Chicago Sun-Times (Sunday)

Psoriasis symptoms might be helped by paying attention to what you eat

- ELIZABETH KO, M.D. EVE GLAZIER, M.D. Dr. Eve Glazier and Dr. Elizabeth Ko are internist and professors at UCLA Health.

Dear Doctors: I’m 27 and have itchy skin my doctor says is psoriasis. It comes and goes, sometimes bad, other times not that noticeable. Can diet help?

Answer: Psoriasis is a chronic skin condition associated with a malfunctio­n of the immune system.

It’s marked by overproduc­tion of skin cells, which results in raised areas of dry, reddened and flaking skin. These areas of inflammati­on, sometimes topped by silvery scales, typically appear on the elbows, knees and scalp but can occur anywhere.

Symptoms also can include burning, soreness and itching, nails thicker than normal or with pits or ridges and joint stiffness or swelling.

Susceptibi­lity is inherited. The condition is much more common in adults than in children.

The reasons the immune system goes a bit haywire this way aren’t fully understood. But flareups are associated with triggers such as stress, cold weather, the use of tobacco products and skin injuries.

You are correct that some studies have found diet might play a role. Research suggests that avoiding inflammato­ry foods might help ease symptoms and lessen the frequency of flareups.

Chief among the culprits: sugar, long linked to inflammati­on. In a mouse study last year in the Journal of Investigat­ive Dermatolog­y, researcher­s triggered inflammato­ry changes in the skin in just a few weeks on a high-sugar diet.

Other foods linked to inflammati­on include alcohol, red meat, saturated fats and highly refined carbohydra­tes found in snack foods and ultra-processed foods.

Some studies have found the Mediterran­ean diet, with its focus on seafood and olive oil as well as a wide range of fresh vegetables, fruit and leafy greens, might improve symptoms. This eating plan is rich in n-3 polyunsatu­rated fatty acids, known as omega-3s, which appear to influence eicosanoid­s that have a role in causing inflammati­on.

Researcher­s suspect eating more omega-3 fatty acids might suppress inflammato­ry processes.

But diet alone hasn’t been found to control or cure psoriasis.

Some people find a vegetarian diet can lessen the severity. Pay attention to whether what you eat appears to correspond to changes in your level of inflammati­on. You might uncover dietary triggers that can help you.

 ?? STOCK.ADOBE.COM ?? The Mediterran­ean diet, with its focus on seafood and olive oil as well as a wide range of fresh vegetables, fruit and leafy greens, might help improve psoriasis symptoms.
STOCK.ADOBE.COM The Mediterran­ean diet, with its focus on seafood and olive oil as well as a wide range of fresh vegetables, fruit and leafy greens, might help improve psoriasis symptoms.
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