--- title: Psoriasis | Push Doctor description: There are various different types of psoriasis and these present different symptoms and affect your life in different ways. Our doctors can provide the support and treatment that you need. image: https://www.pushdoctor.co.uk/hubfs/PDR_Global_6_logo_images/PD%20Logo.png --- ![Providing NHS services logo](https://www.pushdoctor.co.uk/hubfs/Providing-NHS-Services.png) ** PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP /what-we-treat/skin-conditions/psoriasis PP 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/what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB 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/what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis ![Dr Dan Bunstone](https://www.pushdoctor.co.uk/hubfs/db%20blue.png) Medically reviewed by: ### Dr Dan Bunstone - Medical Officer ** Updated: **Aug 18, 2021** ** Next review: **Aug 18, 2022** BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis BBB /what-we-treat/skin-conditions/psoriasis CCC what-we-treat CCC skin-conditions CCC psoriasis ** ** ## What is psoriasis? Psoriasis causes raised, red and scaly patches to develop on your skin. Once you develop it, it will tend to flare up at certain times throughout your life. Doctors can’t cure psoriasis but they can usually recommend treatment to keep it under control. In people who have the condition, their skin cells travel to the surface in only three to seven days, rather than the normal 28 days. As a result, more skin cells are produced, which are not mature, so they do not die and shed. Instead they build up and cause patches on the skin, which can be scaly and itchy. ** ** ## What are the types and symptoms of psoriasis? There are several different types of psoriasis. The types of psoriasis are: - Plaque psoriasis – the most common type and often on the backs of elbows and the front of knees. - Guttate psoriasis - often in younger people and after certain types of infection. - Pustular psoriasis - on the palms of hands and the soles of feet. - Erythrodermic psoriasis - a severe eruption over much of the body surface. It is very rare but potentially serious. - Flexural psoriasis - this develops in the creases of your skin. Read more on the [types and symptoms of psoriasis](https://www.pushdoctor.co.uk/what-we-treat/skin-conditions/psoriasis/symptoms). ** ** ## How is psoriasis diagnosed? Our online doctors can usually diagnose psoriasis during a video consultation and other tests are not needed. In rare cases, you may be referred to a dermatologist, who is an expert in skin conditions.  They may ask for a skin biopsy if the symptoms are not clear or if confirmation of diagnosis is needed. You can find out more about what will happen during your consultation, by [clicking here](https://www.pushdoctor.co.uk/what-we-treat/skin-conditions/psoriasis/diagnosis). ** ** ## What are the causes of psoriasis? Psoriasis causes are not fully understood, but it is believed to be linked to: - Your immune system Your immune system creates T-cells which travel through your body to fight off bacteria and viruses. It is thought that in people who develop psoriasis, these T-cells mistakenly attack healthy skin cells, leading to psoriasis - Genetics Many people who have the condition also have a close family member with the condition, which suggests that it is inherited. - Environmental factors Some people carry genes that make you more prone to developing psoriasis. It is thought that certain environmental factors, such as an infection, can trigger these genes, leading to the condition developing. Read more about the [triggers and causes of psoriasis](https://www.pushdoctor.co.uk/what-we-treat/skin-conditions/psoriasis/causes). ** ** ## Psoriasis treatment Although it cannot be cured, psoriasis treatments can usually help you manage the condition day-to-day. There are many psoriasis treatments, and some of these include: - Topical treatments - these include creams, gels or ointments that can be applied to the affected skin. It may be a vitamin d analogue or corticosteroid cream. They are available from a GP. - Phototherapy - the skin is exposed to a type of ultraviolet (UV) light. A specialist will be needed to prescribe this type of treatment. - Systemic treatments - these are injected or oral medicines that treat psoriasis throughout your whole body. You’ll need to see a specialist for this type of treatment. This is not a full list of treatments - a doctor will be able to recommend which is the most suitable for you and will explain how the treatment works, along with any side effects. You may have to try a number of different treatments before finding what works for you. You’ll usually be started off with a mild one to see how your body reacts, then, if necessary, you may need to try stronger ones. There are some very strong ones available, such as methotrexate Find out more about [how psoriasis can be treated](https://www.pushdoctor.co.uk/what-we-treat/skin-conditions/psoriasis/treatment). ** ** ## Psoriasis in pregnancy Psoriasis does not affect reproductive organs, so the condition will not stop you from conceiving a baby. However, certain medicines are not licensed for use in pregnancy or by those who are breastfeeding. Certain medicines are also not suitable for men who are trying for a baby, so always speak to a doctor for more advice. Many women find that their psoriasis improves while they are pregnant, which may be due to a rise in progesterone, while others say that their symptoms get worse, so it really can be different for everyone. If you are worried about psoriasis flare ups during pregnancy, our doctors are here to help. They will provide all the reassurance and treatment advice you need. Read further information about [psoriasis in pregnancy](https://www.pushdoctor.co.uk/what-we-treat/skin-conditions/psoriasis/pregnancy). ### Skin Care Articles ### **NHS - trained and registered doctors Every one of our doctors is registered with the General Medical Council and can be found on the NHS National Performers List, so you know you are only ever receiving the best possible care and advice. They are experienced in treating a wide range of conditions, and can help with almost everything your regular GP could in a physical surgery. You can meet some of our doctors [here](https://www.pushdoctor.co.uk/meet-our-doctors). Push Doctor also has an in-house Medical team, who support our doctors day in, day out, and enable our doctors to do what they do best. They are also responsible for the ongoing training and development of doctors on our platform. ** ### **CQC regulated The [Care Quality Commission (CQC)](https://www.cqc.org.uk/) is the independent regulator of health and social care in England. They are the foremost authority in our industry, assessing health providers' ability to provide people with safe, effective, compassionate and high-quality care – be they offline or online doctors. Push Doctor is registered with the CQC under the name 'Push Dr Limited', with the registration number [1-5345986073](https://www.cqc.org.uk/location/1-5345986073). Our most recent inspection took place in May 2019, concluding that the service we provide is safe, effective, caring, responsive and well-led – gaining a 'Good' rating overall. You can read the report in full on [our CQC profile](https://www.cqc.org.uk/location/1-5345986073). ** ### **Same day prescriptions Our NHS-trained GPs can, if appropriate, issue prescriptions online following a consultation. Once your consultation is complete, our team will search for the closest pharmacy to you which has your medication available. We'll then send you a text when your prescription is ready to collect. To collect your medication, simply hear to the nominated pharmacy to collect and pay for your prescription. You will need to take a valid form of ID to show the pharmacist when you arrive. This process is almost always done within the same day of your consultation. ** ### **Instant fit (sick) notes Our GPs can send a sick/fit note directly to you if necessary following an online consultation. These can be sent directly by email or first-class post. Fit notes include recommendations about how and when you'll be able to return to work or education, or whether you're able to return to work with amended duties (e.g no heavy lifting or reduced hours). They can also contain detailed advice about managing your medical issue in the workplace. ** ```json { "@context" : "http://schema.org", "@type" : "MedicalCondition", "alternateName" : "Psoriasis", "code" : { "@type" : "MedicalCode", "code" : "L40.9", "codingSystem" : "ICD-10-CM" }, "differentialDiagnosis" : { "@type" : "DDxElement", "diagnosis" : { "@type" : "MedicalCondition", "name" : "Psoriasis" }, "distinguishingSign" : [ { "@type" : "MedicalSymptom", "name" : "Psoriasis causes raised, red and scaly patches to develop on your skin." } ] }, "name" : "Psoriasis", "possibleTreatment" : [ { "@type" : "MedicalTherapy", "name" : "Topical treatments" }, { "@type" : "MedicalTherapy", "name" : "Phototherapy" }, { "@type" : "MedicalTherapy", "name" : "Systemic treatments" } ], "signOrSymptom" : [ { "@type" : "MedicalSymptom", "name" : "Plaque psoriasis – the most common type and often on the backs of elbows and the front of knees." }, { "@type" : "MedicalSymptom", "name" : "Guttate psoriasis - often in younger people and after certain types of infection." }, { "@type" : "MedicalSymptom", "name" : "Pustular psoriasis - on the palms of hands and the soles of feet." }, { "@type" : "MedicalSymptom", "name" : "Erythrodermic psoriasis - a severe eruption over much of the body surface. It is very rare but potentially serious." }, { "@type" : "MedicalSymptom", "name" : "Flexural psoriasis - this develops in the creases of your skin." } ] } ``` ```json { "@context" : "http://schema.org", "@type" : "WebPage", "description" : "There are various different types of psoriasis and these present different symptoms and affect your life in different ways. Our doctors can provide the support and treatment that you need.", "name" : "Psoriasis | Push Doctor", "publisher" : { "@type" : "Corporation", "name" : "Push Doctor" } } ```