When white flakes appear on the skin, most people assume that they are caused by dry skin.
Therefore, they may expect the problem to improve after applying moisturizer or removing the flakes. However, if the same area continues to develop flakes over time and the skin becomes red, it is necessary to check for other possible causes.
Psoriasis is a skin disease in which scaling is particularly noticeable, but in reality, it also involves an inflammatory response beneath the skin’s surface, not just scaling on the surface.
Therefore, when managing psoriasis, it is important not only to remove visible flakes but also to examine the current condition of the skin.
Today, we will explain how psoriasis symptoms appear and why certain aspects should be checked before focusing on scaling.
-Yeongdeungpo Station Dermatology Clinic Column Contents-
-
What kind of skin disease is psoriasis?
-
Why it should be checked before scaling
-
Important aspects of psoriasis treatment and management

What Kind of Skin Disease Is Psoriasis?
Psoriasis is a chronic inflammatory skin disease in which skin cells multiply faster than normal, causing recurring red patches and thick scaling.
It commonly develops on areas that are repeatedly irritated, such as the elbows, knees, and scalp, but the location and extent can vary from person to person.
In the early stages, it may begin by making the skin look dry or causing only a small amount of scaling.
However, over time, thick white scales may build up over red patches, or the symptoms may gradually spread.
Itching may also occur, but psoriasis can progress even when itching is not severe, so it is difficult to assess the condition based solely on symptom intensity.

Why It Should Be Checked Before Scaling
Some people consider psoriasis to be simply a scaling problem, but it is actually a disease that also involves an inflammatory response beneath the skin.
Removing only the visible scales does not improve psoriasis itself.
In fact, forcibly removing the scales or strongly irritating the skin may make the skin more sensitive.
A treatment plan for psoriasis is established after examining the degree of current skin inflammation, the extent of the lesions, and the pattern of recurring symptoms together.
An ongoing state of dry skin or an environment involving repeated friction may also affect the symptoms.
Dry periods such as seasonal changes, stress, and lack of sleep may also act as factors that worsen the symptoms.
Therefore, rather than focusing simply on eliminating the scales, it is important to examine the current condition of the skin and why the symptoms keep recurring.

Important Aspects of Psoriasis Treatment and Management
Psoriasis treatment may vary depending on the current condition of the skin and the extent of the lesions.
When the symptoms are relatively localized, topical ointment treatment may be used. When the lesions are extensive or recur repeatedly, phototherapy may also be considered.
Excimer laser treatment is one type of phototherapy used for psoriasis. It selectively delivers light to the affected areas.
However, even when the same treatment is used, the treatment plan may vary depending on the condition of the skin and the severity of the symptoms.
Moisturizing care to protect the skin barrier is also important alongside treatment.
It is advisable to be careful with habits such as rubbing the skin excessively or forcibly removing scales, as they may increase skin irritation.
Getting enough sleep and maintaining a regular lifestyle may also help maintain skin health.
Most importantly, rather than stopping treatment just because the symptoms have temporarily improved, it is important to continue checking the current condition of the skin and managing it consistently.

Psoriasis is not simply a problem involving scales on the skin. It is a chronic skin disease that also involves an inflammatory response beneath the skin.
Therefore, rather than managing only the visible scales, it is important to examine the current condition of the skin and the factors causing the symptoms to recur.
In addition to ointment treatment and phototherapy, psoriasis treatment may be helpful when it also includes protecting the skin barrier and managing lifestyle habits.
Most importantly, recurring scales should not be regarded simply as a sign of dry skin.
If scaling and redness continue to recur in the same area, we recommend checking the current condition of your skin and establishing a treatment plan suited to you.
Thank you.
| This post was written for informational purposes in compliance with Articles 56(1)–(15) of the Medical Service Act. All treatments carry a risk of side effects and complications that may vary from person to person. Before receiving treatment, be sure to have a thorough consultation with a medical professional with extensive experience before making a decision. |