Psoriasis in Older Adults

As you age, you may have to change the way you manage your psoriasis. Your skin becomes thinner and more sensitive, which may change how your treatments work. Hormonal changes can impact psoriasis symptoms, and you may develop other health conditions that can affect your treatment. Work with your doctor to adapt your care plan as needed.

Topical treatments such as steroid creams or topical vitamin D are safe for older adults, but they may cause new side effects when used on older skin. You might need to use them less often or switch to gentler alternatives. Tell your doctor if you notice purple spots on your skin, if you skin looks transparent, or if you notice signs of infection, such as redness or areas that are warm to the touch.

As you age, medications may work differently in your body. You may have to start taking a different dose of certain psoriasis medications, like methotrexate. Your doctor may need to check your liver and kidney function more often. You might need to stop using biologics. Experts recommend that people over 65 use biologics only if no other treatments work. That's because they can cause kidney problems and increase your risk of infection.

Having psoriasis boosts your risk of many other age-related conditions. Watch for symptoms of common health problems linked to psoriasis, including heart disease, type 2 diabetes, bone loss, and metabolic syndrome. About 30% of people with psoriasis get psoriatic arthritis, a condition that causes stiff and swollen joints, fatigue, and other issues. Controlling your psoriasis through treatment and a healthy lifestyle can make you less likely to get related health conditions.

People with psoriasis, especially those who've undergone light therapy, may have an increased risk of skin cancer. This risk can be higher in older adults due to a lifetime of sun exposure. Make sure to get regular skin checks. Watch for changes in your skin, including new growths or changes in existing moles. Use broad-spectrum sunscreen daily, wear protective clothing, and limit sun exposure, particularly during peak hours. Tell your dermatologist if you have had phototherapy so they can monitor your skin more closely.

Since you have psoriasis, you already know to be careful about which products to use on your scalp and skin. Be especially cautious about products labeled "antiaging," as they may contain ingredients that can irritate your skin. Avoid retinoids, chemical peels, dermabrasion, and laser procedures when you are having a flare-up. Choose alcohol-free products. Alcohol can dry out your skin and may contribute to psoriasis plaques. Pick lotions with ceramides, lipids, and hyaluronic acid. These natural moisturizing ingredients can soften your skin and lessen the appearance of psoriasis scaling.