Dermatologist on four triggers for ‘morning psoriasis’ – including shampoo

Dermatologists explain the 'devastating' impact of psoriasis

Morning psoriasis refers to the phenomenon where flaky, scaly and coloured patches of skin appear overnight.

The NHS clarifies: “Psoriasis is a skin condition that causes flaky patches of skin which form scales.

“On brown, black and white skin the patches can look pink or red, and the scales white or silvery.

“On brown and black skin the patches can also look purple or dark brown, and the scales may look grey.”

Dr Melegh cautioned one of the possible triggers for morning psoriasis is shampoo and hair products.

READ MORE… Scaly skin from psoriasis could flare up if gut microbiome isn’t right

The skin expert explained: “Most ordinary shampoos contain chemical detergents in order to remove grease from hair.

“These detergents can be aggravating to reactive skin and over time may lead to contact skin reactions.

“Often with facial psoriasis, it will appear around the hairline and behind the ears and this can be a sign of psoriasis that might be triggered by a shampoo or hair care product.”

If this is the trigger for your psoriasis, Dr Melegh recommended switching from your usual shampoo to Skin Shop’s Oregon shampoo and conditioner.

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Both these products are designed to treat and prevent psoriasis, Dr Melegh said.

“Oregon hair care products contain the plant extract Oregon grape root [a native plant of North America],” she added.

Numerous scientific studies have found compounds isolated from Oregon grape root possess inhibitory activity against lipoxygenase, an enzyme involved in psoriatic skin cell production.

Dr Melegh confirmed: “At the cellular level, Oregon grape root has been shown to guard against accelerated activity during the process of skin cell production.”

Other triggers you may not have associated with psoriasis include:

  • Changes in the weather
  • Medications to treat underlying health conditions
  • Facial waxing.

Dr Melegh elaborated: “Research shows that people with psoriasis are more likely to have a large number of inflammatory mast cells, which are the kind that triggers allergic reactions like swelling and itching.

“So when skin allergies are triggered by things such as pollen or changes in weather, then it’s more like that psoriasis flare-ups may occur.”

As for medications, ACE inhibitors, beta-blockers, lithium and NSAIDs can cause sudden flare-ups, Dr Melegh stated.

Trauma to the skin, such as from facial waxing, could also lead to a flare-up of psoriasis.

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