Rashes tend to develop under skin folds, such as in your underarm, genital, or breast areas. You may notice pain and discomfort that gets worse after sweating in the affected areas of skin. Pustular Pustular psoriasis causes painful bumps filled with pus to develop in unusual areas of the body, such as your hands and feet.
They can also develop thick scales on top. As the pustules heal, brown spots or scales may be left in their place. This type of psoriasis may be mistaken for pustular acne lesions in its early stages because they both cause inflamed and painful bumps filled with pus.
Erythrodermic Erythrodermic psoriasis is a rare and life threatening type of psoriasis. This condition causes significant shedding, where you experience a loss of skin layers in large pieces. Other early symptoms include intense pain and itching along with dehydration, muscle weakness, and increased heart rate.
Immediate medical attention is required. Nail Nail psoriasis often develops after another subtype and is seen in roughly half of people with psoriasis. Early signs include discolored, dented, and crumbling nails.
The affected nails may eventually lift off their nail beds. Early signs of PsA include heel pain, along with swollen and painful fingers and toes. Symptoms may be worse in the morning. What it feels like. The condition may cause severe symptoms for a few days or weeks, and then the symptoms may clear up and be almost unnoticeable. Then, in a few weeks or if made worse by a common psoriasis trigger, the condition may flare up again. Sometimes, symptoms of psoriasis disappear completely.
Doctors are unclear as to what causes psoriasis. However, thanks to decades of research, they have a general idea of two key factors: genetics and the immune system. Psoriasis is an autoimmune condition. Autoimmune conditions are the result of the body attacking itself. In the case of psoriasis, white blood cells known as T cells mistakenly attack the skin cells. In a typical body, white blood cells are deployed to attack and destroy invading bacteria and fight infections.
This mistaken attack causes the skin cell production process to go into overdrive. The sped-up skin cell production causes new skin cells to develop too quickly. This results in the plaques that are most commonly associated with psoriasis.
The attacks on the skin cells also cause red, inflamed areas of skin to develop. Some people inherit genes that make them more likely to develop psoriasis. If you have an immediate family member with the skin condition, your risk for developing psoriasis is higher.
However, the percentage of people who have psoriasis and a genetic predisposition is small. Approximately 2 to 3 percent of people with the gene develop the condition, according to the National Psoriasis Foundation NPF. Read more about the causes of psoriasis. Most doctors are able to make a diagnosis with a simple physical exam. Symptoms of psoriasis are typically evident and easy to distinguish from other conditions that may cause similar symptoms.
During this exam, be sure to show your doctor all areas of concern. In addition, let your doctor know if any family members have the condition. If the symptoms are unclear or if your doctor wants to confirm their suspected diagnosis, they may take a small sample of skin. This is known as a biopsy. The examination can diagnose the type of psoriasis you have. It can also rule out other possible disorders or infections. Your doctor will likely inject a local numbing medication to make the biopsy less painful.
They will then send the biopsy to a lab for analysis. When the results return, your doctor may request an appointment to discuss the findings and treatment options with you. They may also change over time for you. Unusually high stress may trigger a flare-up. If you learn to reduce and manage your stress, you can reduce and possibly prevent flare-ups. Heavy alcohol use can trigger psoriasis flare-ups.
If you excessively use alcohol, psoriasis outbreaks may be more frequent. Reducing alcohol consumption is smart for more than just your skin too. Your doctor can help you form a plan to quit drinking if you need help. An accident, cut, or scrape may trigger a flare-up. Shots, vaccines, and sunburns can also trigger a new outbreak. Psoriasis is caused, at least in part, by the immune system mistakenly attacking healthy skin cells. This might start another psoriasis flare-up. Strep throat is a common trigger.
Here are 10 more psoriasis triggers you can avoid. Psoriasis has no cure. Treatments aim to reduce inflammation and scales, slow the growth of skin cells, and remove plaques. Psoriasis treatments fall into three categories:. Creams and ointments applied directly to the skin can be helpful for reducing mild to moderate psoriasis. Many of these medications have severe side effects.
Doctors usually prescribe them for short periods of time. This psoriasis treatment uses ultraviolet UV or natural light. Sunlight kills the overactive white blood cells that are attacking healthy skin cells and causing the rapid cell growth.
Most people with moderate to severe psoriasis will benefit from a combination of treatments. This type of therapy uses more than one of the treatment types to reduce symptoms. Some people may use the same treatment their entire lives. Among them, plaque psoriasis is the most common type. Plaque psoriasis appears as red, thick, scaly, raised-up areas on the skin that are itchy, painful, and can flake and bleed. While plaque psoriasis can involve any part of the body, it commonly appears on the scalp, elbows, knees, trunk, and buttocks.
Other types of psoriasis can look different and affect different areas of the body, such as nails, skin folds, or palms and soles. A patient with psoriatic arthritis often feels prolonged stiffness in the joints in the morning or during long periods of inactivity. Your doctor will ask you about your skin and joint symptoms, family history, and environmental exposures, such as recent infections, medications, or habits that may affect psoriasis.
Your doctor will examine your skin and may need to do a skin biopsy. Many treatment options exist for psoriasis. The treatment choice depends on the severity of psoriasis and whether you have psoriatic arthritis or other medical conditions. For mild or localized psoriasis, topical treatments, such as topical corticosteroids and topical vitamin D, are commonly used. For moderate to severe psoriasis, 3 categories of treatments are considered—phototherapy, oral medications, and biologic medications.
Phototherapy, or light therapy, uses specific ultraviolet light wavelengths to treat psoriasis. Both oral and biologic medications are systemic medications, which means that they affect not only the skin but also other parts of the body.
Biologic medications reduce specific inflammation molecules that are abnormally elevated in psoriasis. Findings from studies indicate that psoriasis may be more common in skin of color than previously thought. In one US study, researchers found that 3. If a parent, grandparent, brother, or sister has psoriasis, you have a higher risk of getting it. Psoriasis runs in families: If a parent, grandparent, brother, or sister has psoriasis, you have a higher risk of getting it.
Psoriasis is not contagious. Unlike chickenpox or a cold, you cannot catch psoriasis from someone. These cells help prevent us from getting sick by attacking things that can harm us, such as bacteria and viruses.
This attack causes the body to make new skin cells more often. The extra skin cells pile up on the surface of the skin, and you see psoriasis. There is one exception. Some children who get a type of psoriasis called guttate gut-tate psoriasis never have it again.
Genes: We know that psoriasis runs in families. Scientists have found that people who have certain genes are more likely to get psoriasis. What complicates matters is what else scientists have learned.
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