Does Chlorine Help or Hurt Psoriasis?

Psoriasis is a chronic autoimmune condition characterized by the rapid buildup of skin cells, leading to thick, scaly patches that can be itchy and uncomfortable. Many individuals with this condition often wonder about the effects of common environmental factors, such as exposure to chlorine, on their skin. The question of whether chlorine helps or harms psoriasis is a frequent concern, prompting a closer look at its actual impact.

Chlorine’s Impact on Psoriatic Skin

Chlorine, widely used as a disinfectant in swimming pools, significantly affects the skin by stripping away its natural oils. This process compromises the skin’s protective barrier, leading to dryness, irritation, and increased sensitivity. For individuals with psoriasis, these general effects are often exacerbated, as their skin barrier is already compromised and prone to inflammation. Exposure to chlorinated water can intensify existing symptoms, resulting in more pronounced itching, redness, and flaking of psoriatic plaques.

While some might believe chlorine’s antiseptic properties could benefit psoriasis, its drying and irritating nature outweighs any advantages. The chemicals in chlorinated water can trigger flare-ups and worsen the condition. Research indicates that chlorinated water causes significant moisture loss and damage to the skin barrier, even in healthy skin, making psoriatic skin particularly vulnerable.

Navigating Chlorine Exposure with Psoriasis

For individuals with psoriasis who wish to swim in chlorinated pools or use hot tubs, adopting specific pre- and post-exposure strategies can help mitigate potential irritation. Showering before entering the water can help hydrate the skin, potentially reducing the amount of chlorine absorbed. Applying a protective layer, such as a thick moisturizer or ointment like petroleum jelly or coconut oil, before swimming creates a barrier against the drying effects of chlorine.

Immediately after swimming, it is beneficial to shower with cool or lukewarm water and use a gentle, fragrance-free cleanser to remove chlorine residue from the skin. Patting the skin dry gently with a towel, rather than rubbing, is advisable to avoid further irritation. Promptly applying a generous amount of fragrance-free moisturizer to damp skin helps to seal in moisture and restore the skin barrier. For those with scalp psoriasis, wearing a swim cap and applying ointment to the scalp beforehand can provide additional protection.

Comprehensive Psoriasis Care

Effective management of psoriasis involves treatments that aim to control symptoms and improve skin health. Topical treatments are often the first line of defense, including corticosteroids, vitamin D analogues, and calcineurin inhibitors, which reduce inflammation and slow skin cell growth. Phototherapy, involving controlled exposure to specific types of ultraviolet light, is another common approach that can help reduce symptoms.

For more severe cases, systemic medications may be prescribed. These include oral drugs like methotrexate, cyclosporine, and retinoids, as well as biologic therapies administered via injection or infusion. Beyond medical interventions, lifestyle adjustments also play a role in managing psoriasis. These can contribute to better overall skin health and symptom control:

  • Maintaining a healthy weight.
  • Engaging in regular exercise.
  • Managing stress.
  • Adopting a healthy diet rich in anti-inflammatory foods.
  • Quitting smoking.
  • Limiting alcohol intake.