What you may notice
Psoriasis is a long-term condition in which skin cells grow too quickly, forming well-defined plaques topped with silvery scale. It often affects the scalp, elbows, knees and lower back, and it can involve the nails. Some people also develop joint pain and stiffness (psoriatic arthritis), which is important to catch early.
Psoriasis is not contagious, and today's treatments can clear or nearly clear the skin for many people.
How we evaluate it
- The type and extent of psoriasis and how much of your body is involved
- Nail changes and any joint pain, swelling or morning stiffness
- Your overall health, since psoriasis is linked to heart and metabolic health
- What has helped before and what has not
Possible care approaches
- Prescription topical treatments, including steroids, vitamin D analogues and combination products
- Scalp-specific regimens
- Systemic and biologic medications for moderate to severe disease, with monitoring
- Coordination with your primary care doctor or a rheumatologist when joints are involved
What to expect
- Topical treatment improves plaques over several weeks; systemic treatments are assessed over two to three months
- Lab work may be needed before and during some medications
- Psoriasis is managed over time, so periodic visits keep the plan current
When to call
- New or spreading plaques, or scale that bleeds when removed
- Joint pain, swelling or stiffness alongside skin changes
- Psoriasis on the face, hands, feet or genitals, which can be especially bothersome
- A sudden widespread flare, which should be seen promptly
This page is general information and not a diagnosis. Treatment is individual and is decided with you at your visit.