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This is the Rare Skin Disease Reality Star, Kim Kardashian is Struggling With

Kim Kardashian West has opened up about her struggle with psoriasis just as she shared a make-up free selfie showing the red patches on her skin.

The 38-year-old reality star detailed her struggle with the disease in a post on her sister, Kourtney’s lifestyle website, Poosh.com.

Psoriasis is “a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales” and is linked to problems with the immune system.

In the post, Kim shares what it’s like living with psoriasis and how she’s learned to deal with it. She also opens up about being diagnosed with another autoimmune condition, psoriatic arthritis, a type of arthritis which develops in people who already have psoriasis.

Kim writes: “Even though I always grew up with my mom having psoriasis and hearing her talk about her struggle, I really had no idea what my life would be like dealing with an autoimmune disease myself.”

Kim reveals that she was 25 when she had her first psoriasis flare-up 13 years ago.

She treated her first psoriasis flare-up with a cortisone shot, conveniently delivered by her then-neighbor, a dermatologist, after which it went away for five years, only to return in her early 30s.

“For the past eight years, although the spots are unpredictable, I can always count on my main spot on my right lower leg, which consistently stays flared up,” she details, before adding that “when I got pregnant both times, it fully went away.”That was amazing, but then it came back again. Earlier this year is when it got extremely bad—it covered my whole face and a majority of my entire body.”

She described her initial experience with the arthritis side of the disease as first occurring when she was unable to pick up her phone or use a toothbrush. At first, she assumed that she’d simply overdone a workout, but as the day wore on, “I got a bit more movement in my hands, but they really hurt from the inside — I felt it in my bones.”

“I immediately started to cry and felt so lost,” She added, noting soon after she was diagnosed with rheumatoid arthritis and lupus. Her doctor, however, explained that it was possible she’d had a false positive, so she came back three days later to discover this was indeed true, and that her pain stemmed from psoriatic arthritis.

Kim also outlined “about four months” before the arthritis diagnosis where she tried “everything natural — every ointment, cream, serum, and foam you can possibly imagine and everything from the dermatologist,” including celery juice and herbal tea.

She explains: “I got a common cold, and since psoriasis is an autoimmune condition, this triggered it. It was all over my stomach and legs.”

Today, however, she has become “extremely comfortable with it.”

“If you have psoriasis, you can’t let it ruin your life or get the best of you. You have to do what you can to make sure you are comfortable but not let it take over … I hope my story can help anyone else with autoimmune disease feel confident that there is light at the end of the tunnel.”

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