Psoriasis Guru

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Types of Psoriasis

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Different Types of Psoriasis

Friday, December 4th, 2009

Psoriasis is a chronic, autoimmune disease that manifests in several forms, primary affecting the skin.  In many cases only one type of psoriasis will appear at a time.  In other cases several types may occur at the same time or after another form clears.

The most common form is plaque psoriasis.  Symptoms begin as small dry patches of skin, usually appearing on opposite sides of the body. These patches may or may not be noticeably inflamed. As the affect areas grow, the skin appears to grow in thicker, flaky layers. Some patches may be ring shaped. The edges are raised and the texture resembles snake scales. As more patches appear they often link together, forming larger areas.

While the symptoms caused by plaque psoriasis can be controlled, they may persist for long periods of time.  They often become worse when the weather gets cold, or during times of stress. It most often occurs on the elbows, knees and lower back. Treatments include coal tar or steroid based ointments and light therapy.

Guttate psoriasis often starts in children and young adults.  It appears as red spots on the torso, arms and legs. It usually begins suddenly and can incite a variety of symptoms that cause stress to the body and threaten overall health.  It can be brought on by upper respiratory infections, strep throat and skin trauma. Certain types of beta-blocking medications can worsen this condition.

Inverse psoriasis is characterized by smooth, shiny patches of inflamed skin. It usually occurs in body folds, such as under the arms, behind the knees, around the groin or under the breasts. Because of its location, flare-ups occur frequently due to the irritation of rubbing and sweating. Steroid creams are most commonly used, but can cause other skin issues if overused.

Other types of psoriasis spread indiscriminately across the entire body. An example of this is erythrodermic psoriasis. It may occur alongside pustular psoriasis.

Erythrodermic psoriasis is one of the more uncommon types of psoriasis.  It occurs in only one to two percent of the psoriatic population. Symptoms include severe itching, pain an a general imbalance of body chemistry.  Skin affected by erythrodermic psoriasis consistently looks as if it has been burned and body temperature fluctuates significantly with extreme weather conditions. While plaque psoriasis flakes off in small, scale-like patches, erythrodermic psoriasis causes larger sheets of skin to fall off all at once.  Those who suffer from this type of psoriasis are prone to different infections as well as pneumonia and congestive heart-failure, thus it is imperative to keep the condition under control.

Guttate Psoriasis:
guttate psoriasis picture
Plaque Psoriasis:
plaque psoriasis

Types of Psoriasis: Inverse Psoriasis

Monday, September 28th, 2009

Inverse psoriasis appears on the underside or the “inverse side” of skin areas such as armpits, in the groin area or under one’s breasts.  Generally, wherever skin has folded over, this is where inverse psoriasis can occur.

This type of psoriasis doesn’t tend to create flaking or scaling as much as more common types of psoriasis, such as Plaque Psoriasis.  Unfortunately inverse psoriasis is aggravated by rubbing and sweating, which are common occurrences around the folds of skin where the disease tends to occur.

What is Erythrodermic Psoriasis?

Friday, September 25th, 2009

Erythrodermic psoriasis is the most severe type of psoriasis I have ever heard of, but luckily it occurs rarely.  It wreaks such havoc on the body as it causes most of the skin on the body to become swelled up and sore.  The loss of control over nutritional distribution (protein loss) and bodily temperature lead to other complications such as infection or even heart attacks.  Obviously, this is a life-threatening side effect.

This is a great example of a kind of psoriasis that begs to be treated topically for immediate relief, but should be treated from the inside-out for long term improvement (especially since one’s life may literally depend on it).

Erythrodermic psoriasis manifests itself with reddening, soreness and scales over most of the body.  Also, the skin can peel off in larger “sheets” rather than the smaller flakes that are characteristic of more common types of psoriasis.  Also, like most other types of psoriasis, affected areas of the skin will itch intensely.

As the body battles off this particular strand of psoriasis, a lot of fluid buildup (edema) and other incidental infections can occur.  This fluid buildup is related to protein drainage and loss of temperature control mentioned earlier.

See a doctor as soon as possible if you are suffering from symptoms that seem to indicate erythrodermic psoriasis.

What is Plaque Psoriasis?

Friday, September 25th, 2009

Plaque psoriasis is the most common type of psoriasis.  It can also be called psoriasis vulgaris (the regular English word “vulgar” means “common”).

The symptoms of plaque psoriasis are what make psoriasis notorious in the world of skin disorders:  Flaky, scaly, itchy skin that appears on the scalp, elbow, knees and torso.   Affected areas of the body also tend to become swollen, irritable and sore.

How Plaque Psoriasis Works:

An overabundance of dead skin causes an uncomfortable build up of scaliness and lesions (plaques).  The dead skin starts from the layer of skin lying underneath the surface (the dermis), eventually making it’s way out into the open to the outer layer of skin (the epidermis).  I’m betting “dermis” is where we get the word “Dermatology.”

Scraping or scratching off these plaques will most likely worsen one’s skin condition, as the plaques will grow back quickly only in a potentially more infected environment.