What is Psoriasis?
A chronic skin condition that features thick patches of skin, inflammation, itching and scaling is known as psoriasis and is caused by a patient’s overactive immune system. With this condition, skin cells are rapidly produced and instead of shedding, they pile up on the skin, resulting in skin patches, or plaques. San Antonio dermatologist, Dr. Garcia, can treat these red, white or silvery patches of scaly skin, which are usually found on the scalp, elbows and knees. Since there are various forms of psoriasis, Dr. Garcia will diagnose the form a patient has to provide appropriate treatment.
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"I’ve been coming here for about a year or so, I have to be honest, I haven’t had the best luck. Few times, including today, I wanted to give up and find a new place BUT I’ve meant the sweetest, caring, compassionate, hard working, goes out of her way to make things right......her name is Kim. She has gone above and beyond to take care of things that weren’t taken care of before. And for that I will continue to come, because I know I can count on her. Thank you Kim for caring about me as a patient and a customer. You have touched my heart with your listening ear, kindness and have always cared about my concerns. I wish everyone was like you! I’m grateful and thankful for you."- T.W. / Yelp / Jul 22, 2021
"I've been coming here for about a year or so, I have to be honest, I haven't had the best luck. Few times, including today, I wanted to give up and find a new place BUT I've meant the sweetest,..."- T.W. / Yahoo / Jul 22, 2021
"Great first impression! I initially received a referral from my PCP to another dermatology clinic but, after reading some of the reviews and asking around, I made the decision to cancel that referral and find another clinic in my network. I chose this one based on the good reviews here and elsewhere. I was seen by Daniella Arellano PA-C for hair loss/thinning. She listened to everything I had to say and presented various options we could take. No pressure to dive balding-head first into some expensive procedure, but I am happy that I was presented with a few paths to pursue without ruling out any of them for future consideration. I even had some medical questions a week after my appointment so I called and left a message, and I received a call back the same day with answers.This was my first time at this office. It was very clean and everyone I encountered from check-in to check-out was very nice. Located on Sonterra ACROSS from the Methodist hospital - navigation kept wanting me to go TO the hospital!I have only given it 4 stars because I don’t know yet if the visit will fix my issue and I did not want to mislead anyone by giving the impression they can fix EVERYTHING immediately. Maybe they can... and then it will be a 5!"- S.O. / Yelp / Jul 14, 2021
What Causes Psoriasis?
The exact cause of psoriasis hasn’t been pinpointed by doctors. The overall thinking is that the immune system overreacts which causes inflammation as well as flaking of the skin. It’s also believed that psoriasis can be inherited. Approximately 1/3 of people who have psoriasis have one or more family members with the condition. Scientists believe that certain genes interact which leads to psoriasis. However, a patient must inherit the right combination of genes as well as be exposed to a trigger. Symptoms can appear after triggers such as a stressful event, taking certain medications, strep throat, cold, dry weather or a scratch, cut or bad sunburn.
Types of Psoriasis
There are several different forms of psoriasis, including plaque psoriasis or psoriasis vulgaris, pustular psoriasis, guttate psoriasis, inverse psoriasis and erythrodermic psoriasis or exfoliative psoriasis. Plaque psoriasis is the most common. While most cases of psoriasis are considered mild, some are difficult to treat and can require multiple treatments throughout a patient’s life. It is also important to note that psoriasis isn’t contagious and can’t be spread from person to person. Once it is diagnosed, it is a matter of managing the symptoms so that flare-ups can be minimized.
Symptoms of Psoriasis
The most common symptoms associated with psoriasis include raised, bright red patches of skin that are covered with loose and silvery scales. Plaques can also appear in the same area on both sides of the body, such as on both knees and/or both elbows. The scalp can experience anything from mild scaling to areas of thick, crusted plaques. Itching is common before flare-ups especially when psoriatic patches appear in body folds such as under the buttocks or breasts. Tiny areas of skin bleeding can occur when scales are picked or scraped off. This is known as Auspitz’s sign. In addition, nails can appear pitted or discolored or even crumble and fall off. Some common symptoms associated with the varying types of psoriasis include:
- Guttate psoriasis: Common symptoms include small, red spots that can appear all over the skin and often appear after an illness.
- Pustular psoriasis: Common symptoms include red, swollen skin with pus-filled bumps that can cover the palms and soles and can be painful.
- Inverse psoriasis: Common symptoms include smooth, red patches of skin that appear raw-looking. Patches develop only where skin comes into contact with other skin such as the armpits or genitals.
- Erythrodermic psoriasis: Common symptoms include areas of skin that look burned and most, if not all, of the body turns bright red and the body can’t maintain a normal temperature. A person must seek medical care immediately since this condition can be life threatening.
Treatment for Psoriasis
While there is no cure for psoriasis, there are a variety of treatments available to treat the condition depending on the severity and type of psoriasis a patient has. Mild cases can be treated with prescription lotions, creams and ointments that help to moisturize the skin. When the scalp is affected, shampoos, sprays and oils can be used. Oral medications can also be prescribed, and cortisone shots can be administered to slow down the growth of cells and reduce inflammation. Advancements in laser therapy have made huge improvements for many patients. Using phototherapy to expose a patient’s skin to special, ultraviolet light helps reduce symptoms, as well as helps the skin to look normal.
Plan Your Procedure
- Average Procedure Time
- 15 Minutes
Control Your Psoriasis Today!
Since psoriasis is not only painful, but can also be embarrassing, making it difficult for some patients to live their day-to-day lives, it is crucial for a patient to see a dermatologist to understand how to manage the condition. We invite you to call our dermatology office today and make an appointment for your thorough consultation.