Why does psoriasis become worse at night? 4 reasons that could be the culprits

Psoriasis worsens as night time approaches, causing irritation and itching. Here’s why psoriasis becomes worse at night.
myths about psoriasis
Psoriasis can eventually affect your mental health too. Image courtesy: Shutterstock
Grace Bains Updated: 30 Oct 2023, 15:02 pm IST
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Many of you face the absolute discomfort of dealing with skin psoriasis, managing scaly and dry skin. Often, this condition becomes worse at night, causing you to constantly toss and turn in bed and wake up to tend to the painful and itchy scales on your skin.

What is skin psoriasis?

Psoriasis is an autoimmune condition that causes skin rashes and leads to scaly and dry skin. A common symptom of this condition is itching and the development of flaky skin. This condition manifests when the immune system goes into overdrive, generating new skin cells, faster than the usual rate. This hyper generation of skin cells results in patches developing, which are usually painful and itchy.

The immune system triggers the brain to believe that your skin is getting inflamed, making you scratch and further aggravate the condition and increasing the risk of infection.

psoriasis
Psoriasis is an autoimmune disease that can cause severe skin discomfort. Image courtesy: Shutterstock

Although there is no cure for this condition, there are many ways to manage the severity of the symptoms and lead relatively comfortable lives. However, one issue that persists amongst those affected by this condition is that many times it becomes worse at night.

Here’s why psoriasis becomes worse at night

The body’s internal clock, making skin cells work differently at different times of the day, flaring up your symptoms because of the following reasons:

1. Skin’s pH levels are acidic

The skin’s pH levels become more acidic as the nighttime approaches. This may cause inflammation, breakouts and rashes, leading to discomfort for people dealing with psoriasis. Balanced pH levels are important to maintain the skin’s hydration and barrier, for maintaining its health. An increase in acidic levels compromises the skin’s barrier and causes dehydration, leading to making psoriasis worse at night.

2. You have not changed into comfortable clothes

We spend our days wearing clothes appropriate for work or for social gatherings, even if they are happening online. By late evening or night, in case you have not changed into more loose, breathable and comfortable clothes, then your skin might have been constantly to fabrics that aggravate the dry and scaly skin, causing pain and itchiness. The fact that the body temperature starts to increase as night approaches, further adds to discomfort and irritation.

psoriasis
Avoid wearing tight clothing at the end of the day if you have psoriasis because it can add to the discomfort and itching. Image courtesy: Shutterstock

3. Increased skin cell proliferation

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At night time, the skin’s repair function, proliferation and barrier permeability are at its highest levels. Psoriasis can cause large amounts of new cells to proliferate and not shed when they come on the skin’s surface, causing scaling and rashes.

4. Skin is dehydrated

Your skin experiences moisture and water loss at night as the body loses fluids and electrolytes. This causes dry skin, which leads to itching and irritation. The compromised skin barrier also adds to skin’s discomfort because water is not retained for adequate time periods in the skin cells.

So, ladies, be mindful of these factors that can cause discomfort to manage psoriasis more comfortably.

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About the Author

Grace is someone who likes writing enough to make a living out of it. When she isn’t writing, you will find her having chai and reading a book. ...Read More

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