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Flexural Psoriasis

Flexural Psoriasis

Psoriasis is a non-contagious chronic skin disorder with no known cure. The name is derived from the Greek word Psora and means, “to itch”. It is the growth of too many skin cells. Where the normal skin matures in 20 to 30 days, the skin of a person with psoriasis takes only 3 to 6 days to mature. Psoriasis affects 1-3 percent of the world population and is not limited to a certain age group. People over 50 are more at risk but children; especially girls may also suffer from it. It is very common under people with fair skins and rarely affects dark skinned people. There are several types of Psoriasis of which Flexural Psoriasis appears as smooth red and dry skin areas without flaking. Flexural Psoriasis is also called Inverse Psoriasis, and is more common with overweight persons because it appears in the skin folds where most rubbing takes place. The illness is also associated with mental well being. Most patients experience depression, which in turn increases the symptoms of Psoriasis, and in return leads to more anxiety and stress. The plaques are sometimes infected with the fungi candida albicans. It sometimes appears at the site of injuries or scars.

Doctors believe it may have a generic link. Certain factors may lead to outbreaks of Flexural Psoriasis:

  1. Smoking
  2. Diet imbalances
  3. Stress, depression, and anxiety
  4. Arthritis
  5. Colitis
  6. Beta blockers
  7. Antidepressant drugs
  8. Seasonal changes
  9. Excessive alcohol consumption
  10. Excessive heat or cold

What does it look like?

Due to the moisture content of skin folds, Flexural Psoriasis doesn’t have the silver appearance that other types may have. Smooth dry and red patches characterize it. It has well defined borders and sometimes causes cracks in the skin crease. The skin may appear inflamed due to sweating and rubbing.

Affected Areas

Flexural Psoriasis appears in the following areas of the body:

  1. Under the breasts
  2. Armpits
  3. Groin
  4. Vulva
  5. Penis
  6. Navel
  7. Anus
  8. Natal cleft


  1. Secondary fungal infections
  2. Rubbing can also lead to a type of eczema called Lichenification
  3. Discomfort during sexual intercourse when it is located at the vulva and groin area
  4. Skin irritation due to rubbing, sweat and heat
  5. Long-term use of topical steroid creams leads to thinning of the skin
  6. Itching because of the stimulation of nerve fibers just below the skin surface

Diagnosis for Flexural Psoriasis

The doctor does a physical and visual examination and reviews your family history for Psoriasis. He will order a blood test if the joints are infected.

Treatment for Flexural Psoriasis

Flexural Psoriasis responds well to treatment. It can however reappear after a few months or even years. Treatment includes:
  • Mild topical steroid creams and stronger creams for severe outbreaks. The steroid creams should only be used for a few days as prolonged use will result in a thinner skin, and stretch marks
  • Phototherapy is not very effective because of the skin folds.
  • Vitamin D compound creams are effective and can be applied to the skin folds daily
  • Immune system suppressants such as Cyclosporin A
  • Use moisturizes instead of soap to prevent the skin from becoming too dry.
  • Topical ointments that contain coal tar.
  • Administering of Amevive, a drug that blocks the activation of T-cells in the immune system. T-cells causes skin cells to develop too fast, which results in Psoriasis lesions.
  • Administering of Efalizumab, an antibody that is almost the same as the human antibodies.
  • Aspirin
  • Natural antidepressants such as 5HTP, Gingko Biloba, and St. John’s Wort.
  • Daily exposure to a bit of sunlight.
  • Bath oils that contain tar can help to relieve itching.
  • Cold showers ease itching
  • Cold presses against areas that itch
  • A cleansing fast that consists of seven days of fruit juice and water, is sometimes recommended as the first step in the treatment process since Flexural Psoriasis is a metabolic illness. Citrus fruit and juices should be avoided, but carrots, cucumbers, and grapes can be used during this time
  • A diet of grains, nuts, seeds, vegetables and fruit should be followed.
  • Avoid animal fats, which can be found in milk, butter, eggs and meat.
  • Avoid refined white sugar, processed foods, tea and coffee.
  • Take supplements of vitamin E.

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