- COMMUNICATING WITH YOUR GP
- COMMUNICATING WITH YOUR DERMATOLOGIST
- QUESTIONS AND ANSWERS
- REFUSING TO HIDE GUIDE
MAKE THE MOST OF THE TIME WITH YOUR GP
It is very important to work with your GP to get an accurate diagnosis and the best treatment for your psoriasis. The ‘Communicating with your GP’ information guide is intended as an aid to ensure your GP has the medical history information necessary to diagnose psoriasis and assess severity and to help you discuss any concerns regarding treatment with your GP. Download the ‘Communicating with your GP’ information guide and mark the sections that you wish to discuss with your GP. Take it with you the next time you see your GP.
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GETTING THE BEST CARE FROM YOUR DERMATOLOGIST
Your dermatologist is an important source of information about your psoriasis and the treatments. If you have any questions or concerns regarding your psoriasis or your treatments, contact your dermatologist.
The ‘Communicating with your dermatologist’ information guide is intended as an aid to ensure your dermatologist has all the information necessary to determine the best treatment approach for your psoriasis severity. It is also designed to help you discuss any concerns regarding your treatment with your dermatologist. Download and mark the sections that you wish to discuss with your dermatologist, and take it along to your next appointment.
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While psoriasis can develop at any age, most people see the first symptoms between young adulthood and their mid thirties.
Injury or trauma to the skin can trigger a flare up of psoriasis, and not always immediately. You should speak with your doctor about the risks involved if you are considering a tattoo.
Yes. Dry air, decreased sunlight exposure, and colder temperatures can contribute to psoriasis flare-ups in the winter.
Care should be taken to avoid damage or injury to the skin. Certain dyes can be harsh to the scalp and may irritate open lesions. Speak with your doctor if you are unsure, and always carry out a test patch before applying to larger areas of skin. Similarly, try to choose low-irritant make‑up where possible, and carry out a test patch before applying to the face.
Natural sunlight can positively affect psoriasis. Ultraviolet (UV) light is the basis of light therapy, a treatment for psoriasis. However, you should avoid sunburn, which can trigger a flare up. Certain treatments can also increase your skin’s sensitivity to light.
Psoriatic arthritis is associated with psoriasis, and around 3 in 10 people with psoriasis may develop psoriatic arthritis.3 Though not all people with psoriasis will develop psoriatic arthritis, those who do tend to develop symptoms approximately 10 years after the onset of their psoriasis.4
There is no single test for psoriasis, so your doctor will make a diagnosis after talking to you about your symptoms and carefully examining your skin. To rule out other potential causes, they may require a small skin sample (biopsy). You may be referred to a dermatologist for a confirmed diagnosis and treatment.
When considering choice of treatment, your doctor should consider the type, severity and location of your psoriasis, as well as the impact of both the disease and the treatment on your quality of life. Treatment will generally begin with topical therapy (such as ointments and creams) then move to light therapy, which uses ultraviolet (UV) light, and then systemic therapy, which works inside the body.
Psoriasis is thought to affect about 2% of the population in New Zealand.1
No. While plaque psoriasis is the most common form of psoriasis, there are other types (guttate, inverse, erythrodermic, pustular, etc.)
Psoriasis is not contagious and is not sexually transmitted, so it is fine to have sex in that respect. However, lesions in the groin or genital area may be irritated by sex. If this is the case, you can take practical steps like using lubrication or condoms to lessen friction. Don’t feel afraid to talk to your doctor about what you can do. It is also important to remember that psoriasis sufferers often feel self-conscious about their appearance, so in an intimate situation their partner should be as patient and supportive as possible.
No, psoriasis is a disease of the immune system, and is not something you can catch and pass on.
About 1 out of 3 people with psoriasis report having a relative with the disease.2 Speak with your doctor about your family history.
No. It’s a chronic (long-term) disorder of the immune system that means your own body’s defense system mistakenly affects healthy skin cells. The effects you can see appear on the skin. Up to 3 out of 10 people with psoriasis may develop psoriatic arthritis, which impacts your joints and skin.3
Psoriasis affects men and women almost equally.
While there is currently no cure, there are a variety of treatments that can help to clear psoriasis for periods. Not all treatments will work for everyone, and you may need to try several before you find one that works for you.
Psoriasis may affect a small area of your body, or be officially classified as less than severe, but still have a strong negative impact on your quality of life. It is worth talking to your doctor about how psoriasis is affecting your life physically, emotionally, socially and sexually.
Triggers can affect everyone differently. They can include (but are not limited to):
- Alcohol consumption
- Physical trauma
- Injury to the skin
- Certain medications
- Emotional stress
Psoriasis is an autoimmune disease, which means the body’s defense system (the immune system) mistakenly affect healthy skin cells, acting against them as though it is fighting an infection or healing a wound. This causes skin cells to multiply at an abnormally fast rate, forming psoriasis plaques.
Sometimes the symptoms of psoriasis becomes worse than other times (called a flare-up).
Psoriasis is a long-term condition where the immune system overreacts causing an inflammatory response that causes normal skin cells to grow more rapidly. This results in a thick build-up of skin cells visible as plaque ‘lesions’ on the skin’s surface.
Both are autoimmune diseases, but while psoriasis is associated with skin lesions, psoriatic arthritis is generally associated with painful, swollen and stiff joints, and inflammation of the tendons and spine.
The earlier you go to the doctor, the sooner you can be diagnosed and can start treating your symptoms. Also, if you are already undergoing treatment for psoriasis, but feel that your symptoms are not being adequately controlled, you should not be afraid to go back and discuss your options. If you don’t speak up, your doctor may assume you’re coping well with your current treatment.
- Plaque Psoriasis, DermNet www.dermnetnz.org/scaly/plaque-psoriasis, accessed 28/11/2013
- National Psoriasis Foundation: Statistics. Available from: www.psoriasis.org/learn_statistics [Accessed on: 20 August 2013].
- National Psoriasis Foundation: Psoriatic Arthritis. Available from: www.psoriasis.org/psoriatic-arthritis [Accessed on: 9 July 2013].
- National Psoriasis Foundation: an overview of psoriasis and psoriatic arthritis. Available from: www.psoriasis.org/document.doc?id=215 [Accessed on: 20 August 2013].
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