Psoriasis

 

What is psoriasis?

Psoriasis is a recurrent skin condition that affects around 2% of the population in the UK. In simple terms, it is only an acceleration of the usual replacement processes of the skin. Normally a skin cell matures in 21 to 28 days during its passage to the surface where a constant invisible shedding of dead cells, as scales, takes place. Psoriatic cells, however, are believed to turn over in two to three days and in such profusion that even live cells reach the surface and accumulate with the dead cells in visible layers. Psoriasis affects both sexes equally. It may appear for the first time at any age, although it is more likely to appear between the ages of 11 and 45. The symptoms of psoriasis can be made worse by exposure to harsh chemicals found in many household cleaners and bodycare products and avoiding these can bring at least partial relief. Treatment with appropriate moisturisers will also help to alleviate the symptoms; sometimes to the extent that the visible appearance of the skin returns to normal.

 

What does it look like?

Psoriasis appears as raised red patches of skin covered with silvery scales. It can occur on any part of the body although elbows, knees and the scalp are usual sites. There is often accompanying irritation. Some parts of the body do not have this typical scale. These are areas where two skin surfaces come together as in the natural skin creases and folds e.g. the groin and genital area and underneath women's breasts. Psoriasis, in these areas can look bright red and shiny rather than scaly.

 

Types of psoriasis

The symptoms of psoriasis can manifest in a variety of forms. Variants include plaque, pustular, guttate and flexural psoriasis.

 

Plaque psoriasis (psoriasis vulgaris) is the most common form of psoriasis. It affects 80 to 90% of people with psoriasis. Plaque psoriasis typically appears as raised areas of inflamed skin covered with silvery white scaly skin. These areas are called plaques.

 

Flexural psoriasis (inverse psoriasis) appears as smooth inflamed patches of skin. It occurs in skin folds, particularly around the genitals, the armpits, and under the breasts. It is aggravated by friction and sweat, and is vulnerable to fungal infections.

 

Guttate psoriasis is characterised by numerous small oval (teardrop-shaped) spots. These numerous spots of psoriasis appear over large areas of the body, such as the trunk, limbs, and scalp. Guttate psoriasis is associated with streptococcal throat infection.

 

Pustular psoriasis appears as raised bumps that are filled with non-infectious pus (pustules). The skin under and surrounding pustules is red and tender. Pustular psoriasis can be localised, commonly to the hands and feet (palmoplantar pustulosis), or generalised with widespread patches occurring randomly on any part of the body.

 

Nail psoriasis produces a variety of changes in the appearance of finger and toe nails. These changes include discolouring under the nail plate, pitting of the nails, lines going across the nails, thickening of the skin under the nail, and the loosening and crumbling of the nail.

 

Psoriatic arthritis involves joint and connective tissue inflammation. Psoriatic arthritis can affect any joint but is most common in the joints of the fingers and toes. This can result in a sausage-shaped swelling of the fingers and toes known as dactylitis. Psoriatic arthritis can also affect the hips, knees and spine (spondylitis). About 10-15% of people who have psoriasis also have psoriatic arthritis.

 

Is it catching?

Most definitely not. Psoriasis cannot be caught from other people nor can it be transferred from one part of the body to another. How serious is it? Psoriasis is known as a waxing and waning condition and there may therefore be considerable variations in its intensity. There are also many clinical forms with skin involvement varying from a few psoriatic patches to, at its worst and very rarely, a widespread and serious eruption. Most people with psoriasis have small patches that either get better spontaneously or need very little treatment. The more severe forms may demand intensive medical and nursing care. Widespread ignorance about the nature of psoriasis and the real or imagined reactions of others may also lead to a withdrawal from society and to feelings of isolation, depression and defensive shyness.

 

What causes it?

Certain genes have been identified as being linked to psoriasis. It appears, however, that a genetic tendency needs to be triggered off by such things as injury, throat infection, certain drugs, exposure to irritant chemicals and physical and emotional stress. Research is under way into all aspects of the causes of psoriasis.

 

What treatments are available?

There are a variety of topical treatments available i.e. creams and ointments that are applied to the skin. When used properly they can be most effective and have minimal side effects. Whatever treatment you use it is also vitally important to use a moisturiser to make the skin more comfortable. Other treatments are available for more serious cases; they will normally mean a referral to a Dermatologist and involve treatment as an out-patient or in-patient. Many people, however, lose the condition naturally for long periods at a time or even entirely, especially if they reduce their exposure to the “triggers” such as harsh chemicals in their environment.

 

Many people report that taking a combined approach of removing the harsh chemicals contained in household cleaners or personal care products from their homes and also using suitable moisturisers has had a dramatic beneficial effect…..

 

Eczema, Psoriasis and chemical residue

 

Since replacing all the chemicals in my house and using the Intensive Skin Therapy lotion, my eczema and psoriasis have disappeared. My doctor admitted that we were treating the result of the problem – not the cause!

 

What was the cause? Irritating and drying chemical residue He explained that our skin is our largest organ. Consequently, everything that comes in contact with it can have an effect. That made me think… just about all of the clothes detergents on the store shelves today leave some sort of residue on your clothes.

 

Then my attention turned to our personal care stuff,… everything from deodorant to shampoo and lotions. What did I find? Many of our personal care products that come in contact with our skin contain Formaldehyde!!!! Which by the way, goes by many different names AND is NOT required to be listed on the label! For those who do not know, this is used to preserve dead bodies! Can we say "EEEYYYEEEWWWW"?

 

The Company has truly given me peace of mind, knowing that their scientists do extensive research to provide only the safest ingredients in their products.”

 

Jean Smith 03 Feb 2005

 

 

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