Psoriasis Guide: Types, Treatment and Steroid-Free Options

Psoriasis is a long-term immune condition that makes skin cells build up too fast, causing thick, red or darker patches with silvery scale that can itch, crack and bleed. It is not contagious. This guide brings together every article we have written on psoriasis, from recognising the type to comparing treatments and caring for your skin.

By Ava Huang Jia Yi, Herbal Science Researcher · Updated

Quick facts
  • Plaque psoriasis is the most common type; inverse psoriasis affects skin folds and looks smooth and raw rather than scaly.
  • Psoriasis often affects elbows, knees, scalp and lower back, while eczema prefers the inner elbows, backs of knees and hands.
  • Treatment depends on severity: creams for limited patches, light therapy or tablets and injections for widespread disease.
  • Psoriasis is linked with joint pain (psoriatic arthritis) and heart health, so regular check-ups matter.
  • Steroid-free creams can help itch and scale on mild patches, but they do not replace medical treatment for moderate to severe psoriasis.

Start here

Types and where it appears

How psoriasis looks on different parts of the body.

Treatment and creams

Prescription, over-the-counter and natural options compared honestly.

Steroid creams: using them and coming off them

How to step down from strong steroid creams safely.

Chinese medicine and herbs for psoriasis

How TCM views psoriasis and the research on its herbs.

Tools and evidence

Free resources and the facts behind our cream.

QICAOGANGMU steroid-free Chinese herbal cream tube and box

Looking for a steroid-free cream? QICAOGANGMU combines She Chuang Zi 3%, Bing Pian (borneol) 2%, Ku Shen 1.5%, Bai Bu 0.5% and menthol 0.5%, and an independent lab (TÜV SÜD PSB) found none of 8 tested corticosteroids. Reviewers with psoriasis mostly use it on itchy, scaly patches, applied consistently 2 to 3 times a day. See the 5-tube pack or read the honest review analysis.

Frequently asked questions

What is the best cream for psoriasis?

It depends on the area and severity. Doctors often start with steroid or vitamin D creams; newer non-steroid prescription creams are also available. For mild, itchy patches some people prefer a steroid-free cream. Our comparison of steroid-free psoriasis creams lays out the options.

Is psoriasis contagious?

No. Psoriasis is an immune condition and cannot be caught from or passed to anyone else.

How do I tell psoriasis from eczema?

Psoriasis patches are usually thicker, sharply edged and covered in silvery scale, often on elbows, knees and scalp. Eczema is usually less well defined, more intensely itchy and found in skin creases. See eczema vs psoriasis.

Can a natural cream clear psoriasis?

A natural cream can soften scale and calm itch on mild patches, and some people find it keeps their skin comfortable. Widespread or severe psoriasis needs a doctor, because effective medical treatments are available.

More guides

These guides are educational and do not replace medical advice. See a doctor for a rash that is severe, spreading, painful, infected or not improving after 2 weeks.