Infections are dangerous. If you experience severe pain, swelling and a fever, you have symptoms of an infection. Contact your healthcare provider if you have these symptoms.
Key Triggers and Risk Factors of Psoriasis
An outbreak of psoriasis, or a flare up, causes symptoms of psoriasis as a result of contact with a trigger, which could be an irritant or an allergen. Psoriasis outbreaks differ from person to person. Common triggers for psoriasis flare ups include:
🔸Emotional stress
🔸An infection (streptococcal infection)
🔸A skin injury like cuts, scrapes or surgery
🔸Certain medications, such as lithium and beta-blockers
🔸Changes in body temperature due to the weather
People of any age, sex or race can get psoriasis. Psoriasis affects millions of people. More than 3% of the U.S. population has psoriasis.
From Creams to Medication: What Really Works for Psoriasis
Several treatment options can relieve psoriasis symptoms. Common psoriasis treatments include:
🔸Steroid creams
🔸Moisturizers for dry skin
🔸Medication to slow skin cell production (anthralin)
🔸Medicated lotions or shampoos
🔸Vitamin D3 ointment
🔸Vitamin A or retinoid creams
Creams or ointments may be enough to improve the rash in small areas of your skin. If your rash affects larger areas, or if you also have joint pain, you’ll need other treatments. Joint pain may be a sign that you have arthritis.
Your provider will decide on a treatment plan based on:
🔸The severity of the rash
🔸Where the rash is on your body
🔸Your age
🔸Your overall health
If Psoriasis Creams Fail: What’s Next?
If your symptoms of psoriasis don’t improve after treatment, or if you have large areas of involvement (10% of your skin or more), your healthcare provider may recommend the following treatments:
🔸Light therapy: LED lights at specific wavelengths can decrease skin inflammation and help slow your skin cell production.
🔸PUVA: This treatment combines a medication called psoralen with exposure to a special form of ultraviolet light.
🔸Retinoids: These vitamin A-related drugs can help your psoriasis symptoms but may cause side effects, including birth defects.
🔸Immune therapies: Newer immune therapy medications (biologics and small molecule inhibitors) work by blocking your body’s immune system so it can’t cause an autoimmune reaction.
🔸Methotrexate: Providers recommend this medication for severe cases of psoriasis. It may cause liver disease. If you take it, your provider will monitor your progress with blood tests. You may need periodic liver biopsies to check your liver health.
🔸Cyclosporine: This medicine can help severe psoriasis but it may cause high blood pressure and kidney damage.
Before starting treatment, talk to your healthcare provider about the side effects and mention any medications or supplements you currently take to avoid drug interaction.
Exploring the Psychological Impact of Psoriasis
Living with psoriasis can lead to significant psychological stress and emotional challenges. Many individuals experience feelings of self-consciousness or embarrassment due to the visible nature of their skin condition. The unpredictability of flare-ups can also contribute to anxiety, as patients may worry about social situations or professional interactions. Studies have shown that psoriasis is often linked to higher rates of depression and anxiety disorders. It's crucial for those affected to seek support, whether through counseling or support groups, to navigate these psychological hurdles and promote overall well-being.
Lifestyle Changes to Manage Psoriasis Effectively
Making certain lifestyle changes can have a positive impact on managing psoriasis symptoms. Incorporating a healthy diet rich in fruits, vegetables, and omega-3 fatty acids may help reduce inflammation and promote skin health. Regular exercise can also be beneficial, not only for physical health but for mental well-being, as it releases endorphins that can improve mood. Additionally, avoiding known triggers such as smoking, excessive alcohol, and stress can minimize flare-ups. Staying hydrated and maintaining a consistent skincare routine are essential for keeping the skin moisturized and healthy.
The Importance of Regular Medical Follow-ups
Regular follow-ups with your healthcare provider are vital for effective psoriasis management. These check-ups allow for monitoring of your condition and treatment efficacy and provide opportunities to adjust treatment plans as needed. It's also an excellent time to discuss any new symptoms or side effects you may be experiencing. Your healthcare provider can guide you through the latest research and treatment options available, ensuring you receive the most appropriate care. Staying proactive in your treatment approach can lead to better outcomes and improved quality of life for those living with psoriasis.