Last Updated on Oct 12, 2020

Symptoms and Signs

The most common symptoms of psoriasis are reddish patches of inflamed skin covered by silvery scales

"Psoriasis can be painful and can be profoundly disruptive to a person's life," says Jill Lindstrom, M.D., an FDA dermatologist. She adds -"People who don't have it don't understand how burdensome the disease can be. There is constant shedding of scales. There can be functional impairment, itching, and pain."

The symptoms of psoriasis can manifest in a variety of forms. According to the symptoms, the disease can be classified into plaque, pustular, guttate and flexural psoriasis.

Plaque psoriasis.

a) Plaque psoriasis, also called psoriasis vulgaris - is the most common variant of the disease and is seen 80 to 90% of the affected individuals. In this form of psoriasis, inflamed skin displays elevated or bumpy areas (plaques) covered with silvery white scales.

Prenatal Diagnosis: Antenatal counselling

b) Flexural psoriasis or inverse psoriasis – In this type of the disease, smooth inflamed patches appear in between skin folds. It is aggravated by sweat and friction and is therefore prone to fungal infection. This type of psoriasis is specific to the genital area ( between the thigh and groin) , under the breasts(infra-mammary fold), under thebelly fold (pannus) and in the armpits.

Prenatal Diagnosis: Antenatal counselling

c) Pustular psoriasis is charecterized by bumps (pustules) filled with pus that is non-infectious. The skin adjoining the pustules is tender and red . These pustules, if localized to the hands and feet, are called palmoplantar pustulosis. They may also occur as widespread patches, distributed throughout the body or confined locally.

Prenatal Diagnosis: Antenatal counselling

d) Nail psoriasis causes changes in the finger and toe nails such as

  • Discolouring
  • Pitting
  • Formation of lines across the nails
  • Thickening of skin beneath the nail
  • Loosening and crumbling of nail
Prenatal Diagnosis: Antenatal counselling

e) Guttate psoriasis – In this form of the disorder, numerous ‘tear drop’ spots appear over the trunk, limbs, and scalp. This form of psoriasis is also linked to streptococcal throat infection.

Prenatal Diagnosis: Antenatal counselling

f) Erythrodermic psoriasis is charecterized by inflammation and exfoliation of the skin, accompanied by severe itching, swelling and pain in a widespread fashion. This type of psoriasis may sometimes be fatal.

Prenatal Diagnosis: Antenatal counselling

g) Arthropathy- 5-10% of individuals with psoriasis have a chronic, rheumatoid factor negative type of inflammatory arthropathy which can assume a central pattern(ankylosing spondylitis) or a peripheral pattern (rheumatoid arthritis).

Psoriatic arthritis is a connective tissue inflammation which affects the joints particularly those of the fingers and toes resulting in a sausage-shaped swelling of these parts (dactylitis).

It affects 10-15% of people who suffer from psoriasis. This form of arthritis may also affect the hips, knees and spine.

Psoriasis in children -The type of psoriasis that is most commonly prevalent in young children and teenagers is guttate psoriasis. It usually occurs after an upper respiratory infection, although it must be noted that the infection is not the direct cause of psoriasis. The disease can also be triggered by stress, streptococcus infections and skin injuries.

References:

a) Br J Nurs. 2008 Mar 13-26;17(5):284-90.
Ryan S.

b) J Am Acad Dermatol. 2008 May;58(5):851-64
Gottlieb A, et al

c) J Reprod Med. 2008 Mar;53(3):183-7.
Ben-David G, Sheiner E, Hallak M, Levy A.

d) Clin Chim Acta. 2008 Apr 12.
Pietrzak AT, etal

e) Arch Dermatol Res. 2008 Apr 30
Gunes Y, etal

f)Principles & Practice of Medicine
Davidson

Comments

@Guest Friday, December 8, 2017

We at leucoderma foundation of India practicing immunology boosting rather than immunology suppression and advocating self blood 2ml with inj beta methadone 2mg intramuscular every 4th day or every week till patient had complete relief of presentation and on complete symptomatic relief ,administered in tapering dose , literature will be published very shortly

@Guest Thursday, June 5, 2014

Will psoriasis affect young adults, is that genetic or contagious disease?

mandysimpkins414 Saturday, February 8, 2014

I suffered from same problem too, but I was cured now. It was bad, and makes me very unhappy. I live in China. Here we use Traditional Chinese Medicine to treat skin problems, I went to many hospitals like this and tried many different treatments, but the effect is not very good until I went to a hospital in the North of China. It works, and now I am a happy person again, I am glad to share this with you, you may not able to go there, but you can talk to their doctors for advice. you can find more information on the website of vitiligotcm.

lin70 Saturday, January 26, 2013

i have been trying to deal with this disease for years i tried treatments but gotten temporary results ,till i have heard of this i call a prayer answered someone visited me and told me just put male sperm and you will never see Psoriasis again and i had nothing to lose so i did and it worked yes the thought of it bothered me but as long as it works and it did natural medicine got rid of my psoriasis

mc1978 Sunday, January 19, 2014

My wife has fairly serious psoriasis. I told her about it and we are going to try it. Have you continued this practice and is it still working?

Rosali Monday, May 21, 2012

Psoriasis is a common multi factorial, non-contagious, auto-immune skin disease. It affects adults and children in equal proportion. The exact cause osof psoriasis is unknown. There is evidence of a genetic predisposition. A positive family history is often observed. Psoriasis, being an autoimmune disorder has autosomal dominant inheritance. People with dry skin are more likely to develop psoriasis than those with oily or well-moisturized skin. There are many precipitating and aggravating factors so it keeps on recurring and becomes difficult to treat. Combination of ayurvedic herbs and homoeopathic remedies gives good results. These remedies along with nutritional supplements acts on the body and balance the altered immune responses. These are 100% natural and safe, free from side effects and they are not habit forming. Some of the frequently used remedies are C54 PSORAease formula and R65 Reckeweg PSORAease formula. These remedies work by relieving inflammation and reducing the itching of the skin, softening your hardened skin, aidding shredding of silvery scales and working on the immune system making it less responsive to triggering factors.

@Guest Friday, February 20, 2015

Hi, I have tried homeopathic treatment for my Psoriasis but I had a major flare up. I had gone to the doctor with the complaint of disease on my scalp and leg and after 3 months of taking the medicine its all over my body.

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