Psoriasis: more than a skin condition
Why psoriasis affects the whole body, which therapies exist – and why accompanying conditions are considered.
Psoriasis shows on the skin, but it is a condition of the entire immune system. That has consequences for treatment.
How it shows
Typical are sharply defined, reddened patches with silvery-white scaling, often on the elbows, knees, scalp and in the sacral region. The nails can also be affected – with pitting or detachment.
Not just the skin
Up to a third of those affected develop psoriatic arthritis with joint pain and morning stiffness. In addition, high blood pressure, diabetes and lipid metabolism disorders are more common. That is why we specifically ask about joint complaints and watch for these accompanying conditions.
Treatment options
- Topical: vitamin D analogues, corticosteroids, urea-containing care to remove scale
- Light therapy: narrow-band UVB for more extensive involvement
- Systemic: classic base therapies and modern biologics for moderate to severe forms
The newer therapies in particular have significantly changed treatment – freedom from symptoms is now a realistic goal for many.
What you can influence yourself
Stopping smoking, moderate alcohol consumption, weight reduction if overweight and stress management have a measurable effect on the course.
Chronic, but well manageable
Psoriasis occurs in flare-ups and is not curable. In many cases, however, it can be controlled so well that it barely restricts everyday life.