What It's Like to Have Psoriasis

From allure.com

When you have a chronic health condition that impacts the body's largest organ, every day can feel like a battle. These five people open up about their experiences and share what helps them feel their best.

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When most people think about psoriasis, their minds go straight to what they find when they google the inflammatory autoimmune disease: angry-looking limbs lined in red, scaly lesions, referred to as "plaques" by most derms, in a medical setting. What many people don't know, however, is that this common skin condition varies vastly in severity, rendering each person's experience with it unique and deeply personal. To paint a picture for you: Some folks have super-mild forms of the condition, with modest flare-ups that occur only every so often, while others have acute cases that affect their entire body — nails, scalp, genitalia, you name it — on a daily basis.

But regardless of where someone is on the severity spectrum, "psoriasis warriors" — as members of the community are affectionately called on Instagram — are all survivors in their own right. Because when you have a health condition that impacts the body's largest organ, whether it manifests once a month or every single day, it is a battle, in some sense, at least. Having an incurable skin condition myself, I can tell you that it can make normal, everyday tasks like working, showering, and getting dressed feel like major feats. Even worse, it can feel like your body is betraying you, almost as if you're going to war with yourself.

Despite the physical and mental burdens that skin afflictions present, we push onward. We fight. We choose life and self-care over suffering, even when it feels impossible. Scroll to find five stories that prove exactly that.

Jess Tran

Founder of Scallion Pancake, a purpose-driven marketing agency

Jess Tran wasn't diagnosed with psoriasis until she was 24. Before then, she had been the textbook definition of good health. Naturally, the diagnosis came as a huge shock. "I found out I had guttate psoriasis in 2016," she says. "I remember having this huge rash across my chest and how unusual it was because I'd never had any symptoms like this in my entire life; I had always had normal doctor visits until this point. It started off as bumps and then turned into what my psoriasis would eventually become, which is irregular red/brown patches of dry, raised skin all over my body."

Tran reflects on how hard the visual element of psoriasis was for her initially. “At the beginning stages, I felt really focused on how it looked. That part of my journey — mourning what my skin used to look like and constantly wondering if it looked bad — I went through that for a year or two,” she says. "It started affecting things like how I dressed, and I'd never been afraid of showing skin before. I was a power lifter and had always been really proud of my body." 

Tran adds that social media didn't help matters. "I'd go on Instagram and wonder, Why does no one else look like this? That conversation in my head was ultimately based around comparing myself to others, and it wasn't good."

A turning point occurred when Tran started looking inward and put her mental health first. She began practicing meditation, going to therapy, and facing her traumas from childhood. "Psoriasis is the reason I did these things to start, but it really led me down this path to understanding more about who I am in a way that I think would have been absent if I weren't trying to fix or control a skin condition," she says. "It's been the most powerful thing I've ever gone through. Sure, it's been challenging, but I don't know if I would have embarked on this journey of self-actualization and discovery if it weren't for psoriasis."

Nitika Chopra

Founder of Chronicon, a dedicated platform for people with chronic illnesses

Almost 40-year-old Nitika Chopra has had psoriasis, and psoriatic arthritis, for most of her life. "It will be 30 years this summer, which is crazy," says Chopra, who was first diagnosed when she was 10. By 19, the skin condition activist was told she also had its sister disease: psoriatic arthritis. During this period, painful plaques covered the majority of her body, making seemingly routine tasks like showering feel like going to battle. "At 25, I finally hit a breaking point and really started to figure out what I needed to do."

From that point Chopra went on a biologic drug that helped her condition considerably. Since then she's been on a mission to help others living with psoriasis and psoriatic arthritis. It began with her simply raising awareness on Instagram, but then, in 2019, she created Chronicon, the first-ever convention for people with chronic conditions like psoriasis. The event's success coupled with the profound demand for connection during the pandemic ultimately led Chopra to start an online community under the same moniker.

"When I realized another physical event probably wouldn't be possible until 2022 or 2023, I shifted gears and came up with the idea for Chronicon as this intimate digital community," she explains. "We connect and have several workshops every week. It's been so rewarding because that sense of intimacy and connection feels like it's really happening in this group, even though we're from all around the world."

With regard to where she's at in her personal journey, well, take it from Chopra herself: "Over the years, I've become way more empowered. I feel like I trust myself. I feel like I know what's best. And although I still need help from doctors and practitioners, I know now that at the end of the day, I am my own best advocate."

DaQuane Cherry

Artist @flacowaters

For artist DaQuane Cherry and so many others, having psoriasis has been a roller coaster of countless highs and lows — physically and mentally. "I have my calm, serene moments, [and] then the attitude comes and it's a pain in my ass, literally," says Cherry, who was diagnosed in fifth grade. "Recently I was at an all-time low as my psoriasis had the worst outbreak ever, [and] I felt, TBH, ugly. I felt dry."

In the low moments, Cherry reminds himself he's not alone — that, and he relies on beauty and self-care as a form of therapy. "I take pride in self-care," he says. "It makes me feel confident and on top of the world when I do my skin care. As for my hair, it's my statement piece. Statements such as my hair and skin care give me a safe haven to not think about my skin when I have flare-ups."

To his fellow psoriasis warriors, Cherry stresses the importance of having self-compassion during hard times and flare-ups. "Love yourself," he says. “Think of your relationship with yourself as if it was your child. Would you inflict negative words or feelings onto them? No? So go easy on yourself. Everyone has flaws; it takes the brave to voice theirs."

Christina Patrice

Natural hair blogger and photographer @maneobjective

Content creator Christina Patrice got her psoriasis diagnosis in ninth grade. "Seemingly out of nowhere, I was covered from head to toe in itchy, raised scales," she says. "I was horrified and embarrassed. [During] my first year of high school, I had psoriasis covering my scalp, my face, my arms, my legs — everything. I used to hide behind hoodies and headbands, regardless of the weather. And I spent several days a week undergoing UV treatments and using topical ointments."

Eventually, when Patrice began transitioning to natural hair in 2012, she started reading and understanding ingredient labels, which gave her a sense of control and empowerment over the condition. "It's definitely made me a more conscious consumer in terms of what I use on my hair and scalp," she says. Shortly after deciding to go natural, she started The Mane Objective blog to chronicle her journey, and that changed everything.

"I was one of the early natural hair bloggers who openly discussed psoriasis from personal experience," she recalls. "I shared my frustrations, solutions I've tried, and tips that help. I still get emails and DMs about articles I wrote five or six years ago. Writing so openly about psoriasis and seeing my content help others was, and still is, so special for me."

As an adult, Patrice's attitude towards psoriasis has dramatically shifted. "I better understand my triggers and what causes flares now, [and] I'm not ashamed or embarrassed by it," she says. "Annoyed, yes. But hiding myself? No."

Alice Lee

Student and chronic illness activist @psoalice

“I started having symptoms of psoriasis when I was around 10-years-old,” says Alice Lee. "It was so minor compared to the majority of my skin it's taken over now." She remembers how it took a few years to get an official diagnosis. "Doctors told me it was dandruff, dry skin, and even ringworm. Then I went to the doctor for an ear infection and the nurse told me my ear was damaged because of my psoriasis. Getting that diagnosis was brilliant! It felt like such a relief to finally understand what was happening with my skin."

Over the years, Lee has learned to embrace her skin condition more and more. She hasn't always had the best relationship with makeup, but she's come a long way. "Growing up as a teenager with facial psoriasis, I'd stock up on Maybelline's Dream Matte Mousse and slather it over my face to make sure no red patches were on show," she says. "I look back on that and cringe because I've definitely grown in the way I use makeup. Sometimes I do feel anxious about my skin and I'll cover up my face, and that's okay! But when I do feel confident enough, I love to flaunt my skin and go foundation-free. It's all about personal choice. I love makeup and I'm so glad that it's become a hobby for me, rather than a mask to hide behind."

Discovering the online psoriasis community was a pivotal point for Lee. "I remember feeling so down about myself at the time and I happened to search psoriasis on Facebook to see if it returned any results. Soon, I was directed to a charity with an Instagram page, where they had a full community of people sharing their experiences of living with psoriasis," she says. "From there I found this wonderful community that celebrates our condition. Everyone within the Instagram community is so supportive. We all lean on each other and help others get through the good and bad days."

This story is part of Survivor's Guide, a series on navigating the impact of psoriasis through beauty and self-care.

https://www.allure.com/story/psoriasis-stories-photos

3 Subtle Differences Between Psoriasis and Eczema, According to Dermatologists

From goodhousekeeping.com

There's one particular symptom that's unique to psoriasis — raised skin

If you're constantly scratching dry, red patches of skin, you may be wondering if you have eczema. Depending on where that angry itch is, however, psoriasis could be your first guess. The two chronic skin conditions are distinctly different to doctors and experts who treat them, but can be very difficult to distinguish for people who are experiencing it first-hand.

“They are often confused,” Frank Wang, M.D., a dermatologist at Michigan Medicine at the University of Michigan, tells Good Housekeeping. “They can look very similar. They both present with red patches and plaques that are scaly and can be itchy, and they can affect similar areas of the body.”

With input from skin care professionals, we're helping you determine whether your skin ailment is eczema or psoriasis — and tips for getting started on treatment.

What are the symptoms of eczema?

Eczema isn't actually one condition all its own; the diagnosis refers to a group of skin conditions that cause itchiness, inflammation and rashes, according to the National Eczema Association (NEA). Your bout of eczema may include one of seven common conditions that affect more than 30 million Americans, including atopic dermatitis, contact dermatitis and others.

Atopic dermatitis is the most common form of eczema, Dr. Wang says. It usually starts in early childhood and features itchy rashes, most routinely on the face and in the soft spot behind the knees, that come and go.

Itchiness is the most common symptom of all types of eczema. Though, it affects people in different ways. Some only have mild itchiness, while others are so itchy that they scratch until their skin bleeds.

Other symptoms, according to the NEA, include:

• Dry, sensitive skin
• Inflamed, red skin
• Rough, scaly patches
• Oozing or crusting
• Swelling
• Pain

What are the symptoms of psoriasis?

Psoriasis affects about 8 million Americans, and like eczema, there are several types. The most common is called plaque psoriasis, according to the American Academy of Dermatology Association (AAD), and symptoms include:

• Areas of thick, raised skin, which is referred to as "plaques"
• A dry layer covering the plaques that is silvery-white, called "scale"
• Itchiness

The plaques, which can be large or small, may appear anywhere on the body but are typically on the scalp, knees, elbows and lower back.

Psoriasis can affect other parts of the body, too, including the joints, causing the condition known as psoriatic arthritis. About 30% of people with psoriasis develop psoriatic arthritis, Dr. Wang says. According to AAD, symptoms include:

• Swollen, tender joints, usually in the fingers or toes
• Heel pain
• Swelling in the back of your legs
• Stiffness

What’s the difference between eczema and psoriasis?

Eczema and psoriasis are different chronic conditions, though they both cause red, itchy skin rashes. But for doctors, these rashes have slight differences that the trained eye can usually detect.

“Atopic dermatitis tends to have less well-defined borders, doesn't have as much thick scale as psoriasis and tends to be just a little bit more crusty,” Dr. Wang explains. “Overall, atopic dermatitis tends to be itchier. Both are itchy conditions, but atopic dermatitis is probably more itchy.”

Neither condition is contagious, and eczema and psoriasis can’t be prevented.

What causes eczema and psoriasis?

Scientists aren’t sure exactly what causes eczema, but it’s likely genetic and triggered by allergic reactions to items like soap or fragrance, or could be onset by dry skin, Dr. Wang says. Environmental factors, like cigarette smoke, pollution and stress, could also trigger eczema, per AAD experts.

Research suggests that the immune systems in people with eczema likely overreact, causing inflammation when they come in contact with certain triggers, which makes the skin red and itchy.

Like eczema, there’s no exact known cause for psoriasis, but it too has an immune system link. Psoriasis is caused by an overactive immune system that revs up the production of new skin cells. According to the National Psoriasis Foundation, skin cells typically grow and fall off within a month, but in people with psoriasis, skin cells go through this process in just a few days. Instead of falling off, the cells pile up on the skin, creating thick, scaly patches, which experts call plaques.

Can eczema become psoriasis?

Eczema and psoriasis are completely different conditions. So, eczema can’t turn into psoriasis, and vice versa. But, since the conditions can look so similar, it can be tough to tell the difference even in a clinical setting, especially in children. According to AAD, in these instances, a dermatologist may diagnose the skin condition as “psoriasiform dermatitis.”

There’s some overlap, too. It’s not common, but you can technically get both psoriasis and eczema at the same time, which can be extra confusing. Your dermatologist will usually be able to distinguish between the two.

How can I get started on treatment?

Eczema and psoriasis aren’t entirely curable. But, Dr. Wang says they can be treated and managed to reduce pain, control itching and minimize flare-ups of patches and plaques. Whether you're dealing with one condition or the other (or, both!), managing eczema and psoriasis starts with a skincare specialist best identifying your triggers. You'll work to avoid these irritating events, and you'll also treat any sustained skin injuries that may add to pain or irritation. Mostly, you'll work to stay out of the sun and use solutions to help avoid scratching your skin.

Mild cases of both conditions can be treated at home. Dr. Wang suggests using a mild soap, over-the-counter hydrocortisone and emollients, which are therapeutic moisturizers. There are also lotions and creams for both eczema and psoriasis available to consumers.

Treatments will vary based on how severe the condition is and patient preference, Dr. Wang explains, but usually include topical steroids, light therapy and prescription drugs for the inflammation. For severe psoriasis, when patients have 10% to 30% of their body covered in plaques, injectable medications, called biologics, are used.

Since there’s no cure, treatment and management of eczema and psoriasis will often be lifelong, Dr. Wang says. This can impact quality of life, interfere with sleep and even cause anxiety and depression; all issues that you should discuss with your primary care provider, who may refer you to additional specialists for those issues. “Having a skin disorder such as eczema and psoriasis can be very emotionally and physically disabling,” he says. “People can feel extremely self-conscious. It can really hinder their self-confidence, and it can be very stigmatizing.”

But know you're not alone, and that there are treatments that can help you.

https://www.goodhousekeeping.com/health/a35632601/psoriasis-vs-eczema/

6 Facts About Inflammation and Psoriasis

From healthline.com

Inflammation is thought to play a role in the development of psoriasis, as well as other conditions like arthritis, heart disease, and depression.

In some cases, treating the underlying inflammation may help manage both psoriasis and the risk of related inflammatory conditions.

Many people with psoriasis find that switching to an anti-inflammatory diet can help with psoriasis management, though research is mixed

Inflammation can be a symptom of an overactive immune system. It’s thought to play a role in the development of psoriasis.

People who live with psoriasis may have other health conditions connected to inflammation. Reducing inflammation throughout the body can help relieve psoriasis symptoms and improve overall health.

If you’re living with psoriasis, here are some key facts about inflammation and how it may affect you, plus steps you can take to boost your well-being.

Inflammation can cause systemic issues in the body

Normally, the body naturally uses inflammation to help heal itself. Acute inflammation happens in response to injury. If you stub your toe, it becomes red and swollen as the body sends a rush of white blood cells to protect the area.

With an overactive immune system, inflammation attacks both injured cells and healthy ones. This is known as chronic inflammation, which can contribute to many health issues like arthritis, heart disease, and psoriasis.

Inflammation is thought to play a role in psoriasis

Psoriasis is a skin disease that causes itchy plaques or scaly bumps to develop on the skin. It can affect any area of your body, but these plaques commonly pop up on elbows, knees, and scalp.

Normally, your body grows and sheds new skin cells in a month. With psoriasis, the underlying inflammatory response speeds up skin cell growth. As a result, the body produces new skin cells every few days. These cells then build up on the skin’s surface and turn into psoriasis plaques and scaly bumps.

Cytokines are the body’s agents that cause this immune response. If psoriasis is poorly controlled, the body’s levels of inflammatory cytokines go up. The inflammatory response is often easy to spot with skin plaques.

Inflammation may link psoriasis and depression

If you experience psoriasis along with anxiety or depression, you’re not alone. It’s thought that 43 percent of people with psoriasis also have anxiety. An estimated 20 to 30 percent of people with psoriasis are thought to be affected by depression (and that rate may even be as high as 62 percent).

There are a number of reasons why this correlation exists. One academic paper noted that there may be a close connection between depression and inflammation. Depression and negative experiences can trigger a stress response in the body, which increases inflammation. The inflammation can then exacerbate symptoms of depression.

The paper further noted that people with depression have higher levels of pro-inflammatory cytokines by 30 percent in comparison to those who don’t experience depression.

Treatment may help both psoriasis and related eye inflammation

About 7 to 20 percent of people with psoriasis also experience uveitis, an inflammatory eye condition. Both conditions are related to the same type of inflammatory cytokines.

Many doctors treat uveitis with corticosteroid eye drops or oral corticosteroids. Advanced cases may also be treated with immunosuppressive drugs.

Some research argues that targeted biologic therapies intended for psoriasis may help improve both conditions. An expert writing for the Arthritis Foundation notes that while possible, it has not been proven that controlling the underlying disease helps prevent uveitis.

But there’s more going on under the surface. These cytokines also work systematically throughout the body and can affect your organs, muscles, and tendons. This is most pronounced in moderate to severe psoriasis but also occurs in mild psoriasis.

Because inflammation affects many parts of the body, people with psoriasis may also experience other inflammation-related health conditions.

The link between psoriasis and lung disease is more complicated than inflammation alone

People with psoriasis may have a greater risk of asthma, chronic obstructive pulmonary disease (COPD), sarcoidosis, interstitial lung disease, and lung cancer.

But the connection between psoriasis and lung conditions isn’t as simple as underlying inflammation. On average, people with psoriasis have more risk factors that independently contribute to respiratory issues, such as smoking, having obesity, and being sedentary.

Some of the drugs used to treat psoriasis may also have respiratory side effects. Immunosuppressant medications can increase your risk of respiratory infections.

One small study also found that 2 percent of people with psoriasis taking biologic treatment over a 9-year period developed a serious lung disease known as interstitial pneumonia (IP), though it’s unclear if the biologic treatment played a role in the development of IP.

Work with your doctor to consider your risk of lung disease and balance the benefits of psoriasis treatment with the risks of respiratory side effects.

An anti-inflammatory diet may help

Though research is mixed, many people with psoriasis have found that making changes to their diet has helped with psoriasis management.

While more research is needed, if you’re looking to make changes to your diet, a good place to start is by avoiding inflammatory foods and eating more anti-inflammatory foods.

Foods to eat

Typical foods that are part of an anti-inflammatory diet include:

• green leafy vegetables
• nuts
• olive oil
• tomatoes
• fatty fish
• fruit

Foods to avoid

Examples of inflammatory foods to skip when following an anti-inflammatory diet include:

• refined carbohydrates, like white bread
• fried foods
• sweetened beverages, like soda
• red meat and processed meat
• margarine and shortening

Though evidence is limited to support an exact diet for psoriasis, eating a balanced diet is important for your overall health.

As an added bonus, you may experience benefits to your psoriasis as well as any underlying inflammatory-related conditions when following an anti-inflammatory diet.

The takeaway

Inflammation is thought to play a role in psoriasis. Due to the systemic nature of inflammation in the body, people with psoriasis may also experience a number of inflammatory-related health conditions.

Taking steps to reduce inflammation, such as through diet, can limit its effects on your body. It may also help reduce symptoms of psoriasis and related health conditions.

https://www.healthline.com/health/psoriasis/facts-about-inflammation#anti-inflammatory-diet

Epsom Salt for Psoriasis: Does It Work?

From healthline.com

Despite little scientific evidence to support it, many people with psoriasis use Epsom salt baths or Dead Sea salt baths to help manage skin symptoms.

Soaking in a salt bath may help soften scales and relieve psoriasis itch.

The magnesium in the salt is what’s thought to benefit psoriasis skin.

Dissolving Epsom salt into a bath is a common remedy to soothe sore muscles and a popular way to relax after a long day. Epsom salt, also called magnesium sulfate, is a chemical compound made up of magnesium, sulfur, and oxygen.

People with psoriasis may also turn to Epsom salt baths or Dead Sea salt baths to help soften skin scales and reduce itchiness.

Though Epsom salts have long been used as a traditional remedy, there’s little scientific data to backup claims that they have medicinal benefits. These benefits are anecdotally thought to come from the magnesium in the salt.

Some studies do support the use of Dead Sea salt remedies, on the other hand, which also contain magnesium.

Regardless of whether Epsom salts are scientifically proven to work, this therapy may provide relief for those looking for new ways to manage psoriasis symptoms.

Epsom salt bath for psoriasis

To make an Epsom salt bath, add about 2 cups of Epsom salt to a tub of warm water. But before you start running the bath, there are a few considerations to keep in mind.

People with psoriasis often experience skin irritation after showers or baths. To avoid this, the American Academy of Dermatology (AAD) recommends bathing in warm — not hot — water and soaking for no longer than 15 minutes.

When you’re done soaking, rinse off and pat your skin dry. Then apply a moisturizer right away to help hydrate your skin.

Epsom salt uses for scalp psoriasis

Scalp psoriasis can be a challenge to treat at home because hair can get in the way of your skin. According to the AAD, you can take a few steps to avoid making scalp psoriasis worse:

• Don’t scratch, rub, or scrub your scalp, even when shampooing.
• Remove scales gently, using a scale softener.
• Avoid stress, which can worsen psoriasis.
• Follow your prescribed scalp psoriasis treatment plan.

Epsom salt baths may help relieve stress. Soaking your scalp in water with Epsom salts may also help soften scales and relieve itchiness — just make sure to avoid scrubbing your scalp.

Epsom salt uses for hand psoriasis

Hand psoriasis can bring on serious challenges when compared with psoriasis that affects other areas of your body.

The National Psoriasis Foundation (NPF) reported on a 2018 study that found that people with hand and foot psoriasis were twice as likely to have mobility issues and were two-and-a-half times more likely to experience challenges with daily activities.

A 2020 academic paper noted the challenges of treating these areas, known as palmoplantar psoriasis. Treatment options include:

• corticosteroids
• light therapy
• coal tar
• biologic medications

Many people use Epsom salts to relieve muscle tension. Epsom salt baths may help relieve pain from hand joints in related conditions like psoriatic arthritis.

It’s important for people with hand psoriasis to take steps to protect their skin — even a small injury can trigger a flare.

Before using Epsom salts as a scrub or even as a soak, talk with your dermatologist. They can provide specific guidance on how to prevent injury and irritation with hand psoriasis.

Epsom salt uses for body psoriasis

According to the NPF, baths with Epsom salts, Dead Sea salts, oil, or oatmeal may help remove psoriasis scales and soothe itchy skin.

Remember to take warm, short baths; rinse and pat your skin dry; and follow up with moisturizer to keep your skin hydrated.

Other uses for Epsom salts

Stress can trigger a psoriasis flare. It often leads to a cyclical pattern where stress causes flares, then the flare itself compounds stress.

Taking steps to reduce stress is one way to prevent and manage flares.

Aside from any skin benefits, soaking in an Epsom salt bath may help promote relaxation and contribute to feelings of calm, helping to disrupt this stress-psoriasis cycle.

How to make your own Epsom salt scrub

Many people use Epsom salt scrubs to exfoliate and remove dead skin.

But for those with psoriasis, using an Epsom salt scrub may irritate sensitive skin and trigger a flare. For that reason, people with psoriasis are often advised to avoid exfoliating scrubs.

Before using a salt scrub, talk with your dermatologist. If it’s deemed safe for you to try, you can make it yourself at home.

Combine 1 1/3 cups Epsom salts with 2/3 cup melted coconut, almond, or olive oil. With your dermatologist’s approval, you can also add essential oils for a soothing scent.

Dead Sea salt vs. Epsom salt

An older 2005 study suggested that bathing in Dead Sea salt solution improved skin barrier function and hydration and reduced inflammation in people with dry skin. The study authors attribute this result to the Dead Sea salts being rich in magnesium.

A 2012 review of studies found that Dead Sea treatments do benefit psoriasis. The authors of this review credit ultraviolet radiation in the Dead Sea plus Dead Sea water balneotherapy (bathing in mineral water) for these skin improvements.

In a 2019 survey of the use of complementary and alternative medicine in people with psoriasis, 17 percent of male respondents and 7.8 percent of female respondents reported using Dead Sea salts to successfully help manage their condition.

By comparison, there’s not much research on Epsom salts for psoriasis.

And a 2017 study found there’s not enough evidence to support the idea that absorbing magnesium through your skin, such as in a bath or via topical cream, works as well as taking oral magnesium supplements.

The takeaway

While there’s limited scientific evidence to support it, some people with psoriasis find relief from soaking in an Epsom salt bath or Dead Sea salt bath. These therapies may help make scales softer and relieve itchy skin.

Other uses for Epsom salts, such as body scrubs, should be used with caution, as they may irritate psoriasis.

https://www.healthline.com/health/psoriasis/do-epsom-salts-work#takeaway

Managing Psoriasis During the Pandemic

From verywellhealth.com

Understanding Risk, Preventive Measures, Psoriasis Care, and More

Living with psoriasis has become even more challenging and stressful due to the worldwide coronavirus pandemic. If you are feeling worried or overwhelmed during this time, you are not alone.

Fortunately, as time passes, researchers learn more about how people with autoimmune diseases like psoriasis might be affected by COVID-19. Still, a lot of that information can be confusing, leaving you with a lot of questions.

Learn about your risk for COVID-19 and its complications and how to continue managing psoriasis and your overall health during the pandemic and as the world slowly gets back to normal.

Personal Risk for COVID-19

Infections are considered common complications in people with psoriasis, which can increase your risk for all types of infections, including COVID-19.

COVID-19 is an infection caused by the SARS-COV-2 virus. It can infect the upper respiratory tract ( sinuses, nose, or throat) or lower respiratory tract (lungs and windpipe). It spreads in the same way other coronaviruses do, mainly person-to-person.

The risk of COVID-19 for people with psoriasis is unknown, and there is no conclusive evidence suggesting that they might be affected differently by COVID-19 compared to people without the condition.

However, the Centres for Disease Control and Prevention (CDC) suggest people using immunosuppressive drug therapies might be at a higher risk for contracting COVID-19. Even if you are not using immunosuppressive therapies to treat psoriasis, coronavirus (the virus that causes COVID-19) is still highly contagious, so everyone is at risk.

If you have other conditions in addition to psoriasis, you’re at increased risk for a poor outcome should you develop COVID-19. This includes comorbidities, like diabetes and heart, lung, or kidney diseases, which are more common in people with severe psoriasis.

Protecting Yourself

Because having psoriasis might increase your risk for contracting COVID-19 or its severe complications, you will need to take extra precautions to avoid exposure. This includes the standard CDC recommendations.

CDC Recommendations

The CDC recommends practicing physical distancing, wearing face coverings when you are in public settings where social distancing is difficult, and washing your hands regularly.

While it can get old trying to follow these recommendations day after day, week after week, and month after month, it is important to stay vigilant. COVID-19 is going to be here for a while, so you shouldn’t put your guard down.

Anytime you leave your home, you should be wearing a face covering, according to the CDC.4 It is also important to take your mask off as soon as you get home and gently wash your hands and face. Pat skin dry and moisturize to keep skin from drying up.

Psoriasis Self-Care

Caring for your health and skin with psoriasis is always important, but it is essential during a worldwide pandemic.

Follow Your Treatment Plan

Staying on top of your treatment plans is one of the most important ways to stay healthy and keep psoriasis managed. You need to take all your medications as prescribed, even immunosuppressive drug therapies. There has not been enough research that supports stopping these medications during the pandemic.

The National Psoriasis Foundation (NPF) recommends staying on these medications unless you become infected with COVID-19. NPF does recommend stopping biologic drug therapies if you test positive for COVID-19.

Stay in Touch With Your Doctor

If you have not been in touch with your doctor since the start of the pandemic, it is a good idea to check-in. You can visit your doctor with a telehealth visit (a video chat appointment). That way, you are not going into your doctor’s office in person, and you are staying safe and healthy.

Keep Your Skin Healthy

While your skin symptoms aren’t going to increase your risk for COVID-19, you still want to keep your skin healthy. It is important to keep your skin moisturized and to locally treat skin plaques with topical treatments.

Frequent hand washing is important, but it is a good idea to use mild soap and not hand sanitizers to avoid irritation or disturbing the outer layer of your skin.

Take Advantage of Stress Reduction Tools

Stress is a well-known trigger for psoriasis flare-ups. For many people with psoriasis, the pandemic has increased their stress levels.

Stress-relieving approaches, such as mindful meditation, exercise, relaxation breathing, and yoga, can all be helpful to keeping you calm and balanced and keeping psoriasis flare-ups (periods of high disease activity) at bay.

Get Enough Sleep

During times of stress, you might lose sleep, and the lack of sleep can exacerbate psoriasis symptoms. Make sure you are getting seven to eight hours of sleep nightly. Try to get to bed at the same time every night and get up at the same time every morning.

Treating Psoriasis During the Pandemic

COVID-19 has made managing serious health conditions a little more challenging. Even so, you need to continue to communicate with your doctor regularly, even if it is not the same as it was before the pandemic.

You can still make inpatient appointments. Your doctor’s office is doing everything they can to keep you safe when you come in for a visit.

This includes limiting the number of people coming in and out of their offices, practicing masking and physical distancing, screening measures for COVID-19, disinfecting frequently touched surfaces, and providing hand sanitizers for staff and patient use.

You also have the option of a telemedicine visit. Telemedicine uses a wide array of technologies for doctors to connect with their patients. This might include video conferencing platforms like Zoom or FaceTime and communications through the telephone and messaging. Telemedicine often occurs in real-time.

Research shows people with psoriasis who received treatment via telemedicine had similar outcomes to people who visited their dermatologists for in-person visits. Telemedicine has become crucial during the pandemic to stay connected with your doctor and get the care you need to manage psoriasis effectively.

Symptoms to Watch For

The most common COVID-19 symptoms are a dry cough, fatigue, and fever, according to the World Health Organisation. Additional symptoms to watch out for include:

• Aches and pains
• Digestive symptoms, including diarrhoea
• Nasal congestion
• Shortness of breathing or difficulty breathing
• Nasal congestion or runny nose
• Sore throat
• Loss of taste or smell

If you are exposed to the coronavirus, you might develop symptoms within 2 to 14 days. Symptoms of COVID-19 range from mild to severe. Some people might be asymptomatic, meaning they don’t experience any symptoms of COVID-19.

If You Test Positive for COVID-19

If you test positive for COVID-19, your doctor will provide you with information and treatment to help you to recover. They will also provide instructions on how to self-isolate to avoid spreading the virus. Most people can recover at home.

You should contact your dermatologist to see if you need to make changes to your psoriasis treatment plan. Do not stop taking any medication until your doctor gives you the OK.

If your doctor stops any treatment, find out when it is safe to restart that medication. You should also get in touch with your doctor if your psoriasis flares up while you are recovering from COVID-19.

Getting Back To Normal

The prospect of getting back to normal just seems to be moving further and further into the future as the pandemic continues. Even though normal isn’t yet within our reach, you still need to live your life as best as you can to protect your health.

You are probably wondering whether it will be safe for you to take the vaccine. Both the International Psoriasis Council and the National Psoriasis Foundation recommend that people with psoriasis take the vaccine as soon as it becomes available.

A statement posted by the International Psoriasis Council on COVID-19 vaccines and psoriasis states that “there is no evidence that vaccines affect psoriasis onset or severity.”

The National Psoriasis Foundation’s COVID-19 Task Force recommends people with psoriasis take the vaccine if they have not had prior contradictions to vaccines. NPF further notes that you can take the vaccine even if you take biologic therapies to treat psoriasis.

Ask your psoriasis-treating doctor if they think the COVID-19 vaccine is right for you. They can provide accurate information about the vaccine and answer any questions you may have.

Getting the vaccine doesn’t mean you should stop practicing preventive measures, such as mask-wearing, physical distancing, and hand washing. While vaccines are an effective tool for preventing COVID-19, they don’t guarantee complete immunity.

A Word From Verywell

Living with psoriasis comes with unique challenges, which have become more evident during the pandemic. And as the pandemic continues, it is important to stay calm, keep an open mind, and rely on your doctor’s advice to best guide you. 

Don’t be afraid to speak up about fears and questions you may have. Never make any changes to your treatment plan without first talking to your doctor. Finally, make sure you reach out to your doctor if you experience a change or an increase in psoriasis symptoms or experience COVID-19-like symptoms. 

https://www.verywellhealth.com/managing-psoriasis-in-pandemic-5112556

Is Psoriasis Linked to Dental Health?

From healthline.com

Psoriasis is a complicated disease driven by inflammation. This inflammation is thought to extend beyond the skin and may lead to problems throughout the body for many people.

An increasing amount of evidence suggests that psoriasis may be closely related to dental health.

Take a look at the connection between psoriasis and dental disease below and learn what you can do to promote good oral hygiene.

Does psoriasis affect your teeth?

While psoriasis typically affects the skin on the elbows, knees, or scalp, it can actually present anywhere — even in the mouth.

Oral psoriasis is less common than psoriasis in other areas, but patches may appear on the:

• lips
• tongue
• other surfaces of the mouth

Although psoriasis can’t be directly on your teeth, it may cause other problems in your mouth, which can lead to loosening of teeth and tooth decay.

Can psoriasis lead to dental problems?

Although the exact mechanisms remain unclear, psoriasis is thought to be connected to some dental problems, possibly because of inflammation.

Gum disease

Of all dental problems, the relationship between psoriasis and gum disease, or periodontitis, has been studied the most.

If you have psoriasis, you have a higher risk of developing gum disease. Some studies, including one from 2018 and another from 2020, suggest that individuals with psoriasis are more likely to have gum disease than those without psoriasis.

This relationship appears to be stronger when either disease is in its severe form. One study from 2016 found that gum disease was more common in people with severe psoriasis than in those with mild psoriasis. A 2020 study found that severe periodontitis is more common in people with psoriasis than those without.

Gum bleeding after probing and brushing teeth, a sign of gum disease, is also more common among individuals with psoriasis.

Tooth loss or decay

People with psoriasis may be more likely to have decayed or missing teeth compared with those without psoriasis, according to findings from a small 2020 study.

This may be explained in part by how acidic a person’s saliva is. Acidic saliva can cause teeth to lose minerals, leading to tooth decay. Researchers of a 2013 study found that individuals with psoriasis had more acidic saliva than those without psoriasis.

Bad breath

No studies have specifically examined the relationship between psoriasis and bad breath, also known as halitosis, but psoriasis is associated with things that can cause bad breath.

According to the American Dental Association, these include:

• gum disease
• tooth decay
• mouth sores

More acidic saliva is also thought to increase the risk of bad breath.

Dental procedures with psoriasis

A proactive approach to dental health is important with psoriasis. Because it’s associated with more frequent dental problems, you may find yourself at the dentist more often.

While one small study of 69 people found that individuals with psoriasis were not any more likely to have dental fillings, it also found that they were missing teeth over twice as often compared with people without psoriasis.

When getting dental work done, it may also matter what metals are used in your mouth. Although the results from different studies have varied, recent research suggests that individuals with psoriasis may be more likely to be sensitive to nickel, a metal commonly used in dental procedures.

Be sure to discuss with your doctor if you have a history of sensitivity to nickel or any other metals.

Tips for optimal dental health with psoriasis

Given the increased risk of dental problems with psoriasis, it’s important to stay on top of your dental health.

• Practice good oral hygiene. Brush your teeth twice a day with a fluoride-containing toothpaste, and don’t skip flossing.
• Visit your dentist regularly. Routine dental cleanings are important for maintaining good oral health. One visit per year is great, but the American Dental Association suggests that people at increased risk of dental disease may benefit from more frequent visits.
• Avoid acidic foods and drinks. While fine in moderation, eating acidic foods can increase the risk of dental problems. Avoid food or drinks that are citrus or citrus-flavoured, carbonated, or sour.

When to see a doctor

In addition to your regular dental visits, be sure to talk with your doctor if you experience:

• red, swollen, or bleeding gums
• constant bad breath
• loose teeth
• mouth sores

The takeaway

Although they might seem unrelated, evidence shows that psoriasis and dental health are connected. The exact cause of this relationship is still being studied, but chronic inflammation throughout the body likely contributes to both conditions.

Staying on top of your dental health is especially important if you have psoriasis. Be sure to practice good oral hygiene and work with your dentist to create the right care plan for your needs.

Last medically reviewed on February 16, 2021

https://www.healthline.com/health/psoriasis/psoriasis-dental-health

Itchy scalp: 5 common causes and best treatments

From netdoctor.co.uk

From dandruff to psoriasis, the most common causes and best treatment options for an itchy scalp

Can't stop itching your head? An itchy scalp is an incredibly common (and often very frustrating) condition, but it's not usually the sign of anything more serious. However, some itchy scalp signs can indicate that something needs treating and madly itching the area can make things worse.

Dr Roger Henderson looks at the most common causes and best treatment options for an itchy scalp and what you can do to prevent the dreaded itch from returning:

What is an itchy scalp?

An itchy scalp – also called scalp pruritis – is a common problem. Although rarely due to a serious condition, it can cause significant discomfort thanks to frequent scratching and there may also be signs such as flaking skin or sores on the scalp.

Itchy scalp symptoms

Unsurprisingly, the main cause of an itchy scalp is the itching, but the scalp can also feel painful or tingling. Scratching may cause a temporary easing of the itch but it then recurs. Other associated problems may include hair loss, dry skin, infected sores, scalp swelling and scales on the scalp.

Itchy scalp causes and treatments

There are five typical causes of an itchy scalp, listed below. Other possible but less common itchy scalp causes include diabetes, allergies, anxiety, contact dermatitis (due to the scalp reacting to something it has been in contact with), excessive heat due to hair styling and alopecia. The best itchy scalp treatment depends on the cause:

1. Dandruff

Dandruff, also known as pityriasis capitis, is the most common cause of a dry, flaky and often itchy scalp. Most people are familiar with the appearance of tiny white flakes of dead skin on the shoulders of people that suffer from it, and it can affect up to half of all adults at some time.

Dandruff is not caused by poor hygiene, although it may be more obvious if you do not wash your hair regularly. Dandruff is due to dead skin cells being shed more rapidly than usual, and left untreated it can cause embarrassment and self-esteem problems. Using certain hair products excessively can sometimes lead to dandruff occurring and stress and cold weather may also make dandruff worse.

✔️ Dandruff treatment

Dandruff is best treated with anti-dandruff shampoos that can be bought from pharmacies or supermarkets. Look for a shampoo containing one of these ingredients:

• Zinc pyrithione
• Salicylic acid
• Selenium sulphide (or selenium sulfide)
• Ketoconazole
• Coal tar

Use the shampoo for a month to see if your dandruff improves as you might need to try more than one type to find one that works for you. If you still have symptoms after using anti-dandruff shampoo for a month or if your scalp remains very itchy or reddened, then ask your GP for advice.

2. Seborrhoeic dermatitis

Seborrhoeic dermatitis affects around 3- 4 per cent of the population, and can start at any time after puberty. It is slightly more common in men and also runs in families. Babies can also get a short lived type of seborrhoeic dermatitis in the scalp known as cradle cap which usually clears after a few months.

Seborrhoeic dermatitis is thought to be triggered by an overgrowth of the Malassezia yeast that lives on the skin, or possibly by an overreaction by the skin’s immune system to this yeast. Seborrhoeic dermatitis is not usually linked to any underlying illness, but may be triggered by tiredness and stress. It is more common in cold weather, and it is not related to diet.

The symptoms of seborrhoeic dermatitis seem to vary from person to person. Affected areas can be itchy, sore and sensitive and flaking skin can be bothersome and embarrassing, while some people are not troubled by it.

✔️ Seborrhoeic dermatitis treatment

Seborrhoeic dermatitis is best treated with a medicated shampoo such as an anti-dandruff or an anti-fungal shampoo such as ketoconazole. For best results, wash the shampoo into the scalp, then wait 5-10 minutes before rinsing. Thick scales can be removed before shampooing by applying a descaling preparation containing coconut oil and salicylic acid for several hours beforehand. If the irritation is severe your doctor may prescribe a steroid scalp lotion, gel or shampoo for occasional use.

3. Ringworm

Ringworm is not caused by any kind of worm but is due to a simple fungal infection that causes dry scaly hair patches and a classical ‘ring’ of redness in the affected area. It can be passed from person to person, usually via hairbrushes and towels and can also affect other parts of the body such as the groin (known as jock itch) and trunk.

✔️ Ringworm treatment

Ringworm does not usually respond well to antifungal shampoos as the infection goes deep into the hair follicles where shampoos cannot reach. It is best treated with oral antifungal tablets. To help stop ringworm from spreading, start treatment as soon as possible, wash your towels and bedsheets regularly, and take your pet to the vet if it looks as if they might have ringworm (such as having patches of missing fur).

4. Head lice

Head lice are small grey-brown insects up to 3mm long that live on the scalp and can be difficult to spot in the hair. Head lice eggs (nits) are brown or white (empty shells) and attached to the hair. They are most commonly spread by head-to-head contact and can cause an itchy scalp if it is sensitive to the faeces or saliva of the lice. Although most common in children head lice can affect people at any age.

✔️ Head lice treatment

Head lice can be treated with over-the-counter preparations available from pharmacies but the current best advice is to try wet-combing first. Try the following wet-combing tips:

• Buy a special fine-toothed detection comb online or from pharmacies to remove head lice and nits.
• Wash your hair with ordinary shampoo and then apply ample conditioner (any brand conditioner will do).
• While the hair is still wet, comb the whole head of hair, from the roots to the ends.
• This usually takes about 10 minutes to comb short hair, and 20 to 30 minutes for longer or curly hair.
• Repeat this process on days 1, 5, 9 and 13 to catch any newly hatched head lice.
• The hair should be checked again for lice on day 17.

If you have tried wet combing for 17 days but live head lice are still present, ask a pharmacist for treatment.

5. Psoriasis

Psoriasis is a common skin disease affecting 1 in 50 people, occurring equally in men and women and appearing at any age. Psoriasis is a long-term condition which may come and go throughout your lifetime, and is not infectious. It often affects the scalp and about half of people with the most common form of psoriasis (called plaque psoriasis) have scalp involvement. It causes a dry, scaly itchy rash that typically affects the hairline at the back of the head often giving the false impression that it is severe dandruff.

✔️ Scalp psoriasis treatment

Scalp psoriasis is usually treated first with a coal-tar based shampoo and there are several such shampoos for treating scalp psoriasis available from your local chemist. These shampoos are designed to treat the scalp rather than washing hair so you can use a normal shampoo and conditioner afterwards to reduce any smell of tar. When using a tar shampoo you should massage the shampoo into the scalp and leave for 5-10 minutes before rinsing out. Tar shampoo alone is not recommended for treatment of severe scalp psoriasis (ie where there is thick scaling and redness) but is usually effective if there is only relatively mild flaking.

If this is not effective your GP may prescribe a strong steroid lotion (avoid using on the face and ears) that is used for a few weeks to bring the psoriasis under control. This can then be gradually phased out, switching to maintenance treatment with a coal tar shampoo.

Occasionally, Vitamin D derivatives - available as ointment, gel or lotion – can be used in troublesome scalp psoriasis. These usually applied to the scalp once or twice a day and do not need to be washed out. They also do not smell or stain clothing, and are relatively easy to use.

Itchy scalp prevention tips

If you have a condition such as psoriasis it may be extremely difficult to prevent this occurring but as a general point always wash your hair regularly to remove any built-up oils, and always in warm rather than hot water as this can help to prevent scalp irritation and drying. Try to avoid using scalp products containing fragrances, dyes or chemicals, and do not share items such as combs, brushes, hats and towels with other people.

Natural treatments which can be effective for an itchy scalp that does not require medical treatment include:

• Apple cider vinegar: used as a warm water rinse after shampooing the hair.
• Organic coconut oil: coconut oil contains the saturated fat lauric acid that can soothe an irritated scalp.
• Peppermint oil: when used in a diluted form this can reduce scalp itch, and is best used by massaging into the scalp before shampooing.
• Tea tree oil: this has antifungal and antimicrobial properties and should be used as a diluted preparation, mixed in with an ordinary shampoo.

https://www.netdoctor.co.uk/conditions/skin-and-hair/a33520184/itchy-scalp/

Chapped winter hands: Is it dry skin or something else?

From today.com

When your skin is in rough shape, it can be a challenge to determine whether your hands are seriously chapped or need a dermatologist

Winter can be brutal on exposed skin — the cold, dry air zaps your skin of moisture. Add wild winds, damp cold rain or snow, and dry indoor heat to the equation, and exposed skin can develop dry, itchy, scaly patches and chap to the point of cracking, peeling and bleeding — all also symptoms of chronic skin conditions like eczema and psoriasis.

Cold, brutal, wet weather can strip the skin's protective barrier and further aggravate sensitive skin and skin conditions — and it doesn’t help that our hands are being stripped of moisture by constant hand-washing and the alcohol content in the hand sanitizers we use to protect ourselves against COVID-19.

When your skin is in rough shape, it can be a challenge to determine whether your issue is seriously chapped hands or something else, even for dermatologists like Samer Jaber, MD, founder of Washington Square Dermatology in New York City.

“Dry, cracked, winter hands and hand eczema can look very similar,” Jaber explained. “The difference is the cause. Dry, winter hands are due to winter dryness. Eczema is a genetic condition. Dry, cracked winter hands are a type of dermatitis.”

Both Jaber and Rosemarie Ingleton, MD, founder of Ingleton Dermatology in New York City, told TODAY Health that dermatitis is a term used interchangeably within the dermatology community to describe what happens when inflammatory cells rush into an area of the skin, causing inflammation.

“The way it manifests is you see more redness and a bit of swelling,” Ingleton explained. “You see a lot of flaking. You could see cracks.” She said this level of redness, which can be difficult to discern sometimes with darker skin, is a sign your skin needs help, stat.

Is it dry skin or a more serious skin condition?

Skin conditions, like eczema and psoriasis, involve your immune system. According to the National Institute of Allergies and Infectious Diseases, eczema, or atopic dermatitis, is an inflammatory skin condition that often affects children and adolescents, and can reoccur later in life. Thought to be connected to the immune system, people with eczema can also be susceptible to bacterial, viral and fungal skin infections. Jaber describes the symptoms of eczema as rough, inflamed, irritated and itchy skin. “You can also have scaling, cracks or blisters and it can hurt when washing your hands. In severe cases, the fissures can bleed or ooze,” he said.

Ingleton said that people with childhood eczema can have it over various periods in their lives, so dermatologists take a patient’s history into account when determining whether or not their painful skin issue is eczema. “They're going to be more susceptible to hand eczema later on,” she explained.

The National Psoriasis Foundation describes psoriasis as an immune-mediated disease characterized by plaques, or scales, on the skin, caused by an “overactive immune system that speeds up skin cell growth.” Normal skin cells shed within a month, but with psoriasis, this happens in three-to-four days. The cells don’t shed but pile up into “plaques” that itch, burn and sting. These plaques are most commonly found on the elbows, knees and scalp.

“Psoriasis looks a bit different than eczema in that the rash is much thicker and tends to have a thick white coat on the outside, almost a helmet of dry white skin, and is a bit thicker in its appearance,” said Ingleton. “It tends to be over the knuckles, as opposed to being over the back of the hand. It can be on the palms. You have some clues that somebody has psoriasis because you can look at their scalp, their elbows and knees and see it, so it makes sense that they have on their hands as well.”

When to see a dermatologist

How can we tell if we have severely dry, cracked, winter skin or a condition that might require the help of a dermatologist?

Whether you’re having a bout of eczema or your hands are just beat up, Jaber said the first line of defence is to moisturize, moisturize, moisturize. Ingleton explained that if your dry, cracked skin doesn’t respond to repeat applications of thick, rich moisturizers over the span of three-to-four days, you should consider visiting a dermatologist to determine the culprit.

“If you're not getting a response, there's probably dermatitis or eczema going on. There could even be an infection that would require more than just moisturizer. You would need some kind of prescription grade anti-inflammatory product, or an antibiotic if there's an infection,” she said.

https://www.today.com/health/chapped-winter-hands-it-dry-skin-or-something-else-t208822

How I Overcame The Trauma Of Growing Up With A Painful Chronic Condition

From womenshealthmag.com

“Looking back, I realize I lived in fear.”

When I was 7, I had a bad case of chickenpox—and by bad, I mean really bad. I developed scars associated with the virus which then morphed into thick patches of dry skin that covered 90 percent of my body. My parents weren’t sure what was going on so they took me to the doctor. I was told that having chickenpox had triggered psoriasis, a skin disease that causes dark, itchy scaly patches.

I was prescribed various ointments, creams, and lotions to try to get it under control but they didn’t work. The more intense treatments weren’t approved for kids, so I just had to put up with it, which was painful, and at times embarrassing. By the 5th grade, I was trying to conceal my lesions with clothes, or lying, saying I had allergic reactions or eczema. I also began to avoid anything that required me to show my skin, like going to the pool. I wore long sleeves and pants, even in hot weather.

Once I was a bit older and could experiment with additional remedies, I saw numerous doctors and tried what feels like almost every treatment and lifestyle change, but nothing worked. I even did occlusion therapy, an old school treatment where you get slathered down in topical ointment from head-to-toe, placed in wet pyjamas, and then put into a plastic sweatsuit. I sat in this suit for 8 hours a day, for three to four weeks at a time. It was torture—and it never garnered significant results.

Around the same time, I also started to experience joint pain in my knees. At the time, I didn’t think this was related to my psoriasis. It would get especially painful when the weather was cold, to the point that daily activities were difficult and I had to stop working out. The pain eventually lead to a new diagnosis: psoriatic arthritis (PsA), a form of arthritis that affects some people who have psoriasis.

And that is when things started to get better. My doctor started me on a biologic, a type of prescription medication that works to slow or stop joint damage associated with PsA and can also help with psoriasis lesions. The medication helped to ease my joint pain and also made a major difference in my skin. Currently, I’m only about 20 percent covered in psoriasis, a huge improvement from where I was before.

Overcoming the emotional toll of psoriasis

Looking back, I realize I lived a lot in fear. I often wonder what my path in life would have been had I not allowed my condition to impact me in a negative way.

I overcame my struggles with psoriasis and PsA in a variety of ways. First, I found a support group in 2011 called Talk Psoriasis. For the first time, I met others living with the disease, which helped me to cope emotionally. I also reached out to the National Psoriasis Foundation, where I received appropriate resources and was given a platform to tell my story on their podcast called Psound Bytes.

In 2013 I received their Psoriasis Innovator award for my work raising awareness about psoriasis, which also led me to advocate about psoriasis research in Congress. Around the same time, I also started a blog. It helped me immensely to write out what I had bottled up inside. All these things worked simultaneously to help me heal the emotional pain associated with my condition.

Going forward, I hope to continue to bring a better understanding to the medical community about the impact of psoriasis and PsA, especially the mental health aspect, which is often missed by health professionals.

I also want to help bridge the gap between African Americans and participation in clinical trials so we can receive better treatments. Minorities aren’t well represented in psoriasis research. So compared to Caucasian groups, doctors don’t know as much about how we may respond to treatments (results can vary depending on skin colour) or how psoriasis presents on darker skin. Psoriasis is underdiagnosed because of this, so many African Americans are suffering from the condition and not getting the help they need. It’s my hope that by sharing my story I can affect legitimate change—not just for me but for the millions of other African Americans living with psoriasis and psoriatic arthritis.

https://www.womenshealthmag.com/health/a35353033/alisha-bridges-psoriatic-arthritis/

'I Hid My Psoriasis For 22 Years. Then I Finally Said, "Forget It" '

From womenshealthmag.com

By Reena Ruparelia, as told to Alison Goldman

“I wondered about how anyone would love me looking like this.’’

It started with little spots on my stomach when I was 14. I was just about to go to high school, and I was mortified. The only pictures that I ever saw of someone with psoriasis were at the dermatologist’s office, so I tried to cover up my psoriasis as much as I could—I wore really long tops and socks and body makeup.

I didn’t open up to friends and family about my psoriasis because I didn’t want to worry them with my problems, and I also thought that they wouldn’t get it because they weren’t going through it. I think a big part of psoriasis that's misunderstood is that it goes so much deeper than skin. Before I created my Instagram account, @psoriasis_thoughts, in 2016, I found that a lot of people were talking about treatment online, but I didn’t see anyone talking about the emotional impact of the condition.

I started @psoriasis_thoughts for myself, without telling anybody in my personal life. I didn’t show my face; I just posted words and quotes, some of the thoughts from my diary. In one of my first posts, I wondered about how anyone would love me looking like this. A few people commented on my stuff, saying things like, I get it. Don’t worry, people will love you. These were people I had never met, who had never seen my face. I also saw other people who were living with psoriasis posting skin pics, and I remember I then had this urge to take a picture of myself.

I put up a photo of my face and my hand; it was a very vulnerable thing for me. If you live for 22 years hiding a part of yourself, being embarrassed about a part of yourself, and then all of a sudden just say, Forget it, it's exhilarating, and I'm so grateful I did it.

I began sharing more openly and putting my face out there. I started to build my confidence and feel more empowered in my skin.

Now, four years later, my goal is to be a leading source of support to people living with and newly diagnosed with psoriasis, to remind them that they are not alone.

https://www.womenshealthmag.com/health/a35182135/psoriasis-owning-it-2021/

Psoriasis to eczema: Here’s how stress messes with your skin

From thehealthsite.com

If you know you're about to enter a stressful period, try to make time for the activities that will help you feel calm and rested -- your skin will thank you

Are you still working from home? do you feel stressed when you isolate yourself? Well, you must know that stress can severely affect your life. Staying at-home has resulted in a lot of stress for people — of being stuck indoors for a week on end; the uncertainty has taken a toll on people’s mental well-being. But, do you know stress can also affect your skin and make you go older faster than usual? Well, yes. You cannot hide stress. It shows on your face. Let’s get deeper into it.

Psoriasis to eczema: Stress can severely mess with your skin

Stress And Its Affect On The Skin

Stress can have various effects on your body and one of the most important among those is hormonal imbalance. When your body suffers from hormonal imbalance, you will see acne, rashes, hair thinning and fall, and various other skin break-outs.

What is the cure? When we say skincare, we generally don’t mean that we should have a time period for doing it. skincare is something that should be a part of your daily lifestyle. Therefore, it is extremely important for everyone to follow a good skincare routine while they’re indoors. Because staying inside does not necessarily mean you can forego or overlook skin and hair care. Your indoor air and environment can also affect your skin and your hair. And if you are stressed then you should know that you are more prone to skin and hair damages owing to stress. The most simple remedy to stop this is to follow a strict, if not elaborate, skincare routine, which involves cleansing, toning, and moisturizing.

Stress Can Cause Psoriasis And Eczema

Yes, stress can mess with your skin severely. Acne and oily skin are the most common side effects of stress. How do your skin type and stress lead to such health complications?

According to Geetanjali Shetty, Consultant Dermatologist and Cosmetologist on behalf of Cetaphil India, when the body is stressed it releases cortisol which is our fight or flight hormone. The cortisol (stress hormone) weakens the skin’s immune system, leading to oxidative (free radicals) stress, which manifests itself as wrinkles, lines, and lacklustre skin. It also increases inflammation in the body and conditions like eczema, rosacea, and psoriasis can flare-up.

What Can You Do To Prevent Stress From Affecting Your Skin?

So, now you all know how stress can badly mess up your skin. But, there has to be a way out. And there is! As discussed above, follow a good skincare routine which will include – cleansing, toning, and moisturizing.

Use herbal products that are good for your skin type. And nevertheless to mention – never exfoliate when you are suffering from breakouts and acne. Use skin products that have neem, tea tree oil, or ingredients that are good for fighting off the germs which can cause acne and rashes.

Another good thing that you can do for your skin is to use a good quality serum. People who have extremely dry skin or combination skin should opt for serums that are rich in Vitamin-C. And for all those who have oily skin should include serums that have niacinamide.

If you know you’re about to enter a stressful period, try to make time for the activities that will help you feel calm and rested — your skin will thank you.

Another important tip for having a good sin is to stay away from fried and spicy food. Vitamin E is a superfood for your skin — you can apply it topically or you can choose to consume it through vitamin E-rich foods like almonds, corn oil, cod-liver oil, hazelnuts, lobster, peanut butter, safflower oil, salmon steak, and sunflower seeds. The most essential thing to bear in mind is to keep yourself hydrated — drink lots of water, juices, and liquids.

Do Not Forget To Manage Your Stress Level!

Apart from following a good skincare routine, also make sure to manage your stress using home remedies such as meditation, sipping into a cup of calming chamomile or peppermint tea, etc.

You can also try these herbs:

1. Include maca root in your daily diet.

2. Add ashwagandha which is one of the best herbs for beating stress.

3. Lavender leaves are another great herb for beating stress.

4. Sipping into a cup of tulsi tea infused with chamomile leaves can also come in handy.

Also, apart from the above few tips – keep yourself hydrated. Water is the best remedy for all skin issues. Therefore, keep yourself hydrated with water and lots of liquid!

https://www.thehealthsite.com/beauty/psoriasis-to-eczema-heres-how-stress-mess-with-your-skin-794033/

What's the Difference Between Eczema and Psoriasis?

From 247wallst.com

By Colman Andrews

Psoriasis and eczema are both common skin conditions. Eczema affects about 31.6 million people in the United States, while as many as 7.5 million suffer from psoriasis. Both cause red, itchy skin, and they can sometimes look so much alike that some doctors, especially general practitioners, may have trouble distinguishing between them — though they look quite different to dermatologists.

Both psoriasis and eczema are autoimmune diseases — the former being the most prevalent autoimmune disease in the United States. Psoriasis causes the life cycle of skin cells to accelerate. The dead cells build up on the skin instead of being sloughed off. The disease is believed to be caused by overactive T cells and other white blood cells, which both attack healthy skin cells and trigger increased skin cell production.

Eczema is triggered primarily by exposure to bacteria, allergens, or various other irritants, and may be more prevalent in those who have a genetic variation that affects the skin’s ability to protect itself. The main risk factor for eczema is a family or personal history of asthma, hay fever, allergies, or eczema itself.

“Eczema” is an umbrella term, describing various related conditions that cause inflamed, itchy skin, according to the National Eczema Association. They recognize six types. The most common kind, and the one that most of us think of as eczema, is correctly called atopic dermatitis. It usually appears in the crooks of the elbows or knees, though it may also affect the back of the neck and the face. The main risk factor for atopic dermatitis is a family or personal history of asthma, hay fever, allergies, or the condition itself.

There are likewise several kinds of psoriasis, seven in all, the most common being plaque psoriasis. This condition causes raised, dry, scaly red lesions, typically on elbows and knees, though the lesions can appear anywhere on the body, including the face and the inside of the mouth.

There is no cure for either atopic dermatitis or psoriasis, and both are chronic conditions, often coming and going. Preventative measures may stave off flare-ups of either one, however. Doctors recommend that those affected try to identify and avoid factors that may set off bouts of the disease. Such factors include stress and obesity. Smoking increases the risk of psoriasis and can make it worse. Infants and children affected with eczema may experience flare-ups from eating potentially allergenic foods.

Both conditions react negatively to cold, dry weather, and both may be partially soothed by keeping the skin well lubricated and by using only gentle soaps. The American Academy of Dermatology also recommends bathing in a well-diluted solution of household bleach to prevent flare-ups of atopic dermatitis.

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