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Medications with vitamins. You can apply medication that has vitamin D on your skin to help. Or you can take medications with vitamin A by mouth. Psoriatic arthritis is a condition where you have both psoriasis and arthritis ( joint inflammation). In more than 80% of cases, people had psoriasis for an average of 12 years before getting psoriatic arthritis. About 90% of people with it also have nail changes. Suddenly stopping systemic drugs or strong topical steroids that you used over a large area of your body Topical treatments. These go on your skin and are usually the first thing doctors try. Some have steroids; others don’t. Prescription products slow skin cell growth and ease inflammation.

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Nonsteroidal anti-inflammatory drugs (NSAIDs) can lessen pain and inflammation if you have a mild version. The goal of treatment is to get rid of pustules, prevent side effects (like infections), and stop itchiness or pain. Erythrodermic Psoriasis Oral medications. You can take medications by mouth to treat severe forms of inverse psoriasis. They come in pill or capsule form. Some options include acitretin (Soriatane) capsules, apremilast (Otezla) oral tablets, deucravacitinib (Sotyktu) oral TYK 2 inhibitor, or methotrexate (Otrexup (PF), Trexall Tablets, Xatmep). Like psoriasis, parapsoriasis shows up as a patchy rash. Spots are usually pink or red but also can appear brown or yellowish. They can be raised and bumpy with a scaly or wrinkly appearance. Injectable medications. You may use drugs like adalimumab (Humira Pen, Humira Pen Crohn's-UC-HS Start, Humira Pen Psoriasis-Uveitis), etanercept (Enbrel), or infliximab (Avsola, Inflectra, Ixifi, Remicade, Renflexis). You can inject these under your skin, or your doctor will inject it into your vein.

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Systemic medications. These prescription drugs work throughout your body. You’ll get them if you have moderate to severe psoriasis that doesn’t respond to other treatments. You could take them by mouth or get them as a shot or IV. This category includes drugs called biologics, which target specific parts of your immune system that play a role in the inflammatory process. Learn more about systemic treatments for psoriasis. Guttate Psoriasis This type may show up on one area of your body, such as the hands and feet. Sometimes, it covers most of your body, which is called "generalized" pustular psoriasis. When this happens, it can be very serious, so get medical help right away. This kind of psoriasis is uncommon and mostly appears in adults. It causes pus-filled bumps (pustules) surrounded by red or purplish skin. These may look infectious but are not. Phototherapy . This treatment uses ultraviolet light. You’ll get it at your doctor's office or at home with a phototherapy unit.

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Most people with small-plaque parapsoriasis don't need treatment. But if you have symptoms or want to get rid of the appearance of the condition, topical corticosteroids can help. If this doesn't work, phototherapy may be a better option.This type of psoriasis may go away within a few weeks, even without treatment. Some cases, though, are more stubborn and require treatment. Oral medications. These are also for serious cases. They come in liquid, pill, or tablet form. You might take apremilast (Otezla), cyclosporine (Gengraf, Neoral, Sandimmune), deucravacitinib (Sotyktu), or methotrexate (Otrexup (PF), Trexall, Xatmep). Here's how you can spot the seven types of psoriasis and what you can do to treat them. Plaque Psoriasis Phototherapy. You can treat your guttate psoriasis with ultraviolet (UV) light. You can use this on its own, or along with other medications.

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Topical medicine (ointments you put on your skin) or systemic medicine (drugs that treat your whole body), especially steroids If you have these symptoms, see your doctor right away. You may need to get treated in a hospital. This type of psoriasis can cause severe illness from protein and fluid loss. You may also get an infection, pneumonia, or congestive heart failure. There are a few types of psoriasis. While some are similar, they can also have different symptoms and treatments. Each type affects a different area of your body. Large-plaque. Rashes are bigger and sometimes irregularly shaped. Some people with this form get a kind of lymphoma called mycosis fungoides. It's a cancer of the white blood cells that starts in the skin. Some doctors consider large-plaque parapsoriasis a separate disease. Others think it's just an early stage of mycosis fungoides.Small-plaque. Rash spots are less than 5 centimeters (about 2 inches) across. It's usually considered harmless. Newer oral drugs, like apremilast (Otezla) and deucravacitinib (Sotyktu), lower inflammation. They're for people with a mild to moderate version who can't use DMARDs or biologic agents

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Immunosuppressant medications. These drugs lower your body's immune response, which will help ease the symptoms of guttate psoriasis. This is the most common type. About eight in 10 people with psoriasis have this kind. You may hear your doctor call it " psoriasis vulgaris." Guttate psoriasis causes small, pink-red spots on your skin. On darker skin, the spots may be purplish. They often appear on your: Creams. These can treat itching and inflammation, especially if they have cortisone or other corticosteroids in them. Other creams that can help are ones that include coal tar.The symptoms of plaque psoriasis include raised, inflamed, red skin covered with silvery, white scales. On darker skin, the patches may be purplish with gray scales. These patches may itch and burn. It can appear anywhere on your body, but it often pops up in these areas: There's no cure for psoriatic arthritis, but you can use some treatments to help control inflammation, pain, and disability. Some options include: This type is the least common, but it's very serious. It affects most of your body and causes widespread, fiery skin that appears to be burned.