In our fast-paced lives, stress often feels like an inevitable companion. While its emotional and mental tolls are frequently discussed, its tangible effects on our skin remain an area of intrigue for many. From sudden flare-ups of chronic conditions to the onset of unwanted pimples, the evidence of stress manifests vividly on our skin. Dermatologist, Dr Lushen Pillay, delves deep into this intricate relationship, shedding light on how our inner turmoil can quite literally surface on our skin. Join us on this enlightening journey as we uncover the science behind the skin’s responses to stress and arm ourselves with the knowledge to combat its effects.
Stress is an all-too-familiar feeling for many of us. Not only does it take a toll on our mental well-being, but it also significantly impacts our skin. Delve into the fascinating world of how stress can manifest on your skin, causing or exacerbating conditions like psoriasis, eczema, and acne.
Stress and Psoriasis
Psoriasis is marked by red, scaly patches that appear on the skin. Stress can intensify the symptoms of this immune-driven disorder. Here’s how: Stress releases inflammatory agents in our body, and it also increases cortisol production. Both of these factors can flare up psoriasis.
Stress and Eczema
Characterized by itchy and red skin, eczema can become more troublesome under stress. The skin becomes more sensitive to irritants, and inflammation increases, often leading to more frequent and severe flare-ups.
Stress and Acne
Those pesky pimples? Stress can be a culprit, even if it’s not the sole cause. Stress increases the production of certain hormones which in turn stimulate our skin to produce more oil. This can lead to clogged pores, which can invite acne-causing bacteria and prolong the healing time of existing spots.
Managing Stress for Skin’s Sake
Controlling stress is a cornerstone in managing skin health. As consumers, we can incorporate relaxation exercises, mindfulness practices, and healthy lifestyle habits to combat stress. Teaming up with healthcare professionals for a holistic approach can make a world of difference.
Key insights and take-home points:
- The Role of Stress in Skin Issues: Emotional turmoil deeply influences the occurrence, worsening, and persistence of skin issues, including but not limited to, psoriasis, eczema, and acne.
- Stress and Its Inner Workings: For conditions like psoriasis, stress sparks off inflammation and messes with our immune system through mechanisms like cytokine release and HPA axis activation. Eczema witnesses amplified symptoms when stress compromises our skin’s protective barrier and induces immune system chaos. Acne might not be born from stress, but stress can certainly aggravate it. It nudges the skin to produce excessive oil and hampers the skin’s self-healing, extending the lifespan of those unwanted spots.
- Addressing Stress for Healthier Skin: Healthcare professionals (HCPs) play a pivotal role in enlightening patients about this intertwined relationship between stress and skin health, making stress management an integral part of the healing journey. Techniques like relaxation routines and mindfulness practices aren’t just buzzwords—they’re vital tools against stress-impacted skin issues. Alongside medical treatments, therapies such as counselling and stress reduction programs can be game changers in managing skin conditions. Adopting a balanced lifestyle—with consistent exercise, rejuvenating sleep, and nutritious meals—can keep stress at bay, bestowing your skin with a healthy glow.
- The Holistic Approach: Tackling stress head-on enhances the well-being and life quality of those battling psoriasis, eczema, and acne. When HCPs integrate stress solutions into their care regimens, the results can be transformative.
References:
- Gudjonsson JE, et al. Psoriasis. In: Bolognia JL, et al. Dermatol- ogy. 4th ed. 2018.
- Kimball AB, et al. J Am Acad Der- matol. 2005; 52(3 Pt 1): 434-442.
- Eyerich K, et al. J Invest Derma- tol. 2018; 138(1): 34-40.
- Chida Y, et al. Br J Dermatol.
- Kiecolt-Glaser JK, et al. Arch Dermatol. 2003; 139(7): 897-900.
- Chiu A, et al. Dermatol Ther. 2017; 7(1): 37-53.
MBChB (UP) MMed Derm (Wits) FC Derm (SA)
Dr Pillay is a dermatologist at Skinderm in Sandton, Johannesburg. He is also a specialist Dermatologist and Dermatologic surgeon at Helen Joseph Hospital, where he is also the Head of the Dermatology department.He is a lecturer at Wits University, Department of Dermatology, where he teaches medical students and registrars specialising in the field of dermatology.
He completed his undergraduate degree at the University of Pretoria and then completed the fellowship in Dermatology, FC Derm (SA), as well as a Masters (MMed) in Dermatology through Wits University.
Through his specialisation, he has won various research awards and has a special interest in facial aesthetics. He has completed numerous courses and congresses in Aesthetic medicine and also attends international congresses on a regular basis. He runs workshops and trains other practitioners in General dermatology and Aesthetic medicine.
Dr Pillay ensures patients are always well taken care of. One of the most common comments we receive from patients about him is that he is the most humble, down-to-earth doctor and that they truly feel he cares about and understands them.