The intensity, development and location of these scaly plaques greatly vary from one individual to the next. Nonetheless, there are several common denominators: psoriasis is very frequently found on the scalp, elbows, knees, legs and lower back. Patients tend to be greatly bothered by the flaking and itchiness.
I begin by measuring the lesions’ intensity and size. I then speak to my patient about how this skin disorder affects him or her on a family, social, affective and professional level. Topical treatment may prove to be sufficient. In the more severe cases, I propose phototherapy sessions or systemic therapy, which is more effective.
I recommend moisturising products that contain urea to restore moisture to the skin and diminish scales. I avoid prescribing oily products that can stain clothing as my patients dislike these treatments. In order to eliminate flaky scales from the scalp, it is important to use a shampoo that contains keratolytic ingredients. I also recommend gently cleansing the skin with syndets, especially while taking a bath.