Psoriasis Dermatologist2019-06-11T09:58:14+00:00

Feel in charge of your skin

PERSONALISED DERMATOLOGY TREATMENT PLANS

CALL 0118 373 5198

People with psoriasis notice red, scaly patches and plaques that commonly affect the elbows and knees but can occur anywhere on the body, including the scalp and nails.

IN THESE VIDEOS, I EXPLAIN THE SYMPTOMS AND CAUSES OF CONDITION – AND HOW TO TREAT IT

In the videos above, I explain things in a simple way that applies to most people who have psoriasis. Of course, no video or website can replace the value of a personalised consultation. At your consultation, you can have your skin carefully examined and get an expert recommendation to help you resolve your condition.

Book a consultation

Treatment helps people of all ages take control of their skin condition and get their life back.

CALL 0118 373 5198

How does psoriasis impact people on a day-by-day basis?

BEYOND THE PHYSICAL SYMPTOMS, PSORIASIS CAN AFFECT YOUR SELF-ESTEEM AND LOWER YOUR MOOD

Red, scaly patches and plaques

If you have psoriasis, you’ll get red, scaly patches that can be itchy or sore. You may also experience nail changes, joint aches, stiffness, and swelling.

It can affect your self-esteem

Beyond the physical symptoms, psoriasis can result in low mood and low self-esteem especially if it is visible (like on the hands or face), or if it occurs in sensitive sites.

An average day with psoriasis

You might feel more depressed with psoriasis when compared to other skin or chronic illnesses. Therefore, it can significantly affect your daily routine, at work and socially.

If you have psoriasis

You’ve probably heard all sorts of questions and comments about it. People may even give you well-intentioned but incorrect advice. Some may think you’re contagious (you’re not) while others may blame your diet (it’s not caused by particular foods).

Is there hope if you have psoriasis?

Definitely. I can offer several extremely effective treatment options today. Studies show that lifestyle changes (such as losing weight, moderating alcohol, and smoking cessation) can improve psoriasis beyond the effects of treatment alone. You should take any lifestyle measures in conjunction with the treatments advised.

What my patients love about my service

MY PATIENTS ARE MY BEST PROMOTERS

Please pass on my thanks to Dr Pratsou for her assessment on my continued taking of roaccutane.

She was completely right, I didn’t need a new course, I needed to move away from the drug. The creams she gave me and Cetaphil recommendation have meant my skin has been the best it’s ever been (ongoing and since I saw her) ALL SUMMER :))))) I’ve had zero problems…and I’m loving it.

Thank you once again.


Phillip, Acne

“Dear Dr Pratsou,

Following the consultation today I feel it appropriate to say thank you for your help in dealing with my rosacea.

On each occasion, I have visited your department I have noticed the kindness and cheeriness of all the staff I have encountered and particularly wanted to say that you made me feel at ease with your calmness and excellent manner.

All is much appreciated.”


Anne, Rosacea

“Thank you very much!!

You three were (and are) a great team!

I will remember you.

You made me feel comfortable.”


Ellie

“Tania,

Please pass to Dr Pratsou my thanks for her skilled work.

The wound is healing beautifully and now the stitches are out it looks as though it will be almost invisible once fully healed.”


Graham, Skin cancer removal

“Dear Dr Penelope, Rena & the team, (I can’t remember the nurse’s name who helped me during my 2 procedures at the Spire!)

I wanted to thank you for your support and help during a very difficult time. You guys do a wonderful job – and we are eternally grateful for your help.”


Clarissa, Skin cancer

“I would like to put on record how impressed I was with the operation you performed for the removal of the SCC on my neck. I cannot even see where the cut or the stitches were! I am indeed very grateful for the excellent work you do.”


Harry, Squamous Cell Carcinoma

“Dear Dr Pratsou,

I am very grateful to you for your diagnosis, recommended treatment and advice. Your letter to my GP sets out both the course of events, and your own analysis of probable condition and possible cause, clearly summarising our discussion.

I hope there will be no recurrence but I will certainly come back to you if there is.”


Ryan, Skin rash

“Dear Tania,

Please pass on my thanks to Dr Pratsou. I saw her this morning for a mole check. She was so lovely and reassuring. Please also thank the two nurses who assisted her during the mole removal procedure. I was very nervous, but they were very efficient, which meant I did not have too long to think about it, but most of all they were very kind. They kept me distracted and calm, which made a huge difference. Thank you also for your efficiency in both booking me in so quickly.”


James, Mole removal
Dear Ms. Pratsou,

I am writing to thank you for the care you have given me in the past few months. From the moment I walked into your consulting room with a lesion on my cheek, a lesion that I fully expected to be some sort of skin cancer (and it was), you have been thorough, reassuring, respectful and in every way professional.

You recognised that I had some insight into the condition of my skin and the procedures required to treat me. You listened to me. You projected expertise and compassion.

During the procedure to remove the growth you ensured that the atmosphere in the treatment room remained not only calm, but actually pleasant. Had it not been that you were excising a growth and sewing me up, I almost felt as if you, me and the nurse were at some sort of women’s discussion group. The time flew by. I had zero anxieties about the procedure and as we both know now, the wound healed flawlessly.

Thank you for your expertise and your communication skills and all round good nature. I feel very lucky.


Karen Tatom, Skin cancer removal

We have replaced the images and names of real patients who provided these testimonials to protect their privacy.

The first step to feeling in charge of your skin is to book an initial consultation

FIND OUT HOW TO GET THE SKIN YOU WANT

CALL 0118 373 5198

How it works

FEEL IN CHARGE OF YOUR SKIN IN 3 EASY STEPS

STEP 1 – CALL US
STEP 2 – LET’S MEET
STEP 3 – RESOLUTION
CONTACT MY STAFF

Give us a call on 0118 373 5198 and we’ll help guide you towards a first appointment.

MEET WITH ME

I’ll see you and examine your skin before I recommend treatment. In some cases, I can begin treating your condition on the same day.

FEEL IN CHARGE OF YOUR SKIN

I’ll guide you down the road towards a resolution of your skin condition so that you can get back to normal life.

More information about psoriasis

FOR THOSE WHO WANT THE DETAILS

Psoriasis is a chronic (that is, persistent) inflammatory skin condition which affects 2% of the population.

Psoriasis typically starts later on in life and tends to affect people after their 30s and 40s.

People with psoriasis notice red, scaly patches and plaques that commonly affect elbows and knees but can occur anywhere on the body, including the scalp and nails.

Psoriasis can also affect the joints in around a third of patients. Patches can be itchy or sore.

Symptoms of psoriasis include:

  • Red, scaly patches that can be itchy or sore
  • Nail changes
  • Joint aches, stiffness, swelling
  • Beyond the physical symptoms, psoriasis can result in low mood and self-esteem especially if it is visible (like on the hands or face), or if it occurs in sensitive sites
  • There is a higher incidence of depression and psychosocial morbidity associated with psoriasis when compared to other skin or chronic illnesses.

The causes of psoriasis are typically multifactorial, and can include:

  • an increased turnover/production of skin cells, resulting in a build-up of skin cells
  • a T-cell mediated immune reaction, that attacks healthy skin cells
  • genetic factors, as it can run in families
  • environmental factors.

A dermatologist, like myself, can typically diagnose psoriasis through clinical examination.

I will also examine your nails and scalp. If you are experiencing problems with your joints, I will ask you to complete a special questionnaire and may need to refer you to a rheumatologist too.

I can offer you a variety of treatments depending on the body sites affected and the extent of your condition.

I tailor psoriasis treatment depending on the affected site, the extent of psoriasis and according to your specific needs.

I can often successfully treat limited psoriasis with a variety of topical treatments.

These topical treatments may combine topical steroids with Vitamin D analogues (for example, Calcipotriol) or salicylic acid. Alternatively, they may consist of other preparations such as coal tar extracts.

I recommend treatment and maintenance regimes depending on the severity of the problem to ensure that you use topical treatments safely and effectively.

Particular sites, like the scalp, nails and genital areas benefit from different regimes. One size does not fit all, and therefore, I provide a personalised treatment plan for every patient.

In more extensive cases or where topical treatments fail, I offer UVB phototherapy, which is a type of light treatment. This therapy can significantly improve or clear the skin for prolonged periods of time.

If phototherapy fails, or in moderate to severe cases of psoriasis, systemic therapy is a good option. Systemic treatment consists of tablets (for example, Methotrexate and Acitretin) and requires regular blood tests and close monitoring due to the potential for side effects.

I can also prescribe biology therapy (for example, Adalimumab, Ustekinumab) for selected patients that require them. These are newer treatments that act on specific pathways of the immune system and require special monitoring.

Why have I got psoriasis now when it was never there before? Did something cause it?

Psoriasis tends to occur in adults and not children. This still means that you will have a genetic predisposition to developing psoriasis but, much like other conditions (eg Type 2 diabetes), psoriasis will first appear later on in life rather than in childhood.

Certain lifestyle habits can trigger flares or make them worse but are not the primary cause of psoriasis.

Is there anything I can do to improve my skin?

Studies show that losing weight (if you’re overweight) can improve psoriasis beyond the effects of treatment alone. Even a small amount of weight loss can have a significant impact.

We know that alcohol can worsen psoriasis, so I advise taking alcohol in moderation if you have psoriasis.

Smoking can be a triggering factor in certain types of psoriasis. Therefore, I recommend that you quit smoking when you’re ready to do.

You should take any lifestyle measures in conjunction with the treatments advised.

Could I be allergic to something?

The scientific consensus is that allergies do not contribute to psoriasis. There is no increase in the incidence of allergy in psoriasis patients compared to the rest of the population.

Where can I get patient support for psoriasis?

You can contact these organisations:

Psoriasis Association
Dick Coles House
2 Queensbridge
Northampton, NN4 7BF
Tel: 0845 676 0076
Website

Psoriasis and Psoriatic Arthritis Alliance (PAPAA)
3 Horseshoe Business Park
Lye Lane
Bricket Wood
St Albans
Hertfordshire
AL2 3TA
Tel: 01923 672837
Website

Affiliations and memberships

I AM PROUD TO BE ASSOCIATED WITH THE FOLLOWING ORGANISATIONS

Questions and answers

RELEVANT AND INFORMATIVE VIDEOS AND ARTICLES

How can you prevent rosacea?

Dr Penelope Pratsou discusses whether it is possible to prevent rosacea flare-ups and if lifestyle modifications can help to protect your skin. 

About the author

Dr Penelope Pratsou | Consultant Dermatologist

MBChB, MRCP (UK) (Dermatology)

I’m Dr Penelope Pratsou, a skilled independent Consultant Dermatologist based in Berkshire. I have specialist expertise in the diagnosis and management of all skin cancers, and in performing mole checks. I’m a trained skin surgeon and remove skin cancers, moles, skin tags, cysts and warts.

I also have invaluable experience in dealing with all skin conditions, from the common skin complaints of acne, rosacea, eczema and psoriasis, to the rarer and more complex skin problems, having seen it all through years of NHS work.

After I obtained my Membership to the Royal College of Physicians, I undertook rigorous specialist training in dermatology, before being appointed as a Consultant Dermatologist at the Royal Berkshire Hospital, Reading. There, I helped set up and lead a busy clinic for the diagnosis and treatment of suspected skin cancer. I was also actively involved in supervising and training both dermatology and GP trainees.

Alongside my increasingly busy private practice, I have maintained an NHS practice in Oxford in order to continue to engage with challenging cases and to develop my specialist interest in skin allergy.

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