Showing posts with label tattoo. Show all posts
Showing posts with label tattoo. Show all posts

Tuesday, 11 July 2023

What to Avoid Putting on Psoriasis Skin: Hot Water and More

From healthline.com 

Many common skin care products can help you manage psoriasis, but others can cause irritation and flare-ups of symptoms. It’s important to read skin care ingredient labels, plus know what to look for and avoid before you choose a product.

Psoriasis is an autoimmune condition that shows up on the skin. It can lead to painful patches of raised, shiny, and thickened skin.

The patches often appear red or pink with white or silver scales on light skin tones. On darker skin tones, they may be salmon-coloured, violet, or sometimes difficult to see, according to experts. 

Here are seven things to consider not putting on your skin if you have psoriasis.

It’s important to keep your skin moist by applying creams and lotions. Dry skin often makes psoriasis symptoms worse.

But you may want to choose your lotion carefully. Many contain ingredients can dry out your skin even more. One of the biggest ingredients that can cause dry skin is alcohol.

Companies often use alcohols like ethanol, isopropyl alcohol, and methanol to make a lotion feel lighter or to act as a preservative. These alcohols can dry out your skin’s protective barrier and make it difficult to lock in moisture.

When it comes to lotions for psoriasis, your best bet is one that’s thick and oily, like petroleum jelly or shea butter. These help trap moisture.

Unscented lotions that include ceramides are also better for people with psoriasis. Ceramides are the same type of lipids that we have in the outer layer of our skin.

Apply your moisturiser within a few minutes of bathing, showering, and washing your hands. You may also want to apply it right before you go to bed.

Fragrances are added to products to make them smell good. For some people, though, they can cause skin irritation.

To avoid making psoriasis worse, aim for a fragrance-free product when choosing a skin care or hair care product, the National Psoriasis Foundation (NPF) suggests. Try to avoid spraying perfumes directly on your skin as well.

Sulphates are ingredients often used in shampoo, toothpaste, and soap to help the product foam up. But some types of sulphates can cause skin irritation, especially in people with sensitive skin and conditions like psoriasis.

Because of this, you may want to avoid products containing sodium lauryl sulphate or sodium laureth sulphate. If you’re unsure, look for product packaging that specifically says “sulphate-free.”

You may want to consider wearing light fabrics that won’t irritate your skin. Heavy fabrics like wool can irritate your already sensitive skin and even make you itchy.

Instead, choose gentler fabrics that allow your skin to breathe, such as cotton, silk blends, or cashmere, the NPF advises. Or, if you want to wear wool for warmth, layer it over a less irritating fabric.

Getting a tattoo requires making tiny cuts in the skin. This repetitive injury can trigger a psoriasis flare.

In one case, it even resulted in skin lesions all over the body, not just where the tattoo was applied, the NPF reports. This is known as Koebner phenomenon. It can result from any traumatic injury to the skin.

Some tattoo artists may not agree to tattoo a person with psoriasis, even when someone doesn’t have active plaques. Some states even prohibit tattoo artists from tattooing a person with active psoriasis or eczema.

Despite the risks, some people with psoriasis still get tattoos. If you’re considering a tattoo, always talk with your dermatologist before making the decision.

You may have heard that vitamin D from the sun can benefit your skin. The ultraviolet (UV) rays in sunlight slow the growth of skin cells, which is good for psoriasis.

Phototherapy is a treatment for psoriasis that involves carefully exposing your skin to UV light. Phototherapy is approved by the Food and Drug Administration (FDA) and uses UVA and UVB light. This process is also done with the assistance of a dermatologist.

However, moderation is key. If you want to naturally expose your skin to the sun, it’s essential that you don’t go overboard.

Aim for about 15-30 minutesTrusted Source at a time, which is the amount of time a doctor would typically perform phototherapy. Also remember to use sunscreen. Sunburn may trigger psoriasis symptoms and can increase your risk of skin cancer.

While tanning beds may seem similar to phototherapy, you should avoid using them. Tanning beds use only UVA light, which isn’t effective for psoriasis. They also greatly increase your risk of skin cancer.

The NPF doesn’t support the use of indoor tanning beds in place of phototherapy

Use warm water instead of hot water every time you bathe or shower. Hot water can be incredibly drying and irritating to your skin.

The American Academy of Dermatology recommends taking just one daily shower or bath. They also recommend keeping your showers to 5 minutes and baths to under 15 minutes.

Injuries, dry skin, and sunburns can all trigger psoriasis flare-ups, so it’s important that you take excellent care of your skin.

When considering a new skin care treatment, try to find out if it’s been endorsed by dermatologists and check the ingredient list of any products you’re considering. Be wary of any product claiming it can “cure” psoriasis.

If you’re unsure about a particular household or skin care product, check to see if it has earned the NPF’s Seal of Recognition.

Psoriasis is an autoimmune condition that affects the skin. Certain skin care products can worsen the symptoms or trigger flares.

Always check the label of any product to make sure it does not contain a harsh ingredient. Knowing how to take care of your skin will help you keep psoriasis symptoms at bay.

Here you’ll find answers to additional questions about safe things to put on your skin if you have psoriasis.

Is Vaseline good for psoriasis?

Thick and oily emollients like Vaseline are good for skin with psoriasis. In fact, research from 2021Trusted Source shows they can help protect the skin’s barrier function. “Barrier function” refers to the skin’s ability to protect your body from the external environment while also keeping in moisture.

What products trigger psoriasis?

Any scented skin care products or those containing alcohol or sulfates may trigger psoriasis.

What is the best lotion to put on psoriasis?

The NPF recommends a number of moisturizing and emollient lotions for skin with psoriasis. For over-the-counter products, consider choosing something with ceramides or salicylic acid.

Wednesday, 17 August 2022

Patients With Psoriasis Must Know the Risks of Tattooing

From dermatologytimes.com

Results from an online, anonymous, questionnaire-based analysis conducted by Patrycja Rogowska, MD, and colleagues, were published in Clinical, Cosmetic and Investigational Dermatology.

How much patients with psoriasis know about tattooing and its potential complications is the focus of a study published in Clinical, Cosmetic and Investigational Dermatology that also offers advice to practitioners.

Tattoos today have become immensely popular and widely accepted among the public. Although psoriasis should not prevent interested patients from getting tattoos, there are caveats.

Patrycja Rogowska, MD, and colleagues conducted an online, anonymous, questionnaire-based analysis of 150 tattooed patients with psoriasis. Investigators wanted to examine patients’ knowledge of and attitudes toward tattooing. They distributed the questionnaire to online psoriasis communities from April to September 2020. Rogowska is a member of the Department of Dermatology, Venereology and Allergology, Faculty of Medicine, at the Medical University of GdaƄsk in Poland.

WHO GETS TATTOOED?

Of 150 respondents, 134 were female and 16 were male. Rogowska and colleagues reported an age range of 16 to 62 years, with a mean age of 32. Most respondents (143/95.3%) were given diagnoses of type 1 psoriasis before age 40 years; 7 received diagnoses of type 2 (4.7%). Investigators reported that many lived in urban areas (119/79.3%). Tattooing was most popular among those with a high school education (73/48.7%) and those with higher education (61/40.7%). Sixteen respondents (10.7%) reported elementary levels of education.

TATTOOING TRENDS

Most respondents received their psoriasis diagnoses before getting tattooed (114/76%), whereas 36 (24%) were diagnosed after. Investigators said all but one of the tattoos were decorative, with 1 respondent reporting permanent makeup. There were 96 respondents with black ink tattoos, whereas 54 had ink in multiple colours. Further, 14 respondents had tattoos covering more than 10% of their bodies, 18 had tattoos covering 5% to 10% of their bodies, and 118 had tattoos covering less than 5%. Most respondents went to a professional tattoo artist (130/86.7%), whereas 20 (13.3%) obtained their ink from an amateur.

Investigators said 76% of respondents reported wanting a tattoo to improve their appearance. Also, 60% said the tattoo was to express their personality and 39.3% said it was to honour milestone life events. “While choosing a tattoo parlour, most of the respondents were seeking information about it on the internet and through their acquaintances,” the authors wrote.1

Rogowska et al noted that 4 respondents (2.7%) wanted to camouflage psoriatic lesions and 7 (4.7%) thought a tattoo would distract onlookers from their condition. “In the subjective measurement of the respondents, having a tattoo improved their level of psoriasis acceptance in 27 (18%) of the investigated cases, while self-esteem increased in 76 respondents (50.7%),” investigators said.1

MEDICAL KNOWLEDGE OF TATTOOING

Only 8% of patients (12) had a dermatological consult before getting their tattoos, and only 18% of respondents reported that the tattoo artist had recommended a dermatological consult. Investigators reported 67.3% of respondents (101) were in active treatment while being tattooed. Of 150 total respondents, 69 were receiving topical treatment, 23 were receiving systemic treatment, and 9 (6%) were receiving phototherapy. Out of all 150 responses to the survey, 8 (5.3%) were taking methotrexate, 5 (3.3%) were taking cyclosporine A, 1 (0.7%) was taking acitretin, and 9 (6%) were being treated with biologics.

COMPLICATIONS

Tattooing complications for patients with psoriasis seem to be mild and more prevalent during active disease or with systemic treatment, Rogowska et al reported. Only 8.7% of respondents (13) had tattoo-associated cutaneous complications, with Koebner phenomenon most frequent (8/5.3%) “Only in one of those cases, a koebnerization secondary to tattoo has been the first onset of psoriasis,” researchers said.1

Two respondents (1.3%) reported a general flare-up of psoriasis symptoms. There were 2 cases (1.3%) of pruritic rash on the site of the tattoo. One case (0.7%) experienced healing disruption that showed a prolonged inflammatory state at the tattoo site. Of the 13 who experienced complications, 7 were actively being treated: 1 with psoralen–UV-A therapy, 1 with methotrexate, and 5 with topical psoriasis treatment. “In only 1 case out of 13, a dermatological consultation has taken place before tattooing,” study authors reported.1

TATTOOING CONTRAINDICATIONS

Active systemic therapy for psoriasis can leave patients who are planning to be tattooed vulnerable to complications. The authors reported that oral retinoids can thin the skin and cause excessive dryness. It can also impair wound healing and increase the chance of infection. They also said phototherapy can cause ink to fade prematurely and can trigger photosensitive reactions. Immunosuppressants increase infection risk locally and systemically, especially in unhygienic tattooing conditions.

“There are only a few cases of serious tattoo-related infectious complications caused by immunosuppression described in the literature; however, this risk should not be ignored,” the authors wrote.1 Although most infections are local, they can be dangerous or even life-threatening in cases of septicaemia, the authors cautioned.

Investigators recommended dermatological counselling for patients with psoriasis who are considering tattooing, to determine the best time to have the procedure done and to assess the safest location for the tattoo. Providers may prescribe prophylactic antibiotics to prevent infection. They can also advise patients to avoid amateur providers and select safer, professional tattoo parlours.

The study authors also recommended patients get an individual risk assessment from a provider. In addition, they said tattoo artists should educate themselves about complications and follow necessary precautions. “We believe that a standardized questionnaire, inclusive query about the client’s medical history and medications, could be implemented by tattooists for the benefit of the whole tattoo-society,” researchers concluded.1

Reference:

1. Rogowska P, Walczak P, Wrzosek-Dobrzyniecka K, Nowicki RJ, Szczerkowska-Dobosz A. Tattooing in psoriasis: a questionnaire-based analysis of 150 patients. Clin Cosmet Investig Dermatol. 2022;15:587-593. doi:10.2147/CCID.S348165

https://www.dermatologytimes.com/view/patients-with-psoriasis-must-know-the-risks-of-tattooing