Skin condition

Psoriasis

Psoriasis is a long-term inflammatory skin condition. Patients may come with thick scaly patches on elbows, knees, scalp, palms, soles or nails. The goal is control and fewer flares, not a one-time miracle cure.

Symptoms & signs

Psoriasis may present with:

Thick red or dark plaques with silvery scale
Scalp dandruff-like scaling that keeps returning
Nail pitting, thickening or lifting
Painful cracks on palms/soles or joint pain in some patients

What Dr. Maharania checks

Sites involved and how much body area is affected.
Scalp, nail, palm/sole involvement and joint pain or stiffness.
Past steroid use, triggers, other illnesses and medicine safety.

Treatment approach

Treatment is based on severity and site. Limited psoriasis may be managed with topical medicines and moisturising. Extensive, nail, scalp or palm/sole disease may need oral medicines, with referral where phototherapy is appropriate. Long-term safety and follow-up matter more than quick clearing.

What to expect

Measure severity

Extent, thickness, symptoms and special sites are checked.

Screen for joint clues

Morning stiffness, swollen fingers or joint pain should be mentioned.

Choose safe control

Treatment is matched to severity and medical history.

Plan maintenance

Psoriasis often needs maintenance and flare planning rather than repeated emergency treatment.

Frequently asked questions

Is psoriasis curable?

It is usually controllable, not permanently cured. Many patients do very well with the right maintenance plan.

Is psoriasis contagious?

No. It does not spread by touch.

When are tests needed?

Tests may be needed before oral/systemic medicines or when joint symptoms or other health issues are present.

Can WhatsApp help?

WhatsApp can help with follow-up and appointments, but first assessment is better in clinic if disease is widespread, painful, on nails/scalp, or joints hurt.