Q I usually spend a lot of time skiing, skating and sledding. Can I still enjoy these activities with psoriasis?
A Go for it! Ultraviolet light is actually an age-old therapy for psoriasis, and this type of outdoor fun fits the bill. By engaging in physical activity, you'll also be protecting yourself against the risk of heart disease associated with psoriasis. As for the precautions you should take, well, it's a good idea to apply sunscreen to prevent against skin cancer. And because dry, cold air can make psoriasis plaques crack and hurt, moisturize generously and often!
'Steve Feldman, MD, PhD, professor of dermatology, Pathology & Public Health Sciences and Founder, Wake Forest Baptist Medical Center, Winston-Salem, NC
Q Is it safe to get a flu shot when I have a psoriasis flare-up?
A A flu shot contains inactivated (killed) virus, and it's safe for you to get whether your psoriasis is stable or flaring. However, if you are being treated with a biologic agent, the type of flu vaccine given by nasal spray is not an option for you. The reason: It contains live virus, and because biologic medications weaken the immune system, you could be making yourself vulnerable.
'Warwick Morison, MD, professor of dermatology, Johns Hopkins Medical School, Baltimore
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