Inverse psoriasis, also referred to as flexural psoriasis is not the typical and common form of psoriasis as it does not appear to any of the exposed area of the body.
Although it presents the similar symptoms of a regular psoriasis, this kind of skin condition usually occurs in your skin folds such as your armpit, under the breasts, genital folds and even under your buttocks. In some rare occasion, it occurs along the folds of your waist, stomach and thighs.
Inverse psoriasis is a troublesome skin condition as it is associated with severe pain and itching that exhibits red and tender rash. Perspiration and friction worsen the existing skin condition particularly in the flexure area.
This condition usually occurs in about 2%-6% in a pre-existing psoriasis condition typically in an overweight person. Although there has been no scientific basis between psoriasis and obesity, some research studies suggests that with an extra weight, comes along a severity of the condition.
Symptoms of Inverse Psoriasis
Primary sign of inverse psoriasis – deep red patches of the skin folds
- Lesions—smooth and shiny
- Red and tender rash
- Severe itchiness and pain
Treatment and Management for Inverse Psoriasis
Treating inverse psoriasis is quite difficult due to the location of skin lesions. Usually, health professional treat not only psoriasis symptoms, but as well as the infections accompanied with the disease caused by fungus or yeast.
Here are the following treatments for inverse psoriasis:
- Corticosteroids: helps reduce the inflammation and suppresses the immune system. But, this medication should be used carefully as it causes thinning of your skin (skin folds are thin type of skin).
- Calcipotriene: helps slowing down your skin cell turnover as this ointment contains a synthetic form of vitamin D3. Should not be used in genitals.
- Coal tar: helps relieve symptoms such as itchiness and pain.
- Light therapy: helps soothe psoriasis symptoms. Can be achieved through sunlight.
- Systemic treatments: is used only for severe hidden psoriasis. Systemic medication lowers the body’s immune response and should be used with caution.
As inverse psoriasis is associated with severe pain and itchiness, it is best to seek advice to your doctor or dermatologist for proper management.