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Psoriasis

Last updated: 2nd Sep 2025

Psoriasis is a chronic, immune-mediated, inflammatory skin disorder driven by genetic susceptibility and environmental triggers. Its pathogenesis involves dysregulated interactions between keratinocytes, dendritic cells, T cells, and other skin-resident immune components. Globally, psoriasis affects approximately 125 million individuals, representing a significant burden on public health.


Who is most at risk?

Psoriasis affects both sexes, though earlier onset is more frequently observed in females and those with a family history. The age of onset typically follows a bimodal distribution: 30–39 and 60–69 years in men, with onset occurring roughly a decade earlier in women.


What are the common symptoms of psoriasis?

Plaque psoriasis, the most prevalent form, presents as well-demarcated, erythematous plaques with overlying silvery-white scale. Lesions commonly appear on the scalp, elbows, and knees, and are often pruritic or painful. Symptom severity and distribution vary by subtype and disease extent.


How does psoriasis impact quality of life?

Psoriasis can massively impair daily functioning, including occupational and sexual functioning. Many people report psychological distress, with embarrassment and social withdrawal frequently cited as major challenges.


What treatment options are currently available?

Management strategies depend on disease severity, prior treatment response, and patient preference. Therapeutic options include topical therapy, phototherapy, and systemic treatments, ranging from conventional immunosuppressants to targeted biologics. The primary treatment goal is to reduce epidermal hyperproliferation and inflammation while minimizing adverse effects.


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