Psoriasis is a chronic disease of the skin that affects approximately half a million people in the Australia. Typical psoriasis appears as red, dry, elevated plaques of skin and creates pain as the skin cracks and bleeds.

Psoriasis is a chronic autoimmune condition that causes the rapid buildup of skin cells. This buildup causes scaling on the skin's surface, with Inflammation and redness around the scales. Typical psoriatic scales are whitish-silver and develop in thick, red patches.

Psoriasis signs and symptoms are different for everyone, although common indicators are red patches of skin covered with thick, silvery scales, small scaling spots, dry skin that may bleed, itching & burning, thickened & ridged nails, and swollen & stiff joints.

Overactive T cells trigger increased production of healthy skin cells, more T cells and other white blood cells, especially neutrophils. These travel into the skin causing redness and sometimes pustular lesions. In addition to this, dilated blood vessels in psoriasis-affected areas create warmth and redness in the skin lesions. 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.

Psoriasis Causes

  • Infections
  • Skin Injury
  • Stress
  • Smoking
  • Heavy Alcohol
    Consumption
  • Vitamin D
    Deficiency
  • Certain
    Medications

Psoriasis Treatments

While there is no known cure for psoriasis, the Wollongong Dermatology team specialise in the management of symptoms. After meeting with one of our dermatologists, they will assess your symptoms and recommend a personalised treatment plan to reduce inflammation and clear the skin. Treatments can be divided into four main types: creams, phototherapy,   medications and biologics.

Creams and ointments that you apply to your skin can effectively treat mild to moderate psoriasis. When the disease is more severe, creams are likely to be combined with medications or light therapy. Topical psoriasis treatments commonly include corticosteroids, vitamin D analogues, retinoids, calcineurin inhibitors, salicylic acid, tar and anthralin.

Phototherapy, or light therapy, uses specific ultraviolet light wavelengths to treat psoriasis. Phototherapy is typically given 2 to 3 times per week in our office.

Medications are commonly utilised for severe or treatment-resistant psoriasis. Covering both oral or injected medications, this includes retinoids, methotrexate and cyclosporine.

Biologic medications are protein based drugs derived from living cells cultured in a laboratory. They target specific parts of the immune system and they tend to be more effective then systemic medications. We are experts in using biologics to treat severe psoriasis. To qualify for these medications patients must meet the Medicare PBS criteria.

Frequently asked questions

How common is psoriasis?

Psoriasis affects 2-4% of all people. In Australia, around 450,000 people suffer from some form of psoriasis. Psoriasis affects males and females equally.

Is psoriasis contagious?

Psoriasis causes red, scaly patches to appear on the skin. It can look like a rash, so you may worry that you could get it from someone else or pass it to others. But it’s absolutely not contagious, you cannot catch the disease by touching someone who has it.

What are some common psoriasis triggers?

Common psoriasis triggers include cold & dry weather, stress, certain medications, infections, trauma to the skin, excessive alcohol consumption and smoking.

Are these treatments available for people with sensitive skin?

Mild corticosteroid ointments are usually recommended for sensitive areas, such as your face or skin folds, and for treating widespread patches of damaged skin. Your doctor may prescribe stronger corticosteroid ointment for smaller, less sensitive or tougher-to-treat areas.

What are my treatment options? Which treatment do you recommend and why?

Treatment aims to remove the scales and stop skin cells from growing so quickly. Topical ointments, light therapy and medication and biologics can offer relief. At Wollongong Dermatology, we utilise phototherapy to treat psoriasis through administering specific ultraviolet light wavelengths. The treatment that may be right for you may be a combination of any of the above, which our dermatologists will help find the perfect solution to suit your skin concerns.

Ready to get started on your good skin journey? Get in touch today.

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