{"id":6980,"date":"2020-04-24T00:05:48","date_gmt":"2020-04-24T03:05:48","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/psoriasis-flexural\/"},"modified":"2020-04-27T16:36:40","modified_gmt":"2020-04-27T19:36:40","slug":"flexural-psoriasis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-flexural\/","title":{"rendered":"Flexural psoriasis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-flexural\/#Psoriasis-flexural\" >Flexural psoriasis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-flexural\/#Caracteristicas-clinicas-de-la-psoriasis-flexural\" >Clinical characteristics of flexural psoriasis.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/psoriasis-flexural\/#%C2%BFCual-es-el-tratamiento-para-la-psoriasis-flexural\" >What is the treatment for flexural psoriasis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>Psoriasis is common <span class=\"term\" data-term-id=\"385\">scaly<\/span> skin condition resulting in red patches of thickened, scaly skin. <span class=\"term\" data-term-id=\"497\">Flexural<\/span> Psoriasis is sometimes called reverse psoriasis and describes psoriasis <span class=\"term\" data-term-id=\"324\">located<\/span> to the folds of the skin and genitals. Common sites of flexural psoriasis are:<\/p>\n<ul>\n<li>Armpits<\/li>\n<li>Groin<\/li>\n<li>Under the breasts<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1258\">Belly button<\/span> (belly button)<\/li>\n<li>Penis<\/li>\n<li><span class=\"term\" data-term-id=\"1004\">Vulva<\/span><\/li>\n<li>Native <span class=\"term\" data-term-id=\"1835\">cleft<\/span> (between the buttocks)<\/li>\n<li>Around the anus<\/li>\n<\/ul>\n<p>Many patients have psoriasis that affects other sites, particularly within the ear canal, behind the ears, through the scalp, and on the elbows and knees.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Psoriasis-flexural\"><\/span>Flexural psoriasis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps12__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3030507-6086088' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps12__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3030507.jpg'>\n<\/div>\n<p class=\"p-small\">Flexural psoriasis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='flexural-psoriasis__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkilduxxq-9908513-9613570' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/flexural-psoriasis__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDUxXQ-9908513.jpg'>\n<\/div>\n<p class=\"p-small\">\u00a9 Dr. Ph Abimelec -<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ps13__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6019016-7444579' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ps13__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6019016.jpg'>\n<\/div>\n<p class=\"p-small\">Flexural psoriasis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>See more images of flexural psoriasis ...<\/li>\n<li>\n<p>See more images of genital psoriasis ...<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Caracteristicas-clinicas-de-la-psoriasis-flexural\"><\/span>Clinical characteristics of flexural psoriasis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Due to the moist nature of the skin folds, the appearance of psoriasis is slightly different. Tends not to have silver <span class=\"term\" data-term-id=\"320\">scale<\/span>, but it is shiny and smooth. There may be a crack (<span class=\"term\" data-term-id=\"104\">fissure<\/span>) in the depth of the skin fold. The deep red color and <span class=\"term\" data-term-id=\"303\">well defined<\/span> The characteristic edges of psoriasis can be obvious.<\/p>\n<p>Scaly <span class=\"term\" data-term-id=\"368\">plates<\/span> However, it can sometimes occur, particularly on the circumcised penis.<\/p>\n<p>Flexural psoriasis can be difficult to distinguish from <span class=\"term\" data-term-id=\"378\">seborrheic<\/span> <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>or it can coexist. Seborrheic dermatitis in the skin folds tends to present as thin salmon pink patches that are less defined than psoriasis. If there is any doubt as to who is responsible, or it is believed that there is an overlap of the two conditions, the term sebopsoriasis can be used.<\/p>\n<p>Complications of flexural psoriasis include:<\/p>\n<ul>\n<li>Rubbing and irritation from heat and sweat.<\/li>\n<li>Secondary fungal infections, particularly Candida albicans (thrush)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"167\">Lichenification<\/span> (a kind of <span class=\"term\" data-term-id=\"491\">eczema<\/span>) from rubbing and scratching: this is a particular problem around the anus where the stool irritates causing itching<\/li>\n<li>Sexual difficulties due to embarrassment and discomfort.<\/li>\n<li>Thinned skin due to long-term overuse of strong <span class=\"term\" data-term-id=\"1330\">current<\/span> steroid creams<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-psoriasis-flexural\"><\/span>What is the treatment for flexural psoriasis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Flexural psoriasis responds fairly well to topical treatment, but often recurs.<\/p>\n<p><strong>Topical steroids<\/strong> <br \/>  Weak topical steroids (often in combination with an antifungal agent to fight candidiasis) can eliminate psoriasis on flexion, but will generally recur sometime after stopping treatment. The strongest topical steroids should be used with care and only for a few days, applied finely and very precisely to psoriasis. If the psoriasis is gone, stop the steroid. <span class=\"term\" data-term-id=\"1121\">cream<\/span>. The steroid cream can be used again in the short term when the condition recurs.<\/p>\n<p>Overuse of topical steroids in thin skin body folds can cause stretch marks, marked thinning of the skin, and can lead to long-term aggravation of psoriasis (tachyphylaxis).<\/p>\n<p><strong>Vitamin D-like compounds<\/strong> <br \/>Calcipotriol cream is an effective and safe treatment for psoriasis in the <span class=\"term\" data-term-id=\"970\">push-ups<\/span> and must be applied twice a day. If it irritates, it can be applied once a day and hydrocortisone cream 12 hours later.<\/p>\n<p><strong>Topical calcineurin inhibitors.<\/strong> <br \/>  Topical calcineurin inhibitors Tacrolimus <span class=\"term\" data-term-id=\"1122\">ointment<\/span> and pimecrolimus cream can be effective and does not cause thinning of the skin.<\/p>\n<p>Combinations of the treatments listed above can be used in conjunction with <span class=\"term\" data-term-id=\"1888\">emollients<\/span>. Antiseptics and topical antifungal agents are often recommended since flexural psoriasis can be complicated by <span class=\"term\" data-term-id=\"935\">bacteria<\/span> and yeasts, including Candida albicans and Malassezia.<\/p>\n<p><strong>Strong topical agents<\/strong> <br \/>  Treatments that are tolerated elsewhere are often too irritating to use on skin folds, for example dithranol, salicylic acid, and coal tar. However, it may be possible to use them by diluting them in emollients, or applying them for short periods and washing them.<\/p>\n<p><span class=\"term\" data-term-id=\"380\">Systemic<\/span> Agents are rarely required for limited flexural psoriasis, and phototherapy is relatively ineffective because the folds are hidden from light exposure.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>La psoriasis es com\u00fan escamoso afecci\u00f3n de la piel que da como resultado parches rojos de piel escamosa y engrosada. Flexural La psoriasis a veces se llama psoriasis inversa y&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6980","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6980","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6980"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6980\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6980"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6980"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6980"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}