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Psoriasis has been a hot topic in the health world in recent years, thanks in part to one very vocal – and very famous – celebrity. Kim Kardashian has shared the ups and downs of her experience with the skin condition on TV and social media, and penned a piece on the subject for her sister Kourtney’s website Poosh. “When I was 25, I had my first psoriasis flare-up,” the reality star and entrepreneur wrote. “I got a common cold, and since psoriasis is an autoimmune condition, this triggered it. It was all over my stomach and legs.” After an injection of cortisone recommended by a dermatologist, the symptoms went away for five years, but came back when Kardashian was in her 30s. “Psoriasis can start at any age, but most often develops in adults between 20 and 30 years old, and between 50 and 60 years old,” says Dr Nisa Aslam, a GP from Typharm’s Skin Life Sciences Foundation. “The severity varies greatly. For some people, it may be relatively minor, whilst for others, psoriasis has a huge impact on quality of life.” In the case of Kardashian, her psoriasis – which has no known cure – also went away during her two pregnancies, but came back after and has fluctuated ever since. “I’ve become extremely comfortable with my psoriasis,” she continued in her essay, revealing that sometimes she covers it up with body make-up and sometimes she doesn’t. “I hope my story can help anyone else with an autoimmune disease feel confident that there is light at the end of the tunnel.” To mark Psoriasis Awareness Month in August, these are the key facts you need to know about the chronic condition… What are the symptoms of psoriasis? “Psoriasis is a type of skin disease that affects about 2% of the population of the UK,” says consultant dermatologist Dr Natalia Spierings, author of Skintelligent: What You Really Need To Know To Get Great Skin. “Patients develop thickened red plaques of skin with thick silvery white scale over the top.” The most common places for plaques to appear are the backs of the elbows, the front of the knees, the scalp and the lower back. They may be itchy or painful. “On brown and black skin, the patches can also be purple or dark brown in colour, and the scales may look grey,” says Aslam. Psoriasis is also linked with an inflammatory form of arthritis, known as psoriatic arthritis, which Kim Kardashian was diagnosed with in 2019. Aslam explains: “Psoriatic arthritis affects the nails, joints and can affect the eyes, the cardiovascular system and may cause insulin resistance, leading to diabetes.” What is it caused by? “Psoriasis is an ‘immune-mediated’ disease, which means that the skin is inflamed, due to a dysfunction or abnormality in how the immune system works,” Spierings says. Doctors believe that an overactive immune system speeds up skin cell turnover, which causes plaques. “Normal skin cells will grow and then shed off the top of the surface of the skin in a cycle which takes approximately a month,” Spierings continues. “In psoriasis, this process is sped up to only three or four days, so the skin doesn’t have time to shed off, and therefore the scale builds up on the skin.” Diet and lifestyle factors can cause flare-ups of the condition. “Known triggers include drinking excessive alcohol; family history; smoking; stress and hormonal changes, for instance during puberty and menopause,” says Aslam. “Plus certain medicines such as betablockers, used to treat high blood pressure; throat infections; other immune disorders and skin injuries. Obesity has been shown to double the risk of psoriasis.” What treatments are available? While there is no cure for the chronic condition, it is possible to treat the symptoms during flare-ups. “There are a variety of effective prescribed skin treatment options, from steroid ointments and creams, to the development of new formats like medicated tapes such as Fludroxycortide tape,” says Aslam. “This is a transparent medicated surgical tape impregnated with the steroid Fludroxycortide, which can be cut to size. When applied to the skin, it helps to reduce redness, swelling and itching.” UV light or sun exposure has also been shown to help psoriasis. “But remember that uncontrolled sun exposure also increases your risk of skin cancer and premature ageing,” says Spierings. “If you want to use sunlight therapy for your psoriasis, it is best to do this via a dermatologist using special machines to deliver the UV treatment.” Because it’s an inflammatory condition, psoriasis can be affected by what you eat. “Certain foods, particularly ultra-processed foods high in fat, salt and sugar may cause an inflammatory response,” says Aslam. “It’s important to stick to a healthy diet with plenty of vegetables, fruits, wholegrains, beans and lentils, and oily fish with small amounts of lean meat, and small amounts of dairy if liked.” She adds: “Finding the most effective therapy is often a matter of trial and error, so it’s important to keep going back to your doctor, or dermatologist, for advice.” Psoriasis and mental health It’s important to note that skin conditions like psoriasis can have a detrimental impact on mental health. “A recent Typharm survey found that 23% of those surveyed think others believe they are infectious and 19% think they are perceived as unhygienic,” Aslam says. However, it is not contagious or caused by poor hygiene. “Patients with psoriasis have a high risk of developing depression because of their skin problem,” says Spierings. “It is incredibly important to seek proper treatment if you have psoriasis or think you may have it.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How to dress in rainy summer weather How to make the Prince of Wales’s Earthshot burger 13 potential cancer symptoms you should get checked out

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Hoda Kotb has opened up about her fears of ageing and missing out on parenting milestones as she raises her two daughters: Haley Joy, six, and Hope Catherine, four. The 58-year-old NBC anchor discussed her anxieties about getting older during a recent episode of Bethenny Frankel’s Just B podcast. While speaking to the entrepreneur and former Real Housewives of New York City star, Kotb detailed her approach to parenting as an older mother to young girls. “I do have it sometimes,” Kotb said, when asked by Frankel if she has “anxiety” about ageing. “My dad died when he was 54, 55. I always think that the foundation he laid down was good for me. It helped me in my life.” Kotb was a junior in college at Virginia Tech when her late father, Abdel Kotb, died of a heart attack in 1986 at age 51. The Emmy-winning journalist became a first-time mother in 2017 when she adopted her eldest daughter Haley with ex Joel Schiffman. However, Kotb admitted that she “sometimes does the math” when thinking about being present for her daughters getting married or having children of their own. “I look at my mom, who’s 86, and I think to myself, ‘OK, what’s the difference here between me and her? 30 years. OK, that’s kind of good,’” Kotb said. “So I add 30 to Haley and I add 30 to Hope. And I think to myself, won’t that be spectacular? I can do that.” The Today host added, “Wouldn’t that be amazing? Do I get to see them get married? Maybe. That would be really good. Or do I get to see them have a child? Maybe. That would be really good.” While Hoda Kotb admitted that she sometimes has anxiety about watching her daughters grow up, she ultimately decided to not look at the future in a negative way. Rather, she explained how she chooses to focus on how “special” it would be to witness her daughters’ milestones. “I think about it, but I don’t think about it on the end of, ‘Oh, no, I won’t be able to…’ I would be delighted if all those things were possible, and I think that would be special,” she said. Kotb then recalled writing her mother’s age minus her age on the glass in the shower one day. “And I looked at the number and I was like,” she shared, clapping her hands. “What if you get that many years? That’s more than I got with my dad.” Meanwhile, Frankel, 52, opened up about her anxieties of getting older and missing out on moments with her 13-year-old daughter, Bryn. The Skinny Girl founder shared that it’s her daughter who tends to “do the math” on their age gap. “I watch her make the connection and then I watch her get distracted because it’s anxiety for her,” Frankel told Kotb. “We’re very close. It just keeps getting better, it’s so beautiful.” Elsewhere during the podcast, Hoda Kotb detailed the moment she learned she was going to become a mother for the first time. In the episode, the Today star shared the text she received from someone named Ashley at the adoption agency after her daughter Haley was born. The mother of two said that, after she saw the adoption agent’s number displayed on her phone, she took out a yellow pad of paper and wrote the time, 11:55. “This is the moment everything changes,” Kotb recalled thinking. “I knew it.” “And I took a deep breath and dialed the number, and I said, ‘Ashley?’ and she said two words to me. She said, She’s here.’” “I don’t know what birth feels like, and I bet it was amazing, but this was really close,” she added. Hoda Kotb adopted her second child, Hope Catherine, in April 2019. Earlier this year, Hope experienced health complications that caused her to spend time at the hospital. Upon returning to the Today show after a two-week absence, Kotb revealed that her then-three-year-old had been in the hospital’s intensive care unit. “My youngest, Hope, was in the ICU for a few days and in the hospital for a little more than a week,” Kotb told Today co-host Savannah Guthrie. “I’m so grateful she’s home. She is back home. I was waiting for that day to come. And we are watching her closely. I’m just so happy.” The journalist then expressed her gratitude for all those who helped her daughter and provided support for her family during the scary experience. “You know what I realised too, Savannah? It’s like, when your child is ill, the amount of gratitude you can have for people who helped you out,” she said. “So I’m grateful for the doctors at Weill Cornell, who were amazing and the nurses. And I’m grateful for my family and I’m grateful to friends like you who were there every single day. So I want to say thank you for that. I love you.” Read More Hoda Kotb reveals ‘terrible’ letter criticising her for being an older mother Hoda Kotb returns to Today show after three-year-old daughter Hope is discharged from hospital ICU Jenna Bush Hager discusses body image after revealing her grandmother once called her ‘chubby’ Keke Palmer says she faced ‘breast milk discrimination’ at airport Colin McFarlane diagnosed with prostate cancer 7 tips and tricks for hay fever relief