What Causes Psoriasis Flare-Ups: 10 Psoriasis Triggers
If you’re one of the 125 million people experiencing symptoms of psoriasis worldwide, you likely know there isn’t a cure. However, you can actively manage your symptoms by paying attention to your flare-ups.
In some ways, psoriasis is just your body working in overdrive. Instead of generating new skin cells in three to four weeks, your body can do it in just a few days. This skin buildup causes a red rash covered in thick silvery “scales.” Your fingernails may become thick and pitted, and your skin can crack and bleed. The spots range in size and location on your body. The associated itching of psoriasis flare-ups can also be quite frustrating.
Fortunately, you can predict many psoriasis flare-ups because they’re caused by environmental factors known as “triggers.” Triggers can be what cause psoriasis flare-ups, based on your specific genetic cocktail, meaning others may also come in contact with these triggers with no adverse effects. Everyone’s genetics vary, and not everyone has the same psoriasis triggers. Still, knowing your triggers is the first step to relief.
Understanding your triggers and adhering to a regular treatment plan can increase your quality of life.
Problems with the Immune System in Psoriasis
The National Psoriasis Foundation underscores the immune system’s role in psoriasis flare-ups. Typically, psoriasis symptoms arise when the immune system mistakenly targets healthy skin cells. This phenomenon leads to the rapid growth of new skin cells, which accumulate on the surface and form plaques characteristic of plaque psoriasis. Dermatologists note that stress, certain drugs, and skin problems like burns or bug bites can exacerbate this immune response.
There is a connection between psoriasis flares and other immune-related conditions. For example, individuals with psoriasis are more likely to develop psoriatic arthritis, a condition affecting the joints. There are risks associated with comorbidities, such as heart disease and type 2 diabetes, often found in those with psoriasis. Lifestyle changes, such as reducing alcohol consumption and obesity, are advised to manage these risks.
Feel Better Quickly After a Psoriasis Episode
Genetics and Psoriasis
Genetics plays a crucial role in the development of psoriasis. The information from the National Psoriasis Foundation indicates that if someone in your family has psoriasis, your risk of developing the condition increases. This genetic link explains why psoriasis often appears in multiple family members.
Certain genes are responsible for the immune system’s function and response to external triggers. For instance, a family history of allergies or autoimmune diseases can heighten the likelihood of psoriasis symptoms. This genetic predisposition can be a double-edged sword, offering scientists insights into potential therapeutic targets while posing challenges in managing the condition.
Understanding these genetic factors can guide doctors in diagnosis and treatment. It can also lead to personalized medical advice for patients, considering their unique genetic makeup. Awareness of one’s genetic predisposition can influence lifestyle choices and medical decisions, such as the cautious use of certain drugs like beta-blockers, known to trigger psoriasis flares in some individuals.
Common Psoriasis Triggers
Whether symptoms are worsening or you’re simply trying to manage your flare-ups better, you must address any potential underlying causes. To soothe symptoms of this chronic skin condition, you must first understand what causes psoriasis to flare up.
What causes psoriasis flare-ups can sometimes be random, but a variety of key triggers have been known to make symptoms worse for many. It’s important to note that you should document your flare-ups to identify any potential patterns for yourself. Also, remember the severity of flare-ups, which are caused by some possible causes listed below. The greater your understanding of your psoriasis triggers, the more successful your treatment plan can be.
1| Stress
Stress can cause psoriasis flare-ups, making the itching sensation worse. This can occur when you’re living with chronic stress or generally experience an increase in stress levels. Psoriasis flare-ups can also contribute to ongoing stress, creating a vicious cycle. When you are experiencing feelings of anxiety, your body begins to release chemicals that boost an inflammatory response. This means that your mental health can influence your physical symptoms.
Psoriasis has a stronger association with psychiatric disorders than other skin conditions. Research shows that mental stress precedes the first psoriasis attack in 44 percent of patients and triggers flare-ups in 88 percent.
While you may not be able to live a completely stress-free life, there are some ways to reduce your mental stress. Consider participating in activities that will help you remain calm, especially when you’re overwhelmed. Whether you begin to exercise, start a gratitude journal, or spend more time in nature, this step will support your mental and physical health.
2| Trauma and Injury to Skin
While “injury” might sound serious, skin traumas/injuries that cause psoriasis flare-ups can be small. Knicks and cuts, scrapes, abrasions, and even insect bites can all trigger your skin’s overreaction, also known as the Koebner response. Lesions may also develop on body parts where the skin is irritated due to a bra or waistband. While most people know the pain of a sunburn— complete with blisters, heat, and peeling skin— this type of skin injury can be even more uncomfortable and unsightly if you have psoriasis.
3| Smoking and Alcohol Use
Smoking has been shown to trigger flare-ups and increase your risk of developing psoriasis in the first place. The more you smoke, and the longer you’ve smoked, will increase your risk. One study found that those who smoke over 20 cigarettes per day double their risk of having severe psoriasis. There are several theories for this, including a genetic tendency for psoriasis. Smoking may trigger these genes, in addition to altering the immune system.
Alcohol is also believed to worsen symptoms of psoriasis. Even light to moderate consumption may exacerbate flare-ups.
4| Medication Use
Many medications can also worsen symptoms of psoriasis. This is most commonly seen in β-blockers, lithium, and other medicines that treat mood disorders. However, even antibiotics, ibuprofen, or aspirin could be the culprit, so it’s important to discuss all potential medications with your doctor and look into additional alternatives. Vaccinations may also trigger a flare-up for those with psoriasis.
5| Changes in Weather
You may be right if you’ve noticed a difference in your psoriasis as the weather changes! Some people experience more skin changes when the temperature (and humidity) drops. When the temperature is cold and the air is dry, symptoms of psoriasis worsen. This is because:
- Cold, dry weather extracts moisture from your skin
- Cold weather keeps people inside, where heaters further dry out your skin
- There is less sunlight during the cold winter months
In contrast, warmer weather and natural sunlight may improve psoriasis flare-ups, as moderate exposure can help relieve symptoms.
6| Hormones
Psoriasis can be aggravated by your body’s natural changes, which is why hormones are considered another trigger. The effect is most noticeable for young women going through puberty and older people who are experiencing menopause. Pregnant people may also experience a resurgence of patchy and scaly skin, even if their psoriasis is otherwise under control. This is when hormones greatly increase (and drastically drop after childbirth). For some people, the opposite is true, and pregnancy brings relief! And if you notice flare-ups at the same point of your menstrual cycle, hormones could impact your psoriasis.
7| Heavy Weight
Although the relationship between psoriasis and excess weight isn’t clear, being overweight has been known to worsen symptoms. One theory is that carrying extra fat cells releases cytokines, which are inflammatory chemicals. Losing even a small amount of weight may help reduce the severity of itchy, sore patches.
8| Infections
Infections, especially streptococcal “strep” throat infections, cause a specific form of psoriasis known as guttate psoriasis. While strep throat is common in children, psoriasis, fortunately, doesn’t develop in many cases. Still, it’s more common for strep throat to trigger a flare-up in children and young adults, and it never hurts for parents to be aware of this possible side effect of a common childhood infection.
Although less common, other infections can also trigger a psoriasis episode because they trigger an immune response. This is why flare-ups sometimes occur with ear infections, bronchitis, tonsillitis, and fungal or respiratory infections.
9| Immune Disorders
Other conditions can also cause a psoriasis flare-up or the condition’s first appearance. Immune disorders top this list, with HIV receiving the most attention. However, psoriasis is considered an immune-related condition, so it’s reasonable that other immune system disorders could interplay with psoriasis flare-ups.
10| Diet & Specific Foods
Consuming a healthy, balanced diet is a good idea for anyone. However, your eating habits can directly affect your skin if you suffer from psoriasis.
While more research is needed, it is recommended that people eat more inflammation-fighting foods. These include berries, leafy greens, salmon, antioxidant-rich spices and herbs, nuts, and seeds. If they’re wondering what foods trigger psoriasis flare-ups, they should look to foods that commonly increase inflammation, including dairy, processed foods, and refined sugars.
Note: The strongest food-related evidence found is the effect psoriasis can have on weight loss and gluten-free diets.
Since each individual is unique, maintain a detailed food journal. Patterns in psoriasis flare-ups can be used to eliminate foods one at a time to see if these changes affect your symptoms. If no changes are noticed after a few weeks, narrow it down by removing another food from your diet. It’s important to note that some healthy foods can also be blamed, so do not automatically assume that only junk food is the culprit. For example, nightshade plants like eggplant and tomatoes can trigger psoriasis in some people.
How to Control Psoriasis Flare-Ups
To better control your flare-ups, start by addressing the above triggers of what causes psoriasis most often. If these items don’t soothe your psoriasis, here are some other helpful options:
It’s important to moisturize your skin regularly, as symptoms of psoriasis worsen when it is dry. Keralyt 5 Cream and Keralyt 5 Gel, which contain exfoliating beta hydroxide acid, help your skin look/feel better quicker after a psoriasis episode and help many living with psoriasis.
During cold winters, you may need to apply multiple times daily (along with heavily moisturizing immediately after bathing). Cutar Emulsion—Psoriasis Lotion can also be used on any affected area. This steroid-free cream lotion can also be mixed with water for therapeutic soaks.
Also, remember to take care of your scalp. Many formulations are available, depending on your personal needs. For example, Tarsum Relief Shampoo is designed to exfoliate scalp scales.
Regardless of your skin condition, it’s important to work with your physician, address your current lifestyle, and invest in quality products that work, like those offered at Summer Laboratories. Shop now to find the best product for you!
Managing Psoriasis: Comprehensive Care and Considerations
Psoriasis is a chronic skin condition that can manifest in various forms, such as pustular psoriasis, erythrodermic psoriasis, breast psoriasis, and inverse psoriasis. Each type presents unique challenges and requires tailored treatments. Understanding these differences is crucial for effective patient care.
Scalp Psoriasis and Skin Cancer Risks
Scalp psoriasis can be particularly troublesome, often causing itching and flaking that resembles dandruff. While scalp psoriasis itself is not a form of skin cancer, it is important to monitor any changes in the skin, as people with chronic skin conditions might be at a higher risk for cancer. Regular check-ups and vigilance about health information are key to early detection and prevention.
Impact on Different Age Groups and Genders
Psoriasis affects individuals across all ages and genders, with unique considerations for women, especially during puberty, pregnancy, and menopause. The hormonal changes during these times can trigger flare-ups, making it essential for women to work closely with their healthcare providers to manage symptoms effectively.
Biologics and Emerging Treatments
Recent advancements in biologics offer promising new treatments for managing severe forms of psoriasis, such as pustular and erythrodermic psoriasis. Researchers are continually exploring new medications and therapies to provide relief. It’s important to stay informed about the latest medicine options and consult with a dermatologist, possibly through resources like the American Academy of Dermatology (AAD).
Lifestyle Factors and Psoriasis Management
Lifestyle choices, such as smoking and drinking, can exacerbate psoriasis symptoms. Maintaining a healthy diet rich in anti-inflammatory foods can help manage the condition. Additionally, managing high blood pressure and maintaining a healthy weight are crucial, as these factors can influence the severity of psoriasis.
Skin Care and Daily Routines
Proper skin care is vital for those with psoriasis. This includes moisturizing lotions, especially during dry, cold weather, and protecting the skin from sun damage. For those with scalp psoriasis, specialized shampoos can help manage symptoms. It’s also important to avoid irritating the skin with scrapes or cuts, which can trigger a flare-up.
Special Considerations for Specific Areas
Psoriasis can affect various parts of the body differently. For instance, nail psoriasis can cause nail appearance and texture changes, often leading to discomfort and complications. Psoriasis on the genitals requires delicate care and treatment due to the sensitivity of the area.
Psychological and Social Aspects
Living with psoriasis can be challenging, not only physically but also emotionally. Stress is a known trigger for psoriasis flare-ups, and the visibility of the condition can affect self-esteem. Engaging in patient support groups and seeking mental health support can be beneficial.
Preventing and Managing Flare-Ups
Identifying triggers and maintaining a consistent skincare routine are crucial in preventing flare-ups. For those experiencing frequent outbreaks, biologics and other systemic treatments may be recommended. Additionally, using a humidifier can help maintain skin moisture during colder months.
Conclusion
Understanding the complexities of psoriasis, from the intricacies of the immune system’s role to the genetic factors at play, is key to effectively managing this condition. By recognizing the triggers of psoriasis flares, such as stress, skin trauma, certain drugs, and lifestyle factors like obesity and alcohol consumption, individuals can take proactive steps to mitigate these risks.
Frequently Asked Questions
What are common triggers for psoriasis flare-ups?
Common triggers include stress, skin injuries (like cuts or sunburns), infections (such as strep throat), certain medications, and weather changes. Each person may have different triggers, so it’s important to identify and manage your specific ones.
Can diet affect psoriasis?
Yes, certain foods can trigger psoriasis flares in some individuals. Common dietary triggers include gluten, dairy, processed foods, and nightshade vegetables like tomatoes and potatoes. Keeping a food diary can help identify and manage these triggers.
How can I identify my psoriasis triggers?
Identifying personal triggers involves tracking symptoms and noting any patterns. Keeping a journal to log flare-ups, potential triggers, and symptom changes can help. Noting diet, stress levels, weather conditions, and skin injuries can provide insights. Consulting with a healthcare provider can also aid in identifying and managing individual triggers.
Sources:
https://www.psoriasis.org/psoriasis-statistics/#
https://www.medicinenet.com/how_do_you_stop_psoriasis_from_stress/article.htm
https://www.ncbi.nlm.nih.gov/books/NBK553108/
https://jamanetwork.com/journals/jamadermatology/fullarticle/401096
https://www.psoriasis.org/causes/
https://jamanetwork.com/journals/jamadermatology/fullarticle/1690928
https://www.psoriasis.org/guttate/
https://www.webmd.com/skin-problems-and-treatments/psoriasis/psoriasis-avoid-foods
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453925/
