Published on March 07, 2024

Why Psoriasis Itches and How to Stop It

Psoriasis Itch: Why Psoriasis Itches and How to Stop It

Psoriasis, affecting an estimated 60 million people globally, stands as a significant chronic skin condition. In the UK alone, approximately 1.52% [1] of the population grapples with this condition. Characterized by its challenging symptom of intense itching, this article delves into why psoriasis itches and provides practical solutions to alleviate this discomfort. Our focus is to offer a better understanding and improved quality of life for those affected by psoriasis.

Understanding Psoriasis and Its Itch

Why does psoriasis itch? Psoriasis is characterized by an accelerated skin cell production process, leading to thick, red, scaly patches on the skin. These patches can become itchy due to inflammation [2] and skin dryness. Additionally, the presence of certain chemicals in the skin, such as histamine, can further aggravate itching.

 

Identifying Psoriasis

How do you know if it is psoriasis or not? Psoriasis can be identified by its distinctive red, scaly patches, often appearing on the elbows, knees, scalp, and lower back. These patches may also be itchy or painful. A dermatologist can confirm the diagnosis through a physical examination and, if necessary, a skin biopsy [3].

Do All Types of Psoriasis Itch?

It’s a common question: Do all types of psoriasis itch? While most types of psoriasis are prone to itching, some forms, like guttate psoriasis, may have less pronounced itching. Conversely, erythrodermic psoriasis [4], a rare but severe form, can cause intense itching along with widespread redness and scaling. It’s important to note that individual experiences with itching can vary significantly, influenced by factors like stress levels, skincare routines, and environmental triggers.

How to Stop the Itching

Managing the itch of psoriasis is crucial for comfort and to prevent skin damage from scratching. Here are some effective strategies:

  1. Moisturizers: Keeping the skin well-moisturized [5] is key in reducing itching. Thick, fragrance-free moisturizers can help soothe dry skin and reduce irritation.
  2. Cool or Warm Compresses: Applying cool or warm compresses to itchy areas can provide immediate, albeit temporary, relief from itching.
  3. Numbing and Anti-Itch Creams: Over-the-counter creams containing ingredients like menthol [6] or camphor can provide temporary relief from itching.
  4. Topical Steroids: These are often the first line of treatment for psoriasis. They reduce inflammation and itching but should be used as directed by a healthcare professional.
  5. Keratolytic Products: Products containing salicylic acid [5] or urea can help soften and remove psoriasis scales, reducing itchiness.
  6. Phototherapy: This treatment involves exposing the skin to ultraviolet light [7] under medical supervision and can be effective in reducing itchiness.

Seeking Professional Help

It’s important to consult a dermatologist for a personalized treatment for psoriasis. They can recommend the most effective treatment options, considering the severity and type of your psoriasis.

Bottomline

While psoriasis can be a challenging condition, understanding how to stop the itching and managing symptoms can significantly improve quality of life. Employing a combination of home remedies, over-the-counter solutions, and professional medical treatments can provide relief and help manage this persistent condition. Remember, a proactive approach and regular consultation with healthcare professionals can make a significant difference in living comfortably with psoriasis.

References:

  1. Raharja, A., Mahil, S. K., & Barker, J. N. (2021). Psoriasis: a brief overview. Clinical medicine (London, England), 21(3), 170–173. https://doi.org/10.7861/clinmed.2021-0257
  2. Deng, Y., Chang, C., & Lu, Q. (2016). The Inflammatory Response in Psoriasis: a Comprehensive Review. Clinical reviews in allergy & immunology, 50(3), 377–389. https://doi.org/10.1007/s12016-016-8535-x
  3. Kim, W. B., Jerome, D., & Yeung, J. (2017). Diagnosis and management of psoriasis. Canadian family physician Medecin de famille canadien, 63(4), 278–285.
  4. Shao, S., Wang, G., Maverakis, E., & Gudjonsson, J. E. (2020). Targeted Treatment for Erythrodermic Psoriasis: Rationale and Recent Advances. Drugs, 80(6), 525–534. https://doi.org/10.1007/s40265-020-01283-2
  5. Kircik, L., Alexis, A. F., Andriessen, A., Blattner, C., Glick, B. P., Lynde, C. W., & Gold, L. S. (2023). Psoriasis and Skin Barrier Dysfunction: The Role of Gentle Cleansers and Moisturizers in Treating Psoriasis. Journal of drugs in dermatology : JDD, 22(8), 773–778. https://doi.org/10.36849/jdd.7411
  6. Nagle, A., Goyal, A. K., Kesarla, R., & Murthy, R. R. (2011). Efficacy study of vesicular gel containing methotrexate and menthol combination on parakeratotic rat skin model. Journal of liposome research, 21(2), 134–140. https://doi.org/10.3109/08982104.2010.492476
  7. Zhang, P., & Wu, M. X. (2018). A clinical review of phototherapy for psoriasis. Lasers in medical science, 33(1), 173–180. https://doi.org/10.1007/s10103-017-2360-1

FAQ

  • It's a common question: Do all types of psoriasis itch? While most types of psoriasis are prone to itching, some forms, like guttate psoriasis, may have less pronounced itching. Conversely, erythrodermic psoriasis [4], a rare but severe form, can cause intense itching along with widespread redness and scaling. It's important to note that individual experiences with itching can vary significantly, influenced by factors like stress levels, skincare routines, and environmental triggers.
  • How do you know if it is psoriasis or not? Psoriasis can be identified by its distinctive red, scaly patches, often appearing on the elbows, knees, scalp, and lower back. These patches may also be itchy or painful. A dermatologist can confirm the diagnosis through a physical examination and, if necessary, a skin biopsy [3].
  • Psoriasis, affecting an estimated 60 million people globally, stands as a significant chronic skin condition. In the UK alone, approximately 1.52% [1] of the population grapples with this condition. Characterized by its challenging symptom of intense itching, this article delves into why psoriasis itches and provides practical solutions to alleviate this discomfort. Our focus is to offer a better understanding and improved quality of life for those affected by psoriasis.
  • Managing the itch of psoriasis is crucial for comfort and to prevent skin damage from scratching. Here are some effective strategies: Moisturizers: Keeping the skin well-moisturized [5] is key in reducing itching. Thick, fragrance-free moisturizers can help soothe dry skin and reduce irritation. Cool or Warm Compresses: Applying cool or warm compresses to itchy areas can provide immediate, albeit temporary, relief from itching. Numbing and Anti-Itch Creams: Over-the-counter creams containing ingredients like menthol [6] or camphor can provide temporary relief from itching. Topical Steroids: These are often the first line of treatment for psoriasis. They reduce inflammation and itching but should be used as directed by a healthcare professional. Keratolytic Products: Products containing salicylic acid [5] or urea can help soften and remove psoriasis scales, reducing itchiness. Phototherapy: This treatment involves exposing the skin to ultraviolet light [7] under medical supervision and can be effective in reducing itchiness.
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