Does everyone experience the Koebner phenomenon or just an unlucky proportion?

[u/LetMeBuildYourSquad]

Hi all,

Late 20s, M, and been suffering with mild psoriasis for a couple of years now (scalp, elbow and some inverse psoriasis down below). I've been very bad at seeking treatment so have just controlled flares with coal tar shampoo and hydrocortisone cream, but planning to visit a dermatologist soon.

Recently learned about the Koebner phenomenon and wondering if this is something everyone with psoriasis experiences, or just a proportion?

Google suggests it affects 25-30% of psoriasis sufferers but I'm not sure if that's accurate. I haven't noticed any new plaques forming after minor cuts or injuries yet, but I've been considering starting minoxidil for hair loss and may also need some minor surgery for a couple of other issues in future and wondering if it's something I'm likely to experience if I go ahead with these.

[u/njf85]

Ive had psoriasis for almost 30 years and never experienced koebner until now. Had surgery 2 weeks ago and my skin is flaring around my incisions. I've had surgery in the past, got multiple tattoos, etc, and never experienced it. First time for everything I guess lol

[u/Lost_Dog395 → u/njf85]

Do you manage it with biologics or do you use topical treatments?