Who can help you?
The first step is a visit with your family doctor.
Some sufferers feel that the management of their psoriasis with conventional treatments by their family doctor is sufficient; others continue to feel restricted in their daily life.
If you continue to feel unwell, then a dermatologist is the correct contact person for you. Dermatologists are experts in the treatment of skin disorders, such as psoriasis, and have extensive knowledge with respect to the different forms of treatment.
Whomever you talk to about your psoriasis, whether it be your family doctor or a dermatologist — you should feel at ease, speak openly about your skin, mention the effects on your daily life and keep specific goals for your treatment in mind.
Use our "Dermfinder", to find a specialist dermatologist near you.
Apart from a discussion and a skin analysis, the dermatologist has a series of other options for assessing the severity of your psoriasis and estimating how badly you are affected by the effects of the disease.
In patients with moderate or severe psoriasis, topical or phototherapy alone often can not achieve satisfactory improvement. In these cases, systemic treatments will be necessary: Additional treatment with medications in the form of tablets, injections or infusions.
Factors for therapy and diagnosis
Many criteria must be considered, since the decision in favour of any potential medication is strongly dependent on the individual's state of health, for example:
- The type and location of the psoriatic lesions
- Pre-existing conditions and comorbidities
- Existing contraindications
- Interactions with concomitant medication
- The presence of psoriatic arthritis
- Personal circumstances (e.g. desire to have children).
These medications should be used only after a detailed consultation and examination by physicians who have experience with these treatments.
Topical psoriasis treatments
Conventional systemic treatments
Applied directly to the skin
Coal tar products
(exposure to different types of ultraviolet [UV] light)
Applied to the skin, usually available in specialist centres
UVA combined with psoralen
Narrowband UVB combined with dithranol and steroids
Fumaric acid esters
(Biologics are administered as injections either under the skin or by the doctor as an infusion)