Psoriasis is relatively common and affects 2-3% of the U.K. population. Typically, psoriasis is considered to be a long-term issue, which means it’s what’s known as a chronic condition.
While the presentation of the condition is different in each individual, psoriasis patches commonly appear on the knees, elbows and scalp. It can be itchy and painful, and can also cause joint problems, known as psoriatic arthritis.
As a result of the chronic, uncomfortable and sometimes unpredictable nature of the condition, many patients find that it negatively impacts their quality of life and self-confidence. For these reasons, as well as its unsightly presentation, it is common for patients suffering from psoriasis – especially in its more severe forms – to also experience psychological issues, such as depression and anxiety.
Psoriasis
While psoriasis cannot be cured, with medical help the condition is manageable, and there are some techniques that patients may find helpful in identifying triggers and reducing their flare-ups.
While the presentation of the condition is different in each individual, psoriasis patches commonly appear on the knees, elbows and scalp. It can be itchy and painful, and can also cause joint problems, known as psoriatic arthritis.
Symptoms of Psoriasis
This is why it’s important to be diagnosed by a doctor, to ensure the proper treatment course can be advised and monitored.
Common signs and symptoms of psoriasis include:
- Red patches covered with thick, silvery scales
- Small scaly spots (often seen in children)
- Itchy, ‘burning’ sensations or soreness at the site
- Dry, cracked skin that may bleed
- Thickened, pitted or ridged nails
- Swollen and stiff joints
The severity of psoriasis is also varied, and patches can present either as a few areas that shed dandruff-like scales, or as skin eruptions that cover large areas.
Most types of psoriasis go through cycles, causing flare-ups that last a few weeks or months, and then subside for a time, or can go into remission.
Plaque psoriasis
Nail psoriasis
Guttate psoriasis
Inverse psoriasis
Pustular psoriasis
Erythrodermic psoriasis
Psoriatic arthritis
Causes of Psoriasis
The process becomes an ongoing cycle, in which new skin cells move to the outermost layer of skin too quickly — in days, rather than weeks. Skin cells build up in thick, scaly patches on the skin’s surface, continuing until treatment stops the cycle.
There are few ‘proven’ triggers for psoriasis, although patients often report flare-ups associated with stress, alcohol, infections and certain medications.
The condition is seen as likely to be influenced by genetics, so it is possible that if an individual’s parents have experienced problems with psoriasis, they may be more likely to have the same trouble.
Different types of psoriasis may have different causes, for example:
Guttate psoriasis
Inverse psoriasis
Erythrodermic psoriasis
Psoriatic arthritis
Treatment of Psoriasis at Derma
Together with the dermatologist, you will discuss the latest and most effective treatments and explain all potential side-effects, enabling you to select the best option for you.
Mild to moderate forms of psoriasis may be controlled using topical treatments available from chemists, but depending on your condition, prescription creams may be necessary. The dermatologist will let you know whether it is beneficial to continue with any over-the-counter treatment, or if it is advisable to stop.
Additionally, Derma offers Narrow-band phototherapy, which uses Ultraviolet (UV) light to treat psoriasis, and is often effective in managing the condition. A course of treatment requires 3 visits to the hospital each week for around 8 weeks, but the results last several weeks. It may be helpful during periods where the condition is more prone to flare-ups, such as during the dry, cold winter months.
You may be a candidate for treatment using medication that works to suppress the immune system, however this treatment requires you to be closely monitored.
Depending on the treatment and the severity of your condition, further tests and follow-up appointments may be required to manage your treatment.
Frequently Asked Questions
Is Psoriasis Contagious?
Is Psoriasis Itchy?
Does Psoriasis Go Away On Its Own?
Is Psoriasis Genetic?
Is Psoriasis Hereditary?
What is the Difference Between Eczema and Psoriasis?
Can Psoriasis Spread?
Related Specialists at Derma

Dr Antonia Lloyd-Lavery
Consultant Dermatologist
Dr Antonia Lloyd-Lavery is a UK trained Consultant Dermatologist and Honorary Senior Lecturer in Oxford since 2017. She is fully trained and on the GMC specialist register. She qualified from Oxford University in 2008.

Dr Charles Archer
Consultant Dermatologist
Dr Charles Archer is a registered specialist with the GMC and his NHS Consultant post is split between The Royal Berkshire Hospitals and Oxford University Hospitals.

Dr Sanju Arianayagam
Consultant Dermatologist
Dr Sanju Arianayagam is a Consultant Dermatologist and gained her dermatology experience at Cambridge University Hospitals, Oxford University Hospitals and the Royal Berkshire Hospital.

Dr Rima Clayton
Consultant Dermatologist
Dr Rima Clayton is a UK trained Consultant Dermatologist who practises in Reading and Oxford. She is fully trained in both paediatric and adult dermatology.

Dr Sabrina Khan
Consultant Dermatologist
Dr Khan consults on all general dermatology conditions such as eczema, psoriasis and acne.

Dr Rachel Fisher
Consultant Dermatologist
Dr Fisher consults on all general dermatology conditions such as eczema, psoriasis and acne.

Dr Inge Kreuser-Genis
Consultant Dermatologist
Dr Kreuser-Genis is a UK trained Consultant Dermatologist who practices in Reading and Oxford. She is fully trained in both paediatric and adult dermatology.

Professor Rubeta Matin
Consultant Dermatologist
Professor Rubeta Matin is a UK trained consultant dermatologist and honorary senior lecturer in Oxford since 2015. She is fully trained and on the GMC specialist register.

Dr John Reed
Consultant Dermatologist
Dr John Reed has been a UK trained consultant dermatologist and senior lecturer in Oxford since 2007
