Psoriasis is a long-term, immune-mediated skin condition that affects over 7.5 million adults in the United States. Characterized by inflamed, scaly patches of skin, psoriasis can significantly impact physical comfort and emotional well-being. While the disease is chronic and cannot be cured, modern treatments and supportive care can help individuals achieve clear or nearly clear skin.
In this guide, we answer common questions about psoriasis, outline proven treatment strategies, and share dermatologist-recommended tips for managing symptoms and preventing flare-ups.
Psoriasis is an autoimmune condition in which the immune system mistakenly attacks healthy skin cells, speeding up their life cycle. This causes a buildup of cells on the surface of the skin, which can lead to thick, red patches with silvery scales.
Types of Psoriasis:
Learn how Psoriasis can affect men and women differently in our blog: Unpacking Psoriasis.
Causes and Triggers: While the exact cause of psoriasis remains unknown, it is believed to result from a combination of genetics and environmental factors.
Triggers may include:
[Source: American Academy of Dermatology]
Common Symptoms:
Psoriatic Arthritis (PsA): About 1 in 3 people with psoriasis develop psoriatic arthritis, which causes joint pain, stiffness, and swelling. Early diagnosis is critical to preventing joint damage.
Other Health Risks: Psoriasis is linked to several other health issues, including:
To learn more book a consultation with a board-certified dermatologist.
[Source: Cleveland Clinic]
A dermatologist can typically diagnose psoriasis through a physical examination and detailed medical history. In some cases, a skin biopsy may be performed to rule out other conditions such as eczema or fungal infections.
There is no specific blood test for psoriasis, but screening for associated conditions like psoriatic arthritis, cardiovascular disease, and depression is often recommended.
[Source: American Academy of Dermatology, Psoriasis.org]
Topical Treatments:
Phototherapy:
Systemic Medications:
Biologic Therapies: Target specific immune system components:
Learn More: Explore various treatments available to smooth skin and eliminate psoriasis.
[Source: American Academy of Dermatology, Cleveland Clinic]
We asked TDS board-certified dermatologist Dr. Pierce Deng to weigh in on two of the most important concerns for patients living with psoriasis. Keep scrolling for our interview with Dr. Deng.
“For moderate to severe plaque psoriasis, the most effective treatments usually include biologic injections and oral systemic drugs. These newer medications can result in incredible improvements in skin inflammation with many patients even experiencing complete clearance of their psoriasis. The best and most appropriate treatment for a person will depend on the individual’s overall health, lifestyle, and symptoms, as well as their own unique biology.”
“Biologics are a newer type of medication that target specific parts of the immune system that drive psoriasis, offering a more precise approach with fewer broad side effects. Practically speaking, this means that biologics are generally much more effective at getting rid of the rash and also have much less side effects than traditional medications used for psoriasis such as methotrexate or cyclosporine.”
“Anyone with psoriasis who experiences joint pain, stiffness (especially in the mornings), swelling (especially in the fingers), or nail changes should be evaluated for psoriatic arthritis. I regularly evaluate all my patients with psoriasis for signs or symptoms of psoriatic arthritis because early detection is important for preventing long-term joint damage which can be permanent if not properly treated.”
Click here to book an appointment with Dr. Deng.
Stress Management:
Skin Care Routine:
Dietary Considerations:
Environmental Tips:
[Source: American Academy of Dermatology, Mayo Clinic]
Q: Is psoriasis contagious?
A: No, it is not contagious.
Q: Can it go away on its own?
A: Psoriasis is chronic, but symptoms can go into remission.
Q: What makes psoriasis worse?
A: Triggers like stress, infections, and weather changes.
Q: Can diet help control psoriasis?
A: Yes, anti-inflammatory diets may help reduce flare-ups.
Q: Should I see a dermatologist?
A: Yes, early treatment leads to better outcomes.
[Source: Psoriasis.org]
For more information on Psoriasis:
While psoriasis can be challenging, it is manageable with the right combination of medical treatment, daily care, and lifestyle changes. Early diagnosis and personalized treatment are key. Consult a board-certified dermatologist to develop a plan that meets your specific needs and helps you regain control of your skin health.
For more expert insights, schedule a visit with The Dermatology Specialists or explore our Skin Academy on chronic skin conditions.
