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Psoriasis & Vitiligo – Causes, Symptoms, and Treatments

At Western New York Dermatology, we understand the complexities and challenges of managing skin conditions like psoriasis and vitiligo. We’re committed to providing comprehensive care and effective treatments to help our patients achieve healthier skin. Below, you’ll find detailed information regarding the causes, symptoms, and treatment options for psoriasis and vitiligo.

What is Psoriasis?

Psoriasis is a common, immune-mediated inflammatory disease characterized by red, scaly plaques with thickened skin. It causes the body to make new cells in days rather than weeks. These patches can appear anywhere on the body but are often found on the elbows, knees, scalp, lower back, and umbilicus. Psoriasis can be itchy and sometimes painful, affecting the quality of life for those who suffer from it.

psoriasis skin condition treatments

Psoriasis Causes

The exact cause of psoriasis is not fully understood, and there is currently no cure. The goal of psoriasis treatment is to minimize flares, reduce symptoms, and maintain clarity.

Psoriasis Symptoms

  • Red patches of skin covered with thick, silvery scales
  • Dry, cracked skin that may bleed
  • Itching, burning, or soreness
  • Thickened or ridged nails
  • Swollen and stiff joints

Psoriasis Treatment Options

  • Topical treatments (corticosteroids, vitamin D analogues, AhR agonist)
  • Xtrac laser treatment – learn more
  • Systemic medications (oral, including JAK inhibitors)
  • Biologics (injections that target specific parts of the immune system)

Types of Psoriasis

Plaque Psoriasis

The most common type, causing dry, raised, red skin lesions covered with silvery scales. Usually found on the elbows, knees, and tailbone.

Guttate Psoriasis

Can develop after an infection such as strep throat, causing small, pink, water-drop-shaped, scaling lesions on the torso, arms, legs, and scalp.

Inverse Psoriasis

Causes smooth patches of red, inflamed skin that worsen with friction and sweating. It is commonly found on the armpits, groin, and underneath the breasts.

Pustular Psoriasis

Causes white pustules surrounded by red skin. Commonly found on the hands and feet.

Tips for Managing Psoriasis

Managing psoriasis involves keeping your skin moisturized to prevent dryness and scaling. Avoiding triggers that can worsen your condition, such as stress, smoking, and certain medications. Following a healthy diet and lifestyle can also help manage symptoms, improve overall well-being, and reduce the frequency and severity of flare-ups.

30 – 40% of patients with psoriasis may develop psoriatic arthritis.
Tell your provider if you’re experiencing joint pain.

What is Vitiligo?

Vitiligo is a condition that causes the skin to lose its natural color, leaving depigmented patches of skin. This occurs when the melanocytes, the cells responsible for skin pigmentation, are destroyed. These patches of skin become white and are more noticeable in people with darker skin tones. The severity of vitiligo ranges from patient to patient; some cases affect only a small skin patch, while others experience large-scale depigmentation. Vitiligo can occur on any body part, including the face, hands, neck, feet, arms, and skin creases. In some cases, vitiligo can affect hair and mucous membranes (inside of the mouth and nose).

vitiligo skin medical condition treatments

Vitiligo Causes

The exact cause of vitiligo is not known. It is believed to be an autoimmune condition where the body’s immune system attacks and destroys the melanocytes in the skin.

Vitiligo Symptoms

  • Loss of skin color in patches
  • Premature whitening or graying of hair on the scalp, eyelashes, eyebrows, or beard
  • Loss of color in the tissues that line the inside of the mouth and nose (mucous membranes)
  • Loss of or change in color of the inner layer of the eyeball (retina)

Vitiligo Treatment Options

  • Topical treatments (corticosteroids, vitamin D analogues, JAK inhibitor)
  • Xtrac laser treatment – learn more
  • Skin grafting

Types of Vitiligo

Generalized Vitiligo

Also known as nonsegmental vitiligo, this is the most common type, where depigmentation occurs in various places on the body. It often progresses symmetrically on body parts.

Segmental Vitiligo

Depigmentation occurs on one side or part of the body. It generally begins at a younger age, can progress for a year or two, and then stops.

Focal Vitiligo

Limited to one or a few areas of the body. This rare type features patches that develop in a small area and don’t spread.

Acrofacial Vitiligo

Primarily affects the skin on the face, hands, and feet. Depigmentation usually occurs around the eyes, mouth, and other extremities, often in a symmetrical pattern.

Universal Vitiligo

A rare and severe form of vitiligo where more than 80% of the body’s skin loses its pigment. It results in widespread depigmentation, affecting large areas across the entire body.

Tips for Managing Vitiligo

For those with vitiligo, using sunscreen to protect depigmented skin from sunburn and UV damage is essential. Cosmetic options, such as makeup or self-tanners, can help even out skin tone and improve appearance. Seeking psychological support, whether through counseling or support groups, can provide emotional relief and coping strategies to deal with the social and emotional impact of the condition.

Vitiligo can appear at any age, but it often starts before the age of 20.

Psoriasis and Vitiligo Diagnosis and Treatment at WNY Dermatology

At WNY Dermatology, we specialize in diagnosing and treating psoriasis and vitiligo with expert care. Led by Dr. Michael Nazareth, our experienced team uses state-of-the-art treatments and personalized care plans tailored to each patient’s unique needs. Regular follow-ups are essential to monitor these conditions and adjust treatments as necessary. Although psoriasis and vitiligo can significantly impact the quality of life, our comprehensive care aims to manage symptoms effectively and help you achieve healthy skin. Trust WNY Dermatology for advanced, compassionate care tailored to your dermatologic needs.

Ask your provider if Xtrac is right for you.
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