DR ELLIE CANNON: Impact of psoriasis could be more than skin deep

By
Dr Ellie Cannon

16:14 EST, 30 June 2012

|

16:21 EST, 30 June 2012

The impact a skin disorder such as psoriasis can have on mental health is too often underestimated by GPs and non-sufferers.

Those with psoriasis have higher-than-average rates of depression and suicide, and difficulties with employment and relationships.

Skin deep: Psoriasis might be on the surface but it's effects can run far deeper

Skin deep: Psoriasis might be on the surface but it’s effects can run far deeper

How can a skin disease affect one’s mental health?

A visible, often disfiguring disease such as psoriasis has a multitude of psychological and social effects.

It often starts in the teenage years, just as a person is developing a sense of self and when self-esteem is critical. Research has shown that in the UK, more than 300 suicide attempts are attributable to psoriasis annually.

Is there help available for those with skin-related psychological problems?

The impact of psoriasis on mental health is now being recognised. In hospitals with centres of excellence for psoriasis, such as London’s Royal Free, psychologists are employed to help people with the effects.

Patient groups such as the Psoriasis Association and the Touch Programme (touchpsoriasis.co.uk) also provide support.

Why are treatments for psoriasis not improving?

Psoriasis is not curable, but treatments have improved over the past few decades and it can be put into remission with a good regime of care that targets the immune system.

Patients should always be cared for by a dermatologist, with back-up from a GP.

Those with psoriasis have higher-than-average rates of depression and suicide, and difficulties with employment and relationships

Those with psoriasis have higher-than-average rates of depression and suicide, and difficulties with employment and relationships

How many people are affected by psoriasis?

Up to one person in 50 has psoriasis, but milder cases may go undiagnosed or be misdiagnosed as dermatitis or dry skin.

In some cases, only a patch of skin is affected. Psoriasis typically appears between the ages of 15 and 30, and is more common among Caucasians.

While the cause is unknown, it can be aggravated by stress, smoking and certain medications.

Does psoriasis just affect the skin?

No, unlike other skin conditions such as eczema, psoriasis has symptoms in other parts of the body too, including the joints and the nails, and ten per cent of sufferers have arthritis associated with the condition.

Severe cases are also linked to an increased risk of heart disease and stroke.

Here’s what other readers have said. Why not add your thoughts,
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My condition appeared when I was in my 50s. I emmigrated to the Philippines in 2002 and my psoriasis became very noticeable, severe and spread all over my body with breakouts and flaking skin, and started to affect my lifestyle and appearance with constant irritation.
In 2010 a friend gave me a red tub of cream from China. I was cautious at first, trying a little on one area. I couldn’t believe my eyes when that area went into remission; I tried other areas – that went into remission, so I tried it all over my affected areas.
Within a month I was in total remission – everything was healed with just clean new skin and a dull, faint red patch as a residual. This, too, has gradually faded. The thing that surprised me was that it stayed healed – no further breakouts and I was able to stop using the creme soon after healing.
Cost of the creme? 60 pence a tub. Availability? Any Chinese Go-down shop in town. What’s its name? Havn’t a clue – but it has worked and no side effects.

Change your shower gels, soaps and shampoo right away. The ingredient in these that causes them to foam is called sodium laureth sulfate (SLS) I believe this plays a massive part in causing this skin condition. SLS is a detergent and is the first ingredient (after water) that big brands use. I payed the extra money to use brands such as L’Occitane and Liz Earle and I have never looked back. My psoriasis is totally GONE!!! I would also avoid any creams that the doctor gives as it made mine a million times worse!! Hope this can help someone 🙂

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