Skin health guide · RDG Clinic
Psoriasis diagnosis and treatment in Riga
Psoriasis is more than dry skin. A dermatologist assesses disease type and extent, its effect on daily life, joint symptoms, and other health factors.
Psoriasis
Psoriasis is a systemic inflammatory disease
Psoriasis may appear as well-defined scaly plaques, scalp changes, nail disease, or other patterns. Its course is often variable, with flares and quieter periods.
Severity is not determined by skin area alone. Site, itch or pain, effect on sleep and daily life, joint symptoms, and associated health conditions also matter.
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Video transcript
Do we really know everything about psoriasis? It is a chronic, genetically influenced inflammatory condition with periods of flare and remission. Psoriasis may affect not only the skin but also the nails and joints, and it is associated with a higher risk of metabolic syndrome and cardiovascular disease. Appropriate skin care, not smoking, limiting alcohol, physical activity, and weight management are important. Timely dermatology care helps control inflammation and select treatment. Psoriasis is a long-term condition, but its impact can be reduced.
When to see a dermatologist
When to see a dermatologist
- The diagnosis is uncertain or the rash is spreading rapidly
- The face, genitals, palms, soles, or nails are affected
- There is joint pain, swelling, or prolonged morning stiffness
- The condition significantly affects sleep, work, or emotional wellbeing
Accurate diagnosis
How assessment works
Diagnosis is usually made by examining the skin and nails. Extent, symptoms, effect on quality of life, joint complaints, and associated conditions are assessed. Biopsy or another test may be needed when the diagnosis is uncertain.
An individual plan
Treatment approach
Treatment is selected according to disease type, severity, site, and effect on life. The aim is to achieve and maintain control with proportionate safety monitoring.
Topical treatment
Mild or localised psoriasis may be managed with topical medicines using different mechanisms together with daily emollient care.
Phototherapy
Controlled medical ultraviolet therapy may suit some patients when topical treatment is insufficient or disease is more extensive.
Systemic and biologic treatment
Moderate or severe disease may require systemic medication with individual risk assessment, tests, and regular monitoring.
Assessment beyond the skin
Joint symptoms, metabolic and cardiovascular risk, and emotional health may all influence the overall care plan.
Long-term control
What to expect
Psoriasis is chronic, but a range of effective control options is available. Sudden widespread redness, numerous pustules, fever, or marked systemic illness requires urgent medical assessment.
This information does not replace medical consultation. Seek urgent medical care for sudden, severe, or rapidly progressive symptoms.
Dermatologists
Frequently asked questions
Is psoriasis contagious?
No. Psoriasis cannot be passed through touch, shared objects, or ordinary contact.
Can psoriasis affect the joints?
Yes. Joint pain, swelling, swollen digits, or prolonged morning stiffness should be reported because timely assessment matters.
Is treatment only needed during a flare?
It depends on the plan. Some patients need maintenance treatment and regular review even during quieter periods.
Medical sources
Content updated: 25 September 2026
Treatment starts with an accurate diagnosis
After assessment, the dermatologist will explain the appropriate plan and costs. There is no single fixed treatment price because it depends on the diagnosis and therapy required.