Inverse psoriasis, also known as intertriginous psoriasis, is a skin disease that causes the skin folds to turn red and inflamed. The presence of the lesions with inflammation differentiates between inverse psoriasis and other psoriasis forms. The inverse psoriasis is found in the skin folds of the body as red, smooth, and bright lesions.
This type of psoriasis usually occurs around the genital area, armpits, under the breast, under the stomach of obese people, and other skin folds. People with inverse psoriasis are more likely to poses other types of psoriasis anywhere else on the body.
Symptoms of Inverse Psoriasis
The skin in the areas mentioned above is quite sensitive from other parts, due to which this condition becomes challenging to deal with. The creases of your skin with lesions cracks causing fissures that may be painful and cause to bleed. The condition may worsen due to moisture, warmth, and friction. Because of the location of these abrasions, the disease may also cause symptoms like:
⦁ Irritation due to sweating and scratching.
⦁ Yeast, bacterial, and fungal infection may take place.
⦁ Discomfort in sitting, walking, sex, and other problems.
Inverse Psoriasis Under the Breasts (Graphic Image)
Other Risk Factors That Include Inverse Psoriasis
Psoriasis can lead to a variety of other conditions that include:
⦁ Heart issues.
⦁ Metabolic conditions involving hypertension, obesity, and diabetes.
⦁ Depression and anxiety.
It is recommended that doctors perform routine inspections of these and other risk factors if they have mild to severe psoriasis. However, doctors are still not sure what causes psoriasis, but it is known that the immune system and genes are related to this condition. It has been observed that about 40% of patients suffering from inverse psoriasis are linked to running your immune system.
In addition to genes, other conditions that can trigger psoriasis are:
⦁ Skin irritation or any injury to the skin
⦁ Vitamin D deficiency
With regard to obesity, adipose (fat-storing) cells play a significant role in the production of reverse psoriasis, according to some scientists. Cells of adiposity are believed to release cytokines to the underlying tissues, which are the inflammatory proteins. Excessive cytokine development could be sufficient to cause a flare in locations where obesity is the highest (i.e., skin folds).
Treatment of Inverse Psoriasis
Due to the location of lesions, it is hard to cure inverse psoriasis. Skin folds are also one of the most sensitive skins on the body that raises the risk of reaction to many of the topical psoriasis medicines available. Physicians treat not only psoriasis but also yeast or fungal infections that may get associated with it.
The treatment options for inverse psoriasis include:
Corticosteroid: These topical medicines suppress the immune system and decrease inflammation but can also induce skin thinning and need to be selectively used on the already-thin skin in the skin folds. When the patient is positively examined for an infection, physicians often take topical steroids combined with other drugs, such as a 1-2%, anti-yeast, or antifungal hydro-cortisone creams.
Calcipotriene: This cream or ointment provides a synthetic vitamin D3, which can delay the skin cells’ turnaround. It can also irritate the skin, so it needs to be used to treat psoriasis carefully. The usage around the genitals is not advised.
Castederm: This cream is “painted” on the skin to dry the lesions in skin folds from wet or moist psoriasis. Doctors recommend this because they believe that patients are also infected with any bacterial or fungal infection. You should also try baby powder, baking soda, and zinc oxide powder if you need to keep moist places dry.
Coal tar or Anthralin: This calming agent is available as gels or ointments and can be used for burns. It is additionally available as a liquid to help ease symptoms by adding it to bathing water.
Phototherapy: For certain cases of psoriasis, ultraviolet (UV) light therapies perform well. Since inverse psoriasis is difficult to reach, this therapy demands that you go to the doctor’s clinic.
Biological medicines: Biologic medications are composed of live cells that attack particular portions that of the immune system playing a part in psoriasis. These medications are taken via injections or infusions. Some of its examples are adalimumab, adalimumab-adbm, etanercept, guselkumab, infliximab, infliximab-abda.
Prescribed medicines: In case of severe inverses psoriasis, your doctors may prescribe some medications to take by mouth that may give some relief to your skin. Some examples are acitretin, apremilast, and methotrexate.
Dealing and Treating Inverse Psoriasis at Home
Inverse Psoriasis is closely related to obesity due to the production of skin folds and excessive fat cells; the condition will invariably get better when some weight is shed down.
This may especially work with people who are extremely obese. By eating balanced food and exercising consistently, you can reduce or completely remove the inflammatory condition naturally.
The same is the case with smoking and alcohol. As long as you are smoking, you may need some treatment, but cigarette cessation can benefit you from the time you had your last puff. Cut down to a limit of two to three drinks per day.
Stop alcohol that is not light as it may directly be related to psoriatic flares. Use light beer or wine instead.
In order to help manage inverse psoriasis discomfort, follow these guidelines:
⦁ Wearing loose garments makes clothing breathable.
⦁ Stop wearing tight belts, collars, sleeves, leggings, and pants that are too tight.
⦁ Talk to your doctor about a suitable antiperspirant without fragrances. Items based on zinc oxide are also helpful.
⦁ To keep the skin dry, add talcum powder, maize starch, or baking soda.
⦁ Wash your underarms and groin with cold water and soap if you sweat— blot skin dry (instead of wiping).
⦁ Put a thin layer of the hydrating agent or moisturizer on the infected skin before applying any topical medication.
⦁ Keep your living area cool in order to avoid perspiration.
Itching can also cause a problem. There are several anti-itching and cooling lotions available over the counter that may relieve itching. Antihistamines drugs can also help in this account.
Natural Treatments for Inverse Psoriasis.
You will want to try herbal therapies to supplement prescribed medications or to lower the chance of a psoriasis flare-up.
There are several natural options you can explore that can relieve your psoriasis symptoms. However, scientists haven’t proved that all of these therapies work.
It’s best to consult with your doctor before attempting any of these natural therapies, as they may react with some of the medications you would be using.
⦁ Adopt a healthy lifestyle
One of the ways to manage psoriasis is to follow a healthy lifestyle. Although it may not directly affect psoriasis, it may help cope with obesity that may be the cause of poor diet. Various studies have explored that losing weight can help suppress psoriasis. It can also make the treatments effective.
⦁ Herbal therapies
Some people believe in treating psoriasis with specific herbal therapies that include Mahonia aquifolium as an effective treatment for psoriasis. It is a grape species found in Oregon. You can use it after consulting your doctor.
Some other evidence shows that neem, aloe vera, and sweet whey extracts help in psoriasis. Apple cider vinegar or tree tea oil can also be used to treat psoriasis. Adding 1.5 to 3 grams of turmeric to your diet daily can also help in inflammation and reduce its symptoms.
Deficiencies in the body can be a leading factor in psoriasis, and ingesting these supplements like fish oil, vitamin D, Vitamin B-12, and selenium can help to reduce its symptoms—however, the U.S. FDA does not recommend nutritional supplements.
If you feel any side effects from using supplements, stop using them.
⦁ Body and mind connection
Stress is a recognized factor to trigger psoriasis and other autoimmune conditions. You may use different approaches to implement mind-body activities into your everyday life:
To relieve discomfort, use oils in a diffuser or a bath, such as camomile, rose, and lavender oils.
• Meditate for a few minutes a day or longer, by yourself or in a social environment.
• Practice physical and emotional focus to alleviate stress and improve tolerance for psoriasis that induce discomfort.
⦁ Terminus treatments
Exposing yourself to natural sources like sunlight and spring water can help with the symptoms of psoriasis.
The Dead Sea of the Mediterranean is renowned for its healing characteristics because it has a high proportion of salt in the water and delivers optimum sunshine beneath the sea surface. There are some hot springs and mineral springs that you can get this treatment from.
If someone is diagnosed with inverses psoriasis, many of these treatments can help you with your conditions. To try natural treatments, you should talk to your doctor first.
Stop using any topical or ingesting treatments if it causes irritation, pain, or any allergic reaction. Keep your affected area clean and dry, and wear breathable and loose clothes.
Avoid staying out for too long in summers.