Psoriasis is a chronic skin condition that affects millions of people worldwide, including several A-list celebrities who’ve openly discussed their experiences with the condition. 

Stars such as Kim Kardashian and Cara Delevingne have both openly shared their struggles with psoriasis – with Kim often discussing her experiences on social media and in interviews and Cara voicing how stressful times, like Fashion Week, can cause her skin to flare. We applaud both ladies for sharing their psoriasis experiences so openly with their millions of followers, helping to raise awareness and reduce the stigma associated with the condition. Anyone can develop psoriasis – even the rich and famous. So if you’re suffering with it, remember: you’re most definitely not alone. 

What is Psoriasis?

Characterised by red, inflamed patches of skin covered with silvery scales; psoriasis is not just a cosmetic issue but a medical condition that can have profound effects on an individual’s quality of life. It affects approximately 2-3% of the UK population, which translates to around 1.3 to 2 million people. The condition can develop at any age, but it most commonly appears between the ages of 15 and 35. Although psoriasis is not life-threatening, it is a lifelong condition that can have a significant impact on sufferers’ physical and mental health.

Causes of Psoriasis

Psoriasis is an autoimmune condition, which means that the body’s immune system mistakenly attacks healthy skin cells. This causes your skin cells to multiply rapidly, leading to the buildup of thick, scaly patches on the surface of the skin. While the exact cause of psoriasis is not fully understood, there are a few known factors that can contribute to its development, including:

1. Genetics: Psoriasis tends to run in families, suggesting a strong genetic component. If one parent has psoriasis, there is about a 10% chance their child will develop the condition. This risk increases to 50% if both parents have psoriasis.
2. Immune system dysfunction: In people with psoriasis, the immune system mistakenly attacks healthy skin cells, leading to rapid cell turnover and the formation of plaques.
3. Environmental triggers: Certain environmental factors can trigger or exacerbate psoriasis. These include stress, infections (such as strep throat), skin injuries, smoking, heavy alcohol consumption and certain medications.
4. Lifestyle factors: Obesity, smoking, and excessive alcohol consumption have all been linked to an increased risk of developing psoriasis or making existing symptoms worse.

Types of Psoriasis

Psoriasis comes in a variety of forms, each with its own set of symptoms and challenges. The most common types include:

1. Plaque Psoriasis: The most common form of psoriasis, plaque psoriasis is characterised by raised, red patches covered with a silvery white buildup of dead skin cells. These plaques often appear on the elbows, knees, scalp and lower back.
2. Guttate Psoriasis: This type often starts in childhood or young adulthood and appears as small, dot-like lesions on the skin. It is often triggered by a bacterial infection, such as strep throat.
3. Inverse Psoriasis: Inverse psoriasis appears as bright red, shiny lesions that develop in skin folds; such as under the breasts, in the groin, or around the buttocks. It can be particularly uncomfortable due to the location of the affected areas.
4. Pustular Psoriasis: This rare form of psoriasis causes white pustules (blisters of non-infectious pus) surrounded by red skin. It can be localised to certain areas, such as the hands and feet, or cover most of the body.
5. Erythrodermic Psoriasis: The least common type of psoriasis, erythrodermic psoriasis, is a severe condition that causes widespread redness and shedding of the skin over a large area of the body. This condition can be life-threatening and requires immediate medical attention.

Treatment options for Psoriasis

While there is no cure for psoriasis, there are several treatment options available to manage its symptoms and improve the quality of life for those affected. Treatments can be categorised into three main types: topical treatments, phototherapy and systemic medications.

1. Topical treatments: These are applied directly to the skin and include corticosteroids, vitamin D analogues and retinoids. Topical treatments are often the first line of defence in cases of mild to moderate psoriasis.
2. Phototherapy: Also known as light therapy, phototherapy involves exposing the skin to ultraviolet (UV) light under medical supervision. This treatment can help slow down the growth of affected skin cells and reduce inflammation.
3. Systemic Medications: For more severe cases of psoriasis, doctors may prescribe systemic medications, which are taken orally or by injection.
4. Polynucleotides: Polynucleotides represent a promising advancement in the treatment of psoriasis. Their ability to reduce inflammation, promote tissue regeneration and improve skin hydration / barrier function makes them a really valuable tool in managing this chronic condition. Polynucleotides can also be used in combination with other psoriasis treatments, such as phototherapy or systemic medications as mentioned above. This combined approach can enhance the overall effectiveness of treatment, potentially leading to better outcomes.

Psoriasis is a common and often challenging condition that affects millions of people in the UK and around the world. Whilst there is no cure, understanding the causes, types and available treatments can empower those living with psoriasis to manage their symptoms effectively. As we observe National Psoriasis Awareness Month / Psoriasis Action Month 2024, let’s continue to support and raise awareness for those affected by this condition – and encourage open conversations about the impact it has on their lives. 

MEET THE AUTHOR

Amanda Azzopardi, an Advanced Nurse Practitioner and Aesthetic Medicine Prescriber, specialises in ageing-related changes. With a Masters in Advanced Clinical Practice, she's trained at the renowned Harley Academy in London and the Level 7 accredited Derma Medical Academy. Boasting over 15 years of global experience in acute medical settings and extensive aesthetic insurance, Amanda combines care, skill, and professionalism to ensure your treatments are in trustworthy hands.