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All about psoriasis types of psoriasis causes of psoriasis diagnosis of psoriasis psoriasis triggers symptoms of psoriasis psoriasis risk factors treatment for psoriasis topical treatment for psoriasis phototherapy treatment for psoriasis systemic treatment for psoriasis plaque psoriasis guttate psoriasis flexural psoriasis pustular psoriasis erythrodermic psoriasis scalp psoriasis

What is flexural psoriasis?

Flexural psoriasis is a form of psoriasis found in the armpits, groin, under the breasts and in other flexion creases (skin folds) such as those around the genitals and buttocks. This form of psoriasis appears as smooth, dry areas of skin that are red and inflamed but do not have the scaling associated with plaque psoriasis (the most common type of psoriasis). Flexural psoriasis is more frequent and severe in people who are overweight because it is in the skin folds where it is

particularly prone to irritation from rubbing and sweating. Also called inverse psoriasis.

Due to the moist nature of the skin folds the appearance of the psoriasis is slightly different. It tends not to have silvery scale, but is shiny and smooth. There may be a crack (fissure) in the depth of the skin crease. The deep red colour and well-defined borders characteristic of psoriasis may still be obvious.

Flexural psoriasis responds quite well to topical treatment but often recurs. Weak topical steroids (often in combination with an antifungal agent to combat thrush) may clear flexural psoriasis but it will usually recur sometime after discontinuing treatment. Stronger topical steroids need to be used with care, only for a few days, thinly and very accurately applied to the psoriasis. If the psoriasis has cleared, stop the steroid cream. The steroid cream may be used again when the condition recurs. Calcipotriol cream is an effective and safe treatment for psoriasis in the flexures and should be applied twice daily. If it irritates, it can be applied once daily and hydrocortisone cream 12 hours later. Systemic agents are rarely required for limited flexural psoriasis and phototherapy is relatively ineffective because the folds are hidden from light exposure.

More information on psoriasis

What is psoriasis? - Psoriasis is a disease whose main symptom is gray or silvery flaky patches on the skin which are red and inflamed underneath when scratched.
What types of psoriasis are there? - Types of psoriasis include plaque psoriasis, guttate psoriasis, pustular psoriasis, erythrodermic psoriasis, flexural psoriasis, psoriatic arthritis, and nail psoriasis.
What causes psoriasis? - Psoriasis is driven by the immune system. Psoriasis is the growth of too many skin cells. The first outbreak of psoriasis is often triggered by emotional or mental stress or physical skin injury.
How is psoriasis diagnosed? - Physicians diagnose psoriasis by examining the affected skin. In people with psoriatic arthritis, the arthritis usually follows the appearance of psoriasis.
What triggers psoriasis? - Psoriasis triggers include streptococcal infection, sun exposure, drug reactions, hormonal factors, psychological factors, and skin trauma.
What are the psoriasis symptoms? - Symptoms depend on the type of psoriasis the individual has and may include bright red areas of raised patches (plaques) on the skin, tiny areas of bleeding, and itching.
What are the psoriasis risk factors? - The risks associated with developing psoriasis are similar to the triggers of the disease. The most significant risk factor for psoriasis is a family history of the condition.
What is the treatment for psoriasis? - The treatment is chosen on the basis of the pattern of psoriasis and its severity. Treatments for psoriasis can often control the disease for long periods.
What is the topical treatment for psoriasis? - Some patients with psoriasis respond well to ointment or cream forms of corticosteroids, vitamin D3, retinoids, coal tar, or anthralin. The medication that is best may depend on the type and location of the psoriasis.
What is the phototherapy treatment for psoriasis? - Phototherapy treatment for psoriasis uses ultraviolet (UV) light to kill T cells in skin, reducing redness and slowing the overproduction of skin cells that causes scaling.
What is the systemic treatment for psoriasis? - Systemic treatment for psoriasis involves taking medicines internally by pill or injection. Systemic psoriasis treatment drugs include methotrexate, retinoids, cyclosporine.
What is plaque psoriasis? - Plaque psoriasis can is a disease with very clearly defined area of skin which has a raised, red and inflamed section of skin covered in silvery scales.
What is guttate psoriasis? - Guttate psoriasis is a type of psoriasis that looks like small, salmon-pink drops on the skin. Guttate psoriasis is characterised by multiple tiny areas of psoriasis.
What is flexural psoriasis? - Flexural psoriasis is a form of psoriasis found in the armpits, groin, under the breasts and in other flexion creases (skin folds) such as those around the genitals and buttocks.
What is pustular psoriasis? - Pustular psoriasis is an uncommon form of psoriasis. People with pustular psoriasis have clearly defined, raised bumps on the skin that are filled with pus (pustules).
What is erythrodermic psoriasis? - Erythrodermic psoriasis is a particularly inflammatory form of psoriasis that often affects most of the body surface. Erythroderma is a generalised redness of the skin.
What is scalp psoriasis? - Scalp psoriasis range from very mild with fine scaling to very severe with thick, crusted plaques. Scalp psoriasis scales appear powdery with a silvery sheen. 
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All information is intended for reference only. Please consult your physician for accurate medical advices and treatment. Copyright 2005, health-cares.net, all rights reserved. Last update: July 18, 2005