Psoriasis treatment
Psoriasis management for the long run.
Psoriasis is a chronic, immune-driven skin disease — and managing it well takes more than a repeat script. Dr Claudia Moloabi partners with psoriasis patients over the long term: controlling plaques, protecting joints and overall health, and adjusting treatment as the science and your life evolve.
Understanding psoriasis
An immune condition that shows on the skin.
Psoriasis happens when the immune system signals skin cells to multiply far faster than normal. Instead of maturing over weeks, cells pile up in days — forming the raised, scaly, often itchy plaques characteristic of the disease, most commonly on the elbows, knees, scalp and lower back.
But psoriasis is not only a skin condition. It is a systemic inflammatory disease associated with psoriatic arthritis, cardiovascular risk and a real impact on mental health. That is why specialist management looks at the whole patient, not just the visible plaques.
Treatment has advanced enormously. From modern topical therapies to phototherapy and systemic and biologic medicines, most patients today can achieve clear or almost-clear skin — something that was rare a generation ago. The key is a correct diagnosis, a severity assessment, and a treatment ladder climbed deliberately, with the evidence.
Reasons to see a specialist
- Plaques are widespread, persistent or returning quickly
- Your scalp, nails, palms or soles are involved
- You have joint pain, stiffness or swelling
- Current treatment is no longer holding the disease
- You want to understand the newer treatment options
What we manage
Psoriasis, wherever it appears.
Skin, scalp, nails — and the health risks that travel with them.
01
Plaque psoriasis
The most common form — well-defined, scaly plaques. Severity is graded properly so treatment is neither too weak nor too aggressive.
02
Scalp psoriasis
Often mistaken for stubborn dandruff. Specialist treatment addresses both the plaques and the hair-care realities around them.
03
Nail psoriasis
Pitting, lifting and discolouration of the nails — frequently missed, and an important clue to joint involvement.
04
Psoriasis & joint health
Up to a third of psoriasis patients develop psoriatic arthritis. Screening for early joint disease is part of good skin care.
Your management plan
A treatment ladder, climbed with evidence.
Modern psoriasis care is methodical — and remarkably effective.
Confirm and grade
Diagnosis is confirmed and severity formally assessed — including scalp, nail and joint involvement.
Choose the right rung
Topical therapy, phototherapy, systemic medication or biologics — matched to your severity, health and goals.
Treat the whole patient
Cardiovascular risk, weight, mood and joints are considered — psoriasis care is more than skin deep.
Monitor and maintain
Structured reviews track your response, manage any medication monitoring and keep the disease controlled.
Adjust as life changes
Stress, illness and seasons all affect psoriasis. Your plan flexes with you — including video reviews between visits.
Psoriasis questions
Psoriasis, answered.
Have a question that isn't covered here? Ask the practice directly.
Is psoriasis contagious?
No. Psoriasis is an immune-mediated condition — it cannot be caught or passed on through touch, swimming pools, towels or anything else. Helping patients explain this to others is part of living confidently with the condition.
Can psoriasis be cured?
There is no permanent cure yet, but modern treatment can keep most patients clear or almost clear for long periods. The realistic goal of specialist care is sustained control with the safest effective therapy — and that goal is achievable for the great majority of patients.
What triggers psoriasis flares?
Common triggers include stress, infections (especially throat infections), skin injury, certain medications, smoking and heavy alcohol use. Cold, dry weather often worsens symptoms. Identifying your personal triggers is part of your management plan.
Do I need biologic treatment?
Not necessarily. Biologics are remarkable medicines for moderate-to-severe disease, but many patients do very well on topical therapy or other options. What matters is being assessed properly so you are on the right rung of the treatment ladder — neither under-treated nor over-treated.
Why do my joints matter to a skin doctor?
Because psoriatic arthritis can quietly damage joints while the skin is being treated in isolation. Dermatologists are often the first doctors to detect it. Asking about joint pain and stiffness is a standard part of psoriasis care at Omnia.