Psoriasis Treatment
at Mosaic Dermatology in West Fargo
At Mosaic Dermatology, we specialize in the diagnosis and treatment of psoriasis, a chronic inflammatory skin condition that causes red, scaly plaques on the skin. Psoriasis can also affect the nails and sometimes lead to psoriatic arthritis, a form of joint inflammation. While not contagious, psoriasis can run in families and requires expert care for effective management. Our individualized, safe, and highly effective treatment plans help patients manage symptoms and improve their quality of life.
What Is Psoriasis?
Psoriasis is an autoimmune condition where the immune system causes the skin cells to multiply too quickly, leading to the buildup of thick, scaly plaques. This rapid turnover results in the classic red, inflamed skin covered with silvery scales. Psoriasis can affect any part of the body, including the scalp, elbows, knees, back, and nails. In some cases, it may also cause joint pain and stiffness known as psoriatic arthritis.
Causes and Risk Factors for Psoriasis
Psoriasis results from a combination of genetic and environmental factors. Common triggers and risk factors include:
- Genetics: A family history of psoriasis increases the likelihood of developing the condition.
- Immune System Dysfunction: Abnormal immune responses trigger rapid skin cell turnover.
- Stress: Emotional stress can worsen symptoms.
- Infections: Such as strep throat, which can trigger certain types of psoriasis.
- Injury to the Skin: Cuts, burns, or insect bites may cause new lesions to form (Koebner phenomenon).
- Medications: Certain drugs, including beta-blockers and lithium, can trigger psoriasis.
- Weather: Cold, dry weather can cause flare-ups.
- Lifestyle Factors: Smoking and heavy alcohol consumption may worsen symptoms.
Symptoms of Psoriasis
Psoriasis can present in different forms, but common symptoms include:
- Red, raised patches of skin covered with silvery-white scales.
- Dry, cracked skin that may bleed.
- Itching, burning, or soreness in affected areas.
- Thickened, ridged, or pitted nails.
- Stiff and swollen joints (psoriatic arthritis).
- Symmetrical plaques that often appear on elbows, knees, lower back, and scalp.
Types of Psoriasis We Treat
- Plaque Psoriasis: The most common type, causing raised, red patches with silvery scales.
- Guttate Psoriasis: Characterized by small, dot-like lesions, often triggered by infections.
- Inverse Psoriasis: Red, shiny lesions that appear in skin folds.
- Pustular Psoriasis: White pustules surrounded by red skin.
- Erythrodermic Psoriasis: A severe, life-threatening form causing widespread redness, shedding, and pain.
Psoriasis Treatment Options
At Mosaic Dermatology, we provide comprehensive treatment plans tailored to the type and severity of psoriasis.
Topical Treatments
- Corticosteroid creams: To reduce inflammation and slow cell turnover.
- Vitamin D analogues (calcipotriene): To slow skin cell growth.
- Coal tar preparations and salicylic acid: To reduce scaling and smooth the skin.
- Topical retinoids: To normalize DNA activity in skin cells.
- Novel topicals: To reduce inflammation by targeting specific parts of the immune system affected by psoriasis.
Systemic Treatments
- Oral medications: Such as methotrexate, cyclosporine, or acitretin for moderate to severe cases.
- Biologic therapies: Target specific parts of the immune system to reduce inflammation. Common biologics include adalimumab, ustekinumab, secukinumab, ixekizumab, and rizankizumab.
- Newer oral medications: Such as apremilast and deucravacitinib, which help regulate inflammation.
Managing and Psoriasis Flare-Ups
- Moisturizing regularly: To prevent dryness and scaling.
- Avoiding known triggers: Including stress, infections, and skin injuries.
- Following prescribed treatment plans: Consistency is key to managing psoriasis.
- Healthy lifestyle choices: Balanced diet, regular exercise, and avoiding tobacco and alcohol.
- Regular dermatology check-ups: To adjust treatments as needed.
When to See a Dermatologist
Seek professional care if:
- Red, scaly patches of skin do not improve with over-the-counter treatments.
- Joint pain or stiffness occurs, which may indicate psoriatic arthritis.
- You experience rapid changes in symptoms, such as widespread redness, pain, or shedding of skin.
- Severe emotional distress occurs due to visible skin changes.
Expert Psoriasis Care in West Fargo
At Mosaic Dermatology, we are committed to providing expert care for psoriasis, using advanced diagnostic techniques and personalized treatment plans. Our team is dedicated to helping you manage symptoms, prevent flare-ups, and improve your quality of life. Schedule an appointment today to explore effective treatment options for clearer, healthier skin.