Psoriasis

Created: 09.01.2025

Updated 09.01.2025

Approved by: Consultant Dermatologist, Dr James Denny

What is Psoriasis?

Psoriasis is a chronic inflammatory condition that primarily affects the skin, but in a third of cases, it can also affect the joints.

It occurs equally in men and women, and approximately 2% of the population is affected by it. The cause of the disease is complex, but it has a genetic component. The condition can be triggered or worsened by infections, stress, or medications, and it often develops before the age of 35.

What are the symptoms?

Psoriasis typically presents with well-defined, round, red or pink patches on the body covered with greyish-silver scales. The affected skin often flakes and can itch at times. Psoriasis commonly appear around the elbows, knees, buttocks, scalp, armpits, groin, hands, and feet. Approximately half of the individuals with psoriasis also experience changes in their nails, such as pitting or separation of the nails from the nail bed. One-third of those who suffer from psoriasis also have joint inflammation or inflammation of tendons and muscle attachments.

Psoriasis is also associated with other autoimmune diseases such as alopecia, vitiligo, and coeliac disease (gluten intolerance). Inflammatory bowel diseases like Crohn's disease and ulcerative colitis are also more common in individuals with psoriasis.

What are the treatments?

Management of psoriasis typically involves anti-inflammatory treatments that help control the condition.

In cases where symptoms are severe or not responding optimally to initial treatments, it is important to see a Dermatologist.

The choice of treatment is influenced by the type and severity of psoriasis as well as the affected skin areas. Initial approaches often involve mild treatments, such as topical creams applied directly to the skin. If necessary, your doctor may escalate to stronger treatments.

Psoriasis offers a spectrum of treatment options falling into three main categories:

1. Topical Treatments: These include creams and ointments directly applied to the skin.

2. Phototherapy: This involves exposing your skin to specific types of ultraviolet light.

3. Systemic Treatments: Oral or injected medications that work throughout the entire body.

4. Biologics: A highly targeted and effective medication with complete clearance in the vast majority of patients who use them.

It's not uncommon for a combination of these treatments to be used for optimal results. If you find a treatment ineffective or experience uncomfortable side effects, it's important to communicate this with your Dermatologist.

Regular review of your psoriasis treatment is advisable, and creating a care plan with your Dermatologist can be beneficial in managing your day-to-day health effectively. Open communication with your healthcare team is essential to ensure ongoing adjustments to your treatment plan as needed.