Assessment defines the starting point
Clinical evaluation will depend on body surface area involved, presence of nail, scalp or genital involvement. Moreover, presence of metabolic syndrome, or inflammatory bowel disease or joint involvement are essential factors. The impact on quality of life is important consideration as Well. Thus, these factors will determine the best option for each patient so we have personalized medicine. [1]
Topical treatments
Moisturizers are important for psoriatic patients, as dryness is a trigger factor, while topical corticosteroids, vitamin D analogues or other products may be prescribed. Strength and duration depend on the site; type of psoriasis and the patient background as well. [1]
Phototherapy
Medical phototherapy, including narrowband ultraviolet B, may be used when creams alone are not enough. [1]
Oral medicines and biologics
Systemic options include oral drugs such as methotrexate, ciclosporin and acitretin, and biologics drugs targeting a specific immune pathway. Over the last 10 years, psoriasis therapy had changed dramatically with more effective drugs and less side effects, these mainly are biologic which are highly efficacious with minimal side effects. However, these are given under close supervision. [1][2]
Follow-up and treatment goals
Periodic evaluations clinically and sometimes laboratory are essential for these patients as well. [1][4]
References
- 1. Psoriasis diagnosis and treatmentAmerican Academy of Dermatology
- 2. Psoriasis treatment methotrexateAmerican Academy of Dermatology
- 3. Psoriasis treatment during pregnancy and breastfeedingAmerican Academy of Dermatology
- 4. PsoriasisNHS
References are clickable. Accessed 2026-09-05.