How is inverse psoriasis diagnosed?
Diagnosis. A medical professional will typically diagnose psoriasis based on the appearance of the rash, the symptoms, personal medical history, and family medical history. If the lesions occur in an area where the skin rubs against itself, the doctor may diagnose inverse psoriasis.
What are the histological findings of psoriasis?
Although psoriasis is usually diagnosed clinically, characteristic histologic findings include hyperkeratosis, parakeratosis, and acanthosis of the epidermis with dilated blood vessels and a lymphocytic infiltrate.
What is the difference between psoriasis and inverse psoriasis?
Psoriasis features thick, discolored patches of skin covered with white or silvery scales. The thick, scaly patches are plaques. Inverse psoriasis doesn’t feature the thick, scaly plaques like other types of psoriasis, most likely because it’s present in moist areas of your body.
What does inverse psoriasis mean?
Inverse psoriasis, sometimes called hidden psoriasis or intertriginous psoriasis, is a form of psoriasis that affects skin folds. These are areas of your body where skin rubs against skin. Inverse psoriasis can occur under your arms, under a woman’s breasts, or in the groin or inner thigh area.
What kind of doctor treats inverse psoriasis?
To find the best inverse psoriasis treatment for you, visit your dermatologist. They’ll be able to evaluate the severity of your condition and help you find the right combination of prescription and non-prescription medications for managing your inverse psoriasis.
How can you tell the difference between jock itch and inverse psoriasis?
But some nuances help tell the two conditions apart. Whereas a rash caused by inverse psoriasis will be smooth and often shiny, one caused by jock itch is typically accompanied by peeling or flaking skin. Symptoms of inverse psoriasis include: smooth areas of redness in the groin, armpits, or under breasts.
What are the differential diagnosis for psoriasis?
The major differential diagnoses of psoriasis localized in the trunk include pityriasis rosea, maculopapular drug eruptions, pityriasis rubra pilaris, secondary syphilis, tinea corporis, mycosis fungoides, pityriasis lichenoides chronica, and subacute cutaneous lupus erythematosus (Figure 3) .
How do you manage inverse psoriasis?
People with inverse psoriasis may experience discomfort because the rash appears in sensitive, tender areas. If you have inverse psoriasis, you may also have another type of psoriasis….Treating inverse psoriasis
- topical steroids.
- coal tar.
- vitamin D, or calcipotriene (Sorilux, Calcitrene, Dovonex)
What is the best medication for inverse psoriasis?
If you have severe inverse psoriasis, your doctor may recommend treatments that affect the whole body to ease your symptoms. You can take some of these drugs as a pill, such as acitretin (Soriatane), apremilast (Otezla), (, Sandimmune), and methotrexate (Rheumatrex, Trexall).
How do you stop inverse psoriasis?
Treatments & Remedies for Inverse Psoriasis
- It’s also not a good idea to cover these areas with plastic bandages since they trap moisture.
- Pimecrolimus ( Elidel ) cream and tacrolimus ( Protopic ) ointment.
- Castellani’s paint (Castederm).
- Other topical medications.