Psoriasis: Beyond the surface
Psoriasis: Beyond the surface
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What is Psoriasis?

Psoriasis is a chronic autoimmune skin condition characterised by the rapid build-up of skin cells, leading to the formation of thick, silvery scale and itchy, dry, red patches. It is caused by a malfunction in the immune system, where the immune cells mistakenly attack healthy cells.


The life cycle of skin cells is usually about a month, but in psoriasis, this process accelerates to just a few days. As a result, the excessive production of skin cells leads to the accumulation of thick, raised patches on the skin’s surface. Psoriasis can affect any part of the body but often appears on the elbows, knees, scalp, lower back and face.


The exact cause of psoriasis is not fully understood, but it is believed to involve a combination of genetic and environmental factors. It is not contagious.


Psoriasis goes beyond the skin. It’s linked to various comorbidities like arthritis, cardiovascular issues and metabolic syndrome. Recognizing the systemic nature of psoriasis is essential for comprehensive healthcare.


Anyone can get psoriasis, but it is more common in adults than in children. It affects men and women equally.


Psoriasis can vary in severity, with some individuals experiencing only mild, localized symptoms, while others may have more widespread and severe manifestations.


Some of the common symptoms include:

  • Patches of thick, red skin with silvery white scales that itch or burn
  • Dry, cracked skin that itches or bleeds
  • Thick, ridged, pitted nails
  • Poor sleep quality


Here are the different types of psoriasis:


Plaque*
Guttate
Pustular
Inverse
Erythrodermic

Treatment options range from topical cream, ointments to oral medications, phototherapy, and in more severe cases, systemic medications or biologics may be prescribed. Management and treatment plans are often tailored to work closely with healthcare professionals to find the most effective treatment for their particular situation.


Discrimination towards individuals with psoriasis is unfortunately not uncommon, primarily due to misconceptions and misunderstandings about the condition. Here are some aspects of discrimination that individuals with psoriasis might face:


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Social stigma1,2,3

Many people lack accurate information about psoriasis, leading to misconceptions that it is contagious or a result of poor hygiene.

Because psoriasis often presents with visible skin symptoms, individuals may face judgement or exclusion based on their appearance.

Employment Challenges

Some individuals with psoriasis may face discrimination in the workplace due to the visible nature of the condition.

Employers and co-workers might not fully understand the need for accommodations or flexibility in certain situations.

Psychological impact

Discrimination can contribute to a negative body image and affect the mental well-being of individuals with psoriasis.

Fear of judgement may lead to social withdrawal and isolation, impacting the overall quality of life.


To combat discrimination, it’s essential to raise awareness about psoriasis, educate the public on its non-contagious nature, and promote understanding and empathy. Create a supportive environment in workplaces, schools and communities can help individuals with psoriasis feel accepted and valued.


If you suspect you have psoriasis or are experiencing symptoms, it is important to consult with a dermatologist for an accurate diagnosis.


We hope you found this article informative. Healthful welcomes contributions from healthcare professionals, patients, and community members. If you have a story, research, or a perspective that can enrich our dialogue, please get in touch with us at [email protected].


References

  1. Alpsoy E, Polat M, Yavuz IH, et al. Internalized Stigma in Pediatric Psoriasis: A Comparative Multicenter Study. Ann Dermatol. 2020;32(3):181-188.
  2. Alpsoy E, Polat M, FettahlıoGlu-Karaman B, et al. Internalized stigma in psoriasis: A multicenter study. J Dermatol. 2017;44(8):885-891./li>
  3. Łakuta P, Marcinkiewicz K, Bergler-Czop B, Brzezińska-Wcisło L. How does stigma affect people with psoriasis?. Postepy Dermatol Alergol. 2017;34(1):36-41.

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