Psoriasis

Psoriasis is a chronic condition that affects the skin, resulting in red, scaly plaques that can be itchy or painful. Various treatments can manage symptoms effectively. While it primarily affects the skin, psoriasis can also impact nails and joints, leading to psoriatic arthritis in some individuals. Creams, tablets, injectable treatments and phototherapy can effectively manage psoriasis.

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Key Points

What is psoriasis?

Psoriasis is a chronic condition where skin cells build up rapidly, forming scales and red patches that usually do not cause symptoms but can sometimes be itchy and even painful. It results from an over-drive of particular parts of the immune system. 

Who gets psoriasis?

Psoriasis can start at any age, but most commonly develops in adults under 35 years old. It affects both men and women equally and has a genetic component, meaning it can run in families.

Clinical features

Psoriasis is most commonly characterised by salmon-pink coloured, raised, scaly patches on the skin, often found on the elbows, knees, scalp, and lower back. The severity can vary greatly from small, localised patches to complete body coverage. Nails may become pitted or ridged, and in some cases, joints may become swollen and painful (psoriatic arthritis).

Diagnosis and differential diagnosis

Psoriasis is diagnosed based on the appearance of the skin usually without the need of a skin biopsy. It needs to be differentiated from conditions like eczema, seborrheic dermatitis, lichen planus and fungal infections, which can present with similar symptoms.

Impact and complications

The condition can significantly impact a person’s quality of life, including their emotional well-being, especially during flare-ups. Psoriasis is associated with an increased risk of certain diseases, such as heart disease.

Treatment Options for Psoriasis

Treatment options for psoriasis commonly include topical treatments such as corticosteroids, vitamin D analogues, coal tar and salicylic acid are used.  Narrow band UVB light therapy (phototherapy), aiming to reduce inflammation and clear the skin is commonly utlilised.  Oral medications as well as injectable medications that target specific parts of the immune system, are also considered in severe cases. Making lifestyle changes, including stress management and avoiding triggers, is recommended. With these treatments, most people can achieve good disease control.

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Really professional clinic with great staff who were super friendly, helpful and patient with explaining any procedures I required. Thanks
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I have been to the clinic a couple of times now and I highly recommend. The reception staff are always friendly and welcoming, Fantastic in regards to the laser procedure, very informative and helpful, overall, always a great experience. I have tried other clinics in the past but haven't found one that compares to Melbourne Skin & Dermatology, hence why I continue to return.
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I have been going to Melbourne Skin & Dermatology for about 2yrs now. They are always very professional and helpful. It is a very easy place to get to and the parking is great.
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Very happy! Easy, helpful and very friendly!
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Amazing smooth experience. All the staff were amazing, helpful, and professional. Treatment process was quick and easy. Highly recommend Melbourne Skin & Dermatology in Rowville.
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Listened and accommodated to my skin issues, made me feel comfortable and staff were extremely friendly and comforting.
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