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Medical dermatology
Psoriasis treatment in Richardson, TX
Care for plaque, scalp and nail psoriasis, with a treatment plan from a board-certified dermatologist who sees every patient herself.
Dr. Kelsie Riemenschneider
MD, FAAD · Board-certified dermatologist. You will see her at every visit.
Overview
What causes psoriasis
Psoriasis is a long-term condition in which the immune system speeds up the growth of skin cells. Cells build up on the surface faster than they shed, forming thick, raised patches covered with silvery scale. The patches look red on lighter skin and can look purple or dark brown on darker skin.
Psoriasis is not contagious. It tends to run in families and flares in cycles, often set off by stress, infections such as strep throat, skin injury, cold dry weather and certain medications. It can also affect the joints, a condition called psoriatic arthritis, so joint pain and stiffness are worth mentioning at your visit.
When to see a dermatologist
Patches are spreading, thickening, cracking or bleeding
Itch or pain is interfering with sleep or daily life
Over-the-counter creams have not helped
You have joint pain, stiffness or swelling along with skin patches
Types of psoriasis we treat
Plaque psoriasis.Raised, scaly patches, most often on the elbows, knees, lower back and scalp.
Scalp psoriasis. Thick scale and itch that can extend past the hairline.
Nail psoriasis. Pitting, thickening, discoloration or lifting of the nails.
Guttate psoriasis.Small, drop-shaped spots that often appear after a strep infection.
Inverse psoriasis. Smooth, sore patches in skin folds such as the underarms and groin.
Palm and sole psoriasis. Thick, cracked patches on the hands and feet.
Treatment
How we treat psoriasis
There are more effective psoriasis treatments today than ever before. Dr. Riemenschneider matches treatment to how much skin is involved, where it is, whether your joints are affected and what fits your life.
Prescription topicals. Steroid creams, vitamin D creams and newer non-steroid options for mild or limited psoriasis.
Biologic injections. Targeted medications that quiet the specific immune signals driving psoriasis, for moderate to severe disease.
Oral medication. Pills such as apremilast or methotrexate when topical treatment is not enough.
Scalp and nail care. Medicated shampoos, solutions and injections for areas that are harder to treat.
Your visit
What to expect at your psoriasis visit
Tell us your history. Where psoriasis shows up, what you have tried and whether your joints bother you.
Dr. Riemenschneider examines your skin, scalp, and nails. She confirms the diagnosis and how much skin is involved.
You leave with a plan. Prescriptions sent to your pharmacy, and next steps explained if a biologic is the right fit.
In network with most major health plans. See every plan we accept
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No. You cannot catch psoriasis from another person or spread it by touch. It comes from the immune system, not from an infection.
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There is no cure yet, but treatment can control it very well. Because psoriasis is a long-term condition, the goal is a plan you can stay on comfortably.
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Biologics are injectable medications that block the specific immune signals behind psoriasis. They are generally used for moderate to severe psoriasis or when joints are involved. Dr. Riemenschneider will review your health history and screening tests before recommending one.
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Common triggers are stress, illness, skin injury such as cuts or sunburn, cold dry weather, smoking, heavy alcohol use and some medications. Knowing your own triggers helps you keep flares shorter and less frequent.
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It can be. Up to a third of people with psoriasis develop psoriatic arthritis, and psoriasis is associated with a higher risk of heart disease and diabetes. Keeping your primary care doctor informed is part of good psoriasis care.
Related care Eczema Seborrheic dermatitis and dandruff Nail fungus and nail conditions Rashes and hives All medical dermatology
Reviewed by Dr. Kelsie Riemenschneider, MD, FAAD, board-certified dermatologist. Last reviewed October 2026. Sources: American Academy of Dermatology; National Psoriasis Foundation.
Address 702 W Arapaho Rd, Suite 104, Richardson, TX 75080
Hours Monday to Friday, 8 AM to 5 PM
Phone 214-833-5300