Psoriasis is a non-contagious, chronic auto-immune inflammatory skin disease that can affect the entire body. Marked by periodic flare-ups and remissions, psoriasis can improve and worsen over the course of time. Those with a family history of psoriasis are often predisposed to this skin condition. While there is no cure, psoriasis can be successfully controlled with treatment and medications.
There are several forms of psoriasis, with the 5 main types being plaque, guttate, inverse, pustular, and erythrodermic. Though symptoms vary from individual to individual, the identifying characteristics of the different types are as follows:
The precise cause of psoriasis is not fully understood. It is estimated that about 10% of the general population has inherited one or more of the genes linked to psoriasis, however only about 2-3% present clinical signs of the skin condition. Because of this discrepancy, it generally acknowledged that psoriasis arises due to a combination of hereditary and environmental considerations.
Auto-immune condition: Psoriasis is an auto-immune disease in which the immune system causes too much inflammation and proliferation of skin cells. This causes several changes in the skin, including redness, thickening, increase scale and silvery scale. This immune mediated inflammation is very complex and multifactorial. The newest available medication blocks and modulates (decreases) this abnormal immune response, bringing the patient’s immune level closer to a normal level. The inflammation that is seen on the skin, can also be seen in the internal organs of patients with psoriasis. This is specifically why patients with psoriasis also suffer from psoriatic arthritis, heart disease, stroke, cardiovascular disease, diabetes, insulin resistance, obesity, alcohol abuse, and depression. This chronic inflammation also increases the lifetime lymphoma risk of a psoriasis patient by three times, meaning that a patient with psoriasis, regardless of any treatment received, has a three times higher chance of developing lymphoma than a person without psoriasis.
External factors. A range of external factors can provoke and exacerbate a flare-up. Though every individual will have his or own specific triggers and patterns, some common contributing causes include:
The objective of treatment is to interrupt the overactive cellular growth cycle and allow the skin to heal. To treat psoriasis, Dr. Goldenberg uses the most current therapies available. Dr. Goldenberg will also address some of the potential systemic manifestations of the disease and will work with other specialists to ensure that all possible manifestations of psoriasis are treated.
Dr. Goldenberg is a board-certified dermatologist and dermatopathologist, specializing in pathology, biopsies and the analysis of chronic skin disorders. If you are suffering from symptoms of psoriasis, Dr. Goldenberg can make a precise diagnosis and recommend the most advanced, effective treatment and management of the skin condition. Dr. Goldenberg is on the cutting edge of use of the newest and most effective treatments of psoriasis. With the proper psoriasis treatment, your discomfort can be alleviated and you can reduce the likelihood of flare ups. Contact his New York City office to schedule a consultation.