Psoriasis & Psoriatic Arthritis
Psoriasis is a very serious, lifelong, systemic condition involving the immune system with skin and joint
manifestations. Current estimates say that roughly 8 million people have Psoriasis, and up to 30% of those patients
have psoriatic arthritis. Like most other chronic skin conditions, there is a genetic susceptibility as well as
environmental factors that trigger it (common reasons include: infections, trauma, medications and stress).
At Michigan Dermatology Institute, we pride ourselves on being a psoriasis center of excellence. As members of the
national psoriasis foundation and with active medical research for psoriasis, we are your trusted source for caring
for your condition. Luckily, we have a plethora of effective and safe treatments to suit your needs, so make your
appointment today and we can help you regain control!
Q: Aside from my skin, what else does psoriasis affect?
A: Psoriasis is a total body condition. Patients with uncontrolled psoriasis have a higher risk of having heart
attacks, strokes and dying earlier than they should otherwise. There is a destructive arthritis along with
cardiovascular complications that can be debilitating and life changing. Depression, digestive issues and even
cancer has been associated with having psoriasis.
Q: What else should I be aware of regarding “internal” psoriasis?
A: There are many symptoms that patients with psoriasis experience more often than people without psoriasis
including: generalized fatigue, difficulty getting out of bed in the morning or getting out of the car after a
long drive, and issues with your digestive track (abdominal pain, bloody diarrhea, etc). It is crucial to
understand that psoriasis is more than red, scaly, sometimes itchy plaques on your skin.
Q: What kinds of treatments are available?
A: Thankfully, psoriasis is a major condition that has experienced a dedicated pharmaceutical and research interest
that has led to a vast number of exceptional treatments. Treatments are based on skin (location, severity and
symptoms) and whether any internal comorbidities are present, in particular psoriatic arthritis and inflammatory
bowel disease. Standard skin care and healthy life decisions (including exercise, stress relief and a healthy diet)
are all recommended to help with overall health of the condition. Additionally, there are numerous topical
therapies, light-based therapies (Narrowband-UVB and excimer laser), and systemic treatments (both oral and
injectable – including one’s seen on TV).