Psoriasis is a skin condition that appears as thick, red skin with flaky, silver-white patches, called scales. Though most often on the elbows, knees and trunk, psoriasis can appear anywhere, including the scalp and palms of the hands. In some people, psoriasis is accompanied by joint pain and/or changes in the nails, such as thickening, yellow/brown spots, dents or separation of the nail from the base. About 30% of people with psoriasis have or develop arthritis and approximately 10% of those with psoriasis have it in their nails only. Psoriasis is fairly common and can affect people of any age, though most commonly between the ages of 15 and 35. It can appear, disappear and flare up again repeatedly. Psoriasis is not contagious.
What Causes Psoriasis?
There is a strong hereditary component to psoriasis. Some studies suggest that it occurs when the body's immune system mistakes healthy cells for dangerous substances, leading to inflammation. In normal skin, the skin cells rise to the surface about once a month and are sloughed off. In people with psoriasis, this process occurs more rapidly and the dead skin cells build up on the skin's surface, causing the thickened appearance.
How Do You Know If You Have Psoriasis?
A raised area of thickened red skin with scaly patches is often psoriasis. However, there are 5 variations of this problem, and the only way to know for certain is to visit with us for an accurate diagnosis.
How Is Psoriasis Treated?
Our dermatologists will carefully evaluate your skin in our office and make the best treatment recommendation based on the severity, extent and location of the condition. Treatment options include hydrocortisone creams or creams with coal tar or anthralin. There are prescription creams that contain Vitamin D or A that can be helpful. Oatmeal baths can feel soothing - either mix 1 cup of oatmeal into your bath water or purchase oatmeal bath products at the local grocery. For some, sunlight helps, so long as you avoid sunburn. Excimer laser treatment has been shown to help as well.
How Can Psoriasis Be Avoided?
There is no specific way to avoid psoriasis, although there are things you can do to lessen flare-ups. Our dermatologists will review these with you at your appointment.
How Do I Get Started With Psoriasis Treatments?
Dr. Goldberg and his staff will be happy to discuss toenail fungus treatments with you. Please feel free to call for a private consultation or schedule an appointment online at one of our offices.
The staff is wonderfully attentive and kind.
