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Psoriasis Treatment in Malaysia

Clear, Healthy Skin is Possible: Your Complete Guide to Psoriasis Treatment

If you are always dealing with itchy, red, and flaky skin, you are not alone. Many people in Kedah face this problem and keep buying different moisturizers, but nothing works. At Liv Skin Specialist Clinic, we see many patients who are super frustrated with their skin. Very often, what looks like “very dry skin” or a bad allergy is actually psoriasis. Psoriasis is a long-term problem with your body’s immune system, and you need proper medical care from a specialist to manage it.

The Basics

What is Psoriasis?

To easily understand what is going on beneath your skin, let’s use a simple picture:

The "Little Soldiers" Analogy

Imagine your immune cells are like a group of brave little soldiers inside your body. Their only job is to protect you from bad guys like viruses or bacteria. But when you have psoriasis, these little soldiers get completely confused. They misrecognize your own healthy skin cells as dangerous enemies.

Because of this mistake, they start to attack your skin and “set fire” to the area (which causes the intense redness and burning inflammation). To protect itself from this fake danger, your body starts working in emergency overdrive to grow new skin cells at super-speed. Because they grow too fast, the dead skin cells have no time to shed normally. They pile up heavily on the surface, creating those thick, itchy, and silvery flaky patches.

Scalp Psoriasis: Lesion extending beyond hair line

Deep Dive

What You Need to Know

First of all, you must know that psoriasis is NOT infectious. You cannot catch it from someone else, and you cannot give it to your family by sharing towels or holding hands. It is entirely an autoimmune disease. This means your body is technically fighting against itself from the inside. Because the root cause hides deep in your immune system, normal skincare creams or over-the-counter beauty products cannot solve it. You need medical treatments that target these confused little soldiers.

Signs and Symptoms

How to Spot It

Psoriasis is not the same as ordinary eczema or dry skin. In our hot and humid Malaysian weather, sweating can make the itchiness and irritation feel much worse. Look out for these signs:

1

Plaques

Thick, red patches covered with silvery, flaky skin scales (plaques).

2

Scalp Psoriasis

Very thick, heavy flaking on your head. Many patients mistake this for standard dandruff, but normal anti-dandruff shampoos won’t clear it because the cell buildup goes much deeper.

3

Nail Symptoms

Dented (pitted), heavily thickened, crumbling, or yellowing fingernails and toenails (often misdiagnosed as a stubborn fungal nail infection).

4

Joint Problems

Stiff, swollen, or painful joints—especially in the mornings. This can mean the inflammation is attacking your joints, a condition called Psoriatic Arthritis.

5

Increased Cardiovascular Risk

Because psoriasis causes constant, hidden inflammation throughout your whole body, it doesn’t just stay on the skin. This systemic inflammation can damage your blood vessels over time, significantly increasing the risk of serious heart issues like heart attacks or strokes if left untreated.

Psoriasis: Thick, red patches covered with silvery, flaky skin scales

Psoriasis: Thick, red patches covered with silvery, flaky skin scales

Psoriasis Nail

Psoriatic Joint Disease

More info : NHS UK (Psoriasis Overview & Clinical Guide): nhs.uk/conditions/psoriasis/

Treatment

How Do We Treat It? (Calming the Soldiers)

We cannot completely change your genetics, but modern medicine gives us amazing ways to calm your immune system down and fully clear yo

For mild cases, we start with creams applied directly to the skin. These include medical steroid creams, coal tar, or Vitamin D creams. They act like a temporary handbrake to calm down the specific spots where the skin is flaring up.

This treatment uses a special, safe medical UV light machine. Think of it like giving your skin a controlled, healthy dose of sunshine that tells the overactive skin factory to slow down its production line.

When creams cannot control the flare-up because it is too widespread, we use oral medications:

  • Methotrexate: A reliable, long-standing medicine that stops skin cells from multiplying too fast.
  • Apremilast: A newer pill that targets specific chemical signals inside your cells to turn down the inflammation.

If your psoriasis is moderate to severe, biologics are absolute game-changers. If traditional pills are like turning off the electricity to the whole factory just to stop one machine, biologics are like hiring a high-tech technician to turn off only that one broken switch. They specifically block the exact proteins causing the skin cells to go into overdrive.

  • IL-23 Inhibitors (e.g., Risankizumab, Guselkumab): These target the main "boss" protein that starts the inflammation. They give very long-lasting clear skin, requiring an injection only once every 2 to 3 months.
  • IL-17 Inhibitors (e.g., Secukinumab, Ixekizumab, Bimekizumab): These block the immediate proteins causing the skin redness and flaking, clearing skin remarkably fast.
  • TNF-Alpha Inhibitors (e.g., Adalimumab, Infliximab): Excellent if you suffer from both skin psoriasis and painful, swollen joints.

Futher reading : Mayo Clinic (Psoriasis Diagnosis & Treatment Guide):
mayoclinic.org — psoriasis diagnosis & treatment

Lifestyle

Stress: The Skin's Biggest Enemy

When you are stressed, your body releases stress chemicals like cortisol. These chemicals act like pouring petrol onto a fire—they trigger a massive wave of inflammation that orders your skin factory to speed up even more. Taking care of your mind through relaxation techniques, gentle movement, and 7 to 8 hours of good sleep is just as important as putting on your creams.

To learn more about how stress directly impacts your immune system, feel free to read the helpful patient guides available on WebMD, the Mayo Clinic, and the NHS websites.

Further WebMD (Stress Impact on Psoriasis):

webmd.com — stress impact on psoriasis

Real Results

What Our Patients Say About Our Treatment

4.9

LiV Clinic Bukit Jalil overall rating on Google · 234+ reviews

I visited Liv Clinic to seek treatment for an ice pick scar on my nose. The pricing was very reasonable, and the clinic’s relaxing ambiance made the experience even better. Dr Alyster recommended a combination of TCA and Pico Laser treatments for my specific case. Throughout the process, Agness offered consistent and supportive guidance such as how to take care of my skin after treatment. My scar is now becoming less visible, and I’m truly grateful for the team’s professionalism and care.

— Kenny Tan

“It is great experience in Liv Clinic. I get the instant effect after did the fire and ice treatment and Pico laser. Thank you to Dr Alyster and Ms Agness!”

— Yeokim See

Meet Our Doctors

Board-Certified Doctors Behind Your Treatment

Certified Consultant Dermatologists and Aesthetic Physicians across our clinics assess and oversee every treatment plan. 

Consultant Dermatologist &
Medical Director

Skin & Aesthetic Physician

Consultant Dermatologist & Medical Director

Our Outlets

Where to Get Treatment

Visit us at either of our clinic locations for your consultation and treatment.

LiV Clinic — Bukit Jalil, Kuala Lumpur

E-8-1, Pusat Bandar Bukit Jalil, Jalan Utama 2, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.

Opening Hours

Wednesday – Friday: 10am – 7pm

Tuesday, Saturday, Sunday: 10am – 6pm

Closed every Monday

LiV Skin Specialist Clinic — Sungai Petani, Kedah

No. 17, Ground Floor, Jalan Perdana Heights 1/2, Perdana Heights, 08000 Sungai Petani, Kedah, Malaysia.

Opening Hours

Monday-Sunday: 930am-5pm

Closed every Thursday

FAQs

Frequently Asked Questions

No, Psoriasis is 100% not contagious. It is an internal problem with your own immune system and genetics. You cannot pass it to anyone else or catch it by touching, sharing clothes, or swimming together.
If your psoriasis covers a large part of your body (more than 10%), makes you feel very down or embarrassed to go out, or if normal creams are not helping anymore, you should talk to a skin specialist about upgrading to systemic pills or biologics.
Yes, they are highly targeted. Because they only block the specific "broken switch" instead of lowering your whole body's defenses, they are very safe for long-term use. We will always run comprehensive blood tests first.
A little bit of morning sun can actually help. However, excessive heat that causes heavy sweating can trap moisture in your skin folds (like underarms or groin), leading to friction and painful flare-ups. Try to stay cool and wear light clothing.
Eczema patches are usually intensely itchy, dry, bumpy, and look raw or "weeping" when scratched—mostly happening at the inner folds of the elbows and knees. Psoriasis patches are thicker, have very clear boundaries, feature silvery flakes, and usually pop up on the outside of elbows, knees, and the scalp.
There is no magic diet or food that can cure psoriasis. However, eating healthy foods (like fish rich in Omega-3, vegetables, and whole grains) helps lower overall body inflammation, which naturally keeps your skin happier.
Psoriasis is a long-term chronic condition, meaning the genetic tendency stays. However, with modern treatments like IL-23 or IL-17 biologics, we can now help patients achieve 90% to 100% completely clear skin for many months or even years at a time.
You should come see us if your skin is constantly painful or bleeding, spreading quickly, affecting your daily confidence, or if your finger and toe joints are starting to feel stiff and painful in the morning.

About the Author

Meet Your Dermatologist

Dr. Loh Ken Chen

M.B.B.S (Malaya), M.R.C.P (UK), Advanced Master of Dermatology (UKM)

Dr Loh Ken Chen is a highly accomplished Consultant Dermatologist registered on the National Specialist Register (NSR) of Malaysia. With over 20 years of dedicated medical experience, he stands as a trusted authority in both clinical and aesthetic dermatology, having previously served as the Head of the Dermatology Department at Hospital Sultanah Bahiyah, Kedah. Today, he channels his extensive clinical expertise into managing his specialized medical facilities, Loh & Celine Skin Specialist Clinic in Alor Setar and Liv Skin Specialist Clinic in Sungai Petani, alongside providing care as a visiting consultant at premier regional medical centres.

Dr. Loh’s practice is anchored in a firm commitment to evidence-based, personalized medicine, specializing in the management of complex conditions like eczema and advanced psoriasis through targeted biologic therapies, as well as high-performance medical laser systems. Beyond his clinical practice, he is a dedicated medical educator and a prominent voice in the international dermatology community. He actively mentors medical students and accredited trainees, and regularly shares his clinical insights as an international speaker at major medical summits, including AMSC and AMCADS. Beyond the clinic walls, Dr. Loh is a prominent medical influencer, actively producing educational content across Instagram and TikTok under the handle @dr.kcloh.skin to demystify complex skin conditions for a growing audience of over 170,000 followers.

Take Control of Your Skin Health Today.

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