Plaque Psoriasis All Over Body

Dry Cracked Skin: Irritation That Can Lead To Infection

Dry, cracked skin is a psoriasis symptom. However, dry air can also cause your skin to become dry and itchy. When the skin is dry and irritated , it’s more likely to get infected. Infection may cause your skin to become red and swollen. If you have any skin rashes that keep coming back or won’t go away, see your doctor. Most cases of psoriasis can be diagnosed with a physical examination but because psoriasis can look like many other skin conditions, a skin biopsy may have to be done to definitively diagnose it.

Symptoms Vary By Psoriasis Type

There are five different types of psoriasis: plaque , guttate, inverse, pustular, and erythrodermic. Each presents with different symptoms. Plaque psoriasis is marked by itchy, red, thick, scaly patches, usually on the knees, elbows, lower back, or scalp. Guttate psoriasis causes small red spots, usually on the trunk or the limbs, and is often triggered by a bacterial or viral infection. Pustular psoriasis causes pus-filled bumps on the soles and palms, and may also present with fever, chills, severe itching, muscle weakness, and exhaustion. Inverse psoriasis appears as sore, red patches where skin touches skin, such as under the arms, in the groin, and under the breasts in women. The most serious, and potentially life-threatening, form is erythrodermic psoriasis. The skin all over the body turns bright red, the heart rate increases, and the patient has difficulty maintaining normal body temperature. Erythrodermic psoriasis requires immediate medical attention.

Does Guttate Psoriasis Make You Feel Ill

• Usually the appearance of the spots is the worst thing about it.
• It doesnt usually make you feel ill or feverish.
• The spots are not usually painful, but they can be a tiny bit itchy .
• You can imagine that coming up in spots all over your body in just a few days can be pretty distressing: a lot of people are quite upset when they see their doctor.

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What Is Plaque Psoriasis

Plaque psoriasis, which is recognizable due to the scaly plaques it produces on the skin, is the most common type of psoriasis. An estimated 80 to 90 percent of people with psoriasis develop plaques.

Some people will have more than one type of psoriasis. People who have plaque psoriasis may later develop other forms of the condition, such as psoriatic arthritis.

Usually, the turnover of peoples skin cells takes 21 to 28 days. In people with psoriasis, the body attacks healthy skin cells, so new cells develop every 4 to 7 days.

Psoriasis damages patches of skin, leaving areas of redness and irritation. This damage causes the skin to appear scaly and gray and to peel off.

Plaque psoriasis is not an infection, and it is not contagious. However, irritated patches of psoriasis can become infected.

In some people, an infection or injury to the skin can trigger an outbreak of psoriasis. People experiencing their first psoriasis flare-up may mistake their symptoms for an allergic reaction or skin infection.

Are There Complications Of Psoriasis

In some people, psoriasis causes more than itchiness and red skin. It can lead to swollen joints and arthritis. If you have psoriasis, you may be at higher risk of:

• Use medicated shampoo for scales on your scalp.

Other steps you should take to stay as healthy as possible:

• Talk to your healthcare provider about lowering your risk for related conditions, such as heart disease, depression and diabetes.
• Lower your stress with meditation, exercise or seeing a mental health professional.

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Shingles: A Rash And Severe Pain That Lingers

Shingles is another viral infection that shares some symptoms with psoriasis. Like psoriasis, shingles can make your skin burn and itch and produces a red, blistered skin rash. Shingles is caused by the same virus that first brings on chickenpox. The virus stays in your body and can come back years later to cause shingles, especially during times of stress or infection. The skin rash of shingles follows the course of a single nerve, usually on the trunk. In some cases, severe pain lasts long after the burning, itchy rash disappears. Shingles is more common in people over age 50.

What If Those Psoriasis Treatments Dont Work

If psoriasis doesnt improve, your healthcare provider may recommend these treatments:

• Light therapy: UV light at specific wavelengths can decrease skin inflammation and help slow skin cell production.
• PUVA: This treatment combines a medication called psoralen with exposure to a special form of UV light.
• Methotrexate: Providers sometimes recommend this medication for severe cases. It may cause liver disease. If you take it, your provider will monitor you with blood tests. You may need periodic liver biopsies to check your liver health.
• Retinoids: These vitamin A-related drugs can cause side effects, including birth defects.
• Cyclosporine: This medicine can help severe psoriasis. But it may cause high blood pressure and kidney damage.
• Immune therapies: Newer immune therapy medications work by blocking the bodys immune system so it cant jumpstart an autoimmune disease such as psoriasis.

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Is This Hs Or Psoriasis I Have These Patches All Over My

Hi Maddie, I first became aware of a rash on my head about 30 yrs ago I started using medicated shampoo but it didnt have any effect. After I was diagnosed with RA a rash started on my feet and spread all over my body other then face the worst part was the itching before the rash appeared.Its now mainly restricted to the tops of my feet But with the drive to perform came more stress and anxiety, which caused my physical condition to worsen to an intolerable pointpainful lesions had spread all over my body. So the summer after I graduated from high school, I opted for what is considered an unconventional treatment and checked into a psoriasis daycare center near Stanford. Just in time for shorts and bikini season, they started popping up all over my legs and then spread to my middle, which was extremely uncomfortable, not to mention very embarrassing. Again, I felt. I had something similar many years ago, and was DXed by a Derm as psoriasis, and another Dr. for ringworm. I have since found out it was a condition called Pityriasis rosea, and is thought to be an auto-immune process. Mine also started on my hip, then spread all over my body. I was devastated to believe it was.

My Psoriasis Living Nightmare

Posted Tue 16 Jun 2020 12.48 by SteviewA P sufferer for over 30 years, through good and bad times.

1Posted Fri 19 Jun 2020 23.22 by Leah

Posted Fri 3 Jul 2020 08.05 by SteviewA P sufferer for over 30 years, through good and bad times.

Posted Fri 3 Jul 2020 17.53 by SteviewA P sufferer for over 30 years, through good and bad times.

Posted Tue 7 Jul 2020 09.58 by SteviewA P sufferer for over 30 years, through good and bad times.

Posted Tue 7 Jul 2020 15.48 by SteviewA P sufferer for over 30 years, through good and bad times.

1Posted Mon 13 Jul 2020 13.32 by Nicnak

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What Are The Signs And Symptoms Of Psoriasis

Dry, thick, and raised patches on the skin are the most common sign of psoriasis. These patches are often covered with a silvery-white coating called scale, and they tend to itch.

While patches of thickened, dry skin are common, psoriasis can cause many signs and symptoms. What you see and feel tends to vary with the:

• Type of psoriasis you have

• Places psoriasis appears on your body

• Amount of psoriasis you have

Uncommon Types Of Psoriasis

Some uncommon types of psoriasis can have more serious effects.

Erythrodermic psoriasis causes all of the skin on the body to become red and scaly. This form of psoriasis is serious because, like a burn, it keeps the skin from serving as a protective barrier against injury and infection.

Pustular psoriasis is another uncommon form of psoriasis. In this form, large and small pus-filled blisters are scattered widely on the body.

Palmoplantar psoriasis is a form of pustular psoriasis in which pustules occur primarily on the hands and feet. It is sometimes called palmoplantar psoriasis of the palms and soles.

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Enhancing Healthcare Team Outcomes

Plaque psoriasis is a complex life long disorder with enormous morbidity. Thus, it is best managed by an interprofessional team.

Insulin resistance and cardiovascular diseases are more common in psoriatic patients as are metabolic comorbidities. Obesity is the most common comorbidity observed in children with psoriasis. Many patients present with reduced quality of life and psychological manifestations and need special attention and counseling. Thus, primary care clinicians should advocate lifestyle modification such as reducing weight, reducing alcohol intake and smoking cessation may help control psoriasis, improve the results of treatment and prevent future complications.

Sudden onset, palmoplantar keratoderma, severe nail dystrophy, the involvement of skin folds should arouse suspicion of associated HIV infection in whom pustular forms are also more common with a higher frequency of arthritis.

Teaching Points

Outcomes

How Do You Know If You Have Psoriasis

Its almost always a skin rash, says Mark Lebwohl, MD, a dermatologist in New York City and chair of the department of dermatology at the Icahn School of Medicine at Mount Sinai.

The most common type of psoriasis is plaque psoriasis. With this kind of psoriasis, you tend to develop salmon-pink or red patches or plaques with an overlying silvery scale. They appear in areas like the tops of the knees and elbows, scalp, behind the ears, and on your torso, says Susan Massick, MD, a dermatologist at The Ohio State University Wexner Medical Center.

In addition to plaque psoriasis, there are several other kinds of psoriasis:

• Guttate psoriasis, which causes small, round or teardrop-shaped lesions or papules and often develops after an infection like strep throat
• Inverse psoriasis, which tends to develop as red, inflamed skin in high-friction areas and can be triggered by a fungal infection
• Nail psoriasis, which may cause small pits on the top of your nails, or thickened, crumbly nail beds that might mimic a fungal infection.
• Pustular psoriasis, a less common type of psoriasis that shows up as pus-filled blisters
• Erythrodermic psoriasis, a very uncommon type of psoriasis that causes a very painful red, peeling rash all over your body.

The symptoms vary, depending on what type of psoriasis you have. But most people think of those raised, red patches that are the hallmark of plaque psoriasis.

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Ringworm: Fungal Infections Of The Skin And Nails

Tinea is a type of fungal infection that resembles some symptoms of psoriasis. Psoriasis can cause the thick fingernails symptomatic of fungal nail infections, and both can cause red, itchy skin rashes. When tinea grows on your skin, it can cause a scaly, red skin rash that clears in the middle, called ringworm . Fungal infections of the skin and nails can be hard to treat. Antifungal medications work, but you may need to take them for a long time.

What Else Should I Ask My Healthcare Provider

If you have psoriasis, ask your healthcare provider:

• How can I prevent outbreaks and control symptoms?
• What medication will work best for me?
• What else should I do to improve symptoms?
• What are my options if creams dont work?
• Will psoriasis ever go away?

A note from Cleveland Clinic

Psoriasis, an itchy skin condition, can come and go throughout your life. Its related to an overactive immune response and is not contagious. If you have skin changes that arent going away, talk to your healthcare provider. There is no cure for psoriasis, but psoriasis treatments can improve symptoms. Your provider may prescribe a special cream or moisturizer or medications. Other therapies are available if creams or medicines dont work. Maintaining your overall health will also help improve symptoms.

Last reviewed by a Cleveland Clinic medical professional on 10/17/2020.

References

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Whats The Outlook Like After Having Guttate Psoriasis

• In nearly two thirds of people the spots clear up and never come back.
• Occasionally the spots turn into a more long-term type of psoriasis called plaque psoriasis. This can be treated with similar creams and light treatment.
• Once its cleared, sometimes a second outbreak of guttate psoriasis happens. This could happen if the streptococcus bug is lurking in your tonsils.
• Thankfully the guttate psoriasis never properly scars, although sometimes it can leave tiny pale marks where it used to be: these should fade with time though.

Psoriasis On Hands Pictures

The picture of Psoriasis on hands depends on the kind of the condition. They recognize a common form of the disease with specific silver scales, which appear also on the elbows. The so-called erythrodermic psoriasis often affects the palms causing dry skin, itching and flaking all over the touched area. The skin loses elasticity, becomes tougher and gets covered with a corneal layer.

Such psoriasis on hands can be of severe form and that means that it penetrates inside the organism provoking ulcers, kidney failure. There are atypical forms, which can be found on the creases. This form of the disease is usually followed by lesion of feet with the same symptoms. Moreover, there is psoriatic arthritis a painful condition causing physical limits. It can attack a lot of joints but in the hands it is very severe and appears after the skin symptoms become obvious.

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Ready To See If Cosentyx Can Help You Feel Real Relief From Your Symptoms

Find a dermatologist in your area who has experience prescribing biologics as well as other treatments for moderate to severe plaque psoriasis.

COSENTYX® is a prescription medicine used to treat:

• people 6 years of age and older with moderate to severe plaque psoriasis that involves large areas or many areas of the body, and who may benefit from taking injections or pills or phototherapy

• adults with active psoriatic arthritis

• adults with active ankylosing spondylitis

• adults with active non-radiographic axial spondyloarthritis and objective signs of inflammation

Do not use COSENTYX if you have had a severe allergic reaction to secukinumab or any of the other ingredients in COSENTYX. See the Medication Guide for a complete list of ingredients.

COSENTYX is a medicine that affects your immune system. COSENTYX may increase your risk of having serious side effects such as:

Infections

COSENTYX may lower the ability of your immune system to fight infections and may increase your risk of infections, sometimes serious.

• Your doctor should check you for tuberculosis before starting treatment with COSENTYX.
• If your doctor feels that you are at risk for TB, you may be treated with medicine for TB before you begin treatment with COSENTYX and during treatment with COSENTYX.
• Your doctor should watch you closely for signs and symptoms of TB during treatment with COSENTYX. Do not take COSENTYX if you have an active TB infection.

Before starting COSENTYX, tell your doctor if you:

Stick With Your Psoriasis Treatment

Many effective treatments are available for psoriasis. Follow your current treatment plan, make your healthcare appointments a priority, and let your dermatologist know how things are going. Psoriasis treatment tends to be progressive, so if the first type of treatment doesnt work for you as hoped, theres another one to try, and another. Its not unusual for people with psoriasis to try more than one treatment before finding relief. Treatment options include:

• Topical steroids

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Whats Triggering Your Psoriasis Flare

Science isnt exactly sure what causes psoriasis. It seems to be a combo of genetics, environmental triggers, and your immune system going rogue against your skin cells.

If youre genetically predisposed to psoriasis , youll prob experience your first flare-up because of an environmental trigger.

• smoking

Even folks with a tried-and-true treatment protocol can get flare-ups. Theres just no way to control *everything* around you and trying to control everything would be a lot of stress.

Most psoriasis flare-ups start as a small itchy patch that spreads pretty quickly. Scratching it wont speed up the spread, but it could lead to irritation and infection.

If Your Doctor Has Recommended Infusion Therapy For Psoriasis Let Infusion Associates Help You

At Infusion Associates, we provide medically-prescribed infusion therapy for patients with chronic conditions in a welcoming and friendly environment. Our team of healthcare professionals is fully committed to making the experience as comfortable as possible for you or your patients. We always inform patients of any potential side effects and answer all their questions before starting treatment. In addition, we have a registered pharmacist on staff to make the process as seamless as possible.

If you would like to refer a patient to us or want to inquire about the treatments we offer, you can contact us by calling us at or filling out this form.

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Triggers That Make Itchiness Worse

When you have an itch, the temptation is to scratch. Yet scratching can increase inflammation and make itching even worse. That creates a vicious pattern known as the itch-scratch cycle.

Scratching can also damage the skin, leading to the formation of even more itchy plaques and even infection.

Stress is another itching trigger. When youre under stress, youre more likely to have a psoriasis flare, which can set off another bout of itching.

Weather conditions can also influence itching. In particular, very dry conditions and warm weather have both been known to trigger or exacerbate itchiness.