Oral Psoriasis: Symptoms and Treatment

oral psoriasis

Psoriasis is a skin problem that develops red, thickened spots or silvery, scaly spots on the skin’s surface area. It happens as a body immune system condition where skin cells replicate faster than usual.

Due to the fact that the body cannot shed these additional skin cells rapidly enough, scaly spots or thickened areas called plaques establish, as described by the American Osteopathic College of Dermatology.

Although it is genetic, it generally happens in break outs set off by stress, health problem, medications, alcohol, nicotine and even sunlight. Psoriasis mouth symptoms occur when the cellular concern spreads to this part of the body.

Oral Psoriasis vs. Normal  Psoriasis

Psoriasis most often impacts the upper body and extremities, but can also cause sores on the mucous membranes, consisting of the tongue, lips and inside the mouth. In rare cases, as observed by the Journal of Dermatological Case Reports, it looks like red spots and flaky areas on the lips before it appears somewhere else on the body.

In general, psoriasis in the mouth is uncommon. If you have psoriasis and experience lesions in your mouth, talk with your dental practitioner or skin specialist to be sure these relate to your psoriasis and not a sign of another issue. Appropriate diagnosis is necessary in order to pursue an effective treatment. Nevertheless, if you have been diagnosed with psoriasis, you might develop psoriasis mouth sores.

Psoriasis treatments can be divided into three main types: topical treatments, light therapy and systemic medications.

Inning accordance with the European Journal of General Dentistry, oral psoriasis can manifest as basic tongue lesions in the form of yellow or red spots, whitish areas or semitransparent plaques. Oral psoriasis doesn’t just affect the tongue, either; sores can appear on the palate (the roof of the mouth), within the cheeks or the lips too. Thankfully, it’s rare to see any involvement in the gums.

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What Are the Symptoms of Oral Psoriasis?

If you have actually currently been detected with psoriasis, and see sores, fissures or yellow patches in your mouth, speak to your dentist or skin doctor to have the issue officially diagnosed. Some specific symptoms, as described by DermNetNZ, can include:

  • Red patches with red or white borders.
  • Redness of the mucus membranes in the mouth.
  • Pustules or ulcers.
  • Peeling gums.

Your doctor will probably pursue a biopsy for a definitive medical diagnosis. From there, treatment can consist of topical cortical steroids or oral medications that help control your body’s autoimmune actions.

How Is Oral Psoriasis Treated?

Those who have psoriasis, and experience flareups that impact the mouth or tongue, must talk to a skin specialist or dental expert to determine the best method to handle their symptoms. The Workplace on Women’s Health suggests that some of the treatments you may currently be using for a psoriasis flareup will also assist manage psoriasis in your mouth. Be sure to talk to your doctor, dentist or dermatologist before using any medication against your psoriasis.

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Psoriasis mouth can be uneasy and unappealing, but with consistent management, mouth issues ought to be minimal. When you do have a problem, seek treatment from a certified specialist for the very best possible outcomes.

A lot of the restorative strategies that are used in cutaneous psoriasis are not suitable for use in the mouth. Topical or intralesional steroids, guided by symptom severity and area, are usually efficacious. However, since oral psoriasis may look like or be comorbid with oral candidiasis, care must be used when considering corticosteroid treatment.

A number of medications that are used to treat cutaneous psoriasis, while efficacious, may result in unfavorable impacts when used in the mouth. For instance, retinoids may be related to xerostomia, cyclosporine with gingival enhancement, and methotrexate with stomatitis.

Table 1: Treatment Strategies for Psoriasis of a Mouth

Treatment Examples
Palliation (mild cases)
  • Lukewarm saline rinses, oral moisturizers
  • Alkaline mouth rinses
  • Anesthetic rinses

– Viscous xylocaine

– Diphenhydramine

  • Mucosal coating agents
Improved control of cutaneous disease
  • Appropriate pharmacologic treatment
  • Topical

– Steroids

– Tacrolimus

– Retinoids

  • Intralesional

– Steroids

  • Systemic

– Cyclosporine

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