Psoriasis
Psoriasis is a common, long-term skin condition caused by an overactive immune response. It leads to red, inflamed patches of skin often covered with silvery white scales. Genetics and immune system factors cause skin cells to grow and shed faster than normal. Psoriasis can range from mild to widespread and may affect daily life and overall well-being.
Types of Psoriasis
- Plaque psoriasis is the most common form, marked by raised, scaly patches.
- Guttate psoriasis appears as small, drop-like spots.
- Inverse psoriasis affects skin folds.
- Pustular psoriasis causes white pustules surrounded by red skin.
- Erythrodermic psoriasis is a severe form with widespread redness.
Symptoms to Look For
- Red or pink plaques with thick, silvery scale
- Itching or burning
- Cracked or bleeding skin
- Nail changes such as pitting, thickening or separation
- Joint pain or swelling, which may signal psoriatic arthritis
- Symptoms often come and go, and certain triggers may cause flares.
What Causes Psoriasis?
Psoriasis develops from a combination of genetic risk and immune system changes. Triggers may include infections such as strep throat, skin injuries, certain medications, stress, smoking, heavy alcohol use and hormonal changes. Obesity and metabolic conditions may also worsen symptoms.
Risk Factors
- Family history of psoriasis
- Other autoimmune conditions
- Obesity
- Smoking or excessive alcohol use
- History of certain infections
Psoriasis can begin at any age but often starts in early adulthood or between ages 50 and 60.
How Psoriasis is Diagnosed
Diagnosis is usually based on a review of your health history and an exam of the skin, scalp and nails. In some cases, a skin sample may be taken to rule out other conditions. If joint symptoms are present, further evaluation for psoriatic arthritis may be recommended.
Living with Psoriasis
Our specialists focus on controlling symptoms, reducing flare-ups and supporting quality of life. Treatment is personalized and may include topical therapies, light-based treatments, oral medications or biologic therapies for moderate to severe disease. Regular follow-up helps track progress, monitor side effects and address related health concerns. If you have questions about symptoms or treatment options, contact TidalHealth or your healthcare practitioner for individualized care.
Is psoriasis contagious?
No. Psoriasis is not contagious and cannot be spread through touch or close contact.
What causes psoriasis?
Psoriasis occurs when the immune system becomes overactive, speeding up skin cell production. Genetics play a role, and flares may be triggered by infections, stress, certain medications, smoking or alcohol use.
Can psoriasis be cured?
There is no cure, but many treatments can control symptoms, reduce flare-ups and improve quality of life.
What treatment options are available?
Options include topical creams or ointments, controlled UV light therapy, oral medications and biologic therapies. Lifestyle changes and trigger management are also important.
How do I know if I need systemic therapy or biologics?
These treatments may be recommended for moderate to severe psoriasis, widespread disease, major impact on daily life or psoriatic arthritis. Your specialist will help guide this decision.
Can psoriasis affect my joints?
Yes. About one in three people with psoriasis may develop psoriatic arthritis, which can cause joint pain, stiffness or swelling.
What should I do during a flare?
- Avoid known triggers when possible
- Use prescribed treatments
- Keep skin moisturized
- Avoid harsh soaps and hot water
- Contact your healthcare practitioner if symptoms worsen or joint pain develops
Are there lifestyle changes that help?
Yes. Quitting smoking, limiting alcohol, maintaining a healthy weight, managing stress and eating a balanced diet may help reduce flares.
Are there side effects to psoriasis medications?
Some treatments can cause side effects and may require regular monitoring. Your care team will review risks and follow your progress closely.
When should I see a doctor?
See your provider for new or worsening symptoms, joint pain or swelling, or if psoriasis is affecting your daily life or treatment plan. Early care can help improve outcomes.
