Genital psoriasis. Usually, when you hear about psoriasis, it is immediately associated with those areas like knees, elbows, scalp, hands or feet, but it also affects more hidden areas such as the genitals with lesions kind of different because of their red, smooth and dry appearance.
Usually, when you hear about psoriasis, it is immediately associated with those areas like knees, elbows, scalp, hands or feet, but it also affects more hidden areas such as the genitals.
In general, psoriasis manifests itself as inflammatory plaques along with whitish scales, but the lesions found in genitals area may be different because of their red, smooth and dry appearance.
To relieve the discomfort of genital psoriasis, the first step that must be taken, is to overcome embarrassment and talk to a doctor. In cases of genital psoriasis, recent studies have shown a late diagnosis, because the person, who has it, mainly confesses the suffering to a trusted person or a member of the family with whom he/she has special confidence. Shame and misinformation hang over this pathology, often undergoing antimycotic therapies that, in the case of psoriasis, have proven to be ineffective. Therefore, it is important to see your doctor and to realize that they are those who are trained to treat all kinds of diseases. They have years of experience and it is their job, to treat people. That said you must always see your doctor, putting aside the shame and trusting in their experience.
But, how and where does genital psoriasis develop?
Let’s evaluate the situation and identify the diseases that share common characteristics with genital psoriasis and, therefore, are the reason why psoriasis is diagnosed late.
Genital psoriasis usually develops in the upper thighs, especially in the groin, near the anus and in the external and internal genitals.
Assuming that genital psoriasis for both sexes presents well-delimited and erythematous red patches, the compromised points are: the glans in men and the vulva area in women, but groin and anus areas are also affected in several occasions.
As to symptoms, the most common are: pain and pruritus, but the man has a high risk of developing nodules in the testicular zone (also a main symptom of other diseases).
For this reason, self-diagnosis is not recommended because some diseases display the same symptoms; the difference lies in the pathology and treatment that vary depending on the type of disease.
As from the most serious diseases to the most common discomforts, here are some examples of genital diseases that share the same symptoms, such as pruritus, swelling and blisters that end up in scabs and scar tissue.
Mild infection caused by an imbalance between good and bad bacteria in the vagina;
Candidiasis or yeast infection
It is the most frequent infection of the anogenital area, characterized by erythematous, moist, shiny plaques that are located on the glans, inguinal region, vulva and perianal region, sometimes with whitish macerate that affects the bottom of the folds and that are caused by the candida albicans, where there are certain predisposing conditions to the onset of the infection such as diabetes mellitus, heat and inadequate hygiene. Many times the differential diagnosis in the case of genital psoriasis is established through skin biopsy.
Lichen sclerosus is another chronic skin disease characterized by persistent pruritus in the vulva and resulting changes in genital skin;
The allergy to some foods or to (as in most cases) the tampon;
Hair removal with wax, but specifically depilation with blade creates irritation. The razor causes micro-lesions that develop infection due to moisture and heat in the area.
Therefore, in the presence of vaginal itching, it is always advisable to see your doctor to determine the possible causes.
However, in any case, it is much better to take measures such as:
• Avoid excesses: washing practices either many or few times cause a significant change in pH; developing infections and itching that further irritate psoriatic plaques;
• Avoid the use of synthetic or colored underwear and tight clothing, instead wear good cotton underwear that allows proper transpiration in the vulva area.
• Use good quality toilet paper:
• Avoid the use of aggressive products containing perfumes or additives;
• Use condoms during sex to avoid worsening the situation with possible infections.
It is also useful to apply ice packs as it "anesthetizes" nerve endings and, therefore, relieves discomfort. It is necessary to put the sanitary napkin on the intimate area to feel immediate relief.
Psotherapy treatment can be successfully used for the treatment of psoriasis symptoms in the genital areas. In such case do not use hydrogen peroxide.
The use of low or mid-potency steroids and calcineurin inhibitors is also recommended.
In refractory cases, systemic treatment can be used.
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