Psoriasis Treatment in Sarasota, FL

Psoriasis is a common, chronic skin condition. The result of a rapid buildup of skin cells, psoriasis causes red, raised, dry and cracked scaly patches, and even blisters, to form on the skin. In some cases, psoriasis affects the fingernails, causing yellowing and small depressions. Psoriasis can be mild, moderate or severe, and, in most cases, causes itching and burning in affected areas or skin.
Psoriasis is the result of an autoimmune disorder, in which skin cells replace themselves every 3 to 4 days, rather than the usual 30, creating a buildup of cells on the skin’s surface, and causing symptoms to appear on the scalp, elbows, knees, hands, feet and genitals. Although there is no cure, there are several treatments available to effectively relieve symptoms. In the United States, more than seven million men, women and children have psoriasis.
What Causes Psoriasis?
Psoriasis is caused by an immune-system disorder involving a type of white blood cell called a “T lymphocyte” (T cell). Although T cells usually travel through the body to fight off viruses and other foreign substances, in patients with psoriasis, they attack healthy skin cells. This causes an increased production of healthy skin cells, which then build up on the surface of the skin, causing scaling and patches. The symptoms of psoriasis can worsen as a result of certain triggers, including the following:
- Infections
- Injury to the skin
- Stress
- Smoking
- Alcohol consumption
Certain medications are also triggers for psoriasis.
What Are the Symptoms of Psoriasis?
Symptoms of psoriasis vary depending on each patient, but often include the following:
- Red patches of skin covered with silvery scales
- Crusting
- Dry, cracked skin
- Itching or burning
- Soreness
- Thickened nails

For many people who have it, psoriasis is merely a cosmetic issue. In some cases, however, it causes severe pain, especially when associated with arthritis. The symptoms of psoriasis usually come and go; it is a cyclic disorder, with remissions and flareups occurring throughout a patient’s life.
What Are The Different Types of Psoriasis?
There are seven different types of psoriasis, each causing different symptoms. Some types are more common than others. Although patients usually have only one type of psoriasis at any given time, another type can appear once the first has cleared.
Plaque Psoriasis
Plaque psoriasis is the most frequently diagnosed form of psoriasis and is characterized by raised, inflamed patches of skin covered with a silvery white scale. These lesions can appear anywhere on the body but are most commonly found on the elbows, knees, scalp, and lower back. The plaques are often itchy and painful, and they may crack and bleed in severe cases. People with this condition may experience significant discomfort and skin tightness, which can be distressing and affect daily activities. Treatment strategies focus on reducing inflammation and clearing the skin, commonly using topical corticosteroids, vitamin D analogues, and light therapy, with systemic treatments like biologics for more severe manifestations.
Guttate Psoriasis
Guttate psoriasis typically presents as small, water-drop-shaped sores that are covered with a fine scale and appear suddenly, often in large numbers. They usually appear on the torso, arms, legs, and scalp and can be triggered by bacterial infections, such as a strep throat. Unlike plaque psoriasis, the lesions associated with guttate psoriasis are thinner and less scaly but may spread over a large area of the skin. Young adults and children are most likely to be affected by this form of psoriasis. Treatments often include topical applications, light therapy, and in some cases, systemic medications are prescribed to manage more extensive outbreaks.
Inverse Psoriasis
Inverse psoriasis is notably different due to its location in the body's skin folds, such as the armpits, groin, under the breasts, or around the genitals and buttocks. It appears as bright red, smooth, and shiny lesions that may worsen with friction and sweating. This type of psoriasis is particularly uncomfortable and prone to fungal infections due to its moist environment. Managing inverse psoriasis typically involves the use of low-potency topical steroids and anti-fungal treatments, alongside careful daily hygiene to reduce moisture and prevent irritation.
Pustular Psoriasis
This form is more severe and rare, characterized by white pustules (blisters of non-infectious pus) surrounded by red skin. The pustules may appear in localized patches or can be widespread, known as generalized pustular psoriasis, which can be a medical emergency. Common triggers include medications, ultraviolet light, infections, and stress. Treatment for pustular psoriasis may include hospitalization in severe cases to manage symptoms and prevent complications, along with systemic medications to treat the underlying inflammation and skin eruption.
Erythrodermic Psoriasis
As the most severe and rare form of psoriasis, erythrodermic psoriasis covers large areas of the body with a fiery redness and is often accompanied by severe itching and pain. The skin may shed in sheets, and it can be a life-threatening condition due to the potential for heart failure and infection. Immediate medical treatment is critical and may include systemic steroids, medications to control the immune system, and hospital care to stabilize body temperature and fluid balance.
Nail Psoriasis
Nail psoriasis affects the nails on the hands and feet, causing them to become thickened, discolored, and pitted. The nails may separate from the nail bed, and in severe cases, there may be crumbling of the nail itself. Nail psoriasis can be particularly distressing as it affects the appearance and function of the nails, often leading to social and functional impairments. Treatment typically includes topical treatments, steroid injections under the nails, and in some cases, systemic medications if the psoriasis is widespread and severe.
Psoriatic Arthritis
This type of arthritis affects individuals with psoriasis and involves joint pain, stiffness, and swelling. It can lead to significant joint damage and disability if not adequately managed. Psoriatic arthritis typically affects the joints of the fingers and toes but can also impact larger joints, including the knees, hips, and spine. Treatment aims to reduce joint inflammation and prevent joint damage, using a combination of NSAIDs, DMARDs, and biologics, which are particularly effective in managing both skin and joint symptoms.
What are My Psoriasis Treatment Options?
Treatment for psoriasis focuses on clearing the skin of current symptoms. Treatments for the root cause of of psoriasis are intended to interrupt the abnormal cycle that has caused an increased production of skin cells. This can be achieved through topical treatment, oral medication, light therapies or a combination of the three.
Topical Treatment
Topical treatment for psoriasis usually includes the use of of corticosteroids, vitamin D or topical retinoids. These topical medications target inflammation, skin-cell growth and DNA activity to effectively treat the symptoms of mild-to-moderate psoriasis.
Oral Medication
Oral medications may be prescribed for severe cases of psoriasis, or those that are unresponsive to other types of treatment. Prescription oral medications include retinoids, methotrexate or cyclosporine.
Patients with psoriasis can help relieve symptoms by keeping the skin clean and moisturized, covering the affected areas while sleeping, and avoiding catalysts such as stress, smoking and alcohol. By adhering to a doctor’s treatment plan and following the recommended home remedies, effective relief from psoriasis is possible.
FAQs
Is Psoriasis Genetic?
Your genes play a role in the color of your hair and eyes, the shape of your body, and the conditions to which you may be prone to developing in your lifetime. In most cases, genetic makeup is one of several factors that contribute to conditions like psoriasis. This can be good news because it can help you determine ways in which you might reduce your risk of developing this autoimmune condition or experiencing more severe symptoms. In addition to genes, psoriasis may develop or worsen due to pollution exposure, diet, and stress.
Is Psoriasis Contagious?
No. Psoriasis affects your skin but it does not originate there. It is caused by an overreaction in your immune system rather than an environmental factor like bacteria or fungi, so cannot be spread to others.
Is Psoriasis Curable?
As an autoimmune condition, psoriasis is not considered curable. Your doctor will work with you to develop an effective treatment plan to help you manage the frequency and severity of flare-ups. With proper management, your psoriasis symptoms can be much easier to control over your lifetime.
How Do I Know which Psoriasis Treatment is Right for Me?
Psoriasis is a condition that requires ongoing management that involves multiple approaches. The most common methods of addressing this condition include topical and oral medications. Your doctor may prescribe one or both, depending on your case. Additionally, you will discover ways to reduce the frequency and severity of itchy, painful flare-ups through diet and lifestyle. The best way to know where to start in addressing your psoriasis is to schedule a consultation with a board-certified dermatologist today!
How Long Will it Take Before I Start to See Results from Psoriasis Treatment?
You may begin to see and feel improvements within a week or two of beginning your psoriasis treatment. That said, most studies suggest that it is necessary to use a new medication consistently for 12 weeks to allow it to reach its full effect.
Why Should I Choose SkinSmart Dermatology to Help Me with My Psoriasis Treatment?
A dermatologist is a physician who has specialized in the many conditions that affect the skin. The doctors at SkinSmart Dermatology are dermatologic surgeons. This means that they have each received advanced training beyond the foundational dermatology residency. In addition to training and experience, though, our entire team also believes in putting each patient at the center of treatment planning. When you choose SkinSmart Dermatology for your psoriasis treatment, you can expect to be treated with the utmost care, beginning with a listening ear and continuing on with clear communication about your condition and your treatment options. We're here to help you feel your best!
Schedule Your Psoriasis Appointment in Sarasota Today
If you are experiencing psorasis and are seeking treatment, visit Sarasota Dermatology. Our providers, including Dr. Elizabeth Callahan, are experienced in psorasis treatment and have been serving the Sarasota community for over 15 years. At SkinSmart Dermatology, we treat a wide variety of skin problems and care for every individual patient with a personal touch. Schedule an appointment by calling 941-308-7546 or fill out the form on our contact page.