Expert Psoriasis Treatment in Encinitas, CA

Stop hiding your skin. Dr. Sheila Krishna offers proven psoriasis treatments that clear plaques and calm inflammation. Get personalized care that brings real relief and helps you feel confident again.

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📞 (760) 783-5502

200+ 5 Star Reviews

Immediate Appointments

Board Certified

Understanding Psoriasis

What Is Psoriasis?

Psoriasis is an autoimmune condition where the immune system drives excess skin growth. Instead of shedding normally, skin cells build up into thick, flaking plaques that can itch, burn, or feel sore. It affects roughly 7.5 million Americans and most often appears on the elbows, knees, lower back, and scalp.

Plaque Psoriasis

The most common form. Appears as red, flaking plaques, typically on the elbows, knees, back, and neck.

Guttate Psoriasis

Small scaling bumps scattered across the body. Often linked to a recent strep infection.

Inverse Psoriasis

Affects skin folds, including the armpits, groin, and under the breasts. Frequently complicated by yeast or bacterial overgrowth.

Palmoplantar Pustulosis

A subtype that shares features with eczema. Appears as pustules and blisters on the palms and soles.

Personalized Care

How Dr. Krishna Approaches Psoriasis

A full evaluation of your skin, scalp, nails, and joints, then a treatment plan matched to the type and extent of your psoriasis.

01

Full Evaluation

Dr. Krishna reviews your medical history, current medications, lifestyle, and goals, then examines your skin, scalp, nails, and joints.

02

Personalized Plan

You discuss the right combination of treatments based on the type of psoriasis, the areas affected, and how it impacts your daily life.

03

Ongoing Care

Treatment is delivered through in-office visits and at-home care, with follow-up appointments to fine-tune the plan as your skin improves.

Treatment Options May Include:

Lifestyle Support Guidance on diet, weight, and stress. A Mediterranean-style approach and reduced alcohol can help calm psoriasis lesions.
Topical Therapy Prescription creams, including short-course corticosteroids paired with longer-term non-steroid options for psoriasis on smaller areas.
Narrow Band Light Therapy An in-office treatment that uses a specific spectrum of light to reduce skin inflammation. Safe and well tolerated.
Biologic Therapy Modern injectable medications that target the immune signals driving psoriasis. Used for moderate to severe cases.

Dr. Sheila Krishna is amazing. She cleared up my psoriasis after my first visit by prescribing a new cream that she was aware of but other practices were not.

Judy B., patient review

Your Questions, Answered

Psoriasis FAQ

Is psoriasis contagious?

No. Psoriasis is an autoimmune condition, not an infection, and cannot be spread to others through contact.

What triggers psoriasis flares?

Genetics play a major role, and lifestyle factors can affect the skin too. Stress, alcohol, excessive sugar, and weight gain can worsen psoriasis. A diet low in processed foods and active stress management can reduce how often and how severely the skin flares.

Can psoriasis be cured?

Psoriasis is a chronic condition, but it can be well controlled. Treatments range from topical creams to in-office light therapy and biologic medications. The goal is to clear the skin and keep it clear with the right plan for your case.

Does psoriasis affect more than the skin?

Yes. Up to 30% of patients with skin psoriasis also develop psoriatic arthritis, which causes joint swelling, stiffness, and pain. Psoriasis is also linked to cardiovascular and metabolic health. We recommend speaking with your primary care physician about these risks.

When should I see a dermatologist for psoriasis?

If you have red, flaking patches that itch or burn, or existing psoriasis that is spreading or affecting your sleep and daily life, schedule an evaluation. Same-day appointments are often available, and Dr. Krishna will build a treatment plan tailored to your psoriasis.