10 Psoriasis FAQs: Expert Answers to Your Top Questions

A person in a white t-shirt is scratching their arm. (Model)

If you’ve been diagnosed with psoriasis or suspect you might have it, you probably have a lot of questions. This chronic skin condition affects millions of people, yet many misconceptions surround its causes, triggers, and treatments. At Houston Dermatology Specialists, we’re here to provide clear, science-backed answers. Below, I’ll address some of the most common questions my patients ask about psoriasis and what you can do to manage it effectively.

What Is Psoriasis?

Psoriasis is a chronic autoimmune condition that causes inflammation and rapid skin cell turnover. This leads to the formation of red, scaly patches, most commonly on the scalp, elbows, knees, and lower back. While it is not contagious, it can be uncomfortable and affect a person’s confidence. Psoriasis is a lifelong condition that can be managed with appropriate treatments.

Learn more about treatment for psoriasis on the scalp.

How Do You Get Psoriasis?

Psoriasis is not something you “catch.” It develops due to a combination of genetic predisposition and immune system activity. If you have a family history of psoriasis, you may be at a higher risk of developing it. However, environmental factors such as stress, illness, and skin injuries often act as triggers that bring on symptoms.

Is Psoriasis Genetic?

Yes, genetics play a significant role in psoriasis. If one or both of your parents have the condition, your likelihood of developing it increases. However, having the genes for psoriasis does not guarantee that you will experience symptoms—other factors, such as immune system activity and environmental triggers, contribute to its onset.

Is Psoriasis Permanent?

Psoriasis is considered a chronic, lifelong condition, meaning it’s typically permanent. While there’s currently no cure, its symptoms can be managed effectively through treatments such as topical medications, phototherapy, systemic drugs, and lifestyle changes. Many people with psoriasis experience periods of flare-ups and remission, meaning symptoms may improve or temporarily disappear but can recur later.

What Causes Psoriasis Flare-Ups?

While genetics may determine whether you are prone to psoriasis, certain triggers can cause flare-ups, including:

  • Stress
  • Skin injuries (cuts, burns, bug bites)
  • Infections
  • Cold, dry weather
  • Certain medications, such as beta-blockers or lithium

Avoiding known triggers and following a personalized treatment plan can help minimize flare-ups and keep symptoms under control.

What Causes Eczema and Psoriasis?

Both conditions cause skin inflammation, but they have different origins. Psoriasis is an autoimmune disease, meaning the immune system mistakenly attacks healthy skin cells. Eczema, on the other hand, is often linked to allergic reactions or skin hypersensitivity.

Is Plaque Psoriasis Contagious?

No, plaque psoriasis is not contagious. It is an immune-mediated condition, meaning it results from an overactive immune response rather than an infection. You cannot catch psoriasis by touching someone who has it, sharing personal items, or being in close contact.

Is Psoriasis Contagious Sexually?

No, psoriasis cannot be transmitted through skin-to-skin contact, kissing, or intimate interactions. However, psoriasis can sometimes appear in the genital area, which may cause discomfort. A dermatologist can help manage symptoms in sensitive areas with specialized treatments.

What Is the Best Treatment for Psoriasis?

Psoriasis treatment depends on the severity of symptoms and how your body responds to different therapies. Common treatments include:

  • Topical treatments such as corticosteroids and vitamin D analogs
  • Light therapy (phototherapy)
  • Systemic medications, including oral treatments and biologic injections

A dermatologist can recommend the most effective approach based on your individual needs.

Does Insurance Cover Psoriasis Treatment?

Many insurance plans cover psoriasis treatments, but coverage varies. Our team can help you navigate your insurance benefits and explore available options.

Schedule a Consultation

At Houston Dermatology Specialists, we understand how frustrating and uncomfortable psoriasis can be. If you’re looking for answers or need help managing your symptoms, we’re here for you. Call us at (713) 487-8233 or request a consultation to explore treatment options tailored to your needs.

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