What is inverse psoriasis?
Inverse psoriasis might be thought of as hidden psoriasis. This uncommon condition presents a similar rash to standard psoriasis, but it doesn’t appear on exposed areas of the body. Instead, it occurs in the skin folds, such as the armpit and groin, and it can produce debilitating pain and itching.
Inverse psoriasis is more prevalent in people who are obese or overweight because they have more prominent skin folds where rubbing and sweating occurs.
How is inverse psoriasis diagnosed?
Your physician will go through a complete medical history in his diagnosis of inverse psoriasis. They will pay particular attention to the epidermis looking for smooth and red patches without the silvery white scales. In this case, the extreme moisture from the swetr glands makes it impossible for scales and plaque to form.
If you’ve had a rash for a while that is tender and red, there’s a good chance you could be a candidate for inverse psoriasis. This type of psoriasis shows up in the folds or flexures areas of the
human body, including: the groin, armpits, under the breasts, in folds around the genitals and under the buttocks. For the obese, it can be found in the areas of the waist, stomach, and thighs. As previously mentioned, perspiration accelerates the condition.
How is inverse psoriasis treated?
As with other forms of psoriasis, inverse psoriasis treatment normally includes the use of topical medications. These can include the following topical steroids:
This is normally used to manage the inflammatory process of psoriasis.
Weak dosage of steroids is used first to control psoriasis, it may control the inflammation but psoriasis recurs after discontinuance of this drug. Strong dosage of steroids provides long-term effects but it has been associated with complications such as severe immune system depression.
Vitamin D-like compounds
Calcipotriol cream or ointment can be implemented to reduce the formation of red plaques.
Topical calcineurin inhibitors such as pimecrolimus cream and tacrolimus ointment are used to control complications such as eczema and dermatitis.
Topical antibiotics and antifungal medicines are used to reduce the possibility of secondary infections.
Home remedies for inverse psoriasis include use of moisturizers rather than soaps because soaps tend to make skin dry and prone to irritation. Daily exposure to sunlight not later than 9:00 AM to activate vitamin D stored in the body. Bath oils, cold showers, and warm salt bath can reduce itchiness.
Products that are rich in animal fat such as beef and pork should be avoided. Instead, diet should include grains, nuts, vegetables, and fruit. Intake of vitamins such as sodium ascorbate or vitamin C is good to promote wound healing. Vitamin E or tocopherol is taken to help in tissue repair.
The condition, which usually occurs in about 2% to 6% of those with psoriasis, is more bothersome and more typical in people who are overweight. The connection between obesity and psoriasis has not yet been fully determined. However, research suggests that while extra pounds don’t seem to influence the onset of psoriasis, extra weight can increase the severity of the condition.
How to deal with inverse psoriasis
Patients should be active participants in their health care, which means following doctors’ recommendations and tracking triggers that cause flare-ups. Ask about the latest treatments. And, as with any chronic condition, connecting with other patients can reap valuable information as well as emotional support.