Psoriasis

Psoriasis is a chronic skin condition that can cause red, scaly patches, itching, and discomfort. While symptoms may come and go, psoriasis is a long-term inflammatory condition that requires thoughtful management. At ALLUSTRA DERMATOLOGY in the Heights and Memorial City in Houston, Texas, Brundha Balaraman, MD, provides personalized treatment plans to help control flare-ups and improve skin health. From topical therapies to advanced biologic medications, care is tailored to your individual needs. Schedule a consultation by phone or online to discuss your options.

What is psoriasis?

Psoriasis is a chronic autoimmune skin condition that speeds up the life cycle of skin cells.

Normally, skin cells grow and shed over about a month. In psoriasis, this process happens much faster, leading to a buildup of cells on the skin’s surface. This causes thick, red patches covered with silvery scales.

Psoriasis is not contagious. It is caused by an overactive immune response and often has a genetic component.

What are the common symptoms of psoriasis?

Symptoms vary from person to person but may include:

• Red, raised patches of skin
• Silvery-white scales
• Itching or burning
• Dry, cracked skin that may bleed
• Thickened or ridged nails
• Joint pain or stiffness (in psoriatic arthritis)

Psoriasis most commonly affects the scalp, elbows, knees, and lower back, but it can appear anywhere on the body. Specific triggers, such as stress or cold weather, are also known to trigger psoriasis flare-ups.

How is psoriasis treated?

Although there is no cure for psoriasis, many effective treatments can help manage symptoms and reduce flare-ups.

Treatment options may include:

• Topical medications, such as corticosteroids or vitamin D analogs
• Oral medications for moderate to severe cases
• Light therapy (phototherapy)
• Biologic medications

Your treatment plan depends on the severity of your psoriasis, affected areas, and overall health.

What are biologics for psoriasis?

Biologics are advanced prescription medications used to treat moderate to severe psoriasis.

Unlike traditional treatments that affect the entire immune system, biologics target specific parts of the immune response involved in psoriasis. They are designed to block inflammatory pathways that trigger rapid skin cell growth.

Biologics are typically given by injection or intravenous infusion and may be recommended if:

• Psoriasis is moderate to severe
• Topical treatments have not been effective
• The condition significantly affects your quality of life
• You have psoriatic arthritis

These medications can lead to significant skin clearing for many patients, though ongoing monitoring is required.

Your provider carefully evaluates whether biologic therapy is appropriate based on your medical history and risk factors.

What can I expect during a psoriasis evaluation?

During your appointment, your provider reviews your symptoms, medical history, and any previous treatments. They examine your skin and may ask about joint pain or stiffness.

If biologics or systemic therapy are being considered, additional testing may be required before starting treatment to ensure safety.

Your care plan focuses on reducing inflammation, improving skin appearance, and minimizing flare-ups.

If you’re struggling with psoriasis or experiencing frequent flare-ups, contact ALLUSTRA DERMATOLOGY by phone or online to schedule a consultation. Effective treatment can help you achieve clearer skin and improved comfort.