Facial psoriasis occurs on the eyebrows, the skin between the nose and upper lip, the forehead, and the hairline.
Before treatment can begin, you need a biopsy to confirm that it is psoriasis.
There should be a careful treatment for psoriasis on and around the face as the skin here is delicate. Treatment options include:
- Keratolytic products to remove scales
- UVB Phototherapy
- Elidel and Protopic – FDA-approved drugs for eczema that have found to work for some psoriasis patients
You should only apply little medication to the face as this can cause skin and eye irritation. Furthermore, the prolonged use of steroids may cause facial skin to become thin, shiny, and enlarge capillaries. Make sure to talk to your dermatologist concerning every risk associated with each treatment.
Around the Eyes
There’s a chance that psoriasis around the eyelids may blanket the lashes, making the eyelids red and crusty. If infected for long periods, the rims of the lids may turn up or down. If the edge turns down, lashes can rub against the eyeball and irritate.
In some cases, a particular steroid medication made for use around the eyes treats scaling. Your doctor must supervise the treatment because eyelid skin can get damaged. Overuse of topical steroids in and around your eyes can lead to the development of glaucoma or cataracts. Doctors suggest having your intraocular pressure checked by an ophthalmologist regularly.
Protopic ointment or Elidel cream is an effective treatment on the eyelids and would not cause glaucoma. It can sting for the first few days of use though. Using Elidel or Protopic for eyelid psoriasis may help you avoid the potential side effects of topical steroids.
Psoriasis on the actual eyeball, while rare, can cause inflammation, dryness, discomfort, and may impair vision. Topical antibiotics are the treatment used for infection.
In the Ears
Psoriasis mainly appears in the external ear canal. Scale development in the ear caused by psoriasis can block the ear canal, causing temporary hearing loss. Do not remove the scales yourself.
For treatment, drip prescription steroid solutions into the ear canal or apply to the outer side of the ear canal.
Around the mouth and nose
For some people, psoriasis lesions appear on the gums, tongue, inside the cheek or nose, as well as the lips. Psoriasis in these areas can be extremely annoying and lead to problems in chewing and swallowing food.
Essentially, psoriasis treatments for the mouth and nose involve the use of topical steroids designed to treat moist areas. Improving hygiene and rinsing with a saline solution can help with the discomfort. Mild steroids can help treat psoriasis on the lips. Protopic and Elidel may also be effective treatment options for psoriasis in and around the mouth.