Saturday, 2 January 2021

5 Simple Ways To Detox Your Skin

From vogue.co.uk

While many of us may have experienced a different Christmas to usual this year, there are some elements that will always endure, namely a proclivity to overindulge. But while Netflix marathons and towering tubs of chocolates may be synonymous with Christmas, we’d all rather do without the bad skin days that inevitably follow, says Georgia Day

Festive indulgence – namely, excessive eating and drinking – often means rules go out the window; after all, mixing margaritas is one way to pass the time during that strange no-man’s land period between Christmas and New Year. Unfortunately, it’s rather less cheery news for your skin. 

When the body is exposed to high levels of glucose (or sugar) collagen and elastin proteins in the skin become impaired, causing a breakdown of its springy structure. As well as skin losing its elasticity it can also lead to increased sebum production, dehydration and a rougher, more uneven skin surface. Copious amounts of sugar in alcohol are also problematic for skin. “Alcohol is a diuretic and leads to dehydration of our skin and body,” says Dr Zainab Laftah, consultant dermatologist at HCA The Shard. “It makes the blood vessels in our skin dilate and leaky causing flushing, redness and puffiness. Alcohol is also a known trigger for rosacea and psoriasis.”

It’s not just our propensity for excess which can cause problems during the festive season; according to the Mental Health Foundation, a third of UK adults felt stressed or anxious in the run up to Christmas this year, while more than half were worried about the mental health of a loved one. When you consider the enormity of the year we’ve all endured and the reality of spending Christmas away from family and friends, it’s inevitable that stress will creep in. “Stress increases stress hormones levels of cortisol and leads to inflammation, worsening inflammatory skin conditions such as acne, rosacea, eczema and psoriasis,” says Jason Thomson, dermatologist, head of medical at Skin+Me, a direct-to-consumer customised prescription-strength skincare brand designed by dermatologists. 

“Cortisol can also indirectly affect the activity of oil glands and contribute to acne [and] stress increases the skin barrier permeability leading to increased water loss and dehydrated skin. Stress can also reduce collagen synthesis leading to a loss of elasticity and skin thickness.” Stress can cause changes in the way we implement our skincare routines too. “We shouldn’t underestimate the impact stress plays on our daily skincare routines which are often thrown by the wayside,” says Dr Ophelia Veraitch, L’Oréal Paris consultant dermatologist. “Our skin thrives on having a daily routine and if this is interrupted for some reason, such as stress, then it can aggravate issues and cause flare ups. At times when we are under stress, we may find ourselves skipping out usual skincare routines… which negatively impacts our skin.”

While the experts are divided on what the concept of detoxing actually means in relation to your skin – while your skin is adept at protecting itself from external irritants via the skin barrier, it’s not medically possible to purge toxins from the body via the skin – most will agree that all seasonally sluggish skin can benefit from a reset. “There’s no good evidence backing up any form of ‘skin detox’,” says Malvina Cunningham, consultant dermatologist at Skin+Me. “It’s a balance between looking at what you use on your skin in terms of active ingredients and cosmetics with the aim to calm and hydrate your skin plus looking at your general health and reducing known stresses on the skin such as lack of sleep, too much alcohol, unbalanced diet, smoking and pollution,” she adds. 

Here’s Vogue’s guide to how to tackle skin that could do with a festive break all of its own…

Do embark on a double cleanse routine

It’s a skincare cliché for a reason but double cleansing (the process of cleansing twice both morning and evening) is a really effective way to remove all traces of make-up, impurities and pollutants from the skin, not to mention the 30,000 – 40,000 cells that skin sheds every day. Not only can inadequate cleansing contribute to congestion, breakouts and dullness, but not getting all that deep-set dirt out of your pores will render much of what you apply afterwards virtually useless – including that expensive serum that Santa was kind enough to deliver. Balms and cleansing oils that dissolve grime and penetrate deep into the skin are good first cleanse options, while creams, gels and micellar waters make for appropriate second cleanses. While Laftah recommends CeraVe’s Hydrating Cleanser, which contains three essential ceramides to help nourish the skin during the cleansing process, Cunningham makes a case for “cleansers with mild acid such as PHA (polyhydroxy acid – gentler than its cousins AHA/BHAs)” which will add “mild exfoliation to help brighten dull-looking skin without compromising barrier function.”

Rethink your routine

Skin that’s having to contend with an onslaught of a poor diet, lack of sleep and extra stress needs no extra complication in the form of fussy routines, which many of us found ourselves implementing during lockdown. “Using excessive amounts of acids and actives [results] in sensitivity, irritation and compromising your skin’s barrier function. If you have sensitive, irritated skin, then stopping products and going back to a gentle and supportive skincare routine can be considered a type of ‘skin detox’ and will help you to get your skin back on track,” notes Cunningham. 

Start by stripping your regime right back to a gentle cleanser and moisturiser which won’t irritate or disrupt already compromised skin. Adding a brightening antioxidant such as vitamin C into your daily routine will help stimulate collagen, offer a brightening wakeup call and counteract oxidisation caused by inflammatory free radicals; we like Typology’s Radiance Serum 11% Vitamin C. “Consider adding in an active to your nightly regime… Retinols and retinoids are backed up with the most scientific evidence. They have been proven to stimulate collagen synthesis, even out skin tone and reduce inflammation. The key is to start slow with a retinol, initially once to twice a week and build up gradually to nightly use over a period of weeks,” adds Laftah. Try Murad’s Retinol Youth Renewal Serum which delivers all the benefits, minus any associated irritation.

Look after your gut

Easier said than done, but banishing chocolate, salt-laden canapés and fatty foods from your daily diet is vital if you want skin that sings instead of groans. “A healthy diet is important for the gut-skin axis and skin homeostasis,” says Laftah. In other words, keeping your skin healthy means keeping your gut and its delicate microbiome healthy. It’s not just food that contributes to poor gut health either; alcohol causes an inflammatory response in the gut which can result in digestive discomfort including abdominal pain and bloating. Alcohol also inhibits the production of digestive enzymes which can make it more difficult for your body to breakdown, digest and absorb nutrients from your food. If you can, aim to remove booze altogether from your festive diet, but if the holiday season feels too alien without a glass in your hand, make it a glass of red; according to a recent study, red wine drinkers are more likely to have a healthy mix of bacteria in their gut than those who consume other forms of alcohol.

Hydrate, hydrate, hydrate

Excess sugar, alcohol and elevated stress levels impact the skin in various ways but one problem they all contribute to is chronic dehydration, a condition which leaves skin looking uneven, dull and dry. You may also experience fine lines and can even be hit with itchiness and flakiness. If that’s you, take a two-pronged approach to rehydration by addressing the issue inside and out. “Don’t forget to drink lots of water to keep all your organs well hydrated,” advises Veraitch. “For the largest organ of our body – skin – an increased water intake ensures skin cells are well hydrated, reducing dryness and increased skin elasticity. Drinking water also helps to get rid of toxins which can cause inflammation.” 

To rebalance skin, look for hydrating products that contain hyaluronic acid, which as well as restoring hydration, helps repair the skin barrier which can easily become damaged after too much festive excess. “L’Oréal Paris Revitalift Filler Hyaluronic Acid Serum contains macro hyaluronic acid that sit higher in the skin to hydrate and smooth the skin’s surface, and micro hyaluronic acid to provide a deeper plumping action,” according to Veraitch. “Make sure you’re using a moisturiser with barrier friendly, moisturising ingredients to counter the dehydrating effects of alcohol and the reduced humidity associated with the cold weather and central heating,” adds Cunningham.

Prioritise sleep

While it’s tempting to indulge in a little too much Netflix and not enough quality shut eye during the festive season, neglecting a regular sleep routine is bad news for skin. When we sleep our skin goes into regeneration mode, replacing damaged or dead cells with fresh, new ones and repairing any environmental damage. Good sleep also increases blood flow to the skin and contributes to its essential structural work such as rebuilding vital collagen and elastin, the very proteins that festive excesses damage. Skipping those precious hours (at least eight, more if you can) prevents all of this vital maintenance work from happening and instead increases levels of inflammation, slows down healing and repair systems and aggravates conditions including acne, eczema, psoriasis and allergies. “Sleep is nature’s best medicine and the same applies when it comes to looking after our skin. Eight hours sleep is another thing to try to get regularly, if not daily, to allow your body to rest and restore itself for the next day,” agrees Veraitch.

https://www.vogue.co.uk/beauty/article/how-to-detox-your-skin

Wednesday, 30 December 2020

Need some skin love? Here are the 8 best Instagram accounts to follow if you have psoriasis

From mamamia.com.au

There's a handful of celebrities that have openly spoken about their struggles with psoriasis. 

Kim Kardashian famously discussed her condition on an early episode of Keeping Up with the Kardashians. Cara Delevingne and Queer Eye's Jonathan Van Ness have also opened up about their experience with it.

Most recently, Kardashian penned an essay for POOSH, explaining that after years fighting the autoimmune disease, she's finally comfortable. 

"I’ve become extremely comfortable with my psoriasis," she said. "No matter where it is on my body, sometimes I am fine with showing it off and other times I don’t want it to be a distraction, so I cover it up with body makeup."

"If you have psoriasis, you can’t let it ruin your life or get the best of you. You have to do what you can to make sure you are comfortable but not let it take over."

In Australia, psoriasis affects at least two per cent of the population, and it causes an overproduction of skin cells. These skin cells cause scaling on the surface of the skin that appear red, itchy and inflamed.

While celebrities are amazing at bringing awareness to this condition, they don't offer much insight into the daily experience of living with it.

On Instagram, there's a huge community of women living with psoriasis (commonly known as 'psoriasis warriors') who share raw, untouched images of their experience alongside the tips that work for them.

Here are nine of them.

Stephanie, @cyapsoriasis

Melbourne-based Stephanie candidly shares her psoriasis journey and the tips that work for her. She also has an Instagram page called @theglobalpsoriasisdiary where various men and women with psoriasis share their own stories weekly.

Gabby, @flakey___

Another fellow Aussie who shares her psoriasis story. Gabby posts regular updates about how her psoriasis is going and shares the products that do and don't work.

Renee, @psoriasis_thoughts

Renee hosts a regular IGTV series, where she interviews psoriasis warriors, dermatologists and nutritionists to discuss all things psoriasis. 

Jude, @judeavrilduncan

Jude from Glasgow brings awareness to the condition through her untouched selfies and podcast called Psoskin. Her honesty is unbelievably refreshing.

Michelle @lordmich

While Michelle shares her chic sense of style and makeup skills, she also brings awareness to her psoriasis. 

"Becoming the black girl with Psoriasis that I always wanted to see when I was younger," she writes.

Bobbie, @healthybobbs

Bobbie - who's had psoriasis for 29 years now - gives raw and honest updates about how her psoriasis is going and explains what simple changes have worked for her. 

Michelle, @psoriasiswanderer

As she writes in her bio, Michelle's "just a normal gal trying to learn and understand the underlying issues and causes of #psoriasis and help those along the way."

And she does it beautifully.

Sine, @psoauty

Sine openly shares her psoriasis story - the good days, the bad days and everything in between.

https://www.mamamia.com.au/best-psoriasis-instagram-accounts/

Tuesday, 29 December 2020

Healthy Bath Tips for Psoriasis

From healthcentral.com

Oatmeal? Mineral baths? Lukewarm water? How, when, and with what products you bathe can make a difference in psoriasis symptoms. Which tricks and products actually provide a soothing soak for psoriasis skin, and which ones should you avoid? Here, doctors and psoriasis warriors reveal their best tricks for making sure the only thing you’re relaxing away in the tub is your stress, not the possibility of a flare-free day.

soothing bath
iStock

Go for a Gentle Cleanser

Tuesday, 22 December 2020

Typical signs of psoriasis to watch for and how to treat the condition

From clickondetroit.com

How familiar are you with psoriasis?

Psoriasis is an inflammatory skin rash that is relatively common in the United States. Men and women have an equal chance of developing it. It’s an autoimmune disease in which your body’s immune system recognizes normal tissues as dangerous and attacks them.

The condition can run in families, and the most common of the several types is plaque psoriasis. Living with this condition can majorly affect your life if you don’t treat it.

Below, let’s take a look at what psoriasis looks like, typical signs of the condition and some treatment options.

What does psoriasis look like, and where can it appear?

Psoriasis causes red or purple lesions with silver-colored scales on your skin. The lesions typically appear symmetrically, meaning they can be located on both sides of your body at the same time.

However, you may develop lesions or damaged tissue in just one area or have multiple spots on your body, including the joints, fingernails, skin and toenails. Many triggers cause psoriasis to flare up, including stress, trauma, some medications and infections.

The good news is, there are many therapies available to treat the condition.

What are the typical signs of psoriasis?

When a person has psoriasis, developing lesions is a strong sign of the condition. These lesions can appear at any time due to various factors.

If you notice lesions anywhere on your skin, fingernails or in other areas, it is essential to seek a professional diagnosis and treatment.

Lesions are not the only sign of this condition. Some other typical signs to watch for include the following:

  • Itching
  • Abnormal nail growth
  • Red, swollen, warm, painful or deformed joints
  • Nails separating from the nail bed
  • Pitted, crumbling, discoloured or loose nails
  • Bleeding where skin scales have come off
Skin
                  Ximena Mora/Pexels stock image

What options are available to treat psoriasis?

When you have psoriasis, your dermatologist will help you find a suitable treatment option to resolve your condition. They will work with you to create a personalized treatment plan that addresses the lesions and other symptoms related to psoriasis.

Doing so ensures it stays controlled and improves your quality of life.

Some of the options your medical care provider may enlist include:

  • Laser therapies
  • Medications to suppress your immune system
  • Biological therapies
  • Phototherapy treatment
  • In-patient dermatology treatment
  • Oral or topical retinoids (medications related to vitamin A)
  • Tars and anthralin, topical corticosteroids, or medications related to vitamin D3

Watch for signs and get medical care when you need it

If you develop symptoms of psoriasis, make an appointment with a dermatologist or your general care provider as soon as you notice signs.

With proper treatment, you can control your psoriasis and enjoy life.

https://www.clickondetroit.com/sponsored/2020/12/21/typical-signs-of-psoriasis-to-watch-for-and-how-to-treat-the-condition/

Saturday, 19 December 2020

Ease the Itch (and the Ouch) with These Psoriasis Lotions and Creams

From ca.style.yahoo.com
By Lisa Bain

Psoriasis is a common — and commonly misunderstood — disorder. It’s not simply itchy, dry skin; according to the National Psoriasis Foundation (NPF), it’s caused by an immune-system dysfunction that brings on inflammation. Normally, a person’s skin cells grow and shed in about a month, but for a person with psoriasis, that process is sped up, taking only about 3 or 4 days, and the result is a build-up of skin cells causing scales and plaque. About 8 million Americans deal with its discomfort every day, says the NPF.

“Psoriasis is not curable, but thankfully it’s very treatable,” says Mona Gohara, MD, associate clinical professor of dermatology at the Yale School of Medicine. “There’s no need to endure the psychological or physical discomfort that may come along with this condition—seek treatment for it.” There are a range of possible treatments, from topical creams and lotions to prescription oral medications. “If you start at the bottom of therapeutic pyramid with creams, this may be enough to quell the irritation,” says Dr. Gohara.

Topical treatments for psoriasis:

Some creams and lotions that can ease the dryness and itch are available over the counter; with others, you’ll need a prescription from a doctor. It takes a bit of trial and error to find what topical treatment may work best for you. Here, some guidance to the most common types of creams and lotions for psoriasis.

 Photo credit: Iryna Veklich - Getty Images

           Photo credit: Iryna Veklich - Getty Images


Salicylic acid

This is the active ingredient (approved by the FDA for treating psoriasis) in treatments that can help banish scales by softening them and making the outer layer of skin shed. You can find salicylic acid in many forms (not just lotions/creams/ointments, but also foams, soaps, gels, patches, and more). These treatments are designed to work in combo with others, because getting rid of the scales can help other treatments do their work more efficiently. If it’s a strong version, salicylic acid can irritate the skin and make hair more likely to break off, and that can lead to temporary hair loss, says the NPF.

Topical steroids (Corticosteroids)

The NPF says that these are the most frequently used treatments for psoriasis. They’re designed to quell inflammation and pump the brakes on the growth of skin cells (this helps sidestep the build-up that produces scales). Steroid treatments come in different strengths; mild ones are available over the counter (OTC) and stronger types require a prescription. Generally, the stronger ones are needed for elbows, knees, and other hard to treat areas. These are powerful meds with potential side effects (thin skin, broken blood vessels, and more) and should be used carefully under a medical doctor's supervision. Also, “the use of topical steroids on brown skin can create lightening, which may take time to repigment,” says Dr. Gohara. “It’s always important to apply steroids directly on, not all around, lesions or areas of concern.”

The NPF advises not to use a topical steroid for longer than three weeks without consulting a doctor, as well as to avoid stopping the use of one suddenly because that can cause a flare-up of your psoriasis. Another reason to use these under the care of a physician: Topical steroids can be absorbed via the skin and have an impact on internal organs when used for a long period of time or over a wide area of skin.

Vitamin D3 treatments

These prescription treatments also come in various forms — not just creams, lotions and ointments, but also gels, foams, and more. In some medications, vitamin D is combined with a steroid. Like other treatments, meds with vitamin D slow down the pace of your skin cells' growth. (Depending on the specific medication, side effects can include skin irritation, stinging, burning, itching or excessive calcium in the urine.) “One advantage of vitamin D creams is they don’t run the risk of causing skin atrophy — a very real side effect of chronic topical steroid use,” says Dr. Gohara. “But they can be more irritating. Generally, systemic side effects are rare, yet hypercalcemia is a theoretical risk, and your doctor may opt to have you get blood tests.”

Vitamin A treatments

A topical retinoid, vitamin A is the active ingredient in prescription medication that comes in the form of a cream, gel, or foam. It also works by slowing the growth of skin cells. When using it, the plaques of psoriasis may turn bright red before clearing up. Side effects here also include skin irritation; the medication increases the risk of sunburn as well, so it’s critical to use sunscreen to protect your skin when using these meds.

Coal tar

This ingredient is found in different strengths in various treatment forms, including shampoo. It can be found in OTC products in its weaker strength and by prescription for stronger versions. Like other products, coal tar slows the growth of skin cells, but it can be stinky and irritating, and can stain your bedding and clothes (as well as blond hair).

Finding the right psoriasis treatment:

Here’s one of the challenging things about treating psoriasis: Your body can build up a tolerance to a certain medications, so something that seemed magical in its ability to bring you relief could suddenly stop working. On the other hand, a treatment that didn’t work for you years ago could suddenly work wonders.

That’s why trial and error is a necessary part of psoriasis treatment. “Finding the right treatment for psoriasis is much like finding the right partner. It may take some 'dating' until the right one finally comes along,” says Dr. Gohara. “Some may work for a bit, but then efficacy fizzles. Topical steroids are the most common culprit of this phenomenon, although it may happen with other topical or systemic medication as well.”

The best over-the-counter creams that can ease the dryness and itching:

According to the National Psoriasis Foundation, it’s key to moisturize daily — it can lessen the itchy redness. They recommend that you use fragrance-free products and soaps that moisturize rather than dry you out, skip the way-hot shower (keep it lukewarm), and rub on moisturizer right after showering. The NPF recommends these OTC creams, based on information they’ve heard from dermatologists — while emphasizing that none of them are stand-ins for treatment from a healthcare provider. Still, they’re all deeply moisturizing and may improve some pesky symptoms such as flaking and itching.

https://ca.style.yahoo.com/ease-itch-ouch-psoriasis-lotions-211400152.html


Thursday, 17 December 2020

What Does ‘Quality of Life’ Mean When You Have Psoriasis?

From docwirenews.com

What Does ‘Quality of Life’ Mean When You Have Psoriasis?

A qualitative study explored the quality of life in patients living with psoriasis—as well as what the phrase means to them.

“At present, there is a need to refine quality of life measures for patients with psoriasis, in order to identify issues that are important to them, such as disease stigma and prejudice, among others. Often, these are not included in the quality of life instruments available in the literature,” the researchers explained.

The study took place at a dermatology outpatient clinic of the São Paulo State University (UNESP) medical school, Botucatu, Brazil. Patients with psoriasis took part in face-to-face interviews that lasted about 20 minutes. Sociodemographic data were collected, and the interviews included the following questions:

  • What do you understand by quality of life?
  • In your opinion, does psoriasis interfere with your quality of life? If yes, in what aspects?
  • In your perception, how could your quality of life be improved in relation to psoriasis?

Data analysis was performed using the Discourse of the Collective Subject (DCS) method.

The 81 patients (mean age, 50 years) who were interviewed were mostly male (54%), married/living with a partner (70%), and had completed elementary education (60%). The mean age at onset of disease was 36 years. Most patients had a monthly income ranging from $322 to $879 (61%).

Three themes emerged, along with several central ideas for each:

  • Meaning of quality of life
    1. Well-being
    2. Solidarity
    3. Financial stability
    4. Good nutrition
    5. Do not have stress and concerns
    6. Be happy
    7. Having leisure and practicing physical activity
    8. Being employed
  • Impact of psoriasis on quality of life
    1. Symptoms of the disease (pain and itching)
    2. Behaviour (shame)
    3. Increased stress
    4. Frustration and suffering
    5. Link inseparable from treatment
    6. Commitment to professional activities
    7. Stigma of disease
    8. Contagiousness
    9. Restriction on clothing
  • Contributions to improve quality of life in psoriasis
    1. More efficient drugs
    2. Clarification of the lay population
    3. Acceptance of the disease
    4. Possibility of healing
    5. Treatment adherence
    6. Have multidisciplinary service
    7. Stress reduction

The researchers stated that “public health policies to increase knowledge and awareness of the general population about psoriasis are needed. This approach will help to explain the impact of psoriasis on a person’s life and, hopefully, reduce the prejudice surrounding it and facilitate social inclusion. After all, what defines a person goes far beyond their skin.”

The study was published in BMC Dermatology.

“The findings from this study reflect not only the perceptions of quality of life, but also reveal the stigma, prejudice and social difficulties faced by patients living with psoriasis. Quality of life for these participants is a subjective, multidimensional concept and often based on the satisfaction of basic human needs for the individual,” the authors concluded.

https://www.docwirenews.com/docwire-pick/rheumatology-picks/what-does-quality-of-life-mean-when-you-have-psoriasis/

Winter Skin Know-How: Why Do Psoriasis and Eczema Flare Up in Winter?

From finchannel.com

The FINANCIAL -- According to Johnson & Johnson, cold temps and dry air can wreak havoc on already stressed skin. For those with certain inflammatory skin diseases, Lloyd S. Miller, M.D., Ph.D., says following a personalized treatment plan is the key to finding more comfort this season

Frequent hand washing and sanitizer use may already be taking a toll on your hands this pandemic year, but as temps and humidity levels drop come winter, other body parts can also get itchy, cracked and irritated. And while many people may develop dry skin this winter, those who have eczema or psoriasis will have to do more than simply slather on extra lotion and drink more water. "Psoriasis and eczema are inflammatory skin diseases," says Lloyd S. Miller, M.D., Ph.D. Vice President of Immunodermatology for Janssen Research & Development, part of the Janssen Pharmaceutical Companies of Johnson & Johnson.

In the case of psoriasis, a hyperactive immune response causes new skin cells to proliferate more quickly than old ones can be shed. The result is that cells pile up on top of each other, causing red patches with silvery scales.

Eczema, also known as atopic dermatitis, is considered an allergic disease, meaning the body overreacts to an external trigger, such as dust mites or perfumes in cosmetics and soaps. "Patients develop itchy, red skin, often in areas where skin touches skin, such as in the bends of the arms or knees," Dr. Miller says. It's prevalent in kids, especially those who also have, or will later develop, food allergies, seasonal allergies or allergic asthma.

As winter officially sets in, we asked Dr. Miller to share more about the causes, triggers and symptoms of psoriasis and eczema—and offer advice about how to help keep both in check.

Q: Many people confuse psoriasis and eczema. How can you tell the difference?

A: It's actually pretty easy for dermatologists to know which one they're seeing: Eczema is typically less thick and patchy compared to psoriasis, and eczema patients frequently have scratch marks because the condition is so incredibly itchy.

Sometimes skin with eczema is covered with honey-coloured crusts; that happens because there's so much yellowish staph bacteria on it, and the bacteria produce toxins that cause disease flares. Everyone has staph on their skin, but people with eczema have 100 to 1,000 times more of it than normal.

Psoriasis can crop up anywhere on the body, but it mostly impacts elbows, knees, the lower back and scalp. Because psoriasis is an autoimmune disease, people who have it experience increased inflammation throughout their body. About 30% of people with psoriasis also develop a type of inflammatory arthritis called psoriatic arthritis. Psoriasis patients, regardless of whether they have joint problems, also have a higher than average risk of cardiovascular disease and diabetes.

Q: Why do these conditions typically flare up in the winter?

A: Cold, dry conditions sap the natural moisture from your skin, and dry skin can cause flares, especially with eczema. People also tend to take hot baths or showers in the winter, which further dries out the skin and causes more itching, since hot water can damage the outer layer of skin that holds in moisture.

Dry skin can also trigger a psoriasis flare, as can reduced exposure to sunlight. In the winter, most people get very little natural exposure to UV light because they spend so much time indoors or with skin covered up with warm clothing. To help with this, psoriasis patients can consider phototherapy, a treatment that essentially involves using a light box to expose skin to controlled amounts of UV light in order to dampen inflammation.

Q: Can lifestyle changes help?

A: Lifestyle changes alone probably won't be enough to completely address symptoms, especially when it comes to psoriasis, since it is a chronic autoimmune disease. But because dryness is a trigger for both psoriasis and eczema, you can certainly reduce your risk of having a flare by taking shorter, lukewarm showers and applying a thick, hydrating cream or ointment right after you towel off. That will help lock in moisture, as well as repair the skin barrier, which is important because cracked and irritated skin allows more irritants and allergens to get in.

If you have eczema, it's really important to use fragrance-free, hypoallergenic soap and moisturizers, as fragrances can cause allergies and further trigger itchiness and inflammation. 

You should also use scent-free hypoallergenic laundry detergent for the same reason. Certain fabrics, such as those made with wool, may be irritating to delicate skin as well. If your indoor air is very dry it's also a good idea to run a humidifier. Just be sure to clean it often to avoid a build-up of mould or bacteria.

Q: What about prescription treatments?

A: It really depends on the patient and how severe their condition is, which is why personalization is so key.
For some people with eczema, over-the-counter products may be sufficient. But many people with even mild eczema, which affects less than 10% of the body, typically need to use a prescription topical corticosteroid or topical calcineurin inhibitor—both of which work to reduce inflammation—on occasion.

Many people with even mild eczema, which affects less than 10% of the body, typically need to use a prescription topical corticosteroid or topical calcineurin inhibitor—both of which work to reduce inflammation—on occasion. Those with moderate to severe eczema may require oral or biologic medications that suppress inflammation throughout the body to provide some level of relief. New treatments may also be on the horizon: Janssen, for example, is currently studying a potential treatment for eczema that targets keratinocytes—an inflammatory protein produced by skin cells that's released when you scratch.

Psoriasis almost always requires prescription treatment because of the underlying autoimmune disease, but the best option varies depending on how much of the skin is impacted. Some psoriasis patients with very mild disease can rely on topical corticosteroids or a topical anti-inflammatory vitamin D analog, which is a synthetic form of vitamin D.

Those with more advanced disease or who have psoriatic arthritis typically need to take a prescription medication. One such option is a biologic drug. If you may need one, your doctor will try to select the best option by factoring in the severity of your skin disease, whether you also have joint disease, how often you're willing to do injections and other factors.

All this is to say that for people living with psoriasis or eczema there are a variety of options to reduce symptoms—even during the tougher winter months.

https://www.finchannel.com/society/health-beauty/79689-winter-skin-know-how-why-do-psoriasis-and-eczema-flare-up-in-winter