Psoriasis is a chronic inflammatory skin condition that causes thick, scaly patches of skin and can affect the scalp, nails, and joints. Many patients struggle for years with treatments that only partially work.

 

Dr Bryan McDonald is a Consultant Dermatologist in London with expertise in diagnosing and managing psoriasis using modern, evidence-based treatments.

 

What is psoriasis?

Psoriasis is an immune-mediated condition that causes rapid skin turnover, leading to thickened, scaly plaques.

 

Symptoms of psoriasis

• Thick red patches with silvery scale

• Scalp psoriasis

• Nail changes

• Itching and discomfort

• Joint pain (psoriatic arthritis)

 

When should you see a dermatologist?

• Psoriasis not responding to creams

• Extensive body involvement

• Nail or scalp psoriasis

• Joint symptoms

 

Treatment options I offer

• Advanced topical therapies

• Systemic medications where appropriate

• Long-term management plans

• Monitoring for associated conditions

 

FAQs

1. Is psoriasis contagious?
No.

2. What triggers flares?
Stress, infections, medications, alcohol, and weather changes can trigger flares.
 

3. Do creams work for all patients?
Topical therapies help mild psoriasis; moderate to severe cases may need systemic treatment.
 

4. Can psoriasis affect my nails?
Yes, nail involvement is common.
 

5. Do I need tablets or injections?

Some patients benefit from these if creams are insufficient.

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6. Are injections or tablets safe?
Yes, although they can have side effects so need prescribed and monitored by a dermatologist.

 

7. Will it ever go away?
It is chronic but can be very well controlled.

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Book a consultation

If your psoriasis is affecting your quality of life, you can book a consultation for a personalised management plan.