More Than a Skin Condition
Psoriasis is a chronic autoimmune disease in which the immune system mistakenly accelerates skin cell production. Normal skin cells mature and shed over a period of about 28 days; in psoriasis, this cycle is compressed to just three to four days, causing cells to pile up on the surface as thick, red, scaly patches known as plaques.
It affects approximately 2 to 3 per cent of the global population and can appear at any age, though it most commonly develops between 15 and 35 or after 50.
Types of Psoriasis
- Plaque psoriasis, The most common form (80-90% of cases), presenting as raised, red patches covered with silvery-white scales
- Guttate psoriasis, Small, drop-shaped lesions often triggered by streptococcal infection
- Inverse psoriasis, Smooth, red patches in skin folds (armpits, groin, under breasts)
- Pustular psoriasis, White pustules surrounded by red skin
- Erythrodermic psoriasis, A rare, severe form affecting large areas of the body
The Systemic Nature of Psoriasis
Psoriasis is not confined to the skin. It is associated with a significantly increased risk of:
- Psoriatic arthritis, Joint inflammation affecting up to 30% of psoriasis patients
- Cardiovascular disease, Chronic inflammation accelerates atherosclerosis
- Metabolic syndrome, Higher rates of obesity, diabetes, and dyslipidaemia
- Depression and anxiety, The visible nature of the condition takes a considerable psychological toll
Treatment Options
Topical therapy remains first-line for mild to moderate disease: corticosteroids, vitamin D analogues, coal tar preparations, and calcineurin inhibitors.
Phototherapy, Controlled UVB exposure two to three times per week can significantly reduce plaque severity.
Systemic therapy, For moderate to severe cases, oral medications (methotrexate, cyclosporine) or newer targeted therapies may be prescribed.
Biologic therapy, The most significant advance in psoriasis treatment over the past two decades. Biologics target specific components of the immune system (TNF-alpha, IL-17, IL-23) and can achieve near-complete clearance in many patients.
The Integrative Approach at Al Das
Our dermatologists work with our integrative medicine and nutrition teams to address the systemic drivers of psoriasis. Anti-inflammatory dietary protocols, stress management, gut health optimisation, and targeted supplementation (vitamin D, omega-3 fatty acids) can all complement conventional treatment and reduce flare frequency.
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