How Is Psoriasis Treated?

Psoriasis is an inflammatory condition that can cause thickened, scaly patches on the elbows, knees, scalp, or trunk. It may also affect nails or joints. The plan depends on location, thickness, extent, symptoms, other health conditions, and previous treatment. Dry skin and scratching can worsen discomfort.

Use a plain moisturiser regularly to soften scale and support the skin barrier. A clinician may prescribe topical corticosteroids or vitamin D analogue treatment for plaques. Narrowband UVB phototherapy or PUVA therapy can be supervised options for wider involvement. Methotrexate treatment or biologic therapy may be considered when psoriasis is extensive, persistent, or affecting daily life. Follow instructions for each medicine and discuss changes before stopping prescribed treatment.

Arrange a review if plaques spread, crack, bleed, disrupt sleep, or fail to respond. Mention morning stiffness, swollen fingers or toes, heel pain, or persistent back pain because psoriasis can involve joints. Seek urgent care for rapidly widespread redness, skin peeling, fever, or feeling severely unwell.

Which form of psoriasis do I have? How should I use topical treatment on each body area? When would light therapy, methotrexate, or biologic treatment be suitable?