Living with psoriasis is like this: ‘People walk around me in a wide circle’

Three questions about psoriasis

Dermatologist Ewout Baerveldt answers three questions about the complex skin condition psoriasis.

1. What types of psoriasis are there?

‚ÄúThere are many forms of psoriasis Psoriasis vulgaris The most common variant. In addition, you have Psoriasis Guttata, As Ellis is, and Psoriatic arthritis, A form of cone was found. If you look at a person’s lifestyle, Psoriasis Guttata In many cases the form you encounter from a young age. This form gets all kinds of small droplet-shaped blisters on your skin, which often cause pain, itching and scaling.

About half the people who Psoriasis Guttata Was, and then receive at some point Psoriasis vulgaris. It is a common form of psoriasis and is also called ‘plaque form’ because many blisters can ‘melt’ and form a large plaque.

Next Psoriasis vulgaris You can too Psoriatic arthritis To create. It affects your joints. Complaints from Psoriatic arthritis Are often expressed in the fingers – but can also reach other joints such as the lower back or hips.

Some people have both forms of psoriasis at the same time, but it only happens to patients Psoriatic arthritis So only the joints are affected without spots on their skin. “

2. How does psoriasis develop?

“Research shows that you may have a genetic predisposition to psoriasis. In 30 percent of psoriasis patients, immediate family member also has psoriasis. In addition to genetic predisposition, infections and stress are also triggers.

If you have psoriasis, the interaction between your immune system and your skin may not work well. External stimuli, such as colliding with something or damaging your skin, can cause your skin cells to divide more quickly than normal. This rapid transition leads to harder, thicker layers in your skin, but also stimulates the immune system and attracts extra immune cells to the skin. In some cases, these immune cells even migrate to the outer layer of your skin, forming micro-abscesses. This process causes pain and itching. “

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3. What are the treatments for psoriasis?

“For the treatment of psoriasis, you need to balance the interaction between the immune system and the skin. There are many medications that can help, such as light therapy, creams, pill formulations or Biology Ellis mentioned earlier. That way you can force your skin cells to rest and make sure they divide more normally. Eventually, these cells will produce less material that will increase your inflammation level.

Psoriasis is a chronic disease and unfortunately cannot be completely cured. It is therefore important to constantly look for new options for treating psoriasis. We have come a long way, but we have not gotten there yet. Some medications can be very effective, controlling 75 to 90 percent of skin abnormalities. “

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