Triggers for Psoriasis
Psoriasis isn’t just a skin condition; it’s a lifelong autoimmune disorder that affects millions of people worldwide. Beyond the visible red patches and silvery scales lies a deeper struggle, impacting both physical health and emotional well-being. Living with psoriasis often means navigating social stigma, discomfort and uncertainty, but the good news is that advancements in medical treatments offer hope and relief.
Psoriasis occurs when the immune system mistakenly attacks healthy skin cells, causing them to multiply too quickly. This results in the buildup of thick, inflamed patches on the skin known as plaques. While the exact cause isn’t fully understood, researchers believe a combination of genetics, immune dysfunction and environmental factors play a role. Along with the discomfort of itching, cracking and bleeding skin, psoriasis can also increase the risk of conditions like heart disease and type 2 diabetes.
It’s not a one-size-fits-all condition. Psoriasis has several different types, each with distinct symptoms and triggers.
Plaque Psoriasis (Most Common)
- Appearance: Raised, red patches covered with silvery scales, typically found on the scalp, elbows, knees and lower back
- Triggers: Stress, skin injuries (cuts, scrapes, sunburns), smoking and excessive alcohol use
Guttate Psoriasis
- Appearance: Small, red teardrop-shaped spots, often on the arms, legs and torso
- Triggers: Bacterial or viral infections (especially strep throat), cold and dry weather
Inverse Psoriasis
- Appearance: Smooth, shiny red rashes that may turn purplish or brown, commonly found in skin folds (armpits, groin, under the breasts)
- Triggers: Friction, sweating and fungal infections
Pustular Psoriasis (Rare and Severe)
- Appearance: Pus-filled blisters, which can appear alongside plaque psoriasis
- Triggers: Infections, hormonal changes (such as pregnancy or menopause) and certain medications
Erythrodermic Psoriasis
- Appearance: Widespread redness, swelling and peeling of the skin across most of the body
- Triggers: Sudden withdrawal from psoriasis medications, severe sunburn, infections or underlying medical conditions
While there is no cure for psoriasis, a variety of treatments can help manage symptoms and improve quality of life. The best treatment plan depends on the severity and type of psoriasis. Topical treatments such as corticosteroids, vitamin D analogs, retinoids, coal tar preparations and calcineurin inhibitors, help reduce inflammation and slow down skin cell growth. Light therapy, including UVB phototherapy and PUVA therapy, can control symptoms by exposing the skin to ultraviolet light under medical supervision. Systemic medications like methotrexate, cyclosporine and acitretin work throughout the body to suppress immune system overactivity. Biologic therapies, including TNF, IL-17, IL-23 and IL-12/23 inhibitors, target specific immune responses that contribute to psoriasis. Oral medications such as apremilast help regulate immune activity and reduce inflammation.
Skincare and lifestyle adjustments play a significant role in managing psoriasis. Salicylic acid, emollients and moisturizers can ease discomfort and reduce scaling, while managing stress, avoiding smoking and excessive alcohol use, and maintaining a healthy diet can also aid in symptom control and overall health.
If you are struggling with psoriasis, you do not have to face it alone. At THE CENTER for Advanced Dermatology, our dermatology team is here to provide personalized treatment plans and expert guidance tailored to your needs. Whether you are looking for relief from flare-ups or exploring long-term management options, we are here to help. Schedule a consultation with us today at 602-867-7546 and take the first step toward healthier skin and a better quality of life. To learn more, visit WEBSITE.