About Psoriasis
Psoriasis is a chronic autoimmune skin condition that speeds up the skin cell life cycle, causing cells to build up on the surface as thick, scaly, often itchy plaques. The most common type is plaque psoriasis, but psoriasis can also affect the scalp, nails, palms, soles, and skin folds, and is sometimes linked with joint inflammation (psoriatic arthritis).
Modern psoriasis care has changed significantly. Many patients with moderate-to-severe disease can now achieve clear or nearly clear skin with targeted oral and biologic therapies, while milder cases often respond well to topical regimens.
Symptoms & signs to watch for
Common signs that may suggest psoriasis include:
- Thick, red or discolored plaques topped with silvery scale
- Itchy, burning, or sore patches, often on elbows, knees, scalp, or lower back
- Cracked skin that may bleed
- Thickened, ridged, or pitted nails
- Joint pain or stiffness (possible psoriatic arthritis)
- Flares triggered by stress, infection, or skin injury
Treatment approach
Treatment is tailored to the type, location, and severity of psoriasis and to how it affects your daily life. Most patients use a combination of topical care, lifestyle measures, and (when needed) systemic therapy.
Treatment options your provider may discuss:
- Topical corticosteroids, vitamin D analogs, and topical retinoids
- Coal tar and keratolytic shampoos for scalp psoriasis
- Phototherapy referrals where appropriate
- Oral systemic therapies (e.g., methotrexate, apremilast, deucravacitinib)
- Biologic injections targeting specific immune pathways
- Coordination with rheumatology if joint involvement is suspected
Not every option is appropriate for every patient. Your dermatology provider will recommend a treatment plan based on your individual evaluation.
When to see a dermatologist
Schedule an evaluation if you have persistent scaly plaques, scalp or nail changes that don't improve, joint pain or stiffness, or if psoriasis is affecting your sleep, work, or self-confidence.
Available at our Alaska clinics
Care for psoriasis is offered through Advanced Dermatology of Alaska. Specific procedure availability may vary by clinic. Please call to confirm before scheduling.
Wasilla Clinic
3066 E Meridian Park Loop
Wasilla clinic details →
Wasilla, AK 99654Anchorage Clinic
1100 E Dimond Blvd
Anchorage clinic details →
Anchorage, AK 99515Juneau Clinic
3268 Hospital Drive
Juneau clinic details →
Juneau, AK 99801
Medical disclaimer
This page is for general information only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency department.
