PSORIASIS: Insights from Nashville Dermatology Physicians

Psoriasis is more than just a skin condition; it's a chronic, autoimmune disease affecting millions worldwide, including many in Nashville. At Nashville Dermatology Physicians in Brentwood, Dr. Jeffrey Berti and Dr. Toula Berti have dedicated themselves to understanding, diagnosing, and treating this complex condition. Here's how we approach psoriasis with our extensive expertise:

What is Psoriasis?

Psoriasis manifests as red, scaly patches on the skin, often found on the elbows, knees, scalp, and lower back, but it can be found anywhere on body, including nails. These patches, known as plaques, result from an overproduction of skin cells triggered by inflammation. It's not just a superficial issue; psoriasis is systemic, potentially affecting joints (psoriatic arthritis) and even having psychological impacts due to its visible nature.

The Diagnostic Journey

Diagnosing psoriasis involves more than a cursory glance at skin lesions. At Nashville Dermatology Physicians, we:

- Interview patients: We obtain a full history of  patient's skin issues and ask detailed questions.

- Conduct Thorough Examinations: We examine the skin, nails, and sometimes joints to assess the extent and type of psoriasis. 

- Biopsy, When Necessary: In some cases a skin biopsy is necessary and can confirm psoriasis by examining tissue under a microscope, distinguishing it from other conditions like eczema or skin cancer.

Tailored Treatment Plans

Once diagnosed, treatment isn't one-size-fits-all. Here’s how we tailor our approach:

- Topical Treatments: For mild psoriasis, we may start with corticosteroids, vitamin D analogues, or retinoids applied directly to the skin. These can manage symptoms effectively without systemic side effects.

- Biologics: These cutting-edge treatments have revolutionized severe psoriasis management. They target cytokines like TNF-alpha, IL-17, and IL-23, significantly reducing both skin symptoms and joint inflammation in psoriatic arthritis. There are now both effective oral and injectable forms of biologics available and many different FDA approved options which are covered by insurance or the pharmaceutical company offers significant cost savings.

- Systemic Medications: For moderate to severe cases, we may prescribe oral or injectable medications. Since the advent and success of biologic medicine, these medicines are now rarely prescribed as they may have a more serious side effect profile. These could include methotrexate, cyclosporine for immune modulation that target specific parts of the immune system involved in psoriasis.

- Phototherapy: When topicals aren't enough,  light therapy, UVB phototherapy can slow skin cell turnover, offering relief for larger areas affected by psoriasis. Some dermatology offices may offer these services or many opt to obtain natural sunlight with no sunscreen on the affected area for approximately 15 minutes.

Lifestyle and Holistic Approaches

Beyond medical treatment, we advocate for lifestyle adjustments:

- Dietary Guidance:  Some patients find relief by avoiding certain foods; many of the food groups we discuss avoiding or minimizing are known as "inflammatory" and we may guide them through dietary trials to see what might work for them. Some are referred to a nutritionist  knowledgeable in an anti-inflammatory diet.

- Stress Management: Given stress can trigger flares, we work with patients on stress reduction techniques, often referring them to specialists for psychological support.

- Regular Monitoring: Psoriasis is a lifetime companion, necessitating ongoing care. We schedule follow-ups to adjust treatments, ensuring they remain effective as the condition evolves.

Why Choose Nashville Dermatology Physicians?

Our expertise in psoriasis care stems from:

- Decades of Experience: Drs. Berti bring years of specialized dermatological experience, with a focus on psoriasis.

- Comprehensive Care: We understand the disease's impact beyond the skin, addressing its physical and emotional toll.

- Advanced Technology: Our clinic is equipped with the latest in dermatological technology, ensuring we can provide the most current treatments.

- Patient-Centric Approach: We tailor each treatment plan to the individual, considering their lifestyle, severity of psoriasis, and response to previous therapies.

At Nashville Dermatology Physicians located in Brentwood, TN, we're not just treating a condition; we're enhancing lives. If psoriasis affects you or a loved one, come see us! 

Let's manage this condition together, with care that's as unique as your skin.