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The London Dermatology Centre

Psoriasis Clinic in London

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The Leading Psoriasis Clinic in London

Psoriasis is a common condition that appears as a persistent and scaly rash. It can manifest as just a few spots of dandruff-like scaling, or there may be major eruptions that cover large areas. With decades of experience in treating psoriasis, and as a leading private psoriasis clinic in London, our dermatologists will work closely with you to ensure that the condition causes you the minimum discomfort possible.

Causes of Psoriasis

Causes of Psoriasis

The cause of psoriasis is not certain, but it is thought to be related to an immune system problem. More specifically, the altered life cycle of one key cell in the body - a type of white blood cell called a T lymphocyte. These T cells normally travel throughout the body detecting and fighting off foreign substances, such as viruses or bacteria. However, in individuals with psoriasis, the T cells attack healthy skin cells by mistake. As a result, cells build up rapidly on the skin’s surface. These form a thick, scaly layer which can be itchy or painful.

Research has shown that psoriasis can be hereditary, but environmental factors are also linked to the development of the disease. Triggers that can worsen psoriasis include infections, stress, heavy alcohol consumption and certain medications.

Psoriasis: Tailored Treatments for Your Needs

Psoriasis is an autoimmune condition that causes the skin cells to reproduce too rapidly, leading to red, inflamed patches. While there's no cure, various treatment options can effectively manage symptoms and improve quality of life. Below is a closer look at some common types of psoriasis. Remember, this is not an exhaustive list, and it's crucial to consult an expert dermatologist at our psoriasis clinic in London for proper diagnosis and a personalised treatment plan.

Plaque Psoriasis

Plaque Psoriasis:

This is the most prevalent form, characterized by raised, red plaques covered with silvery-white scales. It generally affects the scalp, elbows, knees, and lower back, although it can manifest on any part of the body.

Scalp Psoriasis

Scalp Psoriasis:

This can be quite itchy and uncomfortable. It manifests as thick, white or silvery scales on the scalp, sometimes extending to the forehead, ears, and neck.

Guttate Psoriasis

Guttate Psoriasis:

Often triggered by a bacterial infection, particularly strep throat, guttate psoriasis develops as small, teardrop-shaped red lesions on the torso, limbs, and scalp. It usually clears up within a few months but can recur.

Nail Psoriasis

Nail Psoriasis:

Psoriasis can also affect the nails, causing pitting, discoloration, thickening, and even separation from the nail bed. It often occurs alongside plaque psoriasis.

Inverse Psoriasis

Inverse Psoriasis:

Unlike other types, this one affects smooth, hairless areas like the armpits, groin, and genitals. The patches are typically red, shiny, and less scaly compared to plaque psoriasis. Friction and moisture can worsen this form.

Pustular Psoriasis

Pustular Psoriasis:

This less common type presents with white pustules (small, non-infectious blisters) on red, inflamed skin. It can be localized (affecting hands and feet) or generalised (covering larger areas).

Treatment of Psoriasis

Treatment of Psoriasis

The primary goal of psoriasis treatment is to stop the skin cells from building up so quickly on the skin’s surface and to reduce scaliness. While there isn't a cure, psoriasis skin treatment can offer significant relief from symptoms, including itchiness, soreness, and flaking skin. Most types of psoriasis go through cycles where they flare up for a few weeks and then subside.

At our psoriasis treatment clinic in London, we offer three main types of psoriasis skin treatment: topical treatments, light therapy, and systemic medications.

Topical treatments

Topical Treatments

Creams and topical ointments alone can effectively treat mild to moderate psoriasis. Treatments our skin doctors offer include:

  • Topical corticosteroids;
  • Vitamin D analogues;
  • Anthralin;
  • Topical retinoids;
  • Calcineurin inhibitors;
  • Salicylic acid;
  • Coal tar; and
  • Moisturisers.
Light therapy

Light Therapy

Psoriasis phototherapy employs natural or artificial ultraviolet light to alleviate symptoms and can be used alone or with medications. Light therapy options include:

  • Sunlight: Controlled exposure to natural sunlight helps manage psoriasis by slowing the rapid growth of skin cells, thus reducing inflammation and scaling. Careful monitoring is essential to prevent sunburn and other adverse effects.
  • UVB Phototherapy: This treatment uses specific UVB light wavelengths to penetrate the skin and decelerate the growth of affected cells. Suitable for mild to moderate psoriasis, it can be administered in a clinical setting or at home with a UVB lamp.
Light therapy
  • Narrowband UVB Therapy: A focused form of UVB treatment, narrowband UVB therapy uses precise UVB wavelengths. This method is often more effective and requires fewer sessions compared to broad-spectrum UVB therapy.
  • Goeckerman Therapy: This combines UVB phototherapy with coal tar application. The coal tar enhances the skin's sensitivity to UVB light, improving the treatment's effectiveness. It's typically used for more severe cases.
  • Photochemotherapy (PUVA): This involves taking a light-sensitizing medication (psoralen) before UVA light exposure. Psoralen increases the skin's responsiveness to UVA light, which penetrates deeper than UVB. PUVA is used for severe or resistant psoriasis cases.

Each light therapy option has its own advantages and considerations, with the choice depending on the type and severity of psoriasis and individual patient needs. Consulting with a dermatologist at our psoriasis treatment clinic in London will help determine the most suitable light therapy for your condition.

Oral or Injected Medication

Oral or Injected Medication

Severe psoriasis, or cases that are resistant to other forms of treatment, may respond to oral or injected medications. They are usually used for only brief periods and alternated with other treatments. Your dermatologist may prescribe:

  • Retinoids;
  • Methotrexate;
  • Cyclosporine.Drugs that alter the immune system (biologics);
  • Other medications, such as Thioguanine and hydroxyurea.
What will happen during my consultation?

What will happen during my consultation?

During your consultation at our psoriasis clinic in London, your dermatologist will discuss your symptoms and when they started. They will also try to identify any patterns, such as when the symptoms might be worse. It is best to come prepared, so you are ready to answer questions about when your symptoms began and exactly what they consist of, particularly if your symptoms are less noticeable when you book your appointment.

They will examine the affected area and diagnose the type of psoriasis you have or determine what is causing your skin to react. We are able to treat all types of psoriasis and skin conditions. After we have made a diagnosis, we may refer you for further testing, such as allergy patch testing, or prescribe medications, light therapy, topical creams, and home care instructions.

Our aim is to make your symptoms as minimal as possible with the most effective treatment plan for your condition.

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Can you cure my psoriasis?

Although psoriasis is a chronic condition, we aim to significantly reduce your symptoms. When managed well with the correct treatment plan, we may be able to eradicate them altogether.

Our aim is to get you the best possible result and leave you feeling confident that you have your psoriasis under control. Our team is always on hand to answer any questions you might have about your treatment plan.

Seeking Psoriasis Treatment

Seeking Psoriasis Treatment?

At our psoriasis clinic in London, our specialist dermatologists will evaluate your skin condition and select the most appropriate treatment based on the type and severity of your psoriasis. Regardless of where the affected skin is located, our doctors will begin with the mildest treatments, escalating to stronger options if necessary. Our aim is to reduce cell turnover and associated skin irritations with minimal side effects.

Post-inflammatory hyperpigmentation or hypopigmentation can sometimes occur after treatment, and our dermatologists in London can assist you in managing these issues.

To discuss your psoriasis treatment options, call our team today on +44 (020) 7 467 3720.

Book a Consultation

For enquiries or to schedule a psoriasis consultation, please fill out the contact form, and we will get back to you promptly. Our team of dedicated dermatologists is committed to providing you with the best psoriasis care and treatment options. We are here to help you achieve optimal health.

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