Psoriasis Next Steps
- Avoiding environmental factors that trigger psoriasis, such as smoking, sun exposure, and stress, may help prevent or minimize flare-ups. Sun exposure may help in many cases of psoriasis and aggravate it in others.
- Alcohol is considered a risk factor for psoriasis in young to middle-aged men. Avoid or minimize alcohol use if you have psoriasis.
- An increased risk for heart disease has been shown to correlate with psoriasis, so a low-fat, low-sodium diet is prudent.
Complications of psoriasis may include the following:
- Bacterial skin infections, hair loss, and nail loss
- Hypoalbuminemia (abnormally low amounts of albumin in the blood) due to loss of blood protein into tissues
- Hypocalcemia (abnormally low levels of calcium in the blood)
- Renal tubular necrosis from oligemia (blood deficiency in the body)
- Liver damage from blood deficiency in the body and general toxicity
- Malabsorption (in which your gastrointestinal tract doesn’t absorb nutrients sufficiently) and malnutrition
The von Zumbusch type (with fever and toxicity) can cause death if it is not treated during the acute phase. The heart or lungs may fail and cause death, but this usually only happens in untreated people. Older people with the von Zumbusch type have a poor prognosis.
Occasionally, acute respiratory distress syndrome can complicate generalized pustular psoriasis. People who have typical psoriasis before they experience a generalized pustular episode tend to do better than people with unusual forms of psoriasis before the pustular flare-up.
Children tend to recover well, as long as serious skin infections are avoided.
Media file 1: Pustular psoriasis. Note the clearly defined, raised bumps on the skin that are filled with pus (pustules). The skin under and around these bumps is red.
Media type: Photo
Media file 2: Palmoplantar pustular psoriasis, a type of pustular psoriasis that appears on the palms of the hands or the soles of the feet.
Media type: Photo