Inverse Psoriasis

Inverse psoriasis is manageable but it can be difficult to treat.

Inverse psoriasis is also known as intertriginous psoriasis.

Psoriasis is called an autoimmune disease because it occurs when T-cells that usually fight viruses and bacteria in the body attack healthy cells instead. The T-cells also join with neutrophils (white blood cells) to accelerate the build-up of the warm, red skin lesions that make up psoriasis. This disease is caused by both genetics and environmental factors.

With inverse psoriasis, you can expect smooth, shiny, red lesions in the folds of your body. Because of its location, it is more likely to occur in those who are overweight, obese, or those with deep folds in the skin. You can have inverse psoriasis as well as have another type of psoriasis at the same time.

Inverse psoriasis manifests in body locations such as armpits, folds in the groin, and under breasts. Because of its location in moist and tender areas, you don’t see the scaly, patchy symptoms that occur with plaque psoriasis. The sensitive skin where inverse psoriasis develops can also be easily irritated by friction and sweating.

Treatment can be difficult due to the sensitive areas where inverse psoriasis lives. A visit to your dermatologist is important so you can get the best diagnosis and treatment for your inverse psoriasis. Steroid creams and ointments often work well, but also need extra observation. Thinning of skin often happens with inverse psoriasis, so your dermatologist may also need to look for infection in those areas. Again, because of the location, yeast and fungal infections are more likely to occur with inverse psoriasis. A combination of cream and oral medication may help.

Inverse psoriasis can also benefit from Ultraviolet B phototherapy. Eczema medications can also help with inverse psoriasis.

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