Treatment for Psoriasis

What is the treatment for psoriasis?

The treatment of psoriasis comprises a range of methods aimed at controlling the inflammation and rashes that develop on the skin. This treatment is usually carried out using topical creams, phototherapy and systemic medication. Topical treatments are preferred to reduce inflammation and ensure that skin cells regenerate at a normal rate. Phototherapy uses ultraviolet light to alleviate inflammation in the skin and help improve symptoms.

In more advanced cases or in cases of severe psoriasis, systemic medicines that regulate the immune system or biologic therapies may be used. The aim of treatment is to reduce flare-ups and improve quality of life, as psoriasis is a chronic and recurrent skin condition.

 

What is Psoriasis?

Psoriasis is a chronic inflammatory skin condition characterised by the faster-than-normal proliferation of skin cells and the formation of thick, scaly patches on the skin’s surface. As a result of the immune system becoming overactive, the process of skin cell renewal accelerates, leading to redness, itching and scaling of the skin.

Psoriasis usually affects areas such as the elbows, knees, scalp and lower back, but it can appear anywhere on the body. Although the condition tends to occur in recurrent flare-ups, it can be exacerbated by triggering factors such as stress, infections and certain medicines. Psoriasis is not contagious and is a chronic condition that affects quality of life.

 

What Causes Psoriasis?

Psoriasis is caused by the immune system overreacting to skin cells. This abnormal immune response leads to the rapid proliferation of skin cells and the formation of thick, scaly lesions on the skin’s surface.

Genetic predisposition plays a significant role in the development of the condition; the risk is higher in people with a family history of psoriasis. In addition, environmental factors such as stress, infections, certain medicines and changes in the weather may contribute to the onset or worsening of the condition. As a result of these complex interactions, psoriasis follows a chronic and recurrent course.

 

What Are the Different Types of Psoriasis?

• Plaque (vulgaris) psoriasis: En sık görülen formdur; deride kırmızı, üzeri gümüşi pullu plaklar halinde seyredebilir ve genellikle dirsek, diz ve saçlı deride görülür.
• Gutata (drop) psoriasis: Genellikle çocukluk ve genç erişkinlikte ortaya çıkar; vücudun birçok bölgesine dairesel, küçük (1–10 mm çapında) lezyonlar halinde yayılır, çoğunlukla streptokok enfeksiyonunu takiben gelişir.
• Intertriginous (tinea) psoriasis: Deri katlanma alanlarında (koltuk altı, kasık, memenin altı) görülür; nemli ortamda lezyonlar parlak kırmızı renkte olup genellikle pul dökmezler ve sürtünme nedeniyle tahriş hissi yaratır.
• Pustular psoriasis (localised or generalised): Steril (mikropsuz) püstüller (irin dolu kabarcıklar) eşliğinde seyreder; avuç içi ve ayak tabanında lokalize olabileceği gibi tüm vücutta yaygınlaşarak yüksek ateş ve halsizlik gibi sistemik semptomlara neden olabilecek genelize formu da vardır.
• Erythrodermic psoriasis: Nadir ve şiddetli bir formdur; vücudun büyük bir kısmında geniş kızarıklık ve yoğun pul dökümü ile seyreder, bazen ateş, titreme ve sıvı-elektrolit dengesinin bozulmasına yol açabilir.
• Nail psoriasis: Tırnak plaklarında çukurluk (pitting), kalınlaşma, sarımsı yağ lekesi ve tırnak ayrılması (onikolizis) gibi değişikliklerle kendini gösterir; genellikle eklem tutulumu (psoriatik artrit) ile birlikte görülebilir.
• Palmoplantar pustular psoriasis (palms and soles): Avuç içi ve ayak tabanındaki bölgelere sınırlı püstüllerin oluştuğu, sık tekrar eden ve tedavisi zor bir formdur; ağrıya ve günlük aktivitelerde kısıtlamaya neden olabilir.

 

What Are the Symptoms of Psoriasis?

• Shell plates: Deride kırmızı zemine oturan, gümüşi pul tabakalar.
• Severe itching: Lezyon bölgelerinde yoğun kaşıma ihtiyacı.
• Thickening and cracking of the skin: Plaklar ilerledikçe sertleşme ve fissür oluşumu.
• Changes to the nails: Tırnak yüzeyinde çukurluk, sarımsı yağ lekesi ve ayrılma.
• Joint pain (psoriatic arthritis): Eklem ağrısı, şişlik ve hareket kısıtlılığı.
• Extreme dryness: Deride kuruyup kırılganlaşan alanlar.
• Erythrodermic involvement (rare): Vücudun büyük bölümünde yaygın kızarıklık ve soyulma.

 

How is Psoriasis Diagnosed?

Psoriasis is usually diagnosed through a clinical examination of the characteristic lesions on the skin. The doctor determines the presence of the condition by assessing the thickened, scaly and reddened plaques on the skin. If necessary, a skin biopsy may be performed to confirm the diagnosis; in this procedure, a small sample of skin is taken and examined under a microscope.

Furthermore, a detailed assessment is important in order to distinguish the condition from other skin diseases that present with similar symptoms. The patient’s medical history and the course of their symptoms are also taken into account during the diagnostic process. In this way, an accurate diagnosis is made and an appropriate treatment plan is drawn up.

 

What Are the Treatment Methods for Psoriasis?

Sedef hastalığı tedavisi yöntemleri arasında topikal tedaviler, fototerapi ve sistemik ilaçlar yer alır. Topikal tedavilerde en sık corticosteroid içeren kremler, calcipotriol (D vitamini analogları) ve kombine formülasyonlar kullanılır; bunlar ciltteki iltihaplanmayı azaltarak plakların incelmesini sağlar. Özellikle hafif ve orta düzeydeki hastalıklarda topikal ajanlar ilk tercih olarak karşımıza çıkar, çünkü direkt olarak lezyon bölgesine uygulanarak yan etki riskini minimuma indirir.

Phototherapy is based on the application of ultraviolet B (UVB) or narrow-band UVB rays using specialised devices. Recognised as a second-line treatment, this method helps to reduce the severity of plaques by regulating the growth cycle of skin cells. Administered in several sessions per week, phototherapy is particularly effective in cases of widespread or refractory psoriasis and offers a safe option, with the dose adjusted through regular check-ups.

Systemic treatments are used for moderate to severe psoriasis. Conventional immunosuppressants and retinoid agents, such as methotrexate, cyclosporine and acitretin, reduce the overall severity of the condition by regulating the body’s immune response. These medicines must be used in conjunction with regular blood and liver function tests; whilst they are effective, the risk of side effects with long-term use must be taken into account.

 

Natural and Herbal Treatment Options for Psoriasis

Natural products such as vegetable oils, aloe vera gel and oatmeal baths help to moisturise the skin and can reduce itching and irritation. Furthermore, certain plant-based ingredients with anti-inflammatory properties have the potential to alleviate inflammation of the skin. However, these methods are not a substitute for psoriasis treatment; they should be considered as a complement to medical treatment carried out under a doctor’s supervision. Whilst natural remedies may provide some relief for the skin, professional medical intervention is required to address the main factors affecting the course of the condition.

 

Dietary Recommendations for Psoriasis

Diet is an important factor in psoriasis that can have a positive impact on the course of the condition. Foods with anti-inflammatory properties, particularly omega-3 fatty acids, fresh vegetables and fruit, help to reduce inflammation of the skin.

At the same time, it is recommended to limit the consumption of foods that can trigger inflammation, such as processed foods, sugar and saturated fats. A balanced and healthy diet helps to regulate the immune system whilst contributing to the management of psoriasis. For this reason, adjusting dietary habits is regarded as an integral part of psoriasis treatment.

 

Is Psoriasis Contagious?

Psoriasis is not contagious because it is a chronic inflammatory condition resulting from an overreaction of the immune system against the body’s own skin cells. As it is not associated with infectious agents such as viruses or bacteria, it is not transmitted through contact between people. Genetic predisposition and environmental triggers play a role in the development of psoriasis, but these factors do not cause the condition to be passed on to others. Therefore, people with psoriasis can feel at ease in their social lives and interact with those around them without fear of spreading the condition.

 

How Can Psoriasis Flares Be Managed?

To prevent flare-ups, it is important to manage stress, maintain a regular skincare routine and avoid trigger factors. In particular, keeping the skin moisturised helps to reduce inflammation, thereby alleviating the severity of flare-ups.

Furthermore, the regular use of the medicines prescribed by the doctor and regular follow-up play a critical role in managing the condition. Whilst certain environmental factors, such as sunlight, can be beneficial, it is important to avoid harmful habits such as smoking and excessive alcohol consumption. This holistic approach helps to improve quality of life by reducing flare-ups of psoriasis.

 

Medicines and Creams Used to Treat Psoriasis

• Topical corticosteroid creams: İltihabı ve kaşıntıyı hızlıca azaltır.
• Calcipotriol cream: Cilt hücrelerinin aşırı çoğalmasını düzenler.
• The combination of calcipotriol and betamethasone: Hem hücre döngüsünü yavaşlatır hem de iltihabı baskılar.
• Tazarotene cream (retinoid): Plakları inceltir ve pul dökmeyi azaltır.
• Ointments containing tar: Cilt yenilenmesini düzenleyerek plak oluşumunu düşürür.
• Methotrexate (oral tablet): Bağışıklık yanıtını baskılayarak yaygın plakları kontrol eder.
• Cyclosporine (oral capsule): Bağışıklık sistemini geçici olarak zayıflatıp hızlı etki sağlar.
• Acitretin (oral retinoid): Hücre farklılaşmasını düzenler ve kalıcı iyileşmeyi destekler.
• Dapsone (oral antibiotic): Püstüler formda ek tedavi desteği sunar.
• Biological agents (injections): Özellikle dirençli vakalarda spesifik inflamasyon yolaklarını hedef alır.

 

Psoriasis Treatment Costs 2025

In 2025, the cost of treating psoriasis varies considerably depending on the treatment method and the medicines used. The cost includes not only the assessment of the severity and extent of the condition but also the costs of the necessary tests (such as blood tests and biopsies).

As the severity of psoriasis increases, treatment methods become more comprehensive and, consequently, more expensive; therefore, early diagnosis and regular check-ups are of great importance in determining the correct treatment approach. Please contact us straight away for pricing information.

 

Frequently Asked Questions

 

Can psoriasis be completely cured?

Psoriasis cannot be completely cured, but it can be managed with appropriate treatment and lifestyle changes. This is because psoriasis is a chronic and recurrent autoimmune condition; as a result, symptoms may flare up from time to time and become more severe.

Treatment aims to reduce psoriasis flare-ups and maintain the skin’s healthy appearance. The condition can be managed through regular skincare, avoiding trigger factors and taking medication under a doctor’s supervision. This approach minimises the effects of the condition whilst improving quality of life; however, it is not possible to eliminate it completely.

 

Is psoriasis triggered by stress?

Psoriasis can be triggered by stress because stress disrupts the balance of the immune system, thereby increasing inflammatory processes in the body. This can lead to a flare-up of psoriasis and a worsening of symptoms. When under stress, the body alters the secretion of hormones such as cortisol, and these hormonal changes can trigger the rapid proliferation of skin cells.

Stress weakens the skin barrier, making it more difficult to manage the condition. For this reason, stress management plays an important role in the treatment of psoriasis and helps to alleviate symptoms.

 

Is psoriasis genetic?

Psoriasis is linked to a genetic predisposition; in other words, individuals with a family history of the condition are more likely to develop it. Genetic factors are one of the key elements that trigger an abnormal immune system response in the development of the condition. However, genetic predisposition alone does not cause psoriasis; environmental factors, stress, infections and lifestyle also play a significant role in triggering the condition. Therefore, whilst genetic makeup may increase the risk of psoriasis, the condition is caused by a combination of multiple factors acting together.

 

Which doctor should you see for psoriasis?

You should consult a dermatologist for psoriasis, as dermatologists specialise in skin conditions and have experience in the diagnosis and treatment of psoriasis. Dermatologists assess the severity of the condition to determine the appropriate treatment methods and draw up personalised treatment plans.

Furthermore, distinguishing psoriasis from other skin conditions and carrying out further investigations where necessary are also part of a dermatologist’s responsibilities. For this reason, it is important for people who suspect they may have psoriasis to consult a dermatology clinic to ensure they receive the correct and effective treatment.

 

Is psoriasis affected by the sun?

Psoriasis can be affected by the sun in both positive and negative ways, as in some patients, sunlight helps to alleviate symptoms by reducing inflammation in the skin. However, excessive sun exposure or sunburn can trigger psoriasis or cause existing lesions to worsen. This dual effect of the sun means that patients need to be careful and ensure their exposure to the sun is controlled.

Protecting oneself from the sun and using sun cream as recommended by a doctor are important for people with psoriasis to maintain their skin health. For this reason, sunlight can act as both a therapeutic and a triggering factor in psoriasis.

 

Which plants are beneficial for psoriasis?

Certain plants may offer supportive benefits for psoriasis, as their natural compounds help to reduce inflammation in the skin and soothe it. For example, aloe vera gel moisturises the skin and relieves itching, whilst turmeric’s anti-inflammatory properties can help reduce inflammation. Furthermore, the antioxidants found in plants such as chamomile and green tea support skin health and combat free radicals.

However, these herbal remedies are not a substitute for standard psoriasis treatment; they are recommended as a supplement to treatments administered under a doctor’s supervision. For this reason, you must always seek expert advice before using herbal products.

 

Which foods should be avoided if you have psoriasis?

In psoriasis, it is recommended to avoid certain foods as they may trigger inflammation. In particular, processed foods, sugary foods and foods containing saturated fats can increase inflammation in the body, leading to a worsening of psoriasis symptoms.

In addition, alcohol consumption and excessive consumption of red meat can also trigger flare-ups of the condition. In some people, certain foods such as gluten and dairy products can also exacerbate symptoms, so it is important to be aware of individual sensitivities. A healthy and balanced diet helps to reduce inflammation and plays a supportive role in managing psoriasis.