Psoriasis Uncovered Ep. 245 "Inverse Psoriasis Uncovered"
Feb 11, 2025
Jeffrey Cohen, Director of the Psoriasis Treatment Program at Yale University, shares his expertise on the challenging condition of inverse psoriasis. He clarifies its unique symptoms and how it can often be mistaken for other skin issues. The discussion delves into treatment options, highlighting the importance of personalized approaches. Cohen emphasizes the potential connection between inverse psoriasis and psoriatic arthritis. He also explores innovative therapies, including biologics and combination treatments, while advocating for greater communication between patients and healthcare providers.
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Rethinking Psoriasis Severity
- Psoriasis severity is better understood by area affected and site importance rather than just body surface area (BSA).
- Locations like palms, soles, or genitalia greatly impact daily functioning despite smaller BSA.
Personal Inverse Psoriasis Experience
- Kaitlin experienced inverse psoriasis under her arms after long road travel.
- It appeared red, flat, itchy, and painful, differing from her usual plaque psoriasis.
Visual Features of Inverse Psoriasis
- Inverse psoriasis appears as pink, moist plaques with little scale due to skin folds' moisture.
- This differs from classic dry, scaly plaque psoriasis and can be confused with other conditions.