Several factors may exacerbate its manifestations, or even trigger the disease, such as traumatic injury to the. Several factors exacerbate psoriasis, including traumatic injury to the skin,. Many psoriasis triggers do exist such as stress, injury to the skin and medication. Researchers believe that for a person to develop psoriasis, that person must have a combination of the genes that cause psoriasis and be exposed to specific external factors known as triggers. Stress can cause psoriasis to flare for the first time or aggravate existing psoriasis. Certain medications are associated with triggering psoriasis, including:. Environmental factors: a number of factors may trigger or exacerbate plaque psoriasis, including:Sunlight: there is usually a decrease in severity during periods of increased sun exposure (ie it often improves in the summer and is worse in the winter) but a small minority has an aggravation of symptoms during strong sunlight and sunburn can also lead to an exacerbation of plaque psoriasis. Trauma – psoriasis may be spread to uninvolved skin by various types of trauma. An assessment of any patient with psoriasis should include disease severity, the impact of disease on physical, psychological and social well-being, whether they have psoriatic arthritis, and the presence of any comorbidities.
Several factors may exacerbate its manifestations, or even trigger the disease, such as traumatic injury to the skin, physical and psychological stress, cold weather, excessive alcohol intake, and drugs such as lithium and Beta-blockers. Psoriasis is a chronic (long-lasting) skin disease of scaling and inflammation that affects greater than 3 percent of the U. Sometimes people who have psoriasis notice that lesions will appear where the skin has experienced trauma. Spending time in the sun or a tanning bed can cause skin damage, increase the risk of skin cancer, and worsen symptoms. In a multifactor disease (involving genes, environment, and other factors), variations in one or more genes may produce a greater likelihood of getting the disease. Some factors known to trigger psoriasis include smoking, alcohol consumption, body mass index (BMI), trauma, infection, endocrine disorders, drugs, and acute withdrawal of systemic or potent topical corticosteroids. With this in mind, many psoriasis patients can be on multi-drug regimens; therefore, careful analysis of medications that can exacerbate the disease is prudent.
Injury to the skin can trigger psoriatic skin changes at the site of injury, which is known as Koebner phenomenon. The causes of psoriasis are many and along with hereditary factors, conditions reported to exacerbate the disease include chronic infections, stress, and changes in season and climate. Psoriasis is a common papulosquamous skin disease that may be associated with a seronegative spondyloarthropathy. Additionally, certain medications, notably lithium, antimalarials, beta blockers, interferon, and ethanol (if abused) have been reported to induce psoriasis or exacerbate preexisting disease in some patients. The differential diagnosis is expansive however with several dermatologic conditions, which may present similarly including: atopic dermatitis, pityriasis rubra pilaris, drug reactions, tinea corporis, secondary syphilis, and cutaneous T cell lymphoma (mycosis fungoides variant). Local injury can exacerbate or cause new psoriatic lesions.
Environmental Factors And Psoriasis
Injury to the skin seems to precipitate many episodes of plaque psoriasis, usually within seven to ten days. Both trauma and certain bacteria may also trigger psoriatic arthritis. Factors that increase the risk of developing psoriasis include:. Skin trauma or injury, such as cuts, bumps, bruises, scratches, scrapes, and infections: Prevent injuries by being careful when cooking, gardening, nail trimming, and shaving. Gluten: Some studies have found that this protein found in some grains, including rye, wheat, and barley can aggravate psoriasis symptoms. TNF-alpha (tumor necrosis factor-alpha) inhibitors help decrease the molecule tumor necrosis factor, which initiates the inflammation in the body that leads to morning stiffness, swollen or tender joints, and pain. Psoriasis causes skin cells to mature in less than a week. Because the body can’t shed old skin as rapidly as new cells are rising to the surface, raised patches of dead skin develop on the arms, back, chest, elbows, legs, nails, folds between the buttocks, and scalp. The nails may become deformed, and the disease can damage bone in the affected area. INVERSE PSORIASIS. Factors that increase the risk of developing psoriasis include:. Trauma and certain bacteria may trigger psoriatic arthritis in patients with psoriasis. What are the trigger factors? Although the underlying cause of psoriasis stems from your body’s immune system, the trigger factors that can make it worse or cause flare-ups include:. In some people with psoriasis, trauma to the skin — including cuts, bruises, burns, bumps, vaccinations, tattoos and other skin conditions — can cause a flare-up of psoriasis symptoms either at the site of the injury or elsewhere. In some people with psoriasis, trauma to the skin — including cuts, bruises, burns, bumps, vaccinations, tattoos and other skin conditions — can cause a flare-up of psoriasis symptoms either at the site of the injury or elsewhere. Although the exact cause of psoriasis is not known, experts believe that the immune system is triggered by certain factors to cause psoriasis. Skin injury: Physical trauma to the skin, including a razor nick, insect bite, bruise, blister, or even sunburn. Alcohol: Excessive alcohol use may trigger psoriasis and may worsen psoriasis. Key findings in the affected skin of patients with psoriasis include vascular engorgement due to superficial blood vessel dilation and altered epidermal cell cycle. Many factors besides stress have also been observed to trigger exacerbations, including cold, trauma, infections (eg, streptococcal, staphylococcal, human immunodeficiency virus), alcohol, and drugs (eg, iodides, steroid withdrawal, aspirin, lithium, beta-blockers, botulinum A, antimalarials). Perceived stress can exacerbate psoriasis.
Traumatic Skin Conditions
Plaque psoriasis, the most common form, causes red, flaky, crusted patches covered with silvery-white scales. Ironically, the heavy protective body wear, boots and gloves that are designed to offer workers protection can worsen these effects. Scratching or an isomorphic reaction to the trauma site by people who have skin disease such as psoriasis may exacerbate this. Mechanical factors that lead to skin damage include repeated friction and excessive or prolonged pressure.