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Psoriasis

Dr Karen Martin
Reviewed by Dr Karen MartinReviewed on 19.10.2023 | 3 minutes read
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Psoriasis is a long-term skin condition that typically starts off as red areas of skin, perhaps 1/2 to 1 inch wide, with a slightly raised, dry and flaky surface. It most often affects knees, elbows, lower back and around the hairline, but it can appear anywhere including in the body flexures such as the armpits or groin. It may be a little itchy, especially if the scalp is affected, but is not usually painful.

How common is psoriasis?

Psoriasis is a common condition affecting 2 out of every 100 people, with the majority of these being affected by small areas of redness, known as chronic plaque psoriasis.

Chronic plaque psoriasis

It can start at any age but usually develops between the ages of 15 and 30, and is more common in white people. You are also more at risk if you are a smoker, or if you have a close relative with psoriasis. If left untreated, plaques may increase in size and thickness and spread to other areas, and a silvery scale can appear over the areas of redness.

Pustular psoriasis

The second most common type of psoriasis is called pustular psoriasis, typically affecting the palms and soles of the feet. This causes small fluid-filled spots to develop in these areas, often with reddening of the skin and some tenderness. These spots are not infectious.

Some people are concerned with the appearance of psoriasis, and large thickened areas are more difficult to treat. Psoriasis can take several weeks or months of treatment to recover, and it may be persistent or recur. It can also affect the nails in around half of people as well as increasing the risk of other health problems such as heart disease and strokes. 10-20% of people with psoriasis also develop joint problems, called psoriatic arthritis, usually affecting the toes and fingers although any joint may be involved.

Psoriasis is not contagious – you cannot catch it from someone who has it. It may run in the family, and rarely it can be associated with other conditions affecting the gut, joints, back and eyes.

Healthwords pharmacists' top tips

Pharmacy-based treatment for psoriasis aims to moisturize the skin and improve the appearance of dry, flaky patches. Emollients (medical grade moisturizers) are available from your pharmacy and can soften skin to help other treatment creams work - they can also relieve any itch.

In addition to emollients, coal tar-containing treatments can help slow the rapid growth of skin cells, thus reducing the scaly raised lesions and restoring the skin's appearance, as well as reducing itching and inflammation.

The downside of these products is that they can have a strong odor due to the coal tar and may also stain clothing they come into contact with.

Am I fit for work?

Yes, you are fit for work if you have psoriasis.

When should I see my doctor?

We would suggest booking a routine appointment with your doctor to discuss treatments as a number of these are now available. These include dithranol applied directly to the skin, salicylic acid, tazarotene gel, steroids and calcipotriol. Severe psoriasis can also be treated by phototherapy (ultraviolet light-based treatments) and specialist biological medication, such as bimekizumab and secukinumab.

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This article has been written by UK-based doctors and pharmacists, so some advice may not apply to US users and some suggested treatments may not be available. For more information, please see our T&Cs.
Dr Karen Martin
Reviewed by Dr Karen Martin
Reviewed on 19.10.2023
EmailFacebookPinterestTwitter
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