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Worries About Infection
I must say that
I enjoyed your website. I find
it very hard sometimes to deal with having psoriasis.
I first noticed it when I was 14 and it started as a small patch in
my scalp. I thought it was
dandruff. The rest, they say,
is history. I am now 28 and
have it on probably 75% of my body.
I have tried
many different treatments and some worked for awhile and others didn't.
I am a fire fighter/paramedic and have had a couple of scares when
strangers’ body fluids got on my P.
Fortunately I have never contracted anything.
Sure, I could
change professions, but I can't see that happening.
Anyways I look forward to visiting your site again soon and thanks
for the comic relief.
Response: You’re welcome,
Mike. Glad you found us; glad
you’ll come back.
I can certainly
appreciate your scares. While
flakers know their lesions will crack and bleed at times, we generally don’t know how susceptible any lesion — even an apparently whole
one — may be to infection. I
recall a number of slide photos and artistic representations of psoriatic
skin from cut-away edge views: The
topmost layer of dead skin cells is extra thick and the cells look
assembled by some drunk brick layer. Though
this can feel like a tough callus sometimes, how protective, really, is
that pile of helter-skelter skin cells?
We know it tends to vent moisture more than normal skin.
If our own body moisture can get out
so easily, how easy is it for other fluids to get in?
not that easy. We know that
thick lesions are resistant to the topical lotions, creams and ointments
we use to treat them ... so we scratch and in other ways eliminate the
scale — and therein may lie the problem:
When the scale is pried off a flaming lesion, the younger inflamed
skin left exposed is even more wound-like.
are taught that a P lesion is an area of skin fighting off an imagined
pestilence by too-rapid regeneration of skin cells.
Isn’t this fight the same one we’d wage — but appropriately
— if the area really were
infected or otherwise traumatized? The
answer to that is, at least in some respects, yes.
Does that mean we’re prepared to defeat whatever might get in
through the battleground lesions? Perhaps
not, especially if you consider a number of the medicines we use to
counter the lesions also suppress our auto-immune system.
Does this mean even though our defensive forces may be actively
engaged in the area of a lesion, they may not have much strength? ... Here
I run out of answers and
and your concerns should be a wake-up call for all of us.
We are not wasting time to occasionally remind ourselves that our
lesions are wounds. We may be
tough and able to function — we may disregard our lesions’
susceptibilities — but we may come to regret this.
Be careful! -Ed