Do I need to get a biopsy?

I’ve just been to see my dermatologist because I’ve been dealing with incredibly itchy skin for the last few weeks – it feels like my entire body is on fire at times. The derm was great and recommended a topical cream that she is fairly sure will alleviate my issues. She wasn’t comfortable diagnosing me officially without a biopsy but also wasn’t sure we’d actually need one if the cream helps. I’m going back in 2 weeks to follow-up. Should I get the biopsy?


Community Answers
  • RichardF moderator
    1 year ago

    Hi SusanHU. On top of the excellent information from Victoria, thought you might be interested in this article from our editorial team with additional information on the biopsy for psoriasis: https://plaquepsoriasis.com/diagnosis-confirm-test-biopsy-rule-out/. Please keep us posted on how things work out and know that you are always welcome here for information and support. Best, Richard (PlaquePsoriasis.com Team)

  • VickiN moderator
    1 year ago

    Hi SusanHU!
    Your Derm is right on point to recommend a biopsy, as it’s really the only way to confirm a psoriasis diagnosis. Unfortunately with skin problems, they really can all look the same: red, itchy, inflamed.

    The advantage of getting a biopsy is that you can have that medical confirmation, which may help in the future if you have additional flares or other symptoms that could be linked. If the cream does help, or the flare goes away, a biopsy on unaffected skin really won’t reveal much. Of course, as someone who’s had a punch biopsy, it is a little painful and I can understand wanting to avoid unnecessary discomfort 🙂

    Let us know what you decide to do! I’m sorry that you’re itchy and in pain 🙁 I really hope the cream works well for you and your skin calms down soon. We’re sending soft hugs,
    -Victoria, Community Moderator

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