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Types of Psoriasis >>>

Plaque Psoriasis

Plaque psoriasis is the most prevalent form of this disorder, and is characterized by raised, inflamed, scaly lesions. The scales are formed by dead skin cells, while the inflammation is a result of the increased blood supply to the areas of rapid skin cell reproduction.

  • Raised and thickened patches of reddish skin, called \93plaques,\94 which are covered by silvery-white scales.

  • Plaques most often appear on the elbows, knees, scalp, chest, and lower back. However, they can appear anywhere on the body, including the genitals.

  • Plaques vary in size and can appear as distinct patches or join together to cover a large area.

  • In the early stages, the psoriasis may be unnoticeable. The skin may itch and/or a burning sensation may be present.

  • Plaque psoriasis usually first appears as small red bumps. Bumps gradually enlarge, and scales form. While the top scales flake off easily and often, scales below the surface stick together. The small red bumps develop into plaques (reddish areas of raised and thickened skin).

  • Skin discomfort. The skin is dry and may be painful. Skin can itch, burn, bleed, and crack. In severe cases, the discomfort can make it difficult to sleep and focus on everyday activities.

Pustular Psoriasis

Pustular psoriasis is characterized by pustules ( Blisters ) on the skin. This type of Psoriasis has three distinct phases reddening of the skin, formation of pustules and Scaling of the skin. The Blisters are caused by an infection, nor are they contagious

How to recognize generalized pustular psoriasis:

  • Widespread areas of fiery-red swollen skin covered with small, white, pus-filled blisters

  • Person feels exhausted and ill

  • Fever

  • Chills

  • Severe itching

  • Rapid pulse rate

  • Loss of appetite

  • Muscle weakness

  • Anemia

Guttate Psoriasis

Guttate psoriasis produces small red drop like lesions on the trunk, arms and legs often accompanied by scaling.

  • Drop-sized, red dots form \97 usually on the trunk, arms, and legs. Lesions occasionally form on the scalp, face, and ears.
  • Lesions widespread.
  • Appears quickly, usually a few days after a strep throat or other trigger, such as a cold, tonsillitis, chicken pox, skin injury, or taking certain medications.
  • Can first appear as another form of psoriasis, such as plaque psoriasis, and turn into guttate psoriasis.

Inverse Psoriasis

Inverse Psoriasis affects skin folds such as the armpits and groin. It is characterized by smooth, red inflamed lesions without any scaling which are often irritated by rubbing or sweating.

  • Red and inflamed plaques that only occur in skin folds \97 armpits, in the genital area, between the buttocks, and under the breasts.

  • Scale usually does not form, and the lesions are shiny and smooth.

  • Skin very tender.

  • Lesion easily irritated, especially by rubbing and perspiration.

  • More prevalent in people who are overweight.

  • Many people have another type of psoriasis elsewhere on the body.

Erythrodermic Psoriasis

This form of psoriasis is characterized by thick scaly lesions over bony portions and joints. Erythrodermic psoriasis can cause severe swelling, pain and itching.

  • Severe redness and shedding of the skin that covers a large portion of the body.

  • Skin looks as if it has been burned.

  • Fluctuating body temperature, especially on very hot or cold days.

  • Accelerated heart rate due to increased blood flow to the skin \97 can complicate heart disease and cause heart failure.

  • Severe itching and pain.

Palm planter Psoriasis

Palmer Psoriasis

Planter Psoriasis

Psoriasis confined to certain areas (localized), usually the palms and soles. This is known as \93palm planter psoriasis.\94 Skin red, swollen, and dotted with pus-filled lesions. Pus-filled lesions dry, leaving behind brown dots and/or scale. Affected areas tender and sore. Using hands or walking often painful.

Scalp Psoriasis

About half of the Psoriasis patients have scalp Psoriasis. Psoriasis occurring on the scalp is usually starts in dandruff form and can be a plaque Psoriasis.

Nail Psoriasis

This form of Psoriasis affects the toenails and fingernails. Nail become thickned, pitted and often yellowish or blueish in colour. They crumbles easily, and often surrounded by inflammation and may also be detached.

Psoriatic Arthritis

Psoriasis can be accompanied by a form of arthritis called Psoriatic Arthritis which causes inflammation and swelling in the small joints of hands and feet. Knees and elbows can also be involved. About 10 % of the people with Psoriasis may suffer with psoriatic arthritis.
Anyone who has psoriasis and joint pain may have psoriatic arthritis. The signs and symptoms of psoriatic arthritis are:

  • The red, inflamed skin of psoriasis.
  • Pain and swelling in the joints that is worse in the morning or after rest. Stiffness lessens with activity.
  • Sausage-like appearance in the affected fingers and toes (in severe cases.)
    Pitting (small indentations on the nail) or the nails may be pulling away from the nail beds. Nails may have ridges or a yellowish-orange discoloration.

Type of Psoriasis Can Change
While most people develop one type of psoriasis, but it has been found that patients can get simultaneously more than one type of psoriasis:

Abruptly stopping a psoriasis medication, such as cyclosporine or methotrexate, is one such trigger that may cause this transformation.


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