Facts About Psoriasis
What is psoriasis is the most common question we are asked. Psoriasis is a chronic, inflammatory disorder of the skin. It is not contagious. It is the result of an abnormally rapid multiplication of the cells of the epidermal layer of the skin. It can affect any area of the body, but is most commonly found on the scalp, elbows, knees, hands, feet, and genitals. More than 4.5 million adults in the United States have it. When you ask what is psoriasis, it is important to remember that there are different types.
What are the types of psoriasis?
Plaque: This is the most common form of the disease. 80% of people with psoriasis have this form. It is characterized by raised, inflamed, red lesions covered by a silvery white scale. The skin is very dry, and symptoms include skin pain, itching and cracking. Plaque psoriasis can develop on any part of the body, but most often occurs on the elbows, knees, scalp, and trunk.
Guttate: This form of psoriasis is usually common in children and young adults. This form of psoriasis causes small, red, individual spots on the skin. Guttate lesions usually appear on the trunk and limbs. These spots are not normally as thick or as crusty as lesions of plaque psoriasis.
Inverse: Inverse psoriasis occurs in the armpits and groin, under the breasts, and in other areas where skin flexes or folds. This form of psoriasis appears as smooth, dry areas of skin that are red and inflamed but do not have the scaling associated with plaque psoriasis. Inflamed lesions and can be debilitating.
Pustular: This relatively unusual form of psoriasis affects fewer than 5 percent of all people with psoriasis. Pustular psoriasis usually occurs in adults. This psoriasis causes blister-like lesions filled with non-infectious pus and surrounded by reddened skin. Pustular psoriasis, which can be limited to one part of the body (localized) or can be widespread, may be the first symptom of psoriasis or develop in a patient with chronic plaque psoriasis.
Generalized pustular psoriasis is also known as Von Zumbusch pustular psoriasis. Widespread, acutely painful patches of inflamed skin develop suddenly. Pustules appear within a few hours, then dry and peel within two days. This form of the disease often requires hospitalization.
Erythrodermic: This psoriasis causes severe itching, scaling, and pain. The skin becomes a fiery red. Erythrodermic psoriasis disrupts the body's chemical balance and can cause severe illness. If you have this form of psoriasis you should seek medical care from a doctor immediately.
Now that we have discussed what is psoriasis and what are the types of psoriasis, we will go over the psoriasis causes.
What are the psoriasis causes?
The underlying psoriasis cause is unknown. However, it can be genetically inherited or passed from generation to generation. Most researchers agree that the immune system is somehow mistakenly triggered, which speeds up the growth cycle of skin cells. A normal skin cell matures and falls off the body's surface in 28 to 30 days. But a psoriatic skin cell takes only three to four days to mature and move to the surface. Instead of falling off (shedding), the cells pile up and form the lesions. Possible triggers include: Stress, injury, illness, infection, steroids, and reaction to medications. Psoriasis is not an infection and it is not contagious.
While the exact causes of psoriasis have yet to be discovered, we know that the immune system and genetics play major roles in its development. Most researchers agree that the immune system is somehow mistakenly triggered, which speeds up the growth cycle of skin cells among other immune reactions.
Now that we have gone over what is psoriasis and the psoriasis causes, we will discuss how serious psoriasis is.
How serious is psoriasis?
Psoriasis is measured in terms of its physical and emotional impact. Physically, if less then 2 percent of the body is involved, the case is considered mild. Between 3 and 10 percent is considered moderate, and more than 10 percent is severe. (The palm of one hand equals 1 percent.)
Psoriasis also is measured by its impact on quality of life. When psoriasis involves the hands and feet, it may also be considered severe because of how it affects a person's ability to function. Or, if a person's psychological or emotional well-being is considerably affected, the psoriasis may also be considered severe.
Now that you know what is psoriasis and the psoriasis cause, we will discuss treating it.
Is there a cure?
Conventional medicines only treat the symptoms of psoriasis. They do not address the fundamental cause. This only provides temporary relief.
There are many in the health care field that believe psoriasis is curable by using the right natural treatments. They believe that treating psoriasis from the inside and from the outside can reduce or cure it. Topical treatments from the outside will relieve symptoms and provide temporary relief. Treatment from the inside will help build up your immune system, and reduce or eliminate future outbreaks.
Is psoriasis contagious?
Psoriasis is not contagious. It is not something you can “catch” or that others can catch from you. Psoriasis lesions are not infectious.
How is psoriasis diagnosed?
No special blood tests or diagnostic tools exist to diagnose psoriasis. A dermatologist (doctor who specializes in skin diseases) or other health care provider usually examines the affected skin and determines if it is psoriasis. Sometimes a piece of skin is examined under the microscope.
Is all psoriasis alike?
No. There are various forms of psoriasis with plaque psoriasis being the most common. Other forms are:
- Guttate [GUH-tate], characterized by small dot-like lesions
- Pustular, characterized by weeping lesions and intense scaling
- Inverse, characterized by severe inflammation
- Erythrodermic [eh-REETH-ro-der-mik], characterized by intense shedding and redness of the skin.
Can psoriasis affect all parts of the body?
Psoriasis most commonly appears on the scalp, knees, elbows and torso. But psoriasis can develop anywhere, including the nails, palms, soles, genitals, and very infrequently on the face. Often the lesions appear symmetrically, which means in the same place on the right and left sides of the body.
Can psoriasis occur at any age?
Yes. Psoriasis often appears between the ages of 15 and 35, but it can develop at any age. Approximately 10 percent to 15 percent of those with psoriasis get it before age 10. Some infants have psoriasis, although this is considered rare.
Psoriasis occurs nearly equally in men and women. It is also present in all racial groups, but in varying rates. Psoriasis prevalence in African Americans is 1.3 percent compared to 2.5 percent of Caucasians.
What health complications are associated with psoriasis ?
The skin plays an important role in regulating body temperature, maintaining body fluids (hydration) and serving as a barrier against infection. Dehydration, infection and increased or decreased body temperature can put a strain on the kidneys and heart. Erythrodermic and pustular psoriasis are forms that can produce major changes in the body when they are flaring.
Is psoriasis linked to other diseases?
Individuals with psoriasis are at an elevated risk to develop other chronic and serious health conditions such as heart disease, inflammatory bowel disease and diabetes. People with severe psoriasis have an elevated risk of heart attack. And “comorbidities” associated with psoriasis
Psoriatic arthritis is a specific type of arthritis that has been diagnosed in approximately 10 to 30 percent of people who have psoriasis. In psoriatic arthritis, the joints and the soft tissue around them become inflamed and stiff. Psoriatic arthritis can affect the fingers and toes and may involve the, neck, lower back, knees and ankles. In severe cases, psoriatic arthritis can be disabling and cause irreversible damage to joints. Learn more about psoriatic arthritis.
If I have psoriasis does that mean I will develop psoriatic arthritis?
although it often may go undiagnosed, particularly in its milder forms. About 11 percent of those diagnosed with psoriasis have also been diagnosed with psoriatic arthritis. It can develop at any time, but for most people it appears between the ages of 30 and 50. Learn more about psoriatic arthritis.Approximately 10 percent to 30 percent of people with psoriasis will develop psoriatic arthritis,
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