Winter skin woes: managing chronic skin conditions during the colder months

Many of us find the winter months hard to deal with emotionally, but for those living with chronic skin conditions like eczema or psoriasis, the cold brings with it physical problems too, as the combination of harsh winds and extreme fluctuations in temperature, as you go from indoor heating to outside cold, can play havoc with your already-sensitive skin.

Although eczema and psoriasis are different skin conditions, with psoriasis being characterised by areas of thickened scaly skin, while eczema causes reddened, itchy patches, they do share many triggers, with cold weather being a major consideration.

Why is the cold so triggering for eczema and psoriasis?

Cold air contains less moisture than warmer air, and since both eczema and psoriasis are triggered by dryness, this can lead to flare-ups. And while you might think central heating would reduce this problem, it can actually exacerbate it, as this kind of heat lowers air humidity.

And to make things worse, more traditional winter warmers, such as woollen clothing, can irritate sensitive skin, causing itching and further discomfort.

So, what can be done to reduce the impact of cold weather on chronic skin conditions?

• Moisturise regularly – all eczema and psoriasis sufferers will know that regular moisturising is key to staying on top of their condition, and in winter this becomes even more essential. Look for thicker, petroleum-based moisturisers that can provide an actual barrier between your skin and its environs, and avoid anything heavily fragranced. Your hands will need particular attention, as regular exposure to water can make things worse. Moisturise after every wash, and consider applying an extra-thick layer of lotion before bed and wearing cotton gloves overnight to help the skin absorb the moisture.
• Manage your environment – it is unrealistic to think you can avoid turning on the heating all winter, but there are ways you can make it less harmful to your skin. Using a humidifier can help to optimise the moisture levels in the air, which in turn will help to keep your skin hydrated. You will need to clean your humidifier frequently to prevent mould, and you should aim for a humidity level of about 40-50%.
• Think about what you wear – we’ve already mentioned the dangers of wool, but just switching to jumpers made of synthetic fabrics won’t necessarily help, as these thicker fabrics can trap heat and sweat, aggravating skin conditions. Layers of thinner, breathable fabrics like silk or cotton will help prevent flare-ups. Remember to use fragrance-free, dye-free, hypoallergenic detergent for your laundry.
• Avoid long, hot baths or showers – when it’s cold outside, the temptation to linger in a hot bath can be overwhelming, but prolonged exposure to hot water can play havoc with skin conditions like eczema or psoriasis. Stick to quick showers with lukewarm water, and use gentle, fragrance-free, soap-free cleansers. Pat skin dry afterwards and remember to moisturise!
• Seek help from your GP if needed – even if you are a long-term eczema or psoriasis sufferer, that doesn’t mean you won’t sometimes need extra help to manage your condition. Your GP can help you find new treatments or identify new ways to adjust your lifestyle to reduce exposure to irritants. Sometimes a change in diet can help, or even meditation, to combat stress. New treatments for eczema and psoriasis are being developed all the time, and you never know which might be the one to work for you.

For more information on managing chronic skin conditions or to book an appointment with one of our GPs, please contact us.