Psoriasis is a very common skin condition affecting more than 1 million Australians that presents as skin inflammation.
Psoriasis appears as a silvery scale and has both internal and external triggers. Most commonly it can affect the joints, the nails and the hair. The condition is not contagious, nor curable.
Types of Psoriasis
There are many different types of psoriasis.
- Chronic Psoriasis – There is a typical chronic psoriasis, which are the larger plaques that a lot of people get on the elbows, knees and lower back. It can vary from some mild involvement to severe involvement.
- Guttate Psoriasis – Sometimes patients can get small teardrop like lesions, which we call guttate psoriasis.
- Flexural Psoriasis – There are types of psoriasis that just effects the fold areas, which we call flexural.
- Scalp Psoriasis – There’s psoriasis that just affects the scalp, which we call scalp psoriasis.
- Sebopsoriasis – There’s a type of psoriasis which overlaps with separate dermatitis, which we call sebopsoriasis, which is due to yeast overgrowth.
- Palmar Plantar – Sometimes people can get through unsuspecting just their hands and their feet. This is a different type of psoriasis, which we call palmar plantar.
- Pastilla Psoriasis – In some conditions, people can get pustules, which are sort of puss-like lesions which appear which we call pastilla psoriasis.
- Erythrodermic Psoriasis – Sometimes patients are red all over; that’s a fairly severe life-threatening condition.
The primary cause of psoriasis is due to the immune system mistakenly attacking healthy skin cells. If a patient is sick, for instance; whether they’re trying to overcome seasonal sickness or battling an infection, the immune system will go into overdrive-like combat to help fight the infection. There are particular triggers to psoriasis, however, that may worsen the condition. Triggers can include type 2 diabetes, inflammatory bowel disease, heart disease, arthritis (specifically psoriatic arthritis), anxiety and/or depression.
Psoriasis is treated depending on the severity which the dermatologists at Quayside Specialists grade in terms of the PASI score, in addition to patient factors. It can vary from creams that we can use for mild involvement to phototherapy that we can use for either generalised or localised involvement. The topical therapy typically consists of corticosteroids and calcineurin inhibitors.
These treatments come in different strengths and are the most frequently prescribed medications for treating mild to moderate psoriasis. They’re available in forms of ointments, creams and sprays. How often you treat the affected area(s), however, will depend on what our dermatologist prescribes during your appointment can be monitored during follow-up appointments. Despite the condition not being curable, the ultimate goal is to establish the most effective way to slow the cell turnover process with the fewest posed risks and limitations.
There are nowadays newer treatments emerging which are in the form of what we call biologic agents. These biologic agents are proving to be incredibly effective in clearing psoriasis, but there are strict eligibility criteria given that these are incredibly expensive treatment options.
Risks associated with psoriasis treatments
Risks associated with treatment for psoriasis include:
- Avoid Alcohol – Alcohol consumption may lower the ultimate performance and effectiveness of some psoriasis treatments. If you have psoriasis, avoid alcohol. If you do drink, consume in moderation.
- Avoid Key Triggers – Make sure to avoid or take steps to best prevent what triggers or may worsen your psoriases such as infections, stress, smoking, and intense sun exposure.
- Long-Term Drug Use – There are certain medications that are not intended for long-term use due to a potential increased risk of skin cancer including melanoma, and lymphoma. Prescribed medication and suitable dosage will be given to you during your appointment.
- Sun Exposure – A controlled amount of sunlight can improve psoriasis, but too much sun can trigger or worsen outbreaks. It’s recommended to manage this by logging your time in the sun and protecting skin that isn’t affected by psoriasis with sunscreen with a sun protection factor (SPF30+).
Our experienced team have answered frequently asked questions regarding this topic and its treatment. If you have a separate question or concern, don’t hesitate to get in touch with our team.
There is no known cure for psoriasis yet, however, there are many temporary relief solutions to help alleviate the problematic condition.
Temporary relief solutions for patients with psoriasis can be prescribed by one of our dermatologists during your appointment.
Some patients may find temporary relief by using a sauna or steam room, however, this may vary person to person depending on the location of psoriasis and severity.
If you would like to make an enquiry or book an appointment, contact our clinic today.
Chlorine has been found to trigger the irritation in psoriasis conditions and increase dryness in the skin.
Triggers for psoriasis can depend on many factors, however, if you are a swimmer and this is an issue for you, contact our clinic today to discuss possible treatment options.
Psoriasis Treatment Sydney CBD
When you come in to see our dermatologists at Quayside Specialists, Sydney CBD, our team will ensure you feel self-assured about your decision and are fully informed on all the options suitable for your skin needs.
Contact us today to book a consultation or make an enquiry.