Medical dermatology
Psoriasis
Psoriasis is a chronic immune-driven condition that causes thick, scaly plaques on the skin. Treatment has changed dramatically in the last decade. Most patients can now achieve clear or near-clear skin.
What it is.
In psoriasis, the immune system signals skin cells to grow and shed far too quickly, producing the characteristic silvery-scaled red plaques. It's chronic, can flare with stress or illness, and is associated with psoriatic arthritis in roughly a third of patients.
Who it affects.
Psoriasis affects about 3% of adults and runs in families. It typically appears between the late teens and forties, but can begin at any age.
How we treat it.
Mild disease responds to topical corticosteroids, vitamin D analogues, and tar or salicylic-acid–based regimens. Moderate to severe disease, especially with joint involvement, is treated with phototherapy, oral systemic agents, or modern biologic injections that target the specific immune pathways driving the plaques.
When to come in.
If your scaly plaques aren't responding to over-the-counter care, are widespread, are on the scalp or face, or are accompanied by joint pain, stiffness, or nail changes, schedule an evaluation.
Related conditions.
Next step
Ready to schedule your visit?
Send a quick message and our team will reach out to schedule. Most patients can be seen within the same week.