Understanding Inverse Psoriasis

What is Inverse Psoriasis?

Inverse psoriasis, also known as flexural psoriasis, is a unique form of psoriasis that affects approximately 2-6% of psoriasis patients. This variant is characterized by bright red, smooth patches that often appear in skin folds. Unlike the more common plaque psoriasis, inverse psoriasis does not exhibit the characteristic scaly texture. It typically affects areas such as the armpits, groin, under the breasts, and other skin folds, making it particularly discomforting due to its location.

Causes and Triggers

Inverse psoriasis arises due to an immune system dysfunction where the body mistakenly attacks healthy skin cells, accelerating their growth. The exact cause of this immune reaction remains unclear, but several factors are recognized as potential triggers:

Genetic predisposition: A family history of psoriasis can increase your risk.

• Friction and sweating: Skin folds are prone to irritation from rubbing and sweating, which can trigger or exacerbate inverse psoriasis.
• Infections:  Particularly yeast infections, which are common in skin folds and can prompt an inverse psoriasis flare.
• Obesity: Higher body weight can increase skin friction in folds, contributing to the condition.

Symptoms of Inverse Psoriasis

The symptoms of inverse psoriasis differ somewhat from other forms of the condition due to their location on the body. Key symptoms include:

• Smooth, red patches: Bright red lesions that are shiny and smooth.
• Discomfort or pain: Areas affected by inverse psoriasis can be particularly painful and itchy.
• Fissuring: Skin may crack and bleed in severe cases, especially in areas subject to frequent movement.

Diagnosis

Diagnosis of inverse psoriasis generally involves a physical examination and medical history evaluation. In some cases, a biopsy may be performed to rule out other skin conditions like fungal infections, which can mimic the symptoms of inverse psoriasis.

Treatment Options

Treatment for inverse psoriasis aims to reduce inflammation and clear the rash. The sensitive locations of the lesions require special care:

Topical treatments: Options include low-potency corticosteroids, which reduce inflammation, and topical calcineurin inhibitors, which are less likely to cause thinning of the skin.

Systemic medications: For severe cases, doctors may prescribe systemic treatments like biologics or oral medications that target the immune system.

Lifestyle modifications: Managing body weight, minimizing friction and sweating, and wearing loose-fitting clothing can help reduce symptoms.

Managing Inverse Psoriasis

Managing inverse psoriasis effectively involves both medical treatment and lifestyle adjustments:

Moisture management: Keeping affected areas dry and applying medicated powders can help reduce irritation caused by sweating.

Diet and exercise: A balanced diet and regular exercise help manage weight and reduce the frequency of flare-ups.

Stress management: Stress is a known trigger for all types of psoriasis. Techniques like mindfulness, yoga, and regular exercise can help manage stress levels.

Conclusion

Inverse psoriasis can be a challenging condition, particularly due to its locations and symptoms. However, with the right treatment plan and lifestyle adjustments, individuals can manage their symptoms effectively and lead a comfortable life. If you suspect you have inverse psoriasis, it is crucial to consult with a dermatologist who can provide a personalized treatment plan tailored to your needs.

What Healed Mine

In 2022, I quit using deodorant. The solid rash that covered and burned my armpit was gone after a few weeks and never returned. Every once in a while, I would get a plaque spot, and all I had to do was put just about any cream on it, and it was gone in a few days. I do not use deodorant to this day, and it has never returned since I used Oktas 1. We were taught at a very young age it was needed, and most have bought it their entire life. If you stink, take a bath.