Medical Patient Information

Treatment for Inverse Psoriasis in Adults

Do you suffer from painful skin lesions in your armpits, under your breasts, around your groin or other areas of your body where skin folds against skin? If you have recently noticed a dry, painful, red rash in these areas, chances are that have inverse psoriasis. You are likely wondering if there is any treatment that will help.

What Is Inverse Psoriasis?

Inverse psoriasis is common in overweight people. This type of psoriasis appears in skin folds, such as the armpits, under the breasts, the groin, the folds around genitals and between the buttocks. The skin appears shiny and smooth with red, well-defined borders. The affected skin may also crack open and bleed.

Are There Treatments for Inverse Psoriasis?

Topical medications, such as corticosteroid creams and ointments (hydrocortisone), are usually prescribed first by your medical practitioner. These creams have anti-inflammatory properties. Another cream, such as Calcipotriene, a synthetic vitamin D compound, slows the production of skin cells and reduces inflammation. These two drugs used for eczema may help. Pimecrolimus cream and Tacrolimus ointment can only be prescribed for short term use due to an increased cancer risk. Your doctor may also prescribe Castellani Paint. This “paint” causes the moist areas to dry up and heal. Unscented powders can also help keep the irritated skin dry.

There are treatments options available for inverse psoriasis. Talk with your doctor. Laser treatments are being explored with some promise. Light therapy can help, but is usually done in the doctor’s office. Use medications as prescribed. While psoriasis can be painful, it doesn’t have to stop you from living life to the fullest.