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Psoriasis Triggers in Kottayam Pre-monsoon heat (MarchMay) worst season for flares in this region Throat infections (streptococcal) trigger guttate psoriasis Koebner phenomenon skin injuries trigger new plaques at injury site Work stress during fiscal year-end across the KottayamChanganacherry corridor Alcohol and smoking both worsen psoriasis outcomes Sweating and heat trigger inverse psoriasis in skin folds The Right and Wrong Way to Use Steroid Creams for Psoriasis Steroid creams are essential tools in psoriasis management but misused, they cause more problems than the disease itself