Diagnosing Psoriasis Liver Disease

Overview

Psoriasis-associated liver disease (PALD) refers to the link between psoriasis, a long-term inflammatory skin condition that causes red, scaly patches, and liver disease, which includes any disease or conditions that affect how the liver works. To diagnose PALD, doctors may perform the following examinations, screening tests, or procedures:

Physical examination: A doctor will conduct a physical examination to assess the symptoms of psoriasis and liver disease. They will look for signs such as patches of thick, itchy skin with silvery, gray-white scales and examine the liver for any signs of scarring or damage.
Family history assessment: Doctors will explore a person's family history of psoriasis and other immune system disorders as they can be risk factors for developing PALD.
Transient elastography: This is a special ultrasound test that measures liver stiffness, which indicates scarring (fibrosis). It helps determine the extent of liver damage caused by PALD.
Magnetic resonance elastography (MRE): This imaging test combines ultrasound or MRI with a device that sends pulses of waves through your liver to measure stiffness. It provides detailed information about the liver's condition and helps confirm the presence of PALD.
Liver function tests: Doctors may use liver function tests to check liver enzyme levels and signs of liver damage. These tests measure liver enzyme levels in the blood, liver protein production, and bilirubin levels. Abnormal results can indicate liver damage caused by PALD.
Liver biopsy: In some cases, a doctor may recommend a liver biopsy. During this procedure, a tiny sample of liver tissue is removed for further testing. A biopsy helps determine the extent of liver damage, rule out other conditions, and confirm the diagnosis of PALD.

Specialists involved in diagnosing PALD may include:

Dermatologist: A dermatologist is usually the type of doctor who diagnoses psoriasis based on skin symptoms.
Gastroenterologist: A gastroenterologist specializes in diagnosing and treating diseases of the digestive system, including those affecting the liver.
Hepatologist: A hepatologist is a specialist who focuses specifically on diagnosing and treating diseases of the liver.

These examinations, tests, or procedures help identify factors or indicators related to the type, severity, or stage of PALD. Remember to consult with your doctor for an accurate diagnosis and personalized treatment plan tailored to your specific situation.