Inverse Psoriasis Commonly Appears in Moist Areas of the Body
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Inverse posoriasis differs from other forms of this disease. First, it appears in folds of the skin, typically the armpits, groin, under the breasts as well as skin folds near the genitals and the buttocks. Plaque psoriasis is the most common manifestation of this disease and far fewer cases of inverse psoriasis are seen. Because inverse psoriasis (often called flexural psoriasis) is located in skin folds and moist, tender areas of the body, it can become very irritating due to rubbing and sweating. Another difference is that while the affected area may become red and inflamed, the scaling associated with plqaue soriasis is absent. Overweight individuals, as well as those that have deep skin folds would be more likely to have this disease. As mentioned, inverse psoriasis affects, and is found in, the moist areas of the body. Very often, it occurs in the groin, which results in dryness, redness, swelling, as well as pain. It is not considered to be an extreme form of psoriasis. Treatment is More Difficult Because of Sensitivity of the Affected Skin Inverse psoriasis is often difficult to treat due to the fact that the skin is sensitive where it breaks out. To effectively treat this condition, doctors may prescribe steroid creams and ointments, though these should be covered with plastic dressings. Applying more steroids than is recommended or misusing steroids, especially in skin folds, can result in side effects such as thinning of the skin and stretch marks. Also, doctors may need to test for infection given the fact that these areas are prone to yeast as well as fungal infections. It may also require diluted topical steroids along with medications that have anti-yeast or antifungal properties. There are also topical agents like Dovonex, coal tar as well as anthralin that are also effective in treating inverse psoriasis, though they may also cause irritation and so need to be used with caution, and the doctor’s directions must be followed exactly. People that have severe inverse psoriasis can sometimes require systemic medications to bring the condition under control. Two topical medications called Protopic and Elidel to treat eczema have been approved by the FDA. Many dermatologists have also found these medications are useful in treating psoriasis lesions in skin folds. Another product to treat inverse psoriasis is Castellani’s Paint that is a liquid that can be painted on the part of the skin affected, and it helps dry moist lesions in the skin folds. Even powders are used in the mornings to treat this condition and so too are creams used at night. Inverse psoriasis is not contageous. Studies reveal that it is hereditary. It can come about due to skin damage from the sun. It can also cause a great deal of heartache given the fact that there does not seem to be any known cure. As indicated, however, there are many ways to treat the symptoms of inverse psoriasis.
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