Psoriasis: diagnosis & overview

Published on August 31, 2026   38 min

A selection of talks on Immunology & Inflammation

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0:00
Hi, everyone. My name is Dr. Tina Bhutani. I'm a dermatologist practicing in San Francisco, California. I'm also the owner and CEO of Synergy Dermatology and an associate clinical professor in the Department of Dermatology at UCSF. Today I'm excited to discuss psoriasis. One of the most common inflammatory diseases that we see in dermatology. Today we're going to focus on the diagnosis and overview of this disease.
0:30
When we talk about psoriasis, we mainly say that it's a clinical diagnosis meaning we look at the skin, we identify the patterns of rash and we're able to really make the diagnosis of psoriasis just by looking at it. We don't necessarily always need a skin biopsy or any confirmatory testing because it does have classic appearance, especially for classic plaque psoriasis which we see here. There are other rare variants of psoriasis such as generalized pustular psoriasis and pomoplantar psoriasis, which we'll go into briefly today. But they are much more rare. Chronic plaque psoriasis is by far the most common type of psoriasis and that's what we'll focus on for the majority of this talk.
1:14
Now, the worldwide prevalence of psoriasis is probably increasing, but at this point are most current estimate that it's about 2% of the worldwide population. Interestingly, however, in the US and Canada, the prevalence is probably higher at about 4-5% and the prevalence is actually less in places like Africa and Asia. But overall, the average worldwide is about 2% of the population that lives with psoriasis. That might not sound like a lot, but when you think about it, if you're in a room of 100 people, that means that probably anywhere 2-5 of them have psoriasis. That's a lot of people and you've probably known people even outside of your clinical practice who are living with this disease. Now, even though the prevalence tends

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Psoriasis: diagnosis & overview

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