Psoriasis, also known as PsO, is a chronic skin condition that affects millions of people worldwide. It is characterized by raised, inflamed patches of skin covered with silvery scales, which can be itchy and uncomfortable. Learning about the triggers of psoriasis can help sufferers identify and avoid situations or habits that may worsen their symptoms.
If you have psoriasis, you know that certain things can trigger flare-ups of your symptoms. Knowing what these triggers are and how to manage them is an important part of living with this condition. In this article, we’ll discuss common psoriasis triggers and provide tips on how to minimize their effects. We’ll also look at innovative treatments and lifestyle modifications to help you better manage your condition.
Risk Factors
Genetics play an important role in determining who will develop psoriasis (PsO). If someone has a family history of psoriasis, their risk is higher than those with no such history. Specific genes have been identified which are associated with increased risk of developing psoriasis, although the specific genetic links aren’t yet known.
Environmental triggers can also be responsible for the start of psoriasis. Stressful events such as losing a job or going through a divorce can cause flares to occur in some people with psoriasis. Viral and bacterial infections have also been linked to an increase in PsO symptoms. In particular, streptococcal throat infections have been implicated in causing guttate psoriasis to appear suddenly after infection resolution.
Certain lifestyle choices can also be contributing factors to the development of psoriasis. Smoking increases inflammation throughout the body and therefore worsens symptoms of existing cases of psoriasis as well as increasing risk of developing it in those who are genetically predisposed but haven’t yet shown signs of the disease. Excessive alcohol intake has also been linked to worsening symptoms and may even act as a trigger for some people who already carry the genetic predisposition for psoriasis.
What Are the First Signs of Psoriasis Symptoms
The first signs of psoriasis can present in various ways, ranging from red patches on the skin to scaling and thickening of the skin. The most common initial symptom is the appearance of red, scaly patches on areas such as elbows, knees and scalp. These patches may be itchy or painful and can become sore if scratched. Other early symptoms include small scaling spots, frequent dandruff-like flaking on the scalp, and cracked or dry skin around fingers, toes and ears.
Other symptoms that may be present include itching, burning or soreness around the affected areas of skin, as well as thickened or pitted nails. People with psoriasis also often have swollen and painful joints. It’s important to seek medical attention if you recognize any of these symptoms in yourself or someone else as early diagnosis and treatment is key for managing this chronic disorder effectively.
12 Most Common Psoriasis Triggers
Here are the 12 most common triggers for PsO flare-ups:
Stress
Stress is a common trigger for many autoimmune diseases, including psoriasis. Stress can cause the release of certain chemicals and hormones in the body that can lead to inflammation and PsO flare-ups.
When a person experiences a flare-up of psoriasis due to stress, the body undergoes physiological changes that can lead to inflammation. Stress stimulates the release of certain hormones such as cortisol and adrenaline, which cause an increase in inflammatory chemicals like histamine and leukotrienes. These chemicals trigger the body’s immune response, resulting in inflammation of the skin cells and tissue. Additionally, when the body is under stress, cortisol can interfere with the production of omega-3 fatty acids which are essential for maintaining healthy skin cells and reducing inflammation. This further exacerbates symptoms of psoriasis. In this way, both hormones and chemicals contribute to flares of psoriasis caused by stress.
Infections
Infections like strep throat can be a major trigger for psoriasis (PsO) flare-ups. A PsOflare-up occurs when the immune system mistakenly attacks healthy skin cells, causing them to produce too much of the protective protein keratin. This creates raised, red patches with silvery scales on the surface of the skin known as plaques. An infection can cause an increase in inflammation and damage to these keratinocytes, resulting in a flare-up.
Infections such as strep throat or chickenpox have been known to trigger PsO flare-ups. Certain viruses like herpes simplex, HIV and hepatitis B can also play a role in making psoriasis worse. Even common skin infections such as eczema herpeticum, a type of herpes virus infection, can contribute to PsO flare-ups.
Dry skin
Dry skin is one of the most common triggers of PsO flare-ups, as it can lead to cracking in the skin and an increase in inflammation. The cracks can leave open wounds on the body, which can then be further irritated by clothing or other environmental factors. This irritation further increases inflammation, leading to itching and even greater amounts of psoriatic plaques forming on the body. It is important for those who have psoriasis to manage their dry skin, focusing on protecting the skin with moisturizers and avoiding harsh soaps or other products that can strip away natural oils. Keeping the skin hydrated helps to prevent flares from occurring, and utilizing cool showers instead of hot baths will help to reduce potential irritation. Additionally, wearing comfortable clothing made from breathable fabrics will help to protect the skin from further irritation. Taking these steps can help those who are prone to psoriasis episodes control their condition more effectively.
Skin Injury
Skin injuries can be a triggering factor for those with psoriasis. When the skin is damaged, the body’s immune system responds by increasing inflammation and the production of excess skin cells. This leads to an increase in redness, scaling, and itching, which are all symptoms of PsO flare. Common skin injuries that can trigger a flare include scratches, abrasions, cuts, or puncture wounds. Even surgeries or other medical procedures on the skin can cause psoriasis flareups as well. The best way to prevent flareups related to skin injuries is to keep the area clean and dry and cover it with sterile dressing as soon as possible. If possible, avoid activities that could lead to further injury until the existing wound has healed. Additionally, topical medications or phototherapy may help reduce inflammation associated with flares from skin injury.
Medications
Medications, such as beta blockers, antimalarial drugs, nonsteroidal anti-inflammatory drugs (NSAIDs), and iodides, can trigger PsO flare. Beta blockers are typically prescribed for hypertension or angina and can cause a flare of psoriasis in people who take them. Antimalarial drugs, which are used to treat malaria and certain autoimmune diseases, are known to cause flares of psoriasis in some individuals. NSAIDs — like ibuprofen and naproxen — are medications that relieve pain and inflammation. These drugs can also trigger a PsO flare in some people. Iodides, which are found in some medications like amiodarone (used to treat irregular heartbeats) can sometimes lead to flare-ups of the condition. If a person experiences any kind of worsening symptoms while taking any medication, they should consult their doctor immediately.
Smoking
Smoking can be a major trigger for PsO flare-ups. Psoriasis is an autoimmune disease that causes an overproduction of skin cells, resulting in scaly, itchy patches on the skin. Cigarette smoke contains many toxins and chemicals that can irritate the skin and increase inflammation. These toxins can also reduce the effectiveness of medications used to treat psoriasis, making it harder to manage flare-ups. Additionally, smoking has been linked to low oxygen levels in the blood, which reduces circulation and makes it harder for treatments to reach the affected areas. As such, quitting smoking is essential for reducing PsO flare-ups and improving treatment outcomes.
Alcohol
Excessive alcohol consumption has been linked to a number of health issues, including an increased risk of Psoriasis (PsO) flare. Drinking alcohol in excess can weaken the immune system and disrupt the body’s natural inflammatory response, which can exacerbate PsO symptoms.
Alcohol consumption can also trigger psoriasis flare-ups in people who are already predisposed to the condition. According to a study published in the Journal of the American Academy of Dermatology, drinking more than two alcoholic drinks per week was associated with an increased risk of developing PsO.
Alcohol can also dehydrate the skin and lead to dryness, which is a common trigger for PsO flare-ups. Additionally, alcohol can interact with certain medications used to treat psoriasis, reducing their effectiveness and leading to more
If you are struggling with alcohol consumption and PsO flare, it is important to consult with a healthcare professional for personalized guidance and support.
Hormones
Changes in hormone levels can trigger psoriasis (PsO) flare-ups, especially in women. Fluctuations in female hormones such as estrogen and progesterone are known to cause psoriasis outbreaks. This is because these hormones have an effect on the immune system, which can make it more likely that PsO symptoms will appear or worsen. During times of stress or hormonal changes, such as during pregnancy or perimenopause, a woman’s risk for PsO flare-ups is increased. Taking steps to manage stress and maintain balanced hormone levels may help reduce the frequency and intensity of flare.
Weather
Cold weather can be particularly problematic for people with psoriasis, as it can cause the skin to become much drier than usual. This lack of moisture can lead to further irritation and inflammation, resulting in a psoriasis flare-up. On the other hand, hot and humid weather can also cause a flare-up due to increased sweat production and humidity levels. These conditions can over activate the cells that normally help protect the skin from infection, causing an increase in inflammation and redness.
Allergies
In some cases, individuals with psoriasis may experience flare-ups triggered by allergic reactions to certain foods or environmental triggers. Allergens such as dairy products, gluten, eggs, soy and tree nuts can cause an immune response that leads to inflammation in the skin for those with psoriasis. It is important for individuals with psoriasis to be aware of common food and environmental allergens so they can manage their symptoms more effectively.
Obesity
Obesity is a significant risk factor for psoriasis as it can lead to a chronic state of inflammation throughout the body. Research suggests that excess fat tissue releases inflammatory molecules and hormones, which can further trigger an immune response from the body, leading to the red, scaly patches associated with psoriasis. Additionally, obesity often leads to metabolic syndrome, which causes increased levels of glucose and fatty acids in the bloodstream – two known triggers for worsening PsO symptoms.
Genetics
Psoriasis is a genetic condition, meaning that it can be passed down from one generation to the next. People with a family history of psoriasis are at an increased risk of developing the condition themselves. Studies suggest that those with a first-degree relative who suffer from the disease may have up to a 30% chance of being diagnosed with psoriasis themselves. Therefore, it is important for those with family members who have psoriasis to discuss their risks and any necessary preventative measures to take with their physician.
Rubbing Alcohol On Skin Can Trigger Psoriasis
Using rubbing alcohol on the skin can be a potential trigger for psoriasis (PsO) flares, an autoimmune disorder that causes red, scaly patches of skin to form on the body. When rubbing alcohol is applied to areas of the skin prone to PsO flare-ups, it may cause inflammation and irritation that can lead to an outbreak. Rubbing alcohol strips away the natural oils from the skin which can disrupt its protective barrier, making it more vulnerable to infection and damage which can then trigger a psoriasis outbreak.
Although rubbing alcohol is often used as a disinfectant or to help cleanse small wounds, this should be done sparingly as it could potentially worsen existing psoriasis or cause a flare if you have not previously been diagnosed with the condition. People with psoriasis should speak with their doctor about suitable alternatives such as mild soaps and cleansers that are less likely to irritate their skin.
Other Possible Triggers That Lead to Psoriasis Flares
Psoriasis flares can be triggered by many factors beyond the 12 most common triggers. Different people may have different triggers, so it is important to know the potential causes of PsO in order to avoid them. Common additional triggers include some vaccinations, secondhand smoke exposure, dietary imbalances (such as too much sugar or gluten), too much sun, bug bites, poison ivy, and emotional health. Keeping a journal of lifestyle changes as well as noticing any flares can help identify potential PsO triggers.
Frequently Asked Questions About Psoriasis (PsO)
Q: How does psoriasis (PsO) start?
A: While the exact cause of PsO is not known, scientists believe it is a result of an abnormal response of the immune system. According to the National Psoriasis Foundation, factors such as stress, certain medications (e.g., ACE inhibitors and lithium), infections (such as strep throat), high blood pressure, and family history can trigger or worsen psoriasis flare-ups.
Q: What is guttate psoriasis (PsO)?
A: Guttate psoriasis is a type of PsO characterized by small red spots on the skin. It often appears suddenly after a person has had a sore throat caused by a bacterial infection such as strep throat. It usually resolves without treatment but may require topical or systemic medications if it persists.
Q: What is pustular psoriasis (PsO)?
A: Pustular PsO is a type of severe PsO characterized by raised bumps on the skin that are filled with pus or other fluids. Pustular PsO can be localized to one part of the body or may occur in widespread areas and can be life-threatening if not treated properly. It often requires aggressive treatments such as immunosuppressive medications and phototherapy to achieve control.
Q: What is inverse psoriasis (PsO)?
A: Inverse PsO, also known as intertriginous or flexural PsO, is a type of chronic inflammatory skin condition that generally appears in areas with friction and skin folds such as the armpits, groin area and around the breasts. It typically shows up as smooth red patches that don’t have scales but may be itchy or painful. Treatment includes topical corticosteroid creams/ointments, calcipotriol ointment/creams and moisturizers in order to reduce symptoms and improve quality of life.
Q. Can Psoriatic Arthritis lead to psoriasis (PsO)?
A. Yes, psoriatic arthritis can be associated with an increased risk of developing PsO symptoms due to an overactive immune system response which leads to inflammation throughout the body including the skin. Treatment typically includes medications that target both the skin symptoms of PsO and joint pain from arthritis.
Q. Is there a link between Pustular Psoriasis (PsO) and liver disease?
A. Yes, individuals with pustular PsO may be at increased risk for complications from liver disease due to the higher levels of inflammation present in their bodies compared to those without this type of PsO. It is important for individuals with pustular PsO to talk to their doctor about their risk for any additional health complications related to this condition in order to determine an appropriate course of treatment or preventive care plan.
Q What is Inverse Psoriasis (PsO)?
A Inverse PsO (also known as intertrigo) presents itself as smooth red patches located in areas where two parts of the skin rub together like under arms, inside elbows or behind knees. It tends to worsen during hot weather or when sweat accumulates on the skin surfaces causing irritation and itching sensations leading to further discomfort in some cases if not managed properly through lifestyle modifications or topical treatments prescribed by a medical professional
Q: What are the common treatments for psoriasis (PsO)?
A: Common treatments for PsO include topical creams, light therapy, oral PsO medications and biologic drugs.
Q: How does light therapy help treat psoriasis (PsO)?
A: Light therapy is a type of phototherapy that utilizes exposure to natural or artificial ultraviolet light to reduce inflammation and itching caused by PsO. It is used in combination with other treatments such as topical creams, oral medications, and biologics.
Q: Are there any side effects associated with psoriasis (PsO) treatments?
A: Yes, all of the above mentioned treatments may have side effects associated with them. For example, topical creams may cause skin irritation or discoloration. Light therapy can lead to skin redness and burning. Oral medications may lead to upset stomach or nausea. And biologics can cause injection site reactions or an increased risk of infection. It is important to speak with your doctor about any potential side effects before beginning a new treatment plan.
