Psoriasis Treatment & Management

DTAP Clinic (Caring & Treating Since 2005)

We offer a range of treatments to help our patients overcome psoriasis and other skin related conditions.

Our experienced doctors are dedicated to managing psoriasis and minimizing any discomfort you experience. We use consistent care and personalized treatment for effective results.

Same-day appointments and walk-ins are available. Consult today to find out how we can help you reduce flare-ups and control psoriasis effectively.

What is Psoriasis?

Psoriasis is a chronic inflammatory skin condition that commonly appears as red, thick and flaky patches on the elbows, knees, scalp or other parts of the body. These patches can be itchy or sore. They may get worse or better with time and tend to recur after exposure to certain triggers that are specific to the individual.

Apart from the skin, psoriasis can also affect the nails and joints of the body.

Severe disease can be debilitating, causing much pain, suffering, affects daily activities and can often lead to mental health conditions like low self-esteem and depression. 

Symptoms of the different types of Psoriasis

1. Plaque Psoriasis: The most common type. This appears as raised patches of red, itchy skin with silvery surface scales. The scalp, outer surface of elbow, skin over front of the knees and lower back are most commonly affected.

2. Nail psoriasis: Psoriasis affecting the finger and toe nails, causing pitting, discolouration, separation of nail from bed and crumbling nails.

3. Guttate psoriasis: Appears as multiple raindrop-like small, rounded red spots with scales on the body, arms and legs. It typically affects children and young adults.

4. Inverse Psoriasis: Appears as painful and itchy red patches that develop on skin folds such as the underarms, under the breast, between the genital and thighs, and buttock areas.  It often affects both sides of the body and worsens with friction and sweating.

5. Pustular Psoriasis: Less common form of psoriasis. Appears as patches containing whitish pus-filled blisters that may be seen on the palms, soles or other parts of the body.

6. Erythrodermic Psoriasis: A rare form of psoriasis. Appears as red and peeling skin that covers nearly the whole body.  Patients with this condition often experience intense itch and pain. They may develop fever, changes in heart rate, become dehydrated and suffer from infection due to the widespread breakdown in skin barrier. This condition can be life threatening and urgent medical attention is required.

7. Psoriatic arthritis: Appears as painful, swollen and sometimes stiff joints. It can affect any joint of the body and is common on the fingers and toes. It occurs frequently with nail psoriasis. Up to one-third of people with psoriasis can have psoriatic arthritis.  Symptoms can range from mild to severe. Severe cases can lead to permanent joint damage.

Causes & Triggers

Psoriasis occurs when skin cells are replaced more quickly than usual.  It is not known exactly why this happens but research suggests it is caused by a problem with the immune system.

We do know that some conditions can trigger psoriasis.

For example:

  • Infections (throat or skin infections)
  • Weather (cold and dry conditions)
  • Skin injury (cut, scrape, insect bite, severe sunburn)
  • Psychological stress
  • Smoking
  • Heavy alcohol consumption
  • Certain medications (lithium, high blood pressure medications, antimalarial drugs)
  • Withdrawal of oral corticosteroids

Each patient may have his or her own different triggers.

Complications of Psoriasis

Psoriasis is often associated with the following medical problems:

  • Arthritis (inflammation of joints)
  • Inflammatory eye conditions such as conjunctivitis, uveitis (inflammation of iris), blepharitis (inflammation of eyelids), scleritis (inflammation of the white part of eye)
  • Obesity
  • Type 2 diabetes mellitus
  • High blood pressure
  • Heart disease
  • Other autoimmune disease such as ceoliac disease, inflammatory bowel disease
  • Mental health conditions such as low self-esteem, anxiety and depression

Treatment options

Psoriasis is a lifelong disease often comprising periods of recurring eruptions followed by periods of relative remission.

There is currently no cure for psoriasis. Treatment is aimed at controlling the symptoms during flare-ups and reducing the frequency of flares. Avoiding triggers is important too.

People with psoriasis may respond to treatments differently and at different times. Therefore, it is important for you to work with your doctor to find a treatment plan that works best for you. In addition to medical treatments, adopting healthy lifestyle habits such as exercising regularly, eating healthy foods, managing stress,  quitting tobacco and drinking alcohol in moderation (for those who drink) can also help to control the disease.