Psoriasis is an autoimmune disease that causes raised, red, scaly patches to appear on the skin, typically on the scalp and the outsides of the elbows and knees.  During the winter, the combination of cold temperatures, dry air, and decreased exposure to sunlight can contribute to flare-ups.  In addition, because psoriasis is an autoimmune disease, anything that affects the immune system also can have a negative impact on your psoriasis.  For example, having a cold or the flu, which tend to be more common during the winter, potentially can aggravate your condition.

According to the National Psoriasis Foundation, as many as 7.5 million Americans currently are living with psoriasis.  Many individuals with psoriasis find that their condition worsens during the winter months.  However, there are several steps you can take to help prevent and alleviate flare-ups.
Frequent moisturizing can help to calm your skin and reduce itchiness.  Ensure that you apply a creamy moisturizer immediately after showering, bathing, or washing your hands in order to lock in moisture.  Utilize a moisturizing soap, and opt for fragrance-free products to reduce the likelihood of negative reactions.  While anti-itch products may be beneficial at times, be aware that some ingredients such as calamine or hydrocortisone may cause irritation or dryness when used in excess.

The use of a humidifier in your home also can help to counteract the effects that dry winter air and indoor heating may have on your skin.  Set up a humidifier in your bedroom for the best results.  It is important that you follow all directions for properly cleaning your humidifier in order to prevent the buildup of bacteria.

While it may be tempting to take a long shower in hot water, doing so strips moisture from the skin.  Instead, limit your showers to ten minutes or less, and ensure that the water is lukewarm.  Bathing can be a relaxing alternative to showers for individuals with psoriasis.  The National Psoriasis Foundation recommends adding oatmeal, Epsom salts, Dead Sea salts, or oils such as olive oil or coconut oil to the bath to help reduce itchiness and sooth the skin.  Soak for no more than 15 minutes and ensure that you apply moisturizer immediately following your bath. 

In order to protect your skin from cold air and wind, dress in soft layers.  Choose cotton instead of fabrics such as wool or denim, which can irritate the skin.  Dressing in layers allows you to remove clothing as needed in order to avoid getting overheated, as sweating can lead to psoriasis flare-ups. 
Because getting sick can exacerbate your psoriasis, it is particularly important that you take precautions to avoid winter illnesses.  Get plenty of sleep each night, wash your hands frequently (always following with a moisturizer), and take steps to reduce sources of stress in your life.  Ensure that you receive a flu vaccination each year, preferably no later than October.  Finally, drink plenty of water, and follow a healthy diet and exercise routine to support your immune system.  While a mild illness such as a cold is generally treatable with over-the-counter medications and plenty of rest, those with psoriasis may wish to visit their physician in order to address flare-ups caused by the illness.

In addition to its physical effects, it is important to keep in mind that psoriasis can play a major role in one’s emotional and mental health as well.  If your condition negatively impacts your mood or causes disruptions to your everyday life – such as strained relationships with family members, friends, or colleagues – you may wish to seek counseling services in addition to the treatments prescribed by your physician.  Because stress can trigger psoriasis flare-ups, you may even find that taking the time to address your mental health can have a positive impact on your skin condition.

If your psoriasis always worsens during the winter, schedule an appointment with your primary care physician or dermatologist.  Adjustments to your treatment plan may help to ease your psoriasis and make for a more comfortable and manageable winter.


Laurie J. Schaeffer, D.O.
Laurie J. Schaeffer, D.O., joined Licking Memorial Dermatology – Pataskala in September 2014.  Dr. Schaeffer received her Doctor of Osteopathic Medicine degree from the College of Osteopathic Medicine at Ohio University in Athens, Ohio.  She completed an internal medicine internship and residency with Doctors Hospital in Columbus.  She completed a dermatology residency with Pontiac Osteopathic Medical Center in Pontiac, Michigan.  Dr. Schaeffer is board certified in dermatology.
 
As a dermatologist, Dr. Schaeffer specializes in the prevention, diagnosis and treatment of skin diseases and disorders.  She is accepting new patients at her office, which is located at the Pataskala Health Campus, One Healthy Place, Suite 205, in Pataskala.