Psoriasis

Skin affected by psoriasis can be itchy, painful, and psoriasis spots can be persistent. Many patients also feel uncomfortable about the appearance of their skin due to psoriasis. Thankfully, effective treatment is available. Dr. Rashel Goodkin is an Ivy-League trained expert in dermatology who understands the various types of psoriasis and can determine the best treatment option for each patient.

What is Psoriasis?

Psoriasis is a skin disorder in which skin cells multiply faster than normal and the skin is inflamed, resulting in buildup of dead skin cells and redness. Psoriasis can also present in other ways, including pustular, guttate, inverse, or erythrodermic psoriasis. Most psoriasis is likely the result of an overactive immune system, though psoriasis can also be triggered by stress, side effects from medication, injury, or infection. Psoriasis is not contagious.

How is Psoriasis Treated?

There are three basic methods of treating psoriasis: topical treatments, light therapy, and oral or injected medication.

Topical treatment for psoriasis

The most common treatment for psoriasis overall is a topical corticosteroid. This is typically applied daily to help the skin heal, or less frequently to keep the skin in remission. Dr. Goodkin may also recommend topical treatments including vitamin D analogues. Calcineurin inhibitors can also be used to reduce inflammation and plaque buildup, while salicylic acid (in gels) can help to reduce scaling.

Medication for psoriasis

Depending on the severity of your psoriasis, Dr. Goodkin may recommend a steroid injection directly into the plaques to encourage healing. Biologics (antibodies), or medications that alter the immune system, may also be administered by injection. Some examples include Humira, Enbrel, Taltz, Cosentyx, Tremfya, Skyrizi, and others. Another medication which also helps regulate immune system in psoriasis and comes in a pill form is Otezla. Other oral medications for psoriasis include retinoids, which help normalize the production of skin cells, or methotrexate and cyclosporine, which suppress the immune system.

Light therapy for psoriasis

Controlled exposure to light can help to relieve psoriasis symptoms, but should be carefully monitored to avoid any harmful effects from excess UV exposure. Dr. Goodkin may recommend that you undergo ultraviolet laser treatment or have narrow band ultraviolet light therapy in a dermatologist’s office.

When Should I See a Dermatologist for Psoriasis Treatment?

All patients experiencing psoriasis should see a trusted, caring doctor for diagnosis and treatment. It is especially important to call Dr. Goodkin if your psoriasis becomes severe or widespread or causes discomfort and pain. Even if you have not experienced severe symptoms but are self-conscious about the appearance of your skin, Dr. Goodkin can help relieve psoriasis.

Schedule an Appointment

To schedule an appointment for psoriasis treatment, call Dr. Goodkin’s office at 781.227.7977. You may also request your appointment online.