Going for a Night Out? Try Covering and Lightening Up Methods

Are you going out for a date? Or, are you invited to attend a party but don't know how to hide those irritating plaques and lesions? Instead of staying at home and licking your wounds for the constraints that our condition has brought us, you might find the following tips helpful in mitigating embarrassment.

Cosmetic Cover-Up
Experts recommend, with caveats, the use of cosmetic products such as masking cream or concealer as cover-up on the face and other affected areas. Not all cosmetic products, however, are helpful for camouflaging the redness of the skin. It does seem that the unsightly redness can be neutralized by creams containing green dye. You may want to ask your dermatologist for recommendations as to the best product that is suitable in your case.

Keep in mind that there are limits in using these cosmetic products. If you have open sores or you develop skin irritation, then you should never use them, or stop using them at once. Some psoriasis sufferers will not benefit from camouflage techniques, however. Severe cases where patches of skin are thick or scaly will not respond adequately to cover-ups. But well-controlled conditions where there are only brownish or slightly reddish spots can be helped quite satisfactorily.

Light Colors and Fabrics
One of the things that embarrasses us the most is when we find out that other people see flakes falling from our hair and sticking onto our tops. Ew… Thus, it is only practical for us to wear light-colored and light-patterned tops. Fabrics, such as silk and cotton, which provide more comfort when we wear them are better than wool, as the fashion guru Tim Gunn of Project Runway recommends. Linens, according to him, may not work as well because the surface texture is rather stubbly, making it slightly uneven and rough.

If cosmetic camouflage does not work, then tell the people who ask about the redness on your skin that you have psoriasis which affects at least one-percent of the Philippine population and up to three-percent of the world population. It is not merely a skin disease, but rather it is an auto-immune condition which runs in families. Assure them it is never contagious. And finally, tell them that they should thank their stars they do not suffer the condition.

Photo credit: Kaunokainen (flickr.com)

Moisturize, Moisturize, Moisturize: Psoriasis' First Line of Treatment

Psoriasis, which presents itself as dry skin mottled with red patches covered with off-white scales, is a condition that does not have any cure yet. That's the saddest thing about having, and the most common reason why we become frustrated over time when dealing with, this condition. Treatment for psoriasis varies differently among patients, but there is only one common goal: to rid our skin of the psoriasis lesions.

Often, doctors begin psoriasis treatment with a therapy which does not expose us to many side effects. If our response to the treatment using the least potent therapy is not promising, that's the time when doctors move up the scale, hoping to find the therapy that will clear the lesions. No matter what type of treatment (topical, light, systemic, or biologic) we use, we should not forget to moisturize our skin, including the lesions.

Aim of Emollient Therapy
While emollient therapy, or the use of moisturizers, does not make our psoriasis go away, it is an essential component in psoriasis care. Because it moisturizes and lubricates the skin, as well as helps remove scales from the psoriasis-affected patches, overall skin condition is enhanced. It is very useful in preparing our skin for application of active topical (e.g. creams or ointments containing steroids) or light therapies (natural sunlight, or UVB). Once the psoriatic skin is moisturized regularly, we feel more comfortable as we go about our everyday life because skin becomes less itchy, inflamed and scaly.

How to Apply Moisturizer on Skin
Moisturizers may come in the form of soap substitutes, lotions, steroid-free creams or ointments, and oil. Make sure you use the moisturizer that you are most comfortable with and have no qualms about using regularly, day in day out. Moisturizing the skin starts not after but during the bath or shower itself. If you are taking a shower, it is best to use a soap substitute (e.g. Cetaphil) to avoid drying the skin. For those who prefer using the bath tub, it helps to put some bath oil in the water; a thin film of oil will deposit on your skin, keeping moisture in.

Once you finish bath or shower, you can proceed to apply the lotion, or the steroid-free cream/ointment. You would not want to develop an infection on your hair follicles (called folliculitis), hence, make sure that in applying moisturizer you use long strokes in line with the natural direction of the hair. Avoid rubbing in too aggressive a fashion, as the friction provokes more plaque-formation. Instead, use a gentle, circular motion to work the liquid into the skin.

While it is best to apply moisturizers as often as possible during the day, it may not be practical in your work and lifestyle. You may want to make it a routine to apply the moisturizer before you go to work and then apply again before you sleep. Any application in between should be a great plus.

One final point about moisturizers: actually, they don't add water to your skin; instead, they minimize the amount of water lost via evaporation. If there is little water in your skin in the first place, then moisturizers will not help at all.

Make sure you do not become dehydrated by drinking plenty of fluids during the day. Then, moisturizers can do their job.

Photo credit: shawncampbell (flickr.com)

Resources:
Hughes, E. and Van Onselen, J. (2000). Dermatology Nursing. (New York: Churchill Livingstone).

Mitchell, T. and Penzer, R. (2005). Psoriasis At Your Fingertips Guide. (London: Class Publishing).

Rees, A. (1997). Consumer Health USA. (Phoenix: Oryx Press).

Suffering from Sore Throat? Guttate Psoriasis May Be Erupting Soon

If you have been suffering from sore throat recently, then watch out for any signs of psoriasis flare-ups in the next few weeks. Almost 80 percent of guttate psoriasis onset is triggered by streptococcal (or strep) bacteria, which causes sore throats.

Guttate Psoriasis' Clinical Apperance
In its clinical manifestation, guttate psoriasis may make you look like you had red polka dots of varying sizes all over your body. The Latin word, gutta, means ‘drop,’ hence, the description of droplike, or raindrop-like papules can often be found in books.

If you are more familiar with plaque psoriasis, you would most likely not recognize this condition as psoriasis from a distance. The red-colored spots may be mistaken for chicken pox, because the diameter of the lesions usually ranges between 0.1 and 1.0 centimeter. While the identifiable flakes are also present in guttate psoriasis, it is not as scaly as those in plaque psoriasis.

Guttate psoriasis is usually common among children and young adults. It could be the early manifestation of psoriasis or it could signify a looming acute flare-up of a pre-existing psoriatic condition, usually the plaque-type. If you have plaque psoriasis, then it is easier to diagnose guttate psoriasis. However, if it is the first time that this disease manifested, it may not be immediately diagnosed as psoriasis. Other conditions, such as pityriasis rosea and secondary syphilis, may be suspected. Family history and lab tests to confirm strep infection will be helpful in early diagnosis of guttate psoriasis.

Association of Strep Infection with Psoriasis
The immune system becomes overactive when there is streptococcal throat infection. It was in 1916 when Winfield made an observation that streptococcal infection is associated with psoriasis. The infection activates T-cells at various spots in the skin. These T-cells, which can penetrate into the skin, may mistakenly recognize certain foreign substances in the skin as part of the infection and proceed to attack them.

Some carbohydrates or keratins possess chemical identifiers similar to bacterial antigens. In a sense, the body is confused and over-reacts, believing the strep invasion is bigger than it actually is. As a result, some patients go on to develop the chronic condition of plaque psoriasis.

Guttate Psoriasis Treatment
In most cases, guttate psoriasis is resolved if the underlying infection is treated. It may take a few weeks, or months, for guttate psoriasis to be completely gone. In some patients, the condition does not recur. But in others, it temporarily worsens a preexisting psoriasis (which eventually recedes to its previous state) or it opens the possibility of minor recurrences of psoriasis.

To address strep infection, doctors often recommend a 10- to 14-day antibiotic therapy. Natural sunlight or ultraviolet B therapy may also be prescribed if there is no improvement after a month since the outbreak of guttate psoriasis, or if you have preexisting plaque psoriasis. If the doctor does not prescribe antibiotics, you may want to make sure it is not needed — since you do have the strep infection — or ask for a second opinion.

Photo credit: Foxtongue (flickr.com)

Resources:

Bergstrom, K. and Kimball, A. (2005). 100 Questions & Answers about Psoriasis. (Sudbury, MA: Jones and Bartlett Publishers).

Bos, J. (2004). Skin Immune System, Third Ed. (Boca Raton: CRC Press).

Camisa, C. (2004). Handbook of Psoriasis, Second Ed. (Malden: Blackwell Publishing).

Accepting Life with Psoriasis

The thought of living with psoriasis for the rest of your life is not an easy thing to accept. Although we have witnessed medical advances in recent decades, we are still being told to face the fact that there is no available cure for psoriasis yet. The most we can do is to manage the symptoms and try the best we can to avoid the triggers that cause psoriasis flare-ups.

Psoriasis Causes
We often ask our dermatologists what things cause the disease, and sometimes, even the specialists do not know how to explain or would rather not go into those details. Others simply prescribe different medications, whether topical, oral, or biologics, to treat the disease. The truth really is that the main cause of psoriasis is, up to this date, still unknown.

Researchers currently believe this hereditary disease is mediated by a set of T-cells whose autoimmune profile is highly susceptible to certain triggers. Some factors that could provoke the adverse reactions include stress, both physical and emotional; particular skin injuries or traumas (associated with Koebner’s phenomenon); bacterial infections (which triggers guttate psoriasis); and, various drugs (such as beta-blockers and anti-malarial medications).

Social and Psychological Implications
We often find it difficult to make the necessary adjustments in our lives when we are told that we have psoriasis. The disease does not only affect our physical appearance, but it also gives discomforts due to its itchiness and pain. People who do not understand psoriasis often think that we have a contagious disease. Sometimes, we find ourselves discriminated against in public places. It leads us to isolate ourselves from the public because of embarrassment and the stigma brought about by the disease. Depression, which only aggravates the condition, can also be found in some psoriasis patients.

Unlike vitiligo (another skin disorder) which can be disguised by cosmetic concealment, we cannot hide our skin lesions using that method. (Paging cosmetic companies, can you please manufacture one for us?) Our choices of clothing are constrained. We may want to wear the latest fashion styles, but we are restricted by our disease. Indeed, psoriasis has brought a significant impact in our quality of life.

Basic Things We Can Do
Managing the disease is a challenging task for us. Accepting psoriasis as a part and parcel of our lives will surely divert our emotional energy from depressing thoughts to more productive activities; this acceptance should relieve us of unnecessary stress associated with the condition. While fear and ignorance about the disease is still common these days, we can choose to have a positive attitude despite living with psoriasis. At least, society no longer ostracizes people with psoriasis unlike in biblical times.

Photo credit: tomswift46 (flickr.com)

Resource:
Buxton, P. and Morris-Jones, R. (2007). ABC of Dermatology. (Chichester, UK: Wiley-Blackwell).

Got Plaque Psoriasis? Aloe Vera May Help

Do you have plaque psoriasis (psoriasis vulgaris)? Treating plaque psoriasis with a topical form of aloe vera tends to reduce flare-ups. This is according to a research report presented during the International Congress of Dermatology (ICD) held in Prague last May. When compared with patients who use topical steroid, those who underwent aloe vera treatment showed greater improvement of their plaque psoriasis after eight weeks.

How to Identify Plaque Psoriasis
Plaque psoriasis is easier to identify than the other manifestations of this condition. Raised lesions, made vivid by bright red inflammation, form on your skin. Eventually the dead skin cells bunch up into off-white scales covering the lesions. Psoriasis vulgaris, or plaque psoriasis, is commonly found on your scalp, elbows, knees and trunk.

As the inflammation spreads, plaques may spread over larger patches of skin and merge into one another. The lesions may also appear in mirror-like locations on opposite sides of your body. Psoriasis occurs anywhere on the body, but plaque lesions seem to have a special affinity for your scalp, knees and elbows.

If you want to see some photographs of plaque psoriasis, you may want to click on this link of PsoriasisInternational.org. (Warning: You might find some of the pictures gross!)

The Aloe Vera Effect
The latest study reported at the ICD was not the first of its kind. Another clinical study was conducted in 1998 which found that applying aloe vera cream on affected skin three times daily for at least 28 days helped to control the psoriasis inflammation. In certain cases, skin outbreaks did not recur for about one year.

It is of no surprise that studies have found aloe vera to be beneficial to psoriasis patients. Legend has it that Cleopatra and Nefertiti used aloe vera as part of their beauty treatment regimen. The moisturizing characteristic of aloe vera, in fact, is the attribute that has encouraged me to use aloe vera as part of my psoriasis treatment. That's why I was ecstatic when I read about this latest report from the ICD.

Instead of using aloe vera cream, I use aloe vera gel. I usually apply the aloe gel after shower. I have been practicing this ritual for about two months now. It has an amazing effect on my skin. I still use corticosteroid cream, of course, but I keep it to the minimum, say, twice a week application.

You may want to try applying aloe vera cream, or aloe vera gel, on the affected parts. It is believed that the moisturizing and anti-inflammatory characteristics of aloe vera improve plaque psoriasis. Aloe vera has always been considered an alternative treatment without the detrimental local and systemic effects associated with chronic use of topical steroids.

Photo credit: Biology Big Brother (flickr.com)

Resources:

Balch, P. (2002). Prescription for Herbal Healing. (New York: Avery).

LeVan, L. (1999). The Psoriasis Cure. (New York: Avery).