Wow, so much education in the last 2 post.. I been fighting a sever flare up on 80% of my skin(80 palm size to measure it) since 2018. It started in the first week after getting my second heart valve transplant (cracked my sternum a second time) the pain is amazing and changed my life badly,but that's a different rant all together. But my skin cells got the messages from the cuts, burning skin, direct tubes in neck and emergency groin cuts in case they needed them. I thought it was a rash but wow it took over and hasn't stopped.. but I'm on my second biologics Tremya (first was consetyx ) 8 weeks in and I'm starting to see good changes. but the arthritis took me down hard. In a wheelchair.. I'm a old man but happy to learn everyday and thanks for.your knowledge.. 🙏💪

I think that there may be degree's of Psoriasis that have not been Explored yet that may Explain wether We should Treat it or ..... NOT..

Koebner phenomenon, also known as the Koebner response or isomorphic response, refers to the development or worsening of skin lesions at the site of skin injury or trauma in individuals with certain skin conditions, including psoriasis. The Koebner phenomenon is not a separate condition but rather a characteristic observed in some individuals with psoriasis.

When it comes to treatment, the approach depends on the specific characteristics and severity of the skin condition, such as psoriasis. Treatment decisions are generally based on factors like the extent of the disease, the impact on the individual's quality of life, and the response to previous treatments. The Koebner phenomenon itself does not necessarily change the overall treatment approach for psoriasis.

In both cases, whether it is psoriasis or the development of new lesions due to the Koebner phenomenon, treatment options aim to manage symptoms, reduce inflammation, and control the underlying disease. These options may include topical medications, systemic therapies, phototherapy, and lifestyle modifications.

However, it's essential to consult with a healthcare professional, such as a dermatologist, who can evaluate the specific characteristics of the condition and tailor the treatment plan accordingly. They can provide personalized recommendations and consider any unique factors or challenges associated with the individual's particular situation.

@A MyPsoriasisTeam Member I think if it is only on the skin, topical steroids are a good idea and UVB therapy worked for me as well, I was completely clear for 18 months the first time. It is a big cabinet you stand inside with narrow-band UVB light, you start off at 10 seconds and they double it each session until you are at 8 minutes. It was 3 sessions a week at the hospital for two months. You can get a handheld version if you only have a few small patches, but you have to check it is the correct narrow-band of UVB that is therapeutic for psoriasis. I used to live in Australia and it was only on my elbows. I wasn't bothered by it at all. I moved to Ireland 12 years ago and it got really bad, all over my arms and legs, even on my face. The UVB was perfect for treating that. Now I have Psoriatic Arthritis and I could only walk 30 steps. They put me on a biologic called Adalimumab which is a weekly injection with a pen you hold against your skin and press a button, this is a complete cure and can even reverse some of the damage from the arthritis. It's free in Europe so I'm very lucky.
As for Koebner, it is not a disease in itself, it is a worsening of skin diseases including psoriasis, Eczema, Vitiligo, Lichen planus, Cutaneous lupus erythematosus and Pityriasis rosea. So you don't get Koebner, you have a Koebner response to an existing skin condition.

Mentioned Users

A MyPsori...

Koebner is a syndrome. That said, they say that trauma can bring on psoriasis and the arthritis. I think I read the chances of getting PSA is about 35% if you already have psoriasis. That number goes to about 85% if you have psoriasis and experience trauma. That is the Koebner effect, they say. My doc said the Koebner effect was probably what brought mine on. I have very little P in my hair. I underwent three major surgeries in 18 months and the arthritis started about 6 months after that, Doc said, probably from the trauma from the surgeries.