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Psoriasis & Chronic Skin Conditions

Psoriasis and other chronic skin conditions cause recurring irritation, but with today’s treatments, flare-ups can be managed and skin health maintained.

About Psoriasis & Chronic Skin Conditions

Psoriasis is a chronic autoimmune condition that speeds up the skin cell life cycle, leading to a buildup of thick, scaly patches that may itch, crack, or bleed. It often flares and calms in cycles, and while there is no cure, modern therapies can dramatically reduce symptoms and improve quality of life. Beyond psoriasis, other chronic skin conditions—such as lichen planus, vitiligo, or hidradenitis suppurativa—also require ongoing management tailored to the individual.

 

How it Works

Treatment Details

Treatment depends on the type and severity of the condition. Options may include:

  • Topical medications (creams, ointments, or shampoos to calm inflammation and reduce scaling)

  • Oral and injectable therapies (systemic medications and biologics that target the immune system to prevent flares)

  • Phototherapy (controlled light treatments to slow rapid skin cell turnover)

  • Lifestyle strategies (stress management, moisturizers, and avoiding known triggers)

Risks / Benefits

Psoriasis and chronic condition therapies can reduce scaling, itching, and inflammation, and improve confidence and comfort. Risks vary depending on treatment—topicals may cause irritation, phototherapy can increase sun sensitivity, and systemic therapies may increase infection risk or require lab monitoring.

 

Recovery and Outlook

With consistent treatment, many patients achieve long-term remission or control of symptoms. While flare-ups may still occur, they are typically less frequent and less severe. Ongoing follow-up ensures therapy stays effective and safe.

 

When To Call the Doctor

Seek medical care if your skin condition is spreading, painful, interfering with daily life, or not responding to over-the-counter remedies. Call promptly if you notice signs of infection, such as pus, fever, or rapidly worsening redness.

Call your dermatologist promptly if you experience:

  • Sudden, widespread rash covering large areas of skin

  • Painful, cracked, or bleeding lesions that don’t improve

  • Signs of infection (spreading redness, pus, fever, chills)

  • Severe joint pain or swelling, which may signal psoriatic arthritis

  • Rapid worsening of your condition despite treatment

Presentation of Psoriasis

Typically, psoriasis is a red, scaly rash that can look like plaques, but sometimes, it develops in smaller pinpoint lesions. In kids, it’s often thinner and a little bit smaller, so it can be a little bit more difficult to diagnose.
  • Scalp or genital involvement
  • Nail involvement, especially pitting or onycholysis
  • Scaling behind the ears
  • Rash in an area that sustained trauma, known as Koebnerization or Koebner phenomenon
  • A scaly rash that bleeds when picked
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have a question?

Quick answers to questions you may have

Is psoriasis contagious?

No—psoriasis is not contagious. You cannot “catch” it from or pass it to another person through skin contact. It’s an immune-driven condition, not an infection.

 

What triggers psoriasis flare-ups?

Common triggers include stress, illness, cold weather, skin injury, smoking, alcohol, and certain medications. Triggers vary by person, so keeping track of flare patterns can help reduce future outbreaks.

 

Can psoriasis affect more than my skin?

Yes. Up to one-third of people with psoriasis develop psoriatic arthritis, which causes joint pain, stiffness, and swelling. Psoriasis is also linked with higher risks of cardiovascular disease, obesity, and depression—making regular care important.

 

Will psoriasis ever go away completely?

Psoriasis is a lifelong condition, but with consistent treatment many patients achieve clear or nearly clear skin for long periods. While it may not permanently disappear, today’s therapies can keep symptoms under excellent control.