Can losing weight improve psoriasis? What the evidence shows

From theconversation.com

For many people living with psoriasis, the red, scaly skin patches are only part of the story. Another challenge is the uncertainty about whether there is anything they can do themselves to help manage their skin.

Treatments have improved greatly in recent years. Creams, tablets and injectable medicines can all help control symptoms. Even so, many people still ask a straightforward question in clinic: is there anything I can do alongside my medication that might make a difference? Weight often comes up in that discussion. Psoriasis is more common in people who are overweight or living with obesity.

Research now shows that, for people who are overweight, losing weight can improve both the severity of psoriasis and overall quality of life.

Doctors have long suspected that weight loss could help, but earlier research was inconsistent. Many studies were small, short term and did not always measure how people felt in everyday life. As newer weight loss treatments have become more widely available, it has been important to take another look at the evidence.

Body weight and psoriasis severity

To provide a clearer picture, my colleagues and I reviewed the highest quality studies available on weight loss support for people with psoriasis. In these studies, participants were randomly assigned to one of two groups. One group received structured support to help with weight management alongside their usual psoriasis care. The other group continued with usual care alone. Random assignment helps ensure that any differences seen are likely to be due to the support itself, rather than other factors.

The programmes varied. Some focused on reduced calorie diets. Others combined diet with exercise or behavioural support, such as coaching and goal setting to help people stick with changes. A small number included weight loss medicines. In all cases, researchers carefully measured both weight change and changes in the skin.

               Some weight loss programmes included exercise as well as reduced calorie diets. NinaKulagina/Shutterstock

Across the studies, people who received weight management support lost about seven kilograms more on average than those who did not. Their psoriasis improved more as well. Doctors’ assessments of skin severity showed greater improvement, and participants were more likely to experience a substantial reduction in their plaques, which are the thick, inflamed patches of skin typical of psoriasis. They also reported better day to day wellbeing, suggesting the changes were noticeable in everyday life, not only in clinical measurements.

Two patterns stood out. Greater weight loss was generally linked with greater improvement in psoriasis. People who started with more severe psoriasis often saw larger benefits.

This does not mean weight is the sole cause of psoriasis. Psoriasis is a complex condition involving the immune system, which is the body’s defence against infection, and it is influenced by both genetics and environmental factors. However, body fat is biologically active. It produces chemicals that promote inflammation, which is the body’s response to injury or illness. These chemicals circulate in the bloodstream and can affect many organs, including the skin. Reducing excess weight may lower this background inflammation and help calm the overactive immune response seen in psoriasis.

No single diet emerged as clearly superior. The studies used different approaches, yet the common factor linked with skin improvement was weight loss itself. This suggests there is no single diet that everyone must follow. Instead, supported and sustainable weight loss appears to be the key factor.

                                      The common factor linked with skin improvement was weight loss. Ljupco Smokovski/Shutterstock

For patients, this is important. People with psoriasis were involved in shaping how we interpreted the findings. Some said they had wondered whether changing their diet or losing weight might help, but were unsure whether there was solid evidence. Others said they would feel more motivated knowing that weight management could benefit both their general health and their skin.

For clinicians, clearer evidence also helps. Conversations about weight can be sensitive. Without strong data, it can be difficult to raise the topic in a confident and constructive way. Bringing together the available trial evidence provides a stronger basis for these discussions when they are relevant to the person.

Another treatment tool

There are still limits to what we know. Most of the studies lasted only a few months. Psoriasis is a long term condition, and maintaining weight loss over time can be difficult. We cannot yet say with certainty how long the skin improvements last over several years.

Weight management is also shaped by many factors, including access to affordable healthy food, safe places to exercise, mental health and other medical conditions. Support needs to be practical, realistic and free from judgement.

Even with these limits, a consistent picture emerges when the trials are considered together. Adding structured weight management support to usual psoriasis treatment is likely to improve skin severity and quality of life for many people who are overweight.

This does not replace medical treatment. It also does not mean that everyone with psoriasis needs to focus on weight. But for those who are interested, there is now clearer evidence that weight loss can form part of overall care.

For someone living with psoriasis, that knowledge can change how much control they feel they have. Alongside prescribed treatments, there may be another tool available that benefits both the skin and overall health.

https://theconversation.com/can-losing-weight-improve-psoriasis-what-the-evidence-shows-276113

Psoriatic Arthritis: Hand Strength, Dexterity, and Fine Motor Control

From everydayhealth.com

If you have psoriatic arthritis (PsA), you may be familiar with sore fingers, stiff wrists, and the frustration of struggling with formerly simple tasks like buttoning a shirt or chopping vegetables. Psoriatic arthritis is an inflammatory form of arthritis that causes painful, swollen joints. It frequently affects the hands.

When PsA impacts your hands, this can reduce strength, dexterity, and fine motor skills, all of which can interfere with your daily life.

“In severe cases, it may be almost impossible to open and close the hand or make a fist,” says Norman Gaylis, MD, a rheumatologist and board member of the American College of Rheumatology in Miami. “This drastically reduces the quality of life when people are unable to complete household chores, pursue hobbies they enjoy, or take care of their daily hygiene needs because they are unable to use their hands.”

How PsA Takes a Toll on Hand Function

In the most basic terms, psoriatic arthritis affects hand function through chronic inflammation. This can degrade cartilage and bone over time.

These are the ways that PsA can change your hands:

• Reduced Strength and Muscle Atrophy When your hands are painful, swollen, or stiff, you might use them less. This can lead to a loss of strength and muscle mass.
• Stiffness Inflammation from psoriatic arthritis can make your hands feel stiff. This is due to synovitis (inflammation of the joint capsule) and enthesitis (inflammation where your tendons and ligaments attach to your bones).
• Difficulty Gripping Grip strength decreases as the severity of psoriatic arthritis increases. This affects the ability to both grasp an object with your whole hand, like when you pick up a water bottle, and pick up small items with your thumb and index finger.
• Swelling Psoriatic arthritis can cause severe swelling in the fingers, called dactylitis. You might also hear this called “sausage fingers.”
• Nail Changes Up to 80 percent of people with PsA experience changes in their fingernails. “With some patients, nails start to look broken, become brittle, and even separate from the nail bed,” says Dr. Gaylis. Not only can this feel embarrassing but it can be painful and make it difficult to use the tips of your fingers (like you do when typing on a computer or phone).
• Deformities Actual deformities in the hands are rare these days, thanks to better treatment. However, they can still develop if psoriatic arthritis isn’t treated. “In the most severe cases, arthritis mutilans develops and dissolves tissue and bones in the fingers,” says Gaylis. This occurs in about 5 percent of psoriatic arthritis cases.
• Loss of Fine Motor Skills Hand swelling, pain, and stiffness can all make it challenging to perform tasks that require precision, dexterity, and coordination. You might find it increasingly difficult to manipulate small objects like zippers or buttons.

All these symptoms add up to real difficulty completing functional tasks in your everyday life.

Who Can Help Restore Hand Function

There are a few health professionals you can reach out to if psoriatic arthritis is affecting your hands. The primary ones are rheumatologists and certified hand therapists (CHTs).

Rheumatologists are doctors who specialize in autoimmune diseases and inflammatory diseases that affect the joints, bones, and muscles. If you’re diagnosed with PsA, you’ve most likely already seen a rheumatologist.

“Fortunately, rheumatologists can treat psoriatic arthritis with many new biologics and medicines that are very effective,” says Gaylis. These medications help manage inflammation and swelling from psoriatic arthritis, which can noticeably improve hand function.

CHTs are also an essential part of the team for anyone with psoriatic arthritis affecting their hands. These health professionals can either be occupational therapists or physical therapists who’ve gone through extra training to specialize in treating hand conditions like psoriatic arthritis.

A CHT will assess your mobility and function and give you tailored treatment that might include splints, exercises, and assistive devices. You can ask your doctor to refer you to a CHT, or depending on your health insurance, you may be able to make your own appointment.

Strategies to Improve Strength and Control

We use our hands constantly, from turning on the tap at a sink to sliding a credit card out of a wallet. Bringing back strength and control to your hands can improve your quality of life.

Therapeutic Exercises

Therapeutic exercises can reduce pain and improve coordination, strength, and function. Common exercises for PsA include the following:

• Isometric Exercises These are static exercises during which your muscles stay the same length. “Isometric exercises are safer for the arthritic hand to perform because the joints are not moving,” says Kristin Valdes, a certified hand therapist and professor at Touro University Nevada, in Henderson, Nevada. In this type of exercise, you squeeze an immovable object, and your joints are supported by the object you’re holding. Valdes suggests squeezing a firm racquetball or tennis ball to improve grip strength.
• Passive Range of Motion With psoriatic arthritis, the fingers can flex (or “claw” inward) over time as the skin contracts. Anyone experiencing this “should use the other hand or pull their fingertips over the edge of the table to try to straighten out the fingers daily,” says Valdes.
• Tendon Gliding This set of exercises encourages smooth movement of your finger tendons within their sheath.

Be cautious when starting hand exercises with psoriatic arthritis. “If treatment is too aggressive, it can increase hand pain and cause skin breakdown,” says Valdes.

Consider seeing a CHT for a personalized program of exercises, since everyone’s psoriatic arthritis is different.

Assistive Tools

When your wrist is sore, twisting open a jar can be very painful. And when your fingers are stiff, it can feel near impossible to pick up small items. Assistive devices can help you achieve these everyday tasks with less effort and therefore less pain.

Assistive devices for psoriatic arthritis include these examples:

• Wide-grip pens or utensils
• Electronic jar or can openers
• Ergonomic kitchen tools
• Button hooks
• Elastic shoelaces
• Electric toothbrushes
• Gripping materials (to hold a mixing bowl in place, for example, or grip a lid)
• Tap turners or lever handles (to avoid twisting)
• Tongs
• Adaptive cutting boards
• Motion sensor dish soap or shampoo dispensers

Orthoses

For those seeing a hand therapist for treatment, “The therapist can also fabricate a custom orthosis to rest the joints,” says Valdes. This might look like a ring to keep your finger joint straight or a brace that wraps around your thumb.

You can also get premade orthoses like wrist splints online or in pharmacies, but talk to your hand therapist or doctor first to ensure that you’re getting the right one.

Joint Protection and Skin Protection

Joint protection techniques, which are usually taught by a CHT, are ways to perform daily tasks so that less stress is applied to your joints. The following techniques are common:

• Practice the large joint rule. Use larger and stronger joints for tasks instead of smaller ones. Valdes gives the examples of pushing instead of pulling, carrying bags with your forearm instead of hands, and using a shoulder bag rather than a handbag.
• Limit repetitive hand movements. For example, use an electric can opener instead of a hand-operated one. You can still knit or do hobbies involving your hands, but Valdes recommends limiting these to no more than 30 minutes at a time.
• Use a light grip. “Try not to grip so forcefully that the hand fatigues easily,” says Valdes. One way to achieve this is to bulk up the handles of tools or utensils. For example, when cooking, wrap a potholder around a pot handle to make it larger; that reduces the pressure on your hand.
• Don’t forget skin protection. Applying cream to tight skin can help protect both the skin and joints.

Heat and Cold Therapy: Using Paraffin Baths for Stiffness vs. Ice for Acute Inflammation

If your fingers are swollen, try cold therapy with a cold cloth or ice pack. This can help reduce inflammation in the affected joints.

Heat therapy can’t bring down acute inflammation, but it can provide pain relief. If your hands are stiff or painful, consider applying a warm cloth or heating pad.

Warm paraffin, or wax, baths, which a CHT can perform, can also be soothing. A hand therapist might do this to loosen up your joints before exercising them. However, you’ll want to avoid paraffin baths if you have any open cuts or inflamed skin on your hands.

Lifestyle and Daily Habits

Breaking tasks into smaller, more manageable steps can help you conserve energy and manage pain. Be sure to take frequent breaks to rest your hands. “For example, when making a meal, break up cutting or chopping tasks throughout the day,” says Valdes.

You’ll also want to make a daily habit out of your therapeutic exercises, particularly stretching and range of motion exercises. However, avoid strengthening exercises when your hands are painful, says Valdes.

Overall, do your best to maintain an active lifestyle and keep up with the activities that bring you joy and meaning. You can also try new hobbies that don’t tax your hands as much, such as singing, line dancing, learning a language, or hiking.

If you’re struggling with hand pain or stiffness, talk to your rheumatologist or CHT. Your rheumatologist may adjust your medication, and your CHT can strategize personalized solutions, whether that’s a new hand splint or exercise program.

The Takeaway

• A rheumatologist can help you manage psoriatic arthritis hand symptoms with newer biologics and medications that control inflammation.
• Certified hand therapists can tailor exercises to your specific hand symptoms, recommend assistive tools, and educate you on joint protection to preserve and restore hand function.
• Therapeutic hand exercises can help enhance grip strength, dexterity, and control for performing daily tasks.

https://www.everydayhealth.com/rheumatic-conditions/psoriatic-arthritis-hand-strength-and-dexterity/ 

Is It Okay to Use Self-Tanners if You Have Psoriasis?

From everydayhealth.com

Psoriasis is a chronic inflammatory skin condition that speeds up skin cell turnover, leading to thick, scaly patches on the skin. These plaques can develop all over the body, including the arms, legs, and back — and this is often why people with psoriasis look for ways to make their skin look more even, especially in the summer months.

Self-tanners and spray tans are popular options because they create the appearance of a tan without the UV exposure and risk of skin cancer. And for people with psoriasis, a tan may be a confidence booster as it may reduce the contrast between plaques and surrounding skin, making flare-ups less noticeable.

It’s worth noting that some natural sunlight can improve plaque psoriasis in certain people. But dermatologists warn that exposure to UV light is best achieved via phototherapy, where UV light is administered in a controlled setting. Sunbathing isn’t recommended as sunburn is a form of skin trauma that can worsen psoriasis and increase skin cancer risk.

This is where sunless tanning products often come into the conversation. But are they safe for psoriatic skin?

How Self-Tanners Work

Self-tanners are topical products — such as lotions, creams, foams, or drops that can be mixed into your makeup or moisturizer — that you can use at home. When they’re applied to the skin, the product interacts with proteins on the skin’s surface to create a darker colour. Like a tan, the colour wears off after a few days.

The active ingredient in most self-tanners is dihydroxyacetone (DHA), a colour additive approved by the U.S. Food and Drug Administration (FDA). DHA creates a temporary browning effect that looks like a tan, with the color usually developing within a few hours.

Self-tanners don’t penetrate deep into the skin, which is why they’re considered safer than UV tanning, says Lawrence Green, MD, a clinical professor of dermatology at George Washington University School of Medicine in Washington, DC. “Self-tanners are fine to use because they don’t sink into the skin; they sit on the skin,” Dr. Green says.

But they don’t protect your skin from UV rays unless the product explicitly says it contains SPF, according to Steven Daveluy, MD, a professor and the program director at the Wayne State University School of Medicine in Detroit, where he specializes in treating patients with skin diseases, such as psoriasis and eczema. “I always make sure to remind patients that [self-tanners] don't offer sun protection, so they still need to use protection with sunscreen, hats, clothing, shade, and other methods,” he says.

Even if your self-tanner has sunscreen, you should reapply a separate UVA/UVB sunscreen with an SPF of 30 or higher every two hours if you’re outdoors.

                                                                                                                                  Adobe Stock

How Spray Tans Work

Spray tans use the same active ingredient — DHA — but instead of being applied by hand, the product is sprayed onto the skin, through an aerosol spray can.

Once the spray tan is applied, you’ll notice your skin will darken or “tan” over the next 2 to 4 hours, up to 24 to 72 hours. The more DHA is applied to the skin, the darker your spray tan will appear. Spray tans tend to last about 5 to 10 days.

Bear in mind, if you’re getting a spray tan in a commercial spray tanning booth, you should check on safety measures put in place to make sure the product won’t get into your eyes, nose, mouth, or lips, the FDA has cautioned. That’s because it doesn’t have data on the safety of inhaling or ingesting the spray.

Just like self-tanners, spray tanning products don’t offer UV protection unless they explicitly say they do, Green says.

What to Consider When You Have Psoriasis

Self-tanners and spray tans are safe to use for people with psoriasis, Dr. Daveluy says. “They offer a great option for patients who want to look tanned without increasing their risk of skin cancer and premature aging.”

This comes with an important caveat, though. The product should not be applied to open or inflamed skin — and it won’t sit smoothly on dry, patchy skin or plaques.

“It's just the thickness of the plaques, the unevenness, the scales. It's going to be very difficult to get the product on evenly,” Green says, using an analogy of applying foundation to inflamed, acne-prone skin, or dry, flaking skin.

The self-tanner won’t last as long on parts of the body affected by psoriasis, too, Daveluy says. “It’s going to flake off more quickly. In psoriasis, the skin turns over 17 times faster than skin without psoriasis,” he says, noting your psoriasis scale will soak up the self-tanner, then flake off.

There’s no evidence that spray tans or self-tanners can trigger flares or outbreaks — but the way you apply the product can, says Chris Adigun, MD, a board-certified dermatologist in private practice in Chapel Hill, North Carolina.

Applying self-tanner to opened or cracked plaques could cause the psoriasis to worsen. “DHA is meant to be applied to intact skin,” Dr. Adigun says.

Exfoliating affected parts of the body beforehand may even trigger new psoriasis patches through the Koebner response, a phenomenon where skin trauma — like scratches — can cause psoriasis to spread to previously unaffected areas, she says.

This is why you should get your psoriasis under control before using self-tanners or spray tans, Daveluy says. Your dermatologist can prescribe topical, oral, or injectable medications to manage your disease. “Our goal is for our patients with psoriasis to have less than 1 percent of the body affected by the psoriasis,” he says.

How to Use Self-Tanners and Spray Tans Safely

If you have psoriasis and you’re using self-tanners or spray tans, a few simple precautions can help reduce irritation, improve results, and protect your skin barrier. These include the following:

Choose Gentle Formulations

Daveluy says that while psoriatic skin isn’t as sensitive as other types of skin conditions, such as atopic dermatitis, you can take precautions and shop for a self-tanner or spray with the following characteristics:

• Fragrance-free
• Free of exfoliating acids or scrubs
• Noncomedogenic, if acne is a concern
• Free of alcohol, dyes, essential oils, and sulfates

The aim here is to choose products that are less likely to cause irritation or allergy, Daveluy says.

Patch Test First

It’s especially important to do a patch test on your skin before using a new product on the rest of your body if you have psoriasis.

For daily-use products like moisturizers, Daveluy recommends applying the product to the same spot — usually the inside of the upper arm — twice a day for about two weeks and watching for signs of irritation, such as itching or rash. If the skin tolerates it well, it’s likely safe to use elsewhere.

Because self-tanners aren’t typically used every day, you can modify this approach by applying the product to the test area every few days instead. 

Always Use Sunscreen

Protecting your skin from the sun is especially important if you have psoriasis. Some psoriasis medications can increase sun sensitivity; and people who have had extensive UVB phototherapy may also have a higher risk of skin cancer, though the research is contradictory. Don’t forget: severe sunburn can also trigger a psoriasis flare. 

When choosing sunscreen, look for a broad-spectrum formula with SPF 30 or higher, ideally containing zinc oxide or titanium dioxide, which help block harmful UV rays. Always avoid applying sunscreen to open or actively inflamed skin.

Moisturize Strategically

Moisturizing is key for people with psoriasis. You can prep the skin before applying a self-tanner by taking a warm bath to loosen or remove scales, then follow up with moisturizing immediately after, Adigun says.

“It might look marginally better,” she says.

You can also try gentle exfoliation before application — with careful attention to avoid exfoliating parts of your body with active psoriasis, Daveluy says. “Don't try to exfoliate or pick the scale off your psoriasis, since trauma can cause psoriasis to flare,” he warns.

After the self-tanner or spray tan sets, keep moisturizing your skin to reduce flaking, Green says. He recommends using a thick, heavy cream — think jar-based products rather than pump lotions — to help seal in moisture.

The Takeaway

• Self-tanners and spray tans work on the surface of the skin, creating a temporary tan without UV exposure.
• Results may be uneven and fade faster on psoriasis plaques, because thicker, scaly skin sheds more quickly than unaffected areas, causing the color to flake off sooner or appear patchy. 
• Make sure you moisturize regularly to help protect the skin barrier, and choose sunless-tanning products that are fragrance-free and free of other ingredients that may irritate the skin. 

https://www.everydayhealth.com/skin-conditions/are-self-tanners-safe-for-psoriasis/

Can Psoriatic Arthritis Cause Hair Loss?

From everydayhealth.com

Psoriatic arthritis (PsA) is an autoimmune disease that causes inflammation of the joints, tendons, and nails. It usually occurs in people with psoriasis, an inflammatory condition causing rashes on the skin.

Symptoms can include joint pain, swelling, stiffness, and fatigue. Hair loss (alopecia) isn’t typically a sign of the disease, but it can affect some people with PsA in a roundabout way. 

“Psoriatic arthritis and hair loss are not directly linked,” explains Jennifer E. Yeh, MD, PhD, a clinical assistant professor of dermatology at Stanford University School of Medicine in California. “However, having psoriatic arthritis may predispose one to hair loss from psoriatic arthritis inflammation, from psoriatic arthritis treatment, or from an increased likelihood of having another type of autoimmune condition.” 

Physical or Psychological Stress Can Lead to Hair Loss

Psoriatic arthritis can significantly impact your emotional well-being, leading to anxiety, depression, diminished self-esteem — and particularly, stress. Chronic stress can worsen inflammation and immune dysregulation, leading to increased disease activity and more severe symptoms. Researchers note that stress may also disrupt neuroendocrine pathways, affecting cortisol levels and further dysregulating the immune system in PsA. According to the American Academy of Dermatology, stress is linked to hair loss and thinning hair.

Dr. Yeh says that both the physical and psychological stress associated with PsA can trigger a temporary type of hair loss called telogen effluvium. 

With telogen effluvium, more hairs than normal are forced into their resting phase. When this happens, they fall out at once. Most people lose about 100 strands of hair a day. But if you have telogen effluvium, you may lose up to 300 strands a day.

“While telogen effluvium is characterized by an increase in daily hair shedding, it usually reverses, and hair regrows once the underlying stressor is removed,” Yeh says.

                                                             iStock

Medications for PsA May Cause Thinning Hair

Treatments for PsA can contribute to hair loss. Some common culprits are: 

• Methotrexate It stops cells from growing — including hair follicles. About 1 to 3 percent of people who use it experience hair loss.
• Leflunomide This medicine works like methotrexate and causes hair loss in about 10 percent of people.
• Anti-TNF Therapy Research has shown that “a sizable minority” of people on TNF inhibitors develop alopecia areata, the most common inflammatory hair loss disease, at a higher prevalence than the general population, though it’s not clear why this happens.

“Treatment-related alopecia typically improves with discontinuation of the offending medicine,” says Yeh.

Comorbid Psoriasis and Hair Loss

Most, but not all, people with PsA also have psoriasis. And, if you have psoriasis, you have a 45 to 56 percent chance of developing scalp psoriasis.

Scalp psoriasis causes a dry, itchy, and inflamed scalp. “Scalp psoriasis that is not controlled irritates the hair follicles, disrupting normal hair follicle function, and thereby causing hair shedding,” says Yeh. 

If you scratch or pick at the lesions, you can also damage hair follicles. This can result in additional hair loss.

The good news is that hair loss due to scalp psoriasis is usually temporary. “Most cases show complete hair regrowth after treatment,” says Yeh.

If you have severe psoriasis plaques, you should be aware that the oral medication acitretin, occasionally used to treat persistent psoriasis, can cause hair loss.

What to Do About Hair Loss

If you have PsA and experience hair loss, talk to your doctor. If you’re not already seeing a dermatologist to manage your condition, your rheumatologist can refer you to one who may be able to determine the underlying cause of your hair loss.

Getting your symptoms under control can also help preserve your hair. “Hair loss from uncontrolled PsA reverses once the inflammation is well-controlled,” says Yeh. “It’s critical to treat concomitant scalp psoriasis so that local inflammation surrounding hair follicles on the scalp does not contribute to increased hair shedding.”

Here are some ways you can help prevent hair loss caused by scalp psoriasis.

• Try not to touch, pick, or scratch your scalp.
• Keep your fingernails short.
• Be gentle when brushing, combing, washing, or drying your hair.
• Wear a hat when you’re outside.
• Use a medicated shampoo that contains salicylic acid and follow with a moisturizing conditioner. 
• Don’t take extremely hot showers.
• Ask your doctor about a prescription treatment that can help your symptoms.
• Avoid blow-drying your hair. If you do, use a low-heat setting.
• Try to keep stress levels low.
• Follow a healthy diet.
• Avoid heavy drinking.

While hair loss associated with PsA can be frustrating, the right treatments and lifestyle habits can help you minimize shedding — and protect the hair you have.

The Takeaway

• If you have psoriatic arthritis and you’re experiencing hair loss, consult your doctor to determine the underlying cause and effective treatment strategies.
• Medications such as methotrexate and leflunomide, commonly used to manage PsA, might contribute to hair thinning, so discuss potential side effects with your healthcare provider to explore any necessary adjustments.
• Emotional and physical stress linked to PsA can cause temporary hair loss; reducing stress levels and effectively managing the disease can lead to regrowth and a healthier scalp condition.
• If you’re dealing with scalp psoriasis, measures such as medicated shampoos and avoiding scalp irritation can prevent additional hair loss and support recovery.

https://www.everydayhealth.com/rheumatic-conditions/can-psoriatic-arthritis-cause-hair-loss/