Explain Science

Psoriasis

Psoriasis is a chronic autoimmune disorder characterized by abnormal growth of the skin cells. This disorder occurs when the immune system mistakenly attacks the body’s own healthy skin cells, leading to an inflammatory response and the development of thick, red, and scaly patches on the surface of the skin.

The underlying cause of psoriasis is complex and involves interactions between genetic factors, the immune system, and environmental triggers. People with certain genetic variations are more susceptible to developing psoriasis, and factors such as stress, infections, injuries to the skin, and certain medications can trigger or exacerbate the symptoms.

The immune system dysfunction in psoriasis involves an overactive immune response, particularly involving T-cells. These T-cells mistakenly identify normal skin cells as foreign invaders and release chemicals that cause inflammation and the acceleration of skin cell growth. This leads to an accelerated turnover of skin cells, with new cells reaching the skin’s surface in a matter of days rather than weeks. The accumulation of excess skin cells results in the characteristic thick plaques observed in psoriasis.

Psoriasis is a multifaceted condition that can significantly impact a person’s quality of life. In addition to the physical symptoms, which may include itching, pain, and discomfort, individuals with psoriasis often experience emotional and psychological effects due to the visible nature of the condition. It can cause embarrassment, self-consciousness, and feelings of social isolation.

Treatment strategies for psoriasis aim to alleviate symptoms, reduce inflammation, and prevent the excessive growth of skin cells. Options may include topical treatments like corticosteroids or vitamin D analogs, phototherapy using ultraviolet light, oral medications that modulate the immune system, or injectable biologic drugs that target specific components of the immune response. Additionally, lifestyle modifications, such as stress management, regular exercise, maintaining a healthy weight, and avoiding triggers, may help manage the condition and reduce flare-ups. Dermatologists, along with other healthcare professionals, play a crucial role in diagnosing and managing psoriasis, tailoring treatment approaches to each individual’s unique situation.