Facial Psoriasis: Symptoms, Causes, and Treatment Options

Edited By Maharshi Soni on Mar 14,2024
Woman suffering from Facial Psoriasis

The face, a canvas of expression and identity, is often the first feature noticed when meeting someone. However, for those grappling with facial psoriasis, this canvas may bear marks of an internal struggle. Psoriasis on the face, also known as facial psoriasis, presents unique challenges due to its visibility and potential impact on one's self-esteem. Learn more about this condition, from its definition to treatment options and everything in between.

What is Psoriasis on the Face?

Psoriasis is a chronic autoimmune condition characterized by the rapid proliferation of skin cells, forming red, scaly patches. When this phenomenon occurs on the face, it's termed facial psoriasis. Facial psoriasis can manifest in various forms, including plaque psoriasis, which presents as raised, red patches covered with silvery scales; guttate psoriasis, characterized by small, droplet-like lesions; or inverse psoriasis, which affects skin folds such as those around the eyes, nose, and mouth.

Effects of Psoriasis on the Face

Functional Impairment

In severe cases, facial psoriasis may interfere with essential functions such as eating, talking, and facial expressions. Cracked or inflamed skin around the mouth or eyes can make everyday activities uncomfortable and challenging.

Risk of Infection

Cracked and inflamed skin associated with facial psoriasis may serve as entry points for bacteria, increasing the risk of infection. Secondary infections can exacerbate symptoms and prolong healing, requiring prompt medical attention.

Secondary Complications

Persistent facial inflammation can lead to complications such as rosacea, a chronic skin condition characterized by facial redness, flushing, and visible blood vessels. Additionally, facial psoriasis may affect the eyes, leading to conditions like conjunctivitis or uveitis, which require specialized treatment.

Learn More: Erythrodermic Psoriasis: In-Depth Look Into This Condition

Symptoms of Facial Psoriasis

Red Patches

The hallmark symptom of facial psoriasis is the presence of red, inflamed patches on the face, often accompanied by silver-white scales. These patches may appear on the forehead, cheeks, eyebrows, around the eyes, nose, and mouth or even extend to the hairline and scalp.

Itching and Burning

Affected individuals may experience itching, burning, or soreness in the affected areas, exacerbating discomfort and disrupting daily activities. Itching can be exceptionally bothersome, leading to constant scratching and potential skin damage.

Dryness and Flaking

Facial psoriasis can cause dry, flaky skin, particularly around the eyebrows, hairline, and nose folds. Scales may be more pronounced in increased friction or moisture areas, such as behind the ears or within facial creases.

Swelling and Discomfort

Inflammation associated with facial psoriasis may lead to swelling and discomfort, making facial movements painful and restrictive. Swelling around the eyes or mouth can also affect vision, speech, and eating habits.

Cracks and Bleeding

Severe cases of facial psoriasis may result in cracks or fissures in the skin, leading to bleeding and increased susceptibility to infection. Bleeding lesions can be alarming and may require immediate medical attention to prevent complications.

Must Read: What Is Pustular Psoriasis? The Condition and Its Management

Psoriasis Causes and Risk Factors

Genetics

A family history of psoriasis increases the likelihood of developing the condition, including facial involvement. Genetic predisposition plays a significant role in determining an individual's susceptibility to autoimmune disorders like psoriasis.

Immune System Dysfunction

Psoriasis is primarily an autoimmune disorder wherein the immune system mistakenly targets healthy skin cells, triggering inflammation and excessive skin cell production. Dysregulation of immune responses leads to the characteristic symptoms of psoriasis, including those affecting the face.

Environmental Triggers

Exposure to certain environmental factors such as stress, infections, and cold weather can exacerbate psoriasis symptoms, including those affecting the facStressful life events, seasonal changes, and skin trauma can trigger or worsen facial psoriasis flare-ups.

Medications

Certain medications, such as lithium, beta-blockers, and antimalarial drugs, can trigger or worsen psoriasis symptoms in susceptible individuals. Drug-induced psoriasis may affect various body parts, including the face, and requires careful management under medical supervision.

Lifestyle Factors

Unhealthy lifestyle habits, including smoking, excessive alcohol consumption, and poor dietary choices, may increase the risk and severity of psoriasis. Chronic inflammation resulting from lifestyle factors can exacerbate facial psoriasis symptoms and impede treatment efficacy.

Treatments for Face Psoriasis

Topical Steroids

Topical corticosteroids are often prescribed to reduce inflammation and itching associated with facial psoriasis. These medications come in various strengths and formulations, depending on the severity and location of the lesions.

Moisturizers

Regularly applying moisturizers helps hydrate the skin, reducing dryness and flakiness associated with facial psoriasis. Emollients and humectants form a protective barrier, preventing moisture loss and improving skin elasticity.

Calcineurin Inhibitors

These medications help suppress the immune response and reduce inflammation, effectively treating facial psoriasis. Tacrolimus and pimecrolimus are commonly used calcineurin inhibitors in topical formulations for managing facial psoriasis.

Phototherapy

Light therapy, or phototherapy, involves exposing the affected skin to ultraviolet light, which can help alleviate symptoms of facial psoriasis. Narrowband UVB therapy and targeted phototherapy devices deliver controlled doses of UV radiation to the affected areas, reducing inflammation and promoting skin healing.

Systemic Medications

In severe cases, oral or injectable medications, such as methotrexate, cyclosporine, or biologics, may be prescribed to manage facial psoriasis symptoms. These systemic treatments target specific immune pathways involved in psoriasis pathogenesis, providing long-term control and symptom relief.

Check This Out: Chronic Plaque Psoriasis: Causes, Symptoms, and Treatment

How to Put Psoriasis Medication on Your Face

  1. Wash your face with a mild cleanser and pat dry with a soft towel. Avoid harsh soaps or cleansers that may further irritate sensitive skin.
  2. You can apply the prescribed medication sparingly to the affected areas, avoiding contact with eyes, mouth, and mucous membranes.
  3. Gently massage the medication into the skin using circular motions, ensuring thorough absorption and coverage of all affected areas. Avoid rubbing or scrubbing vigorously, as this can exacerbate inflammation and irritation.
  4. Allow the medication to be fully absorbed before applying moisturizer or makeup to avoid interference with its efficacy.
  5. Protect your skin from sun exposure by wearing sunscreen with a high SPF during the day, especially when using photosensitizing medications such as topical retinoids or phototherapy treatments.

Home Remedies for Facial Psoriasis

Oatmeal Baths

Soaking in an oatmeal bath can help soothe itchy, inflamed skin associated with facial psoriasis. Oatmeal contains compounds that have anti-inflammatory and moisturizing properties, providing relief from itching and irritation.

Cold Compresses

Applying cold compresses to the affected areas can help reduce inflammation and alleviate discomfort associated with facial psoriasis flare-ups. Use a clean cloth soaked in cold water or ice packs wrapped in a towel to pressure the skin for short intervals gently.

Aloe Vera Gel

Aloe vera gel has soothing and anti-inflammatory properties, making it beneficial for relieving symptoms of facial psoriasis. Apply pure aloe vera gel to the affected areas, avoiding contact with eyes and open wounds, and leave it on for 15-20 minutes before rinsing off with lukewarm water.

Coconut Oil

Applying coconut oil to the affected areas can help moisturize the skin and reduce scaling and redness associated with facial psoriasis. Coconut oil contains fatty acids that penetrate the skin barrier, restoring hydration and promoting healing of damaged skin.

Turmeric Paste

Turmeric contains curcumin, a compound with potent anti-inflammatory and antioxidant properties. Mixing turmeric powder with water to form a paste and applying it to the face can help reduce inflammation and soothe irritated skin. Leave the paste on for 15-20 minutes before rinsing off with warm water.

Also Read: Effective Management: Side Effects of Psoriasis Treatments

Conclusion

Facial psoriasis presents unique challenges due to its visibility and potential impact on self-esteem and quality of lifIf you suspect facial psoriasis or are experiencing symptoms, consult a dermatologist for an accurate diagnosis and personalized treatment plan. Remember, you're not alone in this journey; support is available to help you navigate it.

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What is Grover's Disease, Its Causes & Common Symptoms?

 You will notice that sometimes the skin reacts in ways that people don't expect, and out of nowhere, small red bumps show up that do not stop itching.This allergyis known as Grover's disease. It is not a very common skin allergy, but when it appears, it can be both irritating and confusing.This guide will help you learn through what is Grover's disease, its causes, and how you can deal with it.What is Grover's Disease?Grover's disease is a short-term skin condition that mainly affects adults, especially men over 40. Doctors sometimes call it transient acantholytic dermatosis. The word "transient" means it usually doesn't last forever. It comes and goes, often disappearing after a few weeks or months.The allergy usually causes rashes around your chest or back area. You will see that the rashes are small and the red bumps may even feel rough when you touch them. Lastly, the itching can differ from person to person because some people experience mild itching, whereas some suffer a lot.Always remember that Grover's allergy is not a dangerous disease, but can be extremely disturbing for your day to day life.Must Read: What Is Pustular Psoriasis? The Condition and Its ManagementUnderstanding What Causes Grover's DiseaseThe exact cause of Grover's disease is still to be discovered, but there are some factors that doctors have noticed can cause this allergy. You can find them in the following list:Heat and SweatMany cases begin after someone has been sweating a lot. Heat and trapped sweat under the skin can irritate the area and trigger a rash. People who spend time in hot environments or have been bedridden for long periods are more likely to get it.Dry Skin and AgingAs people age, skin becomes thinner and loses moisture. This makes it easier for irritation to develop. Grover's disease is more common in older adults because their skin barrier isn't as strong as it once was.Sun DamageYears of exposure to the sun can also make the skin weaker and more sensitive. Damaged skin may react more easily, and this can sometimes lead to conditions like Grover's disease.Other Skin StressesThings like long, hot showers, tight clothing, or certain soaps can irritate the skin and make symptoms worse. Sometimes, even a small irritation can start the cycle.List of Common Symptoms of Grover's DiseaseThe symptoms of Grover's disease are not always the same for all. Therefore, the following points include the different signs of this allergy:Red Bumps or Spots: The red bumps can be flat or raised and can also potentially form small blisters. These rashes can appear suddenly and quickly spread across your chest, back, and shoulder area.Itching: This is one of the most common signs of the Grover's allergy. It is also important for you to know that the itching can increase significantly if your skin gets hot or sweaty.Burning or Irritation: In many cases, people have described that they experience a mild burning feeling because of the rashes. Therefore, you should consider not rubbing or pressing those rashes because it can trigger such scenarios.The rash usually lasts a few weeks, though for some people it can stay longer. It may fade and then return later. While it can look worrying, it's usually harmless and does not spread from person to person.Learn How to Treat Grover's DiseaseTreatment for Grover's disease focuses on easing discomfort and helping the rash heal faster. Since it often goes away on its own, care usually involves reducing irritation and keeping the skin calm.Cool CompressesYou should apply a cool or damp cloth to the rash because it will provide you relieve from itching and reduce the redness. It also calms the burning sensation that can come with the rash.Topical CreamsDoctors may suggest creams that reduce inflammation. These creams can help control itching and speed up healing.Avoid Heat and SweatStaying in cool places and wearing loose cotton clothes helps keep the skin dry. Avoiding hot showers and saunas also prevents flare-ups.MoisturizersUsing gentle and fragrance-free moisturizers that can help repair the dry skin and protect it from irritation. Always remember that moist skin heals fasters and better.AntihistaminesThese are sometimes used to reduce itching. They help calm allergic reactions and make it easier to sleep if the itch is keeping someone awake.Most people recover within a few weeks with basic care. However, for those with severe or long-lasting symptoms, a doctor might prescribe stronger treatments.Top Pick: Effective Management: Side Effects of Psoriasis TreatmentsHelpful Tips for Managing Grover's DiseaseYou can check the following list to find some helpful tips for managing Grover's disease.1. Stay Cool and DryOne of the best ways to manage Grover's disease is to keep the body cool. Heat tends to make the rash worse. Airy clothes and light fabrics can make a big difference. Staying in air-conditioned rooms during hot days helps too.2. Keep the Skin Clean and MoisturizedGentle cleansing is important. Avoid harsh soaps or scrubs that remove natural oils from the skin. After a bath, a soft towel pat and a mild moisturizer can help lock in moisture.3. Avoid Scratching the RashScratching may bring short relief but can make things worse later. It can break the skin and lead to infections. If the itching becomes hard to handle, a cool compress or prescribed cream can be a safer way to ease it.These small steps, when followed regularly, can help the skin recover faster and prevent future flare-ups.How to Live a Happy Life With Grover's DiseaseLiving with Grover's allergy can be highly frustrating because it can happen without any kind of warning. However, if you show proper care and patience, recovering from this disease is completely possible.All you need to do is just follow some simple habits daily, like keeping your skin cool, staying hydrated, and using gentle moisturizers.It's also helpful to avoid long exposure to the sun or heat and wear breathable clothes that don't rub against the skin. Once the rash heals, taking care of the skin helps reduce the chance of it returning.ConclusionGrover's disease may seem like a mystery at first, but it's a temporary and treatable skin condition. With the right care, the rash fades, and the itching stops. Staying cool, gentle, and patient with the skin is usually enough. Most people go back to normal skin health without much trouble, even if it takes a little time.