Psoriasis is a chronic immune-mediated skin disease affecting approximately 3% of adults in the United States. It causes rapid skin cell turnover that produces raised, scaly plaques — most commonly on the scalp, elbows, knees, and lower back. At Belaray Dermatology (Hicksville and Stony Brook, Long Island), our physicians offer the full spectrum of psoriasis therapies, from topical treatments for mild disease to phototherapy and biologics for severe cases.
Types of Psoriasis We Treat
- Plaque psoriasis — the most common form; raised, silvery-scaled plaques on extensor surfaces
- Guttate psoriasis — small, drop-shaped lesions often triggered by streptococcal infection
- Inverse psoriasis — smooth, red plaques in skin folds
- Scalp psoriasis — thick scale on the scalp; often misidentified as severe dandruff
- Palmoplantar psoriasis — plaques on palms and soles, frequently painful
- Nail psoriasis — pitting, onycholysis, and oil spots in the nail
In children, psoriasis is frequently mistaken for eczema — our guide to eczema in children explains how the two differ, and children with psoriasis are seen through our pediatric dermatology program.
Treatment Approach
Topical Treatments (Mild–Moderate Disease)
- Corticosteroids — first-line topical for most flares; potency matched to location and age
- Vitamin D analogues (calcipotriene) combined with corticosteroids (Taclonex, Enstilar)
- Calcineurin inhibitors (tacrolimus, pimecrolimus) — for face and skin folds
- Tapinarof cream (Vtama) and roflumilast (Zoryve) — newer non-steroidal topicals
Phototherapy (Available In-Office at Belaray)
- Narrowband UVB (NB-UVB) — full-body light box for widespread plaque, guttate, and palmoplantar psoriasis. Highly effective without systemic side effects.
- Excimer laser (Pharos 308nm) — targeted UVB for localized, stubborn plaques. Treats only affected skin.
Systemic and Biologic Treatments (Moderate–Severe Disease)
- Methotrexate — classic systemic; effective and low-cost with monitoring
- Apremilast (Otezla) — oral PDE4 inhibitor; fewer monitoring requirements
- Biologics (IL-17, IL-23, TNF inhibitors) — the most effective modern therapies for moderate-to-severe disease
Frequently Asked Questions
Is psoriasis contagious?
No. Psoriasis is an autoimmune condition caused by immune dysregulation, not infection. It cannot be spread by touch or any form of contact.
Does Belaray offer phototherapy in-office?
Yes. Both narrowband UVB phototherapy (full-body light box) and the Pharos excimer laser for targeted treatment are available at Belaray Dermatology.
Can psoriasis go away on its own?
Psoriasis can enter spontaneous remission, but for most patients it is a lifelong condition with cycles of flares and clearance. Effective treatment significantly reduces flare frequency and severity.
What triggers psoriasis flares?
Common triggers include stress, streptococcal throat infections, certain medications (beta-blockers, lithium, antimalarials), injury to skin (Koebner phenomenon), alcohol, and smoking.
Schedule at Belaray Dermatology
Hicksville and Stony Brook, Long Island. Most major insurance accepted.
📅 Book Online 💬 Text (516) 822-7546Medical References
Belaray Dermatology education articles are written by our clinical team and medically reviewed by our physicians. This article draws on guidance from the following authoritative sources:
- National Psoriasis Foundation — Psoriasis treatment and research.
- American Academy of Dermatology — Psoriasis diagnosis and treatment.