Project Description

At Knoxville Institute of Dermatology, we understand the emotional stress and frustration caused by psoriasis flare-ups. Our experienced providers are here to formulate a treatment plan to help control your flare-ups and ease the burden of this troublesome condition. Schedule an appointment today to begin your personalized psoriasis treatment regimen from Knoxville Institute of Dermatology.

What is Psoriasis?

Psoriasis is a chronic inflammatory skin condition characterized by clearly defined, red and scaly plaques (thickened skin). It is classified into several subtypes.

What causes Psoriasis?

Psoriasis affects 2–4% of males and females. It can start at any age including childhood, with peaks of onset at 15–25 years and 50–60 years. It tends to persist lifelong, fluctuating in extent and severity. It is particularly common in Caucasians, but may affect people of any race. About one third of patients with psoriasis have family members with psoriasis.

What are the clinical features of Psoriasis?

Psoriasis usually presents with symmetrically distributed, red, scaly plaques with well-defined edges. The scale is typically silvery white, except in skin folds where the plaques often appear shiny and they may have a moist peeling surface. The most common sites are scalp, elbows and knees, but any part of the skin can be involved. The plaques are usually very persistent without treatment. Itch is mostly mild but may be severe in some patients, leading to scratching and lichenification (thickened leathery skin with increased skin markings). Painful skin cracks or fissures may occur. When psoriatic plaques clear up, they may leave brown or pale marks that can be expected to fade over several months.

What are aggravating factors of Psoriasis?

Certain features of psoriasis can be categorized to help determine appropriate investigations and treatment pathways. Overlap may occur.

  • Streptococcal tonsillitis and other infections
  • Injuries such as cuts, abrasions, sunburn (koebnerized psoriasis)
  • Sun exposure in 10% (sun exposure is more often beneficial)
  • Obesity
  • Smoking
  • Excessive alcohol
  • Stressful event
  • Medications such as lithium, beta blockers, antimalarials, nonsteroidal anti-inflammatories
  • Stopping oral steroids or strong topical corticosteroids.

What are health conditions associated with Psoriasis?

Patients with psoriasis are more likely than other people to have other health conditions listed here.

  • Inflammatory arthritis “psoriatic arthritis” and spondyloarthropathy (in up to 40% of patients with early onset chronic plaque psoriasis)
  • Inflammatory bowel disease (Crohn disease and ulcerative colitis)
  • Uveitis (inflammation of the eye)
  • Celiac disease
  • Metabolic syndrome: obesity, hypertension, hyperlipidemia, gout, cardiovascular disease, type 2 diabetes
  • Localized palmoplantar pustulosis, generalized pustulosis and acute generalized exanthematous pustulosis

How is Psoriasis treated?

Patients with psoriasis should ensure they are well informed about their skin condition and its treatment. There are benefits from not smoking, avoiding excessive alcohol and maintaining optimal weight. Which treatment is selected may depend on body site, extent and severity of psoriasis. Mild Psoriasis is generally treated with topical agents alone. More severe cases of psoriasis may be treated with phototherapy, systemic medications or some combination of the two.

WHAT OUR PATIENTS SAY

I was so pleased with everything. Dr. Wright is such a nice person and wonderful doctor. Brittany was so pleasant and friendly. They offer blankets and pillows and make sure throughout the entire procedure that you are comfortable and that you are as pain free as possible. Everything went well and they go out of their way to make it so.
Marianne D.

I had a recurring dermatological condition for several and a series of dermatologists as a result. And yet until I met Dr. Wright, my condition remained undiagnosed and it turned out to be potentially life-threatening. I am so fortunate to have found him and I would not go to anyone else and recommend him often.

Donald B.

What a great experience! I was greeted promptly and courteously by the front desk staff. I was seen almost immediately and treated with care and concern by both Devon and Dr. Wright. I will certainly make KID my home for dermatology and would highly recommend them to everyone.

Penny F.

Dr. Adam Wright took his time to explain the procedure, perform the surgery, and teach how to care for wound afterwards. I have found few physicians take such time with their patients and I am a registered nurse.

Laurie J.
Dr. Wright listens, answers questions, gives understandable explanations, presents options. I consider him an outstanding physician, and his nurse is also excellent. The use of technology is also very good. BTW, my rating on the facility pertains to the Lenoir City location. I would rate the Knoxville location Excellent.
Jane R.
I tend to avoid doctors if I can. And I have never left a review for any medical person or facility. But Dr. Wright made some uncomfortable symptoms easy to discuss and then was able to offer excellent options for resolving those issues. I would send anyone I care about to see him for any sort of skin-related complaint. He is the best!
Sean M.

This was my first visit with Knoxville Institute of Dermatology, and my first visit with Dr. Wright. Dr. Wright seems like a very knowledgeable, caring doctor, who explains things well, and seems to care very much for his patients. I already have an appointment in a year to see Dr. Wright again for a check up. Since I live in Crossville it is also much more convenient to be able to see him at the Lenoir City office.

Barry S.
Thank you for the convenience of visiting this office in Lenoir City rather than going out of town. I received a thorough examination and treatment. I received reference material about the condition to read at home. Dr. Wright took the time to welcome me back and offer to help anytime. Who does that? I appreciate all of this. I have found myself a new dermatology center!
William W.

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