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Treatments for psoriasis flare-ups

Psoriasis is a chronic skin disorder characterized by raised lesions with silvery scale that most often occur on the scalp, elbows, knees and lower back. It can range from a very mild, hardly noticeable rash to a severe eruption that covers large areas of the body. In some patients, psoriasis causes nail changes and joint pain (psoriatic arthritis). Psoriasis affects 2% of people and is not contagious, but may be inherited.

Psoriasis consultation with Dr. Kihiczak in New York City

The cause of psoriasis is not fully understood but has to do with a hyperactivity of white blood cells (T-cells) that trigger inflammation in the skin and cause increased turnover. The skin starts to “pile up” in certain areas resulting in the lesions of psoriasis. Flares of psoriasis may occur in the winter, during times of stress, after trauma to the skin (this is called a Koebner Phenomenon), after an infection like strep throat, and with certain drugs such as beta-blockers, lithium and anti-seizure medications.

Treatment of psoriasis depends on a patient’s overall health, presence of joint pain and severity of skin involvement. In mild cases, topical corticosteroids and vitamin D analogues are prescribed. Targeted excimer or full body narrowband UVB is usually helpful for those with more resistant or extensive skin disease. For patients who do not respond to phototherapy or who have psoriatic arthritis, immunosuppressive and biologic medications are an option.

Psoriasis is not curable but is controllable. No single approach works for everyone. Therapy is individually tailored and based on your health, goals, and a careful assessment of potential risks and benefits of treatment.

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To learn more about psoriasis treatment options, contact Spring Street Dermatology in SOHO, and Uptown, NYC to schedule a consultation. You can also schedule an appointment online here.

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75 Spring Street, Floor 2 New York, NY 10012

75 Spring Street, Floor 2
New York, NY 10012

Monday – Friday: 9am – 8pm

4 West 58th street, 13th Floor New York, NY 10019

4 West 58th street, 13th Floor

New York, NY 10019

Sun & Sat: 10am-3pm

Mon-Fri: 8am-6pm

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