Psoriasis

Psoriasis is a long-term immune-mediated condition that can cause thickened, scaly patches of skin. It can also affect nails and, in some people, joints. It is not contagious. Symptoms may fluctuate, and management depends on the areas affected, severity, impact on daily life and other health considerations.

What should I tell the doctor?

Describe where patches occur, whether they itch or hurt, and how they affect sleep, work or confidence. Mention nail changes, swollen joints, morning stiffness or heel pain. Joint symptoms matter even if the skin disease seems mild.

Psoriasis can look different across skin tones and body sites. A new rash should not automatically be treated as another flare. Photographs showing changes over time can help, but examination is important when the diagnosis is uncertain or a sensitive area is involved.

For the Australian guidance behind this explanation, see Healthdirect Australia: Psoriasis - Healthdirect Australia.

How is care planned?

A clinician may diagnose psoriasis from the history and skin appearance, sometimes with specialist assessment or additional testing. Treatment choices depend on the type and extent of disease. What is suitable for the scalp may not be suitable for the face or genital skin.

Ask how to use any recommended treatment, when to review it and what to do if symptoms recur. Bring a list of products already tried and unwanted effects. Avoid stopping or changing established treatment without advice. Care may also include discussion of general health and factors that make symptoms harder to manage.

When is urgent assessment needed?

A sudden widespread inflamed rash, extensive pustules or feeling generally unwell needs urgent medical care. A hot, swollen joint with fever also needs prompt assessment rather than being assumed to be psoriasis-related. Telehealth can assist with ongoing review, but severe or unfamiliar skin changes may need direct examination and specialist care.

Where to go next

Read online doctor consultations to understand the relevant service. A doctor decides whether a consultation, examination, referral or another pathway is appropriate for your situation.