Phototherapy is a treatment option for some patients with Psoriasis.  There are various light sources that can deliver radiation that can slow the growth of keratinocytes (skin cells) in Psoriasis.  Narrow Band UVB is one of the most common and effective light sources for treating Psoriasis.  It delivers UVB light at 311nm which the Psoriasis […]

There is a relatively new class of medicines collectively called the Biologics which work on the chemical mediators of Psoriasis. Tumor Necrosis Factor alpha (TNF alpha) is an important mediator of Psoriasis which induces the inflammation of Posriasis and there is a class of Biologics called the TNF alpha inhibitors which include Enbrel, Humira and Remicade.  These […]

Psoriatic Arthritis occurs in 5% of patients with Psoriasis and I commonly encounter this disease in both my The Woodlands dermatology and Conroe dermatology offices.  Pustular Psoriasis is the most common type of Psoriasis in which patients experience Psoriatic Arthritis.  Approximately 50% of patients have the HLA-B27 genetic marker which is seen in other forms […]

Cyclosporine is considered a “rescue drug” for severe Psoriasis flares, especially pustular Psoriasis so I occasionally prescribe this medicine for patients in my The Woodlands dermatology and Conroe dermatology clinics.  Cyclosporine is an immunosuppressive drug that was initially used to prevent organ transplant rejection but is FDA approved for treating severe Psoriasis.  Neoral is a […]

Methotrexate is a systemic medicine FDA approved for the treatment of severe Psoriasis and has efficacy in the treatment of Psoriatic arthritis and I occasionally manage and prescribe this medicine in both my The Woodlands dermatology and Conroe dermatology offices.  Methotrexate is usually prescribed in pill form which is taken once a week.  There is […]

Topical treatments for Psoriasis are the most commonly used and the safest of the treatment modalities for Psoriasis and I prescribe them to my patients on a daily basis in both my The Woodlands dermatology and Conroe dermatology offices.  Topical medicines come in many different forms which include creams, ointments, solutions, gels, sprays and shampoos.  […]

Seborrheic Dermatitis and Psoriasis are distinct skin diseases but have many similarities that can occasionally overlap into a skin condition called Sebopsoriasis, which I encounter on a daily basis in both my The Woodlands dermatology and Conroe dermatology clinics.  Sebopsoriasis is found on the scalp and face and usually occurs when seborrheic dermatitis is not […]

Although the majority of patients with Psoriasis have a genetic component responsible for the disease, some patients may experience a limited course of Psoriasis due to medicines which I routinely encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Drug induced Psoriasis can also occur in patients with Psoriasis in which they have […]

Geographic Tongue, also called Benign Migratory Glossitis, is a condition of the oral mucosa that occurs in 3% of the population and I encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology clinics.  Geographic Tongue occurs with increased incidence in Psoriasis patients.  Clinically, the tongue appears to change in appearance on […]

Nail changes are a very common finding in Psoriasis and I encounter Psoriatic nails often in both my The Woodlands dermatology and Conroe dermatology offices.  Up to 50% of all patients with Psoriasis exhibit signs of Psoriatic nail involvement.  Only 5% of patients with Psoriatic nails have no cutaneous signs of Psoriasis.  There are many […]

Impetigo Herpetiformis is a term for Pustular Psoriasis of Pregnancy and I occasionally encounter this form of Psoriasis in both my The Woodlands dermatology and Conroe dermatology offices.  Impetigo Herpetiformis usually occurs in the 3rd trimester and is usually seen in women with no prior history and no family history of Psoriasis.  Essentially, the pregnancy […]

Erythrodermic Psoriasis is the rarest form of Psoriasis occuring in approximately 1% of all Psoriasis patients during their lifetime, thus I do not encounter this type very often in my The Woodlands dermatology and Conroe dermatology offices.  Erythrodermic Psoriasis occurs when the entire skin becomes red and scaly, essentially one very large Psoriasis plaque.  This […]

Inverse Psoriasis is a type of Psoriasis which occurs in the skin folds and I encounter this skin disease often in both my The Woodlands dermatology and Conroe dermatology offices.  It is considered the “hidden Psoriasis” as the plaques are found in the axilla (underarms), groin, underneath the breasts, and below protuberant abdomens.  Friction, heat and […]

Acrodermatitis Continua of Hallopeau, also called Dermatitis Repens, is considered a subtype of Pustular Psoriasis and I occasionally encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology offices.  Acrodermatitis of Hallopeau is most commonly seen in middle aged women and may begin after trauma to the fingers or toes.  Clinically, it […]

Palmoplantar Pustulosis is a type of Psoriasis in which patients develop pustular psoriatic plaques on the palms and soles and I occasionally encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology clinics.  Palmoplantar Pustulosis usually occurs in adults and there is a strong correlation with patients who are smokers.  Patients who continue […]

Pustular Psoriasis is a rare type of Psoriasis which I encounter  only occasionally in both my The Woodlands dermatology and Conroe dermatology clinics.  Pustular Psoriasis can occur in patients with long standing chronic Plaque Type Psoriasis who are suddenly discontinued from systemic steroids.  Around the psoriatic plaques, superficial pustules can form that may coalesce into “lakes of […]

Guttate Psoriasis is a very common form of Psoriasis, which I encounter very often in both my The Woodlands dermatology and Conroe dermatology offices.  The lesions of Guttate Psoriasis resemble the classic Plaque Type Psoriasis but they are very small “raindrop” like lesions with significantly less scale that predominantly occurs on the trunk and extremities.  The lesions […]

The “classic” type of Psoriasis is Plaque Type which is a condition I encounter very frequently in both my The Woodlands dermatology and Conroe dermatology offices.  A plaque of Psoriasis is commonly found on the extensor surfaces and the scalp but can be found almost anywhere on the body.  Psoriasis plaques are very red with […]

Psoriasis is a multisystem immune mediated inflammatory disorder that I diagnose and treat on a daily basis in both my The Woodlands dermatology and Conroe dermatology offices.  Psoriasis affects approximately 2% of the population and its onset can be sudden at almost any age, especially patients in their 20’s and 50’s.  Although there is a genetic […]