Board-certified dermatologist Dr. Adean Kingston of Adean Kingston, M.D., PLLC in Dallas, Texas assists patients with the diagnosis and ongoing management of psoriasis. This is a chronic skin condition that occurs when skin cells grow too rapidly. Psoriasis causes flaky, red, silvery patches of skin that can become inflamed, itchy, scaly, and can crust. Normal skin cells turn over and flake about once a month or every four weeks. Sufferers of psoriasis have skin cells that build-up quickly and form what is known as plaques. They can range in size and location on the body, forming on the elbows, hands, knees, scalp, and lower back.
There are many different forms of psoriasis. One kind, called plaque psoriasis, is the most commonly experienced. While most cases of psoriasis are considered mild and can be treated with topical prescription medications, some cases are moderate to severe and require oral or injectable biologic treatments to help clear the skin. Once it is diagnosed, it is a matter of managing the symptoms so that flare ups can be minimized.
"To start, the office is in a very nice building. I was very impressed with the attention to detail. She does service some cosmetic dermatology paitients so it makes sense that the office was so spa like. You do have topay for parking with a credit card, but I believe her services are worth the $5. If your appointment will be fast, you can always park at a restaurant nearby and walk. I prefer garage parking. Now for the visit itself: I booked a late afternoon appointment and they treated me as politely as they would an early morning paitient. Everyone was friendly, professional, and energetic. It seems they all enjoy working there and that means a lot to a new patient. The nurse was able to diagnose my psoriasis on sight and confirmed with the doctor. They made me feel like it was no big deal and were very reassuring about my prognosis. I had so many questions about my new diagnosis, but the doctor anticipated most of them. Between the nurse and the doctor, it was like talking to two old friends. After the doctor answered all my questions, the nurse wrote me detailed instructions on care and took the time to show me the best products for my condition along with a routine to use. I felt very empowered after her instructions. I was so impressed by them, I asked for a reference to a primary physician that might treat me the same as they did. As psoriasis is a lifelong condition, I plan on keeping her long term as my dermatologist."- J.O. / ZocDoc / May 19, 2015
Psoriasis can be inherited and approximately one-third of people who have psoriasis have one or more family members with the condition. Scientists have isolated certain genes that if inherited and you get exposed to a "trigger", it can lead to psoriasis. Guttate psoriasis is the second most common type of psoriasis and it often occurs after a respiratory illnesses or viral infection in a younger individual.
Prevalent symptoms associated with psoriasis include raised, bright, red patches of skin that are covered with loose and silvery scales. Well circumscribed plaques can also appear in the same area on both sides of your body, such as on both knees and/or both elbows. Your scalp can experience anything from mild scaling to areas of thick, crusted plaques. Itching is common before flare ups, especially when psoriatic patches appear in body folds such as the groin, in between the buttocks or under the breasts. Tiny areas of skin bleeding can occur when scales are picked or scraped off. This is known as an Auspitz's sign.
While there is no cure for psoriasis, there are a variety of treatments available to treat the condition depending on the severity and type of psoriasis that you have. Mild cases can be treated with prescription lotions, creams, and ointments. When your scalp is affected, shampoos, sprays, and oils can be used. Systemic medications are prescription drugs that are taken orally or by injection, and work throughout the body. They are typically used on individuals with moderate to severe psoriasis and psoriatic arthritis. In addition, lasers, phototherapy (use of ultraviolet light) and other treatment modalities may be advised for many psoriasis cases.
Improve your psoriasis
Psoriasis can be painful and embarrassing, making it difficult for you to carry out simple tasks in your everyday life. If this is the case in your situation, we encourage you to reach out to Adean Kingston, M.D., PLLC at your earliest convenience. During a consultation with Dr. Kingston, your condition can be assessed and a treatment plan customized to help make your symptoms more tolerable, and your quality of life better.