Inverse Psoriasis - Reverse Psoriasis Treatment!

Inverse Psoriasis

Inverse Psoriasis.




Reverse or inverted psoriasis, is a type of psoriasis that is more common in people who are overweight or have deep skin folds.


The lesions are usually smooth and shiny, and red with well defined edges. These lesions can cause cracks (called fissures) to develop in the folds of the skin, and can bleed.

Reverse Psoriasis usually appears:



  • In the armpits.
  • In the skin folds around the genitals and buttocks.
  • In the breasts.
  • In the groin.


Sometimes, reverse psoriasis is confused with a different skin problem, such as a fungal infection. Because of its location, reverse psoriasis can lead to:


  • Irritation from rubbing and sweating.
  • Fungal infections.
  • Sexual problems due to discomfort or embarrassment.


Treatment for Inverse Psoriasis!


Your doctor may prescribe topical medications, which can be very effective. However, some medications can irritate your skin if you have inverted psoriasis. Talk to your doctor if this happens.

Creams containing corticosteroids, such as lotions and ointments.

Low-dose hydrocortisone is an effective anti-inflammatory medication. Doctors often prescribe this first. Do not use a plastic bandage to cover these areas.

If you have a yeast infection, your doctor may prescribe anti-fungal medication in combination with the corticosteroid.

Be careful with corticosteroids and overuse. Excessive use can result in stretch marks or thinning of the skin in areas that already tend to have thin skin. It can also make psoriasis worse. Apply these medications exactly as your doctor tells you.

Calcipotriene (Dovonex). This synthetic vitamin D compound decreases the production of skin cells and reduces inflammation. It is often effective but can cause irritation.

Pimecrolimus cream (Elidel) and tacrolimus ointment (Protopic): Some dermatologists suggest these drugs for the treatment of psoriasis in the skin folds.

Painting by Castellani (Castederm): Your doctor can suggest this product, which "paints" the skin. It helps to wet and dry psoriasis lesions in the skin folds. This is available by prescription at a pharmacy. You can also buy it without a prescription. Powder can also help keep the wet areas dry.

Other topical medications: medications such as coal tar and anthralin can irritate skin folds. The doctor may recommend dilution of the creams with a softening emollient.

Phototherapy: Ultraviolet light therapy is often used to treat psoriasis, but because reverse psoriasis can occur in areas that are difficult to reach, you may need light therapy in a doctor's office.

Systemic Medications: If you have severe reverse psoriasis, your doctor may recommend treatments that affect the entire body to relieve your symptoms. Some of these drugs, such as Soriatane (acitretin), Rheumatrex, Trexall (methotrexate) and Neoral, Sandimmune (cyclosporine), are taken by mouth.

Other biological treatments, such as Humira (adalimumab), AMEVIVE (alefacept), Enbrel (etanercept), Remicade (infliximab) and Stelara (ustekinumab), are given by injection or infusion.

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