Healing Skin Changes in Autoimmune Disorders

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allergic rash - national library of medicine
allergic rash - national library of medicine
Rashes, blisters, pigment changes, and hives are just some of the changes people with autoimmune disorders can expect.

Healing the immune system and reducing inflammation are key preventive measures. While certain autoimmune diseases such as the bullous pemphigus disorders primarily target the skin, nearly all autoimmune disorders cause skin changes such as rash or dry skin. These signs of irritation and aging are primarily related to heightened inflammation and reduced collagen production.

Individuals with autoimmune disorders are also more likely to develop other autoimmune disorders, many of which target the skin. For instance it’s not unusual for people with systemic autoimmune disorders to develop lichen planus, dermatitis herpetiformis, psoriasis, erythema mutiforme, granuloma annulare, livedo reticularis, discoid lupus, erythema annulare centrifugum (EAC), hives, rashes and hypersensitivity reactions.

Environmental Causes

The same environmental factors that trigger the production of free radicals and oxidative stress, such as cigarette smoke, ethanol, ultraviolet radiation, stress, and nutrient deficiencies, contribute to both autoimmune disease development and skin aging. Specific physiological changes such as increased sebum production in hyperthyroidism can soften the skin and increase breakouts, whereas a low metabolism in hypothyroidism can dry out the skin. Many autoimmune disorders are also accompanied by vitiligo, which can cause patches of de-pigmented skin. In addition, individuals with autoimmune disorders are more likely to experience allergic and hypersensitivity reactions.

The process of glycation, which is the cross-linking of protein and sugar molecules is another significant cause of oxidative stress and is directly related to diets containing high amounts of refined sugar. Recent studies confirm that a decline in the body's natural antioxidant systems, particularly a reduction in carnosine, is a key factor responsible for autoimmune disease development and the appearance of aging skin.

Reducing Symptoms

A diet with increased levels of fresh fruits and vegetables high in bioflavinoid phytochemicals, stress reduction techniques such as yoga or meditation, and adequate amounts of pure water are ways to prevent oxidative stress. Dietary supplements, particularly anti-inflammatory herbs, are another healing tool. In addition, topical ointments containing antioxidants such as vitamin C, vitamin A derivatives, and zinc have been shown to reduce the effects of oxidative stress on the skin. Studies show that oral supplementation with glucosamine, minerals (such as zinc and selenium) and various antioxidant compounds benefit the skin and improve the appearance of wrinkles and fine lines.

Topical preparations containing antioxidants, and in some cases corticosteroids, are usually necessary to keep the skin moist and reduce rashes and other effects of autoimmunity. Dehydration of skin can be improved with preparations containing hyaluronic acid, sodium pyrolidone carboxylic acid (NaPCA), lactic acid, urea, squalane, and DMAE that are free of parabens. The integrity of connective tissue is improved with preparations containing manganese and glucosamine, which are present in hyaluronic acid.

Dietary Supplements and Nutrients

A number of different dietary supplements are used to reduce oxidative stress, including vitamins A, C, E, B complex, K and D, zinc, copper, manganese, magnesium, CoQ10, quercetin, acetyl-l-carnitine, carnosine, omega oils, green tea extract and alpha lipoic acid. In Europe, the antioxidant nutrient alpha lipoic acid is sold as a drug to treat complications of diabetes because of its ability to reduce mitochondrial-induced oxidative stress. In the United States alpha lipoic acid is used to prevent diabetic complications, the effects of wasting, cataract formation and reduce the degeneration of heart and other tissues, including the skin.

The recommended dose of alpha lipoic acid is 250-500 mg daily and it should be taken along with biotin. Alpha lipoic acid's primary effects are related to its ability to reduce production of the inflammatory immune system chemical nuclear factor kappa beta and its ability to regulate another immune system chemical known as collagen-regulating factor.

The plant bioflavinoid quercetin, which is also a potent antioxidant, also reduces oxidative stress and inflammation by reducing levels of nuclear factor kappa beta. In addition, quercetin helps reduce clot formation and has beneficial effects on the circulatory system and on the mitochondrial function of cardiac cells.

Carnosine is particularly beneficial in diabetes because of its ability to protect cellular chromosomes from oxidative damage and inhibit the process of cross-linking. Carnosine is also essential for the proper metabolism of zinc and copper. Carnosine helps wound healing and prevents cataract formation because of its ability to rejuvenate connective tissue cells. The recommended daily dose for carnosine is 1000 mg or 1 gram daily. Vitamin K promotes skin health by reducing levels of the inflammatory cytokine interleukin 6. Products containing a 10 mg combination of both vitamin K1 and K2 are recommended. Vitamin K is also essential for bone health and the prevention of arterial calcification. Omega oil supplements, which effectively reduce inflammation, should contain EPA, DHA and GLA to ensure a proper balance of omega-3 and omega-6 oils.

Elaine at NYC Best of Reference Library Awards, Lisa Moore

Elaine Moore - I'm a retired medical technologist and medical writer with more than 30 years experience working in hospital laboratories. Currently, I ...

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