Psoriasis
Thick, scaly plaques, often on elbows, knees, and scalp. A long-term, treatable condition.
In short
Psoriasis is a common, long-term skin condition that's very treatable. Most cases are controlled with topical treatments, and a GP can also spot joint involvement and refer for advanced care when needed.
Overview
What is psoriasis?
Psoriasis is an immune-mediated condition that speeds up skin cell turnover, producing thick, scaly plaques, most often on the elbows, knees, scalp, and lower back. It's long-term and tends to flare and settle. It isn't contagious, and some people also develop psoriatic arthritis. A range of effective treatments exists, from creams to specialist therapies.
Symptoms
Common symptoms
- Raised patches of skin with silvery-white scale
- Commonly on elbows, knees, scalp, and lower back
- Itching or soreness
- Cracking or bleeding over joints
- Nail changes (pitting, thickening)
- Sometimes joint pain (psoriatic arthritis)
When to act
When to see a doctor
Book a GP if you have a persistent scaly rash, your psoriasis is flaring or not controlled, it affects your scalp or nails, or you have new joint pain. Seek urgent help for a sudden widespread red, peeling, or pustular rash with feeling unwell.
When to seek urgent help
Seek urgent help if
- A sudden widespread, bright red, peeling rash with feeling unwell (possible erythrodermic or pustular psoriasis, seek urgent care)
- Fever with a rapidly spreading pustular rash
- New joint pain and swelling with your psoriasis (assess for psoriatic arthritis)
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- Assessment of the type and extent of psoriasis
- Prescription of topical treatments (vitamin D analogues, steroids, or combinations)
- Scalp treatments where needed
- Advice on emollients, triggers, and lifestyle
- Screening for joint symptoms (psoriatic arthritis)
- Referral to dermatology for widespread or resistant disease, or for phototherapy and systemic treatments
What we don't do
- Phototherapy and systemic or biologic treatments (dermatology)
- Specialist management of psoriatic arthritis (rheumatology)
Pricing
What it costs
An online consultation about psoriasis starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about psoriasis
Is psoriasis curable?
Is psoriasis contagious?
What triggers flares?
Can psoriasis affect my joints?
Ready to talk to a GP about psoriasis?
Message Emily on WhatsApp or book online in under 90 seconds. UK-registered doctors, available today.
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