PSORIASIS

Learn about Psoriasis and how Knoxville Institute of Dermatology can help you.

Psoriasis 2017-11-07T21:34:55+00:00

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 really was impressed with Dr. Wright. He is extremely knowledgeable and I really recommend him as a fine Dermatologist.

Ronna P.

Dr. Rahman is wonderful. She is very professional, knowledgeable and kind. She takes time to listen. She handled my problem right away. I had been very concerned about it.

Donna 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.

I was very pleased with the efficiency of the staff who handed me some forms, then directed me upstairs where I barely sat down before I was escorted to the exam room. Dr. Wright came in a few minutes later and got down to business in a most pleasant and professional manner. Thank you.

Jerome R.

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.

Knox Institute of Dermatology is the best! Dr. Adam Wright has always been very courteous and knowledgeable of my care.

Robin P.

Lindsey Best, NP is a great listener and she is sensitive to my daughter’s questions and concerns. Her acne is getting better! Thank you!

Campbell T.

I saw the NP. She was personable, informative and skilled in taking care of my problem. I recommend her and will ask for her if I have need to go again.

Martha M.

Awesome doctor, awesome staff. Definitely would recommend this office to all my friends. Also, my husband is a patient and my daughters will have appointments soon.

Cynthia P.

Dr. Rahman and her nurse were very friendly, professional, and spent an appropriate amount of time with me. I have some benign lesions that I want to have removed at some time in the future and I will return to Knox Institute of Dermatology.

Patricia G.

We had a great experience with Dr Anderson, she was great with my 10 year old son, minimal wait times. Lovely office and staff!

Ian S.

Dr. Elizabeth Anderson is very thorough, knowledgeable, listens, explains the best treatments, and gives options for care.

Mark S.

I had an overall satisfying experience as usual. Short wait time, attractive and clean facilities, courteous and professional yet welcoming staff. Dr. Rahman was thorough and treatment options were well explained.

Larry Troy M.

Dr. Anderson has been my dermatologist for several years, and I continue to be impressed with her dedication, caring attitude, and professionalism. The staff are always friendly and helpful.

M Carol S.

I was called back promptly. Dr. Rahman was careful to make sure I was not experiencing any pain during the procedure.. The staff was friendly, yet very professional; clearly describing follow-up procedures I needed to perform. My insurance initially rejected a prescribed mediation, but the staff worked tirelessly and was successful in getting them to reverse their decision.

Susan P.

Friendly and excellent service! Love the staff, always up beat and happy. Comfortable with staff knowledge and skills. Just a great experience if there is such a thing when visiting a Dr.

Gary C.

Dr. Wright was very caring, answered questions in a way I could understand, listened to what I had to say. I especially appreciate that he doesn’t prescribe medications without careful thought and trying alternatives first.

Jane R.

Dr. Anderson is a knowledgeable, compassionate, and caring doctor. Her nurse, Lori, was equally sensitive to my concerns and she showed the utmost respect and dignity during my medical treatment.

Terrissa D.

They have a very nice and knowledgeable staff. I didn’t have to wait long, and they did a great job of explaining the process and options to me. I highly recommend this practice!

Aaron H.

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