Inverse Psoriasis or Flexural psoriasis involves the folds of the body, the armpits, the groin, in the inguinal fold, under the breasts, the umbilical region, the folds of the elbows and knees. Smooth lesions of a vivid red and shiny color.
Inverse psoriasis is rare, also known as flexural or intertriginous psoriasis, genital psoriasis or skin-fold psoriasis. It is a type of psoriasis that can be really serious and invalidating.
The inverse psoriasis (or flexural psoriasis) involves the folds of the body, such as: the armpits, the groin, under the breasts, the umbilical region, the folds of the elbows and knees, for this reason the sweat and the rubbing worsen the symptoms, aggravating the quality of life of people who are overweight and obese. From the clinical point of view the whitish aspect due to flaking is not perceptible. The lesions are smooth, of a vivid red and shiny color and have no scales.
Therefore, what can make you assume that you’re dealing with this type of inflammation is the fact that it is localized in the skin folds. The decisive factor is also the fact that the typical psoriasis scales are almost entirely absent. But it is not so easy to recognize it and it is often mistaken for a fungal infection (intertrigo), eczema or dermatitis. The key factor is to look for the characteristic plaques in other areas of the body.
The causes and triggering factors of inverse psoriasis
In general, this inflammatory form is more common in overweight people, people who have more pronounced skin folds in some parts of the body.
In these areas the skin is thickened, red and sore. Even diabetes appears to be a favorable condition to the onset of the inflammation. With studies now available, although fairly limited, you can list a number of factors that appear to be due to the onset of psoriasis.
Summarizing them, they can be:
How to behave once you have been diagnosed with inverse psoriasis?
First, it is important to know that a cure that would eliminate entirely the disease has not yet been found, but the disease is not infectious or contagious.
In addition to itching and pain, possible consequences of acute phases are: irritation, which increases with the rubbing and the sweating, the probability of infection by fungi and, related to emotional aspect, sexual problems. The latter are not negligible because restrict normal relational life, affecting the mental state.
The inverse psoriasis can affect men and women, while it seems that periods of life in which it occurs most often are puberty and menopause.
Especially in young people, the disease is more incapacitating due to the psychological aspect than to the real consequences.
We must also say that in some patients with psoriasis there is a form of inflammatory arthritis. Not necessarily the arthritis in a patient with psoriasis depends on this, but it can happen.
In terms of treatment, topical corticosteroids are the first-line treatment for inverse psoriasis. Its limited use is recommended for 2 to 4 weeks, keep in mind the adverse effects of high-potency steroids in these areas such as atrophy and telangiectasias.
Other therapies such as the use of calcipotriol, tracolimus or primecrolimus, can be used long-term as first-line treatments or after a cycle of topical corticosteroids.
The combinations of corticoids and calcipotriol or corticosteroids and calcineurin inhibitors are highly effective and reduce the possible side effects of corticosteroids.
The application of Psotherapy cream can be considered as a first-line treatment in patients with inverse psoriasis due to its anti-inflammatory, emollient and moisturizing properties without the adverse effects or the side effects of steroids. We have had a favorable response in patients of our practice, the itching and burning disappeared in the first 48 hours of treatment.
Hygiene measures, the use of emollients and some antimicrobials may be beneficial for patients with reverse psoriasis and are considered second-line therapy.
If you have not got any good results with other psoriasis products, try
Psotherapy the natural remedy, successfully tested by millions of people around the world, without contraindications or side effects.
The information in this site is for informational purposes only, in no case may constitute the formulation of a diagnosis or the prescription of a treatment; it’s not intended and must not in no way replace the direct doctor-patient relationship or the specialist visit; it is recommended to always ask the opinion of your doctor and/or specialists about any indication given. If you have doubts or questions about the use of a Psotherapy product do not hesitate to contact your doctor. Read the Disclaimer »
** "Consideringthat every person get different results from any
treatment, the photospublished testimonies and in vitro assay show that it is possible but not totally sure that people obtain the same results when using Psotherapy products.” Disclaimer