Psoriasis Treatment in Phoenix
We treat flare-ups and stubborn plaques with expert care.
Psoriasis Treatment: Understanding Symptoms, Causes & Effective Options
Psoriasis is a chronic autoimmune skin condition that affects over 7.5 million people in the United States. While its most visible effects appear on the skin, it can also affect the joints, nails, and other parts of the body, significantly impacting quality of life. This non-contagious condition is often misunderstood, but with proper diagnosis and treatment from a board-certified dermatologist, patients can effectively manage symptoms and reduce flare-ups.
What is Psoriasis?
Psoriasis is an inflammatory skin disorder in which the immune system sends faulty signals that speed up skin cell production. This leads to a buildup of skin cells that form red, scaly, and itchy patches, commonly referred to as plaques. These plaques may appear on the scalp, elbows, knees, lower back, and other areas.
Common Characteristics of Psoriasis:
- Red, raised, inflamed patches of skin
- Silvery-white scales or plaques
- Itching, burning, or soreness
- Cracked or bleeding skin
- Nail changes like pitting, discoloration, or separation from the nail bed
Types of Psoriasis
While plaque psoriasis is the most common form (affecting about 90% of patients), several other types exist:
- Plaque Psoriasis – Raised, red patches covered in silvery scales
- Guttate Psoriasis – Small, drop-like red spots, often following strep infections
- Inverse Psoriasis – Smooth, bright red patches in body folds (underarms, groin)
- Pustular Psoriasis – White pustules surrounded by red skin, commonly on palms and soles
- Erythrodermic Psoriasis – A rare, severe form with widespread redness and scaling
- Nail Psoriasis – Causes pitting, thickening, discoloration, and nail separation
What Causes Psoriasis?
The exact cause of psoriasis isn’t fully understood, but it's believed to involve a combination of genetic, immune system, and environmental triggers.
Common Psoriasis Triggers:
- Stress
- Infections (especially strep throat)
- Cold, dry weather
- Skin injuries (cuts, sunburns, bug bites)
- Certain medications (e.g., beta-blockers, lithium)
- Alcohol and tobacco use
- Family history (approximately 1 in 3 cases has a genetic link)
Symptoms of Psoriasis
Psoriasis symptoms vary depending on the type and severity but often include:
Itchy, painful plaques with silvery scale
Flaking and shedding of skin
Dry, cracked skin that may bleed
Nail deformities or discoloration
Joint pain and stiffness (in psoriatic arthritis, which affects about 25-30% of patients)
How Psoriasis Is Diagnosed
Diagnosis is typically clinical, based on the appearance of the skin. However, your dermatologist may perform a
skin biopsy to confirm the diagnosis and rule out other skin disorders. A comprehensive health history is also taken to identify possible triggers and comorbid conditions such as diabetes or cardiovascular disease.
Psoriasis Treatment Options
While there is no cure for psoriasis, various treatments can significantly reduce symptoms and improve skin appearance.
1. Topical Treatments
Best for mild to moderate cases:
- Corticosteroids
- Vitamin D analogs
- Retinoids
- Coal tar
- Salicylic acid
2. Phototherapy
This involves exposing the skin to controlled
ultraviolet (UV) light, often UVB or PUVA therapy. It's typically used for moderate to severe psoriasis and can be combined with topical treatments.
3. Systemic Treatments
For widespread or resistant psoriasis:
- Traditional systemic drugs like methotrexate, cyclosporine, and acitretin
- Biologic agents (e.g., adalimumab, ustekinumab, secukinumab) that target specific immune responses
- Oral small molecule drugs (e.g., apremilast)
Combination therapy may be recommended for better results, especially for
psoriatic arthritis.
Why Timely Treatment Matters
Untreated psoriasis can significantly affect physical and emotional well-being. It may lead to complications such as:
- Psoriatic arthritis
- Increased risk of
cardiovascular disease
- Depression and anxiety
- Reduced quality of life due to skin discomfort and self-consciousness
Early and consistent management can help avoid these complications.
Frequently Asked Questions About Psoriasis
Is psoriasis contagious?
No, psoriasis is not contagious. It is an autoimmune condition and cannot be spread through skin-to-skin contact.
Can psoriasis go away on its own?
While some forms like guttate psoriasis may resolve, most cases of psoriasis are chronic and require ongoing treatment to manage flare-ups.
What lifestyle changes help manage psoriasis?
Reducing stress, avoiding triggers (e.g., alcohol, smoking), moisturizing regularly, and following a treatment plan can help reduce symptoms.
What’s the difference between psoriasis and eczema?
Psoriasis plaques are thicker and have well-defined edges with silvery scales, while eczema tends to be more inflamed, itchier, and occurs in different areas like behind the knees and inside elbows.
When should I see a dermatologist for psoriasis?
If you notice persistent red, scaly, itchy skin or experience joint pain, consult a board-certified dermatologist for proper diagnosis and treatment options.
Expert Psoriasis Care at Phoenix Surgical Dermatology Group
At Phoenix Surgical Dermatology Group, our board-certified dermatologists provide personalized treatment plans to help patients manage their psoriasis and regain confidence in their skin. Whether you’re experiencing mild symptoms or dealing with complex psoriatic arthritis, we’re here to support your journey toward healthier skin.
Schedule your consultation today and take the first step toward effective psoriasis relief.
