Psoriasis is a chronic skin disorder typically characterized by red, raised, and scaly patches on the skin. It is an autoimmune disease that occurs when the body's immune system attacks its own skin cells. This condition not only affects the skin but can also have extensive effects, impacting the joints as well.

Symptoms of Psoriasis

  • Red, Raised Patches: Often found on areas like the knees, elbows, and scalp.
  • Silvery Scales: A silvery, flaky layer forms over the patches.
  • Itching and Pain: The areas with patches can be itchy and painful.
  • Dry, Cracked Skin: The skin can become dry, crack, and sometimes bleed.
  • Thickened Nails: Nails may appear thickened, pitted, or discolored.

Causes and Triggers

While the exact cause of psoriasis is unknown, a combination of genetic factors and environmental triggers play a significant role. The following are triggers that can initiate the disease or exacerbate its severity:

  • Stress: High stress levels can trigger or worsen psoriasis symptoms.
  • Skin Injuries: Skin trauma such as cuts, scratches, and sunburn can trigger the condition.
  • Medications: Certain medications like high blood pressure drugs, antimalarials, and lithium can trigger psoriasis.
  • Infections: Acute infections, such as throat infections, particularly in children and adolescents, can trigger psoriasis symptoms.

Diagnosis and Treatment

The diagnosis of psoriasis is usually made through a skin examination, but a biopsy may be required in some cases. Treatment varies based on the severity of the disease and the extent of areas affected. Some management strategies include:

  • Topical Treatments: Topical medications like steroid creams and vitamin D analogs.
  • Phototherapy: Treatment using ultraviolet light.
  • Systemic Treatments: Oral or injectable medications for severe cases.
  • Biologic Agents: New-generation biologic drugs that specifically target the autoimmune response.

Psoriasis can significantly reduce the quality of life of those it affects, but with appropriate treatment and management, it can be controlled. Being informed about the disease is the first step towards early diagnosis and effective treatment. If you exhibit symptoms of psoriasis, it is important to consult a specialist doctor (dermatologist).

 

Frequently Asked Questions

How Should Individuals with Psoriasis Eat?

The diet of individuals with psoriasis can be a factor that affects the severity of the disease. Although diet is not a direct cause of the disease, foods that increase or decrease inflammation levels in the body can alleviate or exacerbate symptoms.
In response to the question of how should individuals with psoriasis eat, the fundamental answer is a diet that includes anti-inflammatory, natural, and unprocessed foods.

  • A diet focused on vegetables and fruits, rich in color and fiber, should be preferred.

  • Fish containing Omega-3 fatty acids (salmon, sardines) support the immune system.

  • Avoid processed foods like refined sugar, white flour, fried foods, and fast food.

  • Alcohol and smoking can exacerbate psoriasis symptoms.

  • A gluten-free diet may benefit some patients.
    Since each individual's reaction is different, personalized diet planning with the support of a dietitian is recommended.

Severe Psoriasis

Severe psoriasis is a clinical condition characterized by widespread and inflamed plaques affecting more than 10% of the body's surface area. In some individuals, it is a health problem that not only affects aesthetics but also has a direct impact on quality of life.
Severe psoriasis shows intense involvement, especially in areas like the palms, soles, scalp, elbows, and knees. In these cases, complaints such as itching, pain, and skin cracking are more frequent.
Additionally, joint involvement (psoriatic arthritis) may develop in such psoriasis patients. The treatment process may not only include topical creams but also systemic medications, biologic agents, and phototherapy as advanced treatments.
The individual's stress level, immune status, and environmental triggers (like infection and trauma) also affect the severity of the disease. Regular dermatology follow-up is very important in these cases.

Psoriasis Symptoms

Psoriasis symptoms can vary from person to person, but generally, it is characterized by red, scaly, flaky, and peeling plaques on the skin.
The most common symptoms include:

  • Silvery, thickened skin plaques

  • Severe itching

  • Cracking and bleeding skin

  • Pitting, thickening, or discoloration of the nails

  • Scalp flaking
    While some patients may have only a few small lesions, others may experience widespread involvement across the body. The type and spread of the disease determine the course of treatment.

What are the Symptoms of Psoriasis?

Understanding the symptoms of psoriasis is critical for early diagnosis.
Symptoms most commonly appear in the following areas of the body:

  • Elbows

  • Knees

  • Scalp

  • Back and Chest

  • Nails
    The primary symptom is dry, scaly, and red skin patches. These areas can be itchy and may occasionally bleed.
    In some individuals, these plaques can be painful, negatively affecting social life and psychological health. At the onset of symptoms, it is essential to consult a dermatology specialist without delay.

What is the Onset of Psoriasis Like?

The onset of psoriasis usually manifests as small and confined lesions. These lesions can appear in tense areas of the skin, along the hairline, or on the elbows and knees.
During the initial phase:

  • Mild redness

  • Crusts and flaking

  • Dryness and itching
    are observed. In some cases, this onset can flare up suddenly following another trigger (such as a febrile illness, stress, or skin trauma).
    If diagnosed early, the disease can be controlled and its spread prevented.

Does Psoriasis Go Away?

The answer to whether psoriasis goes away is "not completely" due to the disease's chronic nature. However, it can be controlled, symptoms relieved, and flare-ups prevented.
Thanks to a variety of treatment options available in modern medicine, patients can remain symptom-free for extended periods.

  • Topical treatments

  • Phototherapy (light therapy)

  • Systemic drugs

  • Biologic agents are among the treatment options.

In this process, regular medical follow-up, stress management, appropriate nutrition, and sleep regulation positively influence the healing process.
While psoriasis may flare up from time to time, these periods can be managed. With suitable lifestyle changes and proper treatment, patients can enjoy long periods of comfort.

Creation Date : 03.05.2025
Update Date : 26.06.2025
Author : Yeliz YİĞİT
Communication : 444 23 23
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