Psoriasis is a common skin condition that causes red patches of inflamed skin with silver-white scales, often on the elbows and knees but also commonly affecting the scalp, face and folds of skin (such as the back of your knees and elbows). It is an autoimmune disease, which is not contagious, and occurs when the body’s immune system mistakes healthy cells for dangerous substances.

Skin cells typically grow deep inside the skin, and about once a month they rise to the surface. This process is accelerated in those suffering from psoriasis, which causes a build-up of dead skin cells on the surface of the skin. Among the factors that can trigger a psoriasis attack are stress; lack of adequate sunlight or too much exposure to the sun (sunburn); bacteria or viral infections, such as strep throat and upper respiratory infections; dry air or dry skin; injury to the skin, including cuts, burns, and insect bites; certain medicines, including anti-malaria drugs, beta-blockers, and lithium; as well as excessive alcohol consumption.

In some severe cases of psoriasis, our dermatologists may resort to pills and injections, which alter the immune response of the body, therefore suppressing the outbreak.

Whatever your personal requirements, you can rest assured that we will provide the leading consultants and techniques for your treatment at our state-of-the-art, purpose-built, central London facility.

Dermatology Gallery

Skin Lumps and Warts

Benign Dermatofibroma - Persisting asymptomatic nodule. Recommend excision on cosmetic grounds as will never go away spontaneously.

Benign vascular nodule - Developed at site of minimal trauma; needs surgical removal as bleeds easily.

Benign vascular nodule - On face of elderly lady, for surgical removal.

Warty benign basal cell papilloma (seborrhoeic keratosis) - Slowly growing on trunk of 70 year old man; removed by curettage.

Warty benign basal cell papilloma (seborrhoeic keratosis) - Flesh-coloured growth on trunk of 75 year old man

Seborrhoeic warts / keratoses - On a patient

Seborrhoeic warts / keratoses - On a patient

Solar keratoses - Extensive scalp solar keratoses suitable for PDT

Rapidly growing nodule - Below left eye in 70 year old man. Needs excision for cure and for histology to differentiate between a keratoacanthoma and a basal cell cancer

Hand warts - Can be treated with Cryotherapy

Plantar warts - Potentially suitable for cryotherapy

Melanomas

Lentigo maligna - Black discolouration on background brown lentigo on nasal bridge–needs excision to prevent spread.

Lentigo maligant melanoma - Slowly growing brown stain on cheek of elderly lady

Malignant melanoma - Well demarcated black plaque on sun damaged trunk of 35 year old

Malignant melanoma - Well demarcated black plaque on sun damaged skin

Melanoma - Change in the pigmentation of a previously brown mole

Nodular melanoma - A large pigmented nodule

A nodular melanoma - Enlarging pigmented plaque

Subungual melanoma - Persisting black toenail originally thought due to trauma

A nodular melanoma - Persisting oozing nodule with pigmentation

Amelanotic melanoma - Vascular nodule on the foot

Large malignant melanoma - On upper back of very sundamaged skin

Other Skin Cancers

Basal cell cancer - Slowly growing nodule on sun exposed skin of 68 year old man showing telangiectasia (blood vessels) diagnostic of a basal cell cancer

Multiple cancers - Multiple scaly patches consistent with multiple cancers on sun-exposed neck of elderly woman

Basal cell cancer - Scaly area which never heals on right side of forehead of 72 year old. Need excising to prevent further enlargement.

Basal cell cancer - Slowly growing area on sun damaged facial skin of 35 year old surfer. Basal cell cancer needing Mohs and reconstruction to prevent further growth.

Pigmented basal cell cancer - On sun exposed skin of 72 year old. Could be mistaken for a melanoma due to the black pigment.

Squamous Cell Cancer - Sore ear thought to be infection in 78 year old man but due to a squamous cell cancer

Bowen’s disease on the hand - An early skin cancer

Psoriasis

Psoriasis - Symmetrical well defined erythematous plaques on the knees

Psoriasis - Well demarcated scaly plaques on elbows of a 4 year old

Psoriasis - Scaly itchy scalp with well demarcated edge due to psoriasis

Psoriasis - Well demarcated scaly rash of psoriasis in a child on an unusual location

Small Plaque Psoriasis - Widespread rash with well demarcated pink scaly patches

Psoriasis - Psoriasis on the forehead and scalp

Moles

Large congenital mole - Atypical pigmentation in a child - needs monitoring

Protruding benign mole - Excise on cosmetic grounds

Hair bearing benign flesh coloured facial naevus -

Halo naevus - This is benign and occurs more frequently in patients with vitiligo

Large naevi with irregular pigmentation - Dysplastic naevi which need monitoring /excision to prevent progression

Unusual mole on sole of foot - For dermoscopic monitoring

Halo - Less intense pigmentation surrounding a normal mole

Acne

Acne Scarring - Acne Scarring

Acne - Acne on a male patient

Acne - Acne on the forehead, can be treated with Roaccutane.

Acne - Acne on the cheek, can be treated with Roaccutane.

Autoimmune

Alopecia - Alopeca areata

Allergies

Urticaria - Urticaria or hives

Pigmentation

Vitiligo - On a patient

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