Usually, a victim of psoriasis first notices a small sore somewhere on the body, a sore that doesn’t heal. It just seems to get worse and begins to spread. More sores then erupt in different areas. Some of the sores remain small or eventually disappear, but in most instances, they get worse as time goes on, and the patient begins to seek relief.
There are occasions when the first signs of the disease appear after an injury or an abrasion of the skin. The damaged area does not heal properly and psoriatic lesions begin to develop along the site of the injury. This is known as the Koelrner phenomenon. Vigorous scrubbing, scratching, or picking at the area only makes it worse. Low humidity, systemically administered drugs, and severe emotional stress can also be triggering factors preceding the first outbreak of the disease. Even using a loofah sponge instead of a soft cloth or just your hands while showering can irritate the skin to the point of severe inflammation.
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