Psoriasis Treatment in Cagliari: Personalised Therapies
Psoriasis can be managed. Take back control of your skin.
Psoriasis is a chronic condition that affects quality of life. Today there are effective treatments that can dramatically reduce its symptoms. At Centro Eudermia in Cagliari, Dr. Guicciardi offers a personalised approach based on the latest dermatological guidelines.
- Over 30 years of experience in medical dermatology
- Topical and systemic therapies; referral for the latest-generation biologic treatments
- A personalised pathway for every form of psoriasis
- Ongoing monitoring of your response to treatment
Understand Psoriasis
What it is and how it presents
What is Psoriasis
A chronic inflammatory disease
- Autoimmune skin disease
- Causes red, scaly plaques
- Not contagious
- Can be effectively controlled
Main Symptoms
How it manifests
- Red plaques covered with silvery scales
- Itching and burning
- Dry and cracked skin
- Thickened or pitted nails
Affected Areas
Most common locations
- Elbows and knees
- Scalp
- Lower back
- Fingernails and toenails
Triggers
What can worsen psoriasis
- Stress and anxiety
- Infections
- Skin trauma
- Certain medications
Types of Psoriasis
Classification for Targeted Treatments
Plaque Psoriasis
The most common form
- Red plaques with silvery scales
- Affects elbows, knees, scalp
- Accounts for 80-90% of cases
Guttate Psoriasis
Small drop-like lesions
- Small red spots shaped like drops
- Often after streptococcal infections
- More common in young people
Inverse Psoriasis
In skin folds
- Smooth, red lesions
- Found in skin folds
- Worsened by sweat and friction
Pustular Psoriasis
With pustules
- White pustules on reddened skin
- Can be localised or generalised
- Requires specific treatment
Erythrodermic Psoriasis
Rare and severe form
- Widespread redness over entire body
- Intense scaling
- Requires urgent care
Comorbidities of Psoriasis
Psoriasis is not an exclusively skin disease. It is a systemic inflammatory condition that can be associated with psoriatic arthritis (in roughly 30% of patients), cardiovascular disease, type 2 diabetes, obesity, inflammatory bowel disease and mood disorders. For this reason, its management requires a comprehensive approach that takes the patient's overall health into account.
Treatment Goals
With current therapies the achievable goals are ambitious: PASI 75 (a 75% improvement) is considered the minimum acceptable result, while PASI 90 (a 90% improvement) is the ideal target. Many patients on biologic therapy achieve complete clearance (skin free of lesions) with no impact on quality of life.
Treatments
Specialist Assessment
Determining severity (PASI, BSA), evaluating the impact on quality of life (DLQI), screening for psoriatic arthritis and associated comorbidities, and defining treatment goals shared with the patient.
Topical Therapies
First line for mild-to-moderate forms:
- Topical corticosteroids of varying potency
- Vitamin D3 derivatives (calcipotriol, calcitriol)
- Keratolytics (salicylic acid)
- Specific emollients
Traditional Systemic Therapies
For moderate-to-severe forms:
- Methotrexate (immunosuppressant, also effective on psoriatic arthritis)
- Ciclosporin (rapid action, limited cycles)
- Acitretin (oral retinoid, erythrodermic and pustular forms)
Biologic Therapies
Biologic therapies target the mediators of inflammation: anti-TNF-alpha (adalimumab, etanercept, infliximab), anti-IL17 (secukinumab, ixekizumab), anti-IL23 (guselkumab, risankizumab). Prescribed in a hospital setting for moderate-to-severe forms and covered by the Italian National Health Service for patients who meet the access criteria.
Daily Management
Daily care complements drug therapy: gentle cleansing with cleansing oils or specific syndets, regular moisturising with emollients 2-3 times a day, sun protection SPF 30+ (controlled sun exposure can be beneficial, but sunburn must be avoided), an anti-inflammatory diet, reducing alcohol and smoking, managing body weight and managing stress.
Related Services
Frequently Asked Questions
Psoriasis Myths and Facts
Myth:
Psoriasis is contagious
Truth:
Psoriasis is NOT contagious. It's an autoimmune disease and cannot be transmitted from person to person.
Myth:
Psoriasis is only a cosmetic problem
Truth:
Psoriasis is a systemic disease that can affect joints, heart and quality of life.
Myth:
There is no cure for psoriasis
Truth:
There are many effective therapies that help you control psoriasis and live a normal life.
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Reviews translated from the original Italian
“I waited 4 months before leaving this review. I wanted to be sure I had truly solved my problem. I suffered for 2 years and was seen by dermatologists who turned out to be useless, as they never gave me the right treatment — only a waste of time and money while my condition got w…”