{"id":2983,"date":"2025-07-02T12:33:08","date_gmt":"2025-07-02T11:33:08","guid":{"rendered":"https:\/\/e45.com\/uk\/?p=2983"},"modified":"2025-11-13T06:29:36","modified_gmt":"2025-11-13T06:29:36","slug":"understanding-psoriasis-with-dr-gulin","status":"publish","type":"post","link":"https:\/\/e45.com\/uk\/e45-about-skin\/expert-insights\/understanding-psoriasis-with-dr-gulin\/","title":{"rendered":"Understanding Psoriasis: Treatment Approaches"},"content":{"rendered":"\n<div class=\"wp-block-karopharma-product-promotion text-align-left pt-medium pb-medium bg-center bg-cover bg-no-repeat  is-style-primary\" style=\"background-image:url()\"><div class=\"container max-w-medium\">\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<figure class=\"wp-block-karopharma-product-promotion-image product-promotion-image\"><img fetchpriority=\"high\" decoding=\"async\" datatest=\"image\" src=\"https:\/\/e45.com\/cdn-cgi\/image\/format=auto\/app\/uploads\/sites\/2\/2025\/07\/Dr-Sandra-Jerkovic-Gulin.jpg\" loading=\"eager\" alt=\"Dr-Sandra-Jerkovic-Gulin\" width=\"700\" height=\"939\" srcset=\"https:\/\/e45.com\/cdn-cgi\/image\/format=auto,width=584\/app\/uploads\/sites\/2\/2025\/07\/Dr-Sandra-Jerkovic-Gulin.jpg 584w, https:\/\/e45.com\/cdn-cgi\/image\/format=auto,width=272\/app\/uploads\/sites\/2\/2025\/07\/Dr-Sandra-Jerkovic-Gulin.jpg 272w\" sizes=\"(max-width: 584px) 100vw, 584px\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<h1 class=\"wp-block-heading title is-style-heading-h1\">Understanding Psoriasis: Treatment Approaches<\/h1>\n\n\n\n<h2 class=\"wp-block-heading heading is-style-heading-h3\">An Interview with Dr. Sandra Jerkovic Gulin, MD, MSc, PhD<\/h2>\n\n\n\n<p class=\"paragraph is-style-paragraph-body-text has-primary-color has-text-color has-link-color wp-elements-9ac82f9d1ddc42effafb12bff3e2e591\">Dermatologist &amp; Clinical Researcher<br>Adjunct Associate Professor<br>Co-Host, Skinscope Dermatology Podcast<\/p>\n\n\n\n<p>Psoriasis is a common skin condition that causes red, scaly patches often on elbows, knees or the scalp and can feel uncomfortable or itchy.<\/p>\n\n\n\n<p>In our conversation, Dr Sandra Jerkovic Gulin explains what triggers psoriasis, how to recognise its signs, and why early treatment makes a real difference.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-accordions\"><div class=\"container\">\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">How common is psoriasis, and who can get it?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Psoriasis is a common condition and almost 3% of the global population suffers. It can affect any gender, age group\u2014adults, children, elderly. In my practice, I\u2019ve been seeing young and old, male and female, everyone with unique psoriasis stories. Some have just a few stubborn patches; others deal with widespread, severe symptoms.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">Where can psoriasis appear on the body?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Psoriasis can pop up everywhere on the body\u2014it\u2019s not just your arms and legs. It can be from the scalp to the soles of the feet, and it comes in many forms: plaque, guttate, inverse, pustular, erythrodermic, circular, geographic.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What triggers psoriasis, and why is it more than \u201cjust skin\u201d?<\/h2><\/summary><div class=\"accordion-content\">\n<p>There is a genetic background for <a href=\"https:\/\/e45.com\/uk\/e45-about-skin\/skin-conditions\/psoriasis\/\">psoriasis<\/a> \u2014and of course, triggers that can cause it. Before, many thought psoriasis was just a skin condition.<\/p>\n\n\n\n<p>It\u2019s absolutely not\u2014psoriasis is a systemic disease. It can be complicated by arthritis, cardiovascular issues and diabetes. It\u2019s like your skin is throwing a continuous temper tantrum.<\/p>\n\n\n\n<p>Our approach today is completely different compared to a decade ago: if we treat correctly and early in the disease, we can prevent and minimise complications, reduce disease burden and prevent severe outcomes. That\u2019s why we use a range of treatments\u2014conventional systemics, biologics, small molecules\u2014alongside topical treatments and, of course, moisturisers.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What do psoriasis patches look and feel like?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Patients present with red, thick, scaly patches anywhere on the body, but most commonly on the arms and legs. You can also have isolated forms in the genital area or scalp.<\/p>\n\n\n\n<p>Psoriasis can be connected to arthritis\u2014people sometimes complain of joint pain. In some cases, it even affects the face. Now that we have many treatments available, it\u2019s becoming much easier for psoriasis patients\u2014but the most important thing is to seek help.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What should patients do\u2014and avoid\u2014to keep psoriasis under control?<\/h2><\/summary><div class=\"accordion-content\">\n<ul class=\"wp-block-list is-style-default\">\n<li>You should seek help\u2014listen to your dermatologist.<\/li>\n\n\n\n<li>Moisturise your skin. Hydrated skin is less prone to infection and more resilient against irritation. We know psoriasis patients can experience the Koebner phenomenon (where new lesions form at sites of scratching), so moisturising and hydrating skin helps keep inflammation as low as possible. Think of moisturising as giving your skin a big drink of water: it makes everything function better.<\/li>\n\n\n\n<li>Identify and avoid triggers: stress, skin injuries, smoking, infections and certain medications. Some drugs\u2014beta blockers, ACE inhibitors, lithium, certain antimalarials\u2014are known culprits that can trigger or worsen psoriasis. Always review what medications you\u2019re taking.<\/li>\n\n\n\n<li>Adopt a healthy lifestyle: eat healthy, anti-inflammatory food; stay active; control your weight. Everything runs smoother when you do.<\/li>\n\n\n\n<li>Follow your treatment plan as prescribed. There\u2019s responsibility from the patient side, too. If someone never uses their prescribed creams or forgets biologics, flares will continue. Compliance makes all the difference.<\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">Which moisturisers work best, and what ingredients should people look for?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Moisturisers are your skin\u2019s best friend when it\u2019s dry and uncomfortable\u2014they trap water, soothe irritation and enhance the skin\u2019s appearance. The secret in effectiveness lies in key ingredients:<\/p>\n\n\n\n<ol class=\"wp-block-list is-style-default\">\n<li><strong>Occlusives<\/strong> (e.g., petrolatum, mineral oil) form a barrier on your skin, locking in hydration.<\/li>\n\n\n\n<li><strong>Humectants<\/strong> (e.g., glycerin, urea) draw water into the skin, keeping it plump and hydrated.<\/li>\n\n\n\n<li><strong>Emollients<\/strong> (e.g., ceramides, free fatty acids) smooth the skin surface and help repair the barrier.<\/li>\n<\/ol>\n\n\n\n<p>For sensitive skin, look for \u201chypoallergenic\u201d labels. If you have acne-prone skin, avoid comedogenic formulas. Avoid fragrances and alcohol\u2014they can irritate. Ingredients to watch for include propylene glycol (a water magnet), urea (hydrates and gently exfoliates), glycerin (attracts water), hyaluronic acid (holds water), ceramides (lock in moisture) and lactic acid (hydrates).<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">Is occlusion (wrapping) helpful for psoriasis?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Absolutely. In the old days, dermatology was all about occlusion\u2014we had to fix patients with severe skin changes without biologics.<\/p>\n\n\n\n<p>Wrapping a moisturised area (for example, with kitchen cling film) lets the product go deeper, reduces evaporation and accelerates healing\u2014especially on thick plaques like on the feet or elbows. You can do it for a few hours or overnight.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">Beyond moisturisers, what else can help?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Lifestyle changes make a big difference. Psychodermatology is real: when you feel great\u2014manage stress, practise yoga or meditation, stay active\u2014your skin often improves. Enjoy nature, breathe fresh air, spend time outdoors.<\/p>\n\n\n\n<p>Laughter is great medicine: socialise, laugh, have fun to reduce stress. Sometimes people with visible lesions withdraw socially, but staying connected and smiling can really help both skin and mind.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What skincare myths should we debunk?<\/h2><\/summary><div class=\"accordion-content\">\n<ul class=\"wp-block-list is-style-default\">\n<li><strong>Only <\/strong><a href=\"https:\/\/e45.com\/uk\/e45-about-skin\/skin-conditions\/dry-skin\/\"><strong>dry skin<\/strong><\/a><strong> needs moisturiser.<\/strong> That\u2019s completely wrong. Any skin type\u2014even oily\u2014needs daily hydration; moisturiser is your skin\u2019s drink of water.<\/li>\n\n\n\n<li><strong>No sunscreen on cloudy days.<\/strong> <a href=\"https:\/\/e45.com\/uk\/e45-about-skin\/sun-protection\/understanding-uv-rays-protection-and-awareness\/\">UV rays<\/a> penetrate clouds\u2014apply SPF every day to prevent flares, pigmentation and premature ageing<\/li>\n\n\n\n<li><strong>Expensive products are always better.<\/strong> Budget-friendly options often work just as well\u2014focus on ingredients, not price tags.<\/li>\n\n\n\n<li><strong>Natural ingredients are automatically safe.<\/strong> Some botanical extracts can cause contact allergies. Science-backed products are the safer choice<\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-karopharma-accordion\"><summary><h2 class=\"accordion-title\">What\u2019s one key tip for anyone struggling with psoriasis?<\/h2><\/summary><div class=\"accordion-content\">\n<p>Don\u2019t delay\u2014speak up and seek help early. Psoriasis is common and not something to be embarrassed about. Connect with your dermatologist, other specialists and support groups. If your current care isn\u2019t working, don\u2019t hesitate to seek a second opinion\u2014every doctor and patient is different.<\/p>\n\n\n\n<p>You\u2019re not alone; support groups offer helpful tips and a sense of community. Remember: don\u2019t suffer in silence. Talk about your psoriasis and seek professional help. And, of course, moisturise.<\/p>\n<\/div><\/details>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-karopharma-free-text pt-large pb-large bg-center bg-cover bg-no-repeat  is-style-secondary\" style=\"background-image:url()\"><div class=\"free-text-wrapper container max-w-medium text-left\">\n<h3 class=\"wp-block-heading is-style-heading-h3\">Looking for the right product to support your skin type or condition?<\/h3>\n\n\n\n<p><a href=\"https:\/\/e45.com\/uk\/products\/\">Click here<\/a> to discover the full range of e45 products and find the right one for you.<\/p>\n\n\n\n<h3 class=\"wp-block-heading is-style-heading-h3\">Looking for more information?<\/h3>\n\n\n\n<p>Explore a range of in-depth information on skin health and other common skin conditioners <a href=\"https:\/\/e45.com\/uk\/category\/e45-about-skin\/\">here<\/a>.<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":2957,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[41],"tags":[],"class_list":["post-2983","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-expert-insights"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Understanding Psoriasis: Treatment Approaches with Dr Gulin<\/title>\n<meta name=\"description\" content=\"In our conversation, Dr Sandra Jerkovic Gulin explains what triggers psoriasis, how to recognise its signs, and why early treatment makes a real difference.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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