Psoriasis Treatments Asheville, NC

Psoriasis is a chronic autoimmune condition that causes skin cells to build up rapidly on the surface, forming thick, scaly patches that are often red, itchy, and sometimes painful. It occurs when your immune system mistakenly attacks healthy skin cells, speeding up the skin cell production cycle from weeks to just days. While the exact cause isn’t fully understood, genetics play a major role, and certain triggers like stress, infections, injuries to the skin, certain medications, and lifestyle factors can cause flare-ups. Psoriasis is not contagious and affects about 2-3% of the population.

Psoriasis treatments are typically categorized into topical, systemic, and light therapies. Topical treatments include corticosteroids, vitamin D analogs like calcipotriene, retinoids, and moisturizers for mild to moderate cases. For moderate to severe psoriasis, systemic treatments like methotrexate, cyclosporine, or newer biologic medications that target specific parts of the immune system may be recommended. Light therapy using UVB or PUVA treatments can be very effective. The treatment approach depends on the severity, location, and type of psoriasis, as well as how much it impacts your daily life.

Biologic medications have revolutionized psoriasis treatment and are often highly effective for moderate to severe cases. These drugs target specific proteins in the immune system that contribute to psoriasis inflammation. Many patients see 75-90% improvement in their skin within 3-4 months of starting biologics. Examples include TNF inhibitors like Humira and Enbrel, IL-17 inhibitors like Cosentyx and Taltz, and IL-23 inhibitors like Skyrizi and Tremfya. While very effective, biologics require monitoring for potential side effects and can be expensive, though many insurance plans and manufacturer programs help with costs.

Common psoriasis triggers include stress, which is one of the most significant factors, so stress management techniques are important. Skin injuries like cuts, scrapes, sunburns, or even tight clothing rubbing can trigger new patches. Infections, particularly strep throat, often worsen psoriasis. Certain medications including lithium, beta-blockers, and antimalarial drugs can trigger flares. Weather changes, particularly cold, dry conditions, often worsen symptoms. Smoking and excessive alcohol consumption can also trigger flare-ups. Identifying your personal triggers through keeping a symptom diary can help you avoid them.

Currently, there is no cure for psoriasis, but it is very manageable with proper treatment and lifestyle modifications. Many people achieve long periods of clear or nearly clear skin with appropriate therapy. Successful long-term management typically involves working closely with a dermatologist to find the right treatment combination, maintaining consistent skincare routines with gentle, fragrance-free products, managing stress through exercise or relaxation techniques, and avoiding known triggers. Regular moisturizing is crucial, and maintaining a healthy weight can improve treatment outcomes. Many people live normal, active lives with psoriasis when it’s properly managed.