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Psoriasis

Psoriasis is a chronic immune-mediated skin condition that causes inflamed, red, scaly patches on the skin. Though there’s no cure, effective dermatologic treatments can significantly reduce symptoms, prevent complications, and improve quality of life. At Mittal Dermatology in Orono, MN, our board-certified dermatologists provide personalized psoriasis evaluations and comprehensive treatment plans tailored to mild, moderate, and severe cases.

Psoriasis is a long-term inflammatory skin disease in which the immune system mistakenly accelerates skin cell growth — causing thick, itchy, red patches covered with silvery scales. These patches, called plaques, can appear on the elbows, knees, scalp, lower back, and other areas of the body.

Psoriasis is not contagious and can affect both adults and children. It often comes in cycles, with periods of flare-ups followed by symptom improvement.

Symptoms can vary depending on the type and severity of psoriasis, but may include:

  • Red or pink patches of skin with silvery scales
  • Itching, burning, or soreness
  • Dry, cracked skin that bleeds
  • Thickened, pitted, or ridged nails
  • Joint pain or stiffness (when linked to psoriatic arthritis)

Psoriasis commonly affects the:

  • Scalp
  • Elbows and knees
  • Back and trunk
  • Palms and soles
  • Nails and joints

Psoriasis results from a malfunction in the immune system that triggers skin cells to multiply much faster than normal — forming thick, scaly plaques. Genetics and environmental factors play a role in this immune response.

Though triggers vary between individuals, common factors may include:

  • Stress and illness
  • Skin injuries
  • Certain medications
  • Infections
  • Weather extremes

While plaque psoriasis is the most common form, there are several subtypes, including:

  • Plaque psoriasis: Raised, red patches with silvery scales.
  • Guttate psoriasis: Small, drop-shaped lesions often triggered by strep infections.
  • Inverse psoriasis: Smooth, red patches in skin folds.
  • Pustular psoriasis: White pustules surrounded by red skin.
  • Erythrodermic psoriasis: A rare, severe form that affects large areas of skin.

Our dermatologists diagnose psoriasis based on:

  • A thorough skin and scalp examination
  • Review of medical history and symptom onset
  • Skin biopsy (when needed to rule out other conditions)

Early diagnosis helps ensure appropriate treatment before symptoms worsen or complications arise.

Psoriasis treatment is tailored to the severity, type, and location of your skin symptoms. Options may include:

Topical Therapies

These are often the first line of treatment for mild to moderate psoriasis. Common options include:

  • Corticosteroids to reduce inflammation.
  • Vitamin D analogues to slow skin cell growth.
  • Retinoids and combination products for plaque reduction.
  • Coal tar to lessen scaling and itching.

Phototherapy (Light Therapy)

Controlled use of UV light can slow excessive skin growth and reduce inflammation. Options include in-office phototherapy and targeted UVB treatments.

Systemic & Biologic Medications

For moderate to severe psoriasis, or cases that don’t respond to topicals or light therapy, systemic medications (oral or injectable) and biologic therapies help control immune-mediated inflammation and improve skin symptoms.

Advanced Management

Your dermatologist may recommend lifestyle and supportive therapies — including medicated shampoos for scalp psoriasis or specialized approaches for sensitive areas like face and genitals.

Up to one-third of psoriasis patients may develop psoriatic arthritis — a condition that causes joint pain, swelling, and stiffness. Early detection and treatment can preserve joint function and reduce long-term damage.

Although psoriasis can’t be cured, symptom control and flare-up prevention are possible with appropriate treatment and self-care:

  • Avoid known triggers (stress, smoking, alcohol)
  • Practice regular moisturizing to reduce dryness
  • Manage stress and maintain a healthy lifestyle
  • Attend regular dermatology follow-ups to adjust your treatment plan

Your dermatologist can help you develop a long-term strategy to keep symptoms under control and improve your quality of life.

Is psoriasis contagious?

No — psoriasis is an autoimmune condition and cannot be passed from person to person.

Can psoriasis be cured?

There’s currently no cure, but many people achieve excellent symptom control through tailored treatments.

Will psoriasis get worse over time?

Psoriasis symptoms can vary over time, with periods of flare-ups and remission. Early and consistent treatment helps minimize severity.

Can stress make psoriasis worse?

Yes — emotional and physical stress can trigger or worsen psoriasis flare-ups in many individuals.

At Mittal Dermatology, we combine clinical expertise with compassionate care to deliver personalized psoriasis treatments that optimize skin health and comfort. Whether your symptoms are mild or severe, we partner with you to develop a tailored care plan that fits your life and goals.

Schedule Your Psoriasis Evaluation

Don’t wait for symptoms to interfere with your wellbeing. Call us or request an appointment online to get professional psoriasis care from experienced dermatologists.

Call • (612) 293-7822
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