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Condition guide · Dermatology

Psoriasis

Itchy, scaly patches of skin that come and go — what psoriasis is, why it happens, and how a consultant dermatologist can help bring it under control.

Psoriasis assessment at Bridge House Clinic
What is psoriasis?

Psoriasis is a long-term skin condition where the body makes new skin cells far too quickly, so they build up into raised, scaly patches called plaques.

It's a common, non-contagious condition driven by an overactive immune response. It tends to come and go in flare-ups, and while there's no quick fix, it usually responds well to the right treatment plan.

01Symptoms

Symptoms of psoriasis.

They often come and go in flare-ups, and can range from a few small patches to more widespread areas.

01Raised, scaly plaquesPatches of thickened skin topped with silvery-white scale — often on the elbows, knees, scalp or lower back.
02Itching or sorenessThe affected skin can feel itchy, tight or tender, and may sometimes crack or bleed.
03Flare-ups that settleSymptoms tend to come and go, sometimes triggered by stress, infection or a skin injury.
04Nail changesPitting, ridging or lifting of the fingernails and toenails can occur alongside the skin patches.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

Psoriasis happens when the immune system speeds up skin cell turnover. It isn't caused by poor hygiene and you can't catch it from someone else, but several things can make it more likely or set off a flare.

Family history of psoriasis
An overactive immune response
Stress
Infections, such as a sore throat
Skin injury or sunburn
Smoking or heavy alcohol use
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.The patches won't settle or are spreadingSkin that doesn't improve with over-the-counter creams is worth having properly assessed.
II.It's affecting your sleep or confidencePersistent itching, soreness or visible patches can take a real toll — you don't have to put up with it.
III.You also have joint pain or stiffnessPsoriasis can sometimes affect the joints, so new joint symptoms are worth mentioning to a specialist.
Book an assessment
Psoriasis examination by a consultant
Diagnosing psoriasis at Bridge House Clinic
04How it's diagnosed

Diagnosed with a skin examination.

Psoriasis is usually diagnosed by a consultant dermatologist examining your skin, scalp and nails — there's normally no need for tests. We'll look at the pattern and type of your patches, ask about triggers and family history, and rule out other causes so you get a clear picture and a plan.

05Treatment

How psoriasis is treated.

We start with the simplest treatment that works for you, and build from there if needed.

01Topical treatments

Creams and ointments — such as emollients, vitamin D analogues and topical steroids — to calm the skin and ease scaling and itching. Usually the first step for milder psoriasis.

02A tailored management plan

Your consultant builds a plan around the type and severity of your psoriasis, reviews how it responds, and adjusts it over time to keep flare-ups under control.

03Onward referral when needed

For more extensive or stubborn psoriasis that needs phototherapy or specialist systemic medication, your consultant will discuss the right next step and onward pathway.

See a consultant dermatologist about your psoriasisAn initial dermatology consultation is £200. Any treatment is tailored to you, with fees confirmed individually at your consultation.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Is psoriasis contagious? +

No. Psoriasis is driven by your immune system, not an infection — you can't catch it from someone else or pass it on.

Can psoriasis be cured? +

There's no cure, but it can usually be managed well. With the right treatment plan, most people can get flare-ups under control and keep their skin comfortable.

What triggers a psoriasis flare-up? +

Common triggers include stress, infections, skin injury, certain medications and, for some people, smoking or alcohol. Identifying your triggers is part of the consultation.

Will I need any tests? +

Usually not — psoriasis is normally diagnosed by a consultant examining your skin and nails. Occasionally further assessment is suggested, which your consultant will explain.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.