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Flexural Psoriasis

The typical distribution of psoriasis is extensor. Occasionally, flexural psoriasis may occur when flexures like the groins, axillae and infra-mammary regions are involved. Psoriasis has several different types, flexural psoriasis looks like a smooth red and dry skin area but doesn’t have any flaking. Inverse Psoriasis is another name for flexural psoriasis and since it appears in the folds of skin where rubbing takes place it is more common in overweight individuals. Mental well being is also associated with this illness.

Information for patients about Flexural Psoriasis

Common Misspellings: flexural soriasis, flexural psorisis, flexural psorasis, flexural psiorasis, flectural psoriasis, flectural soriasis, flectural psorisis, flectural psorasis, flectural psiorasis

Learning About Flexural Psoriasis

The lesions lose their dryness in these areas; hence scaling is reduced. Some degree of itching is present in this variety. The typical silvery scale of psoriasis is lost leaving red shiny skin. 

Flexural Psoriasis appears in the following areas of the body:

  1. Under the breasts
  2. Armpits
  3. Groin
  4. Vulva
  5. Penis
  6. Navel
  7. Anus
  8. Natal cleft

Causes of Flexural psoriasis

Several factors are thought to aggravate psoriasis. These include stress and excessive alcohol consumption. Individuals with psoriasis may also suffer from depression and loss of self-esteem. Psoriasis is a condition which runs in families, but the exact way in which the disease moves from generation to generation has not yet been established. There may be generic link as some doctors believe. Outbreaks of flexural psoriasis have certain factors including: smoking, imbalance in diet, stress, depression, anxiety, arthritis, colitis, beta blocker medications, antidepressant drugs, changes in seasons, excessive consumption of alcohol and excessive hot or cold temperatures. However, exposure to certain stimuli or damage to the skin, may cause an outbreak of psoriasis in persons who have this genetic predisposition. There are certain times in life when the tendency to develop psoriasis is increased - for example, during puberty or in women during or after the menopause.

Diagnosis for Flexural Psoriasis

The doctor does a physical and visual examination and reviews your family history for Psoriasis. He will order a blood test if the joints are infected.

What are the symptoms of psoriasis vulgaris?

Psoriasis vulgaris is the most common form. The first signs of an outbreak are:

  • red spots or patches.
  • the patches grow bigger and become scaly.
  • the upper scales fall off in large quantities, while the lower layers of scales are firmly fixed.
  • when the scales are scraped off, a number of small, bleeding points can be seen underneath.

What Does Flexural Psoriasis Look Like?

Flexural psoriasis doesn’t have the silver appearance of other types of psoriasis as a result of the moisture content in the skin folds. It is characterized by smooth dry and red patches. Sometimes the well defined borders of this condition can cause cracks in the skin crease. Due to sweating and rubbing the skin may appear inflamed.

Flexural Psoriasis and Its Treatment

  • Vitamin D compound creams are effective and can be applied to the skin folds daily
  • Try not to wear tight fitting clothes
  • Seven days of fruit juice and water is a cleansing fast that can sometimes be used as the first step to treating flexural psoriasis since it is a metabolic illness. You should avoid citrus fruit and juices but carrots, cucumbers and grapes can be used during this fast.
  • Cold showers ease itching
  • Always pat the area dry after bathing/showering
  • Avoid animal fats, which can be found in milk, butter, eggs and meat.
  • Natural antidepressants such as 5HTP, Gingko Biloba, and St. John’s Wort.
  • Occasionally, if the psoriasis is not controlled by topical treatments alone, it may be necessary to take tablets, but such a decision would only be taken after discussion between you and your doctor.
  • To prevent the skin from becoming too dry you should use moisturizers instead of soap. Topical ointments that contain coal tar are helpful in reducing the condition. Drugs that block the activation of T-cells in the immune system such as Amevive can help prevent the skin cells from developing too fast and resulting in psoriasis lesions.

Complications of flexural psoriasis include:

  • Chaffing and irritation from heat and sweat
  • Secondary fungal infections particularly candida (thrush)
  • Lichenification (a type of eczema) from rubbing and scratching
  • Sexual difficulties because of embarrassment and discomfort
  • Thinned skin due to long term overuse of strong topical steroid creams
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