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PSORIASIS: THE CLINICAL MANIFESTATIONS

The type of psoriasis you have will determine the signs and symptoms you will manifest. Some affected persons manifest just a few of the signs and symptoms of psoriasis, while others manifest many.

PLAQUE PSORIASIS (Psoriasis Vulgaris)

Plaque Psoriasis usually causes thick, scaly skin patches that are mostly covered with silvery-white scales. The following are the clinical manifestations of Plaque Psoriasis:

  • Elevated reddish patches (Plaque/plak) on the skin surface.
  • Skin Patches are usually covered with a silvery-white coating, which is scaly.
  • Patches can appear on any area of the skin.
  • The patches cause itchy sensations
  • The patches become thick when you continually scratch due to the itchiness.
  • The sizes of the patches vary.
  • The patches can appear in groups to cover a large surface area on the skin or as separate patches.
  • The nails become affected. There might be nails pitting, crumbling nails or the falling off of nails.

GUTTATE PSORIASIS

The Guttate Psoriasis causes small spots that occupy the whole skin surface area. The following are the clinical manifestations of Guttate psoriasis:

  • Small, red spots are usually covering the trunk, arms, and legs but can sometimes appear on the scalp, face, and ears.
  • Spots can appear on all parts of the skin.
  • Spots usually appear after an illness, usually after a strep throat.
  • Spots may clear up without treatments in a few weeks or months.
  • Spots may appear on the skin areas where the person had plaque psoriasis.

PUSTULAR PSORIASIS

Just as the name implies, pustular psoriasis causes the appearance of pus-filled bumps on the foot or the hands. The following are the clinical manifestations of pustular psoriasis:

  • Red, swollen, and dotted bumps on the skin which are pus-filled.
  • Bumps usually appear on the palms of the hands and soles of the feet only.
  • There is usually soreness and pain on the locations of bumps.

On cases whereby the pus-filled bumps cover the entire body instead of just the feet and hands, the individual may also manifest the following:

  • Bright red skin.
  • Feeling sick and exhausted.
  • Fever.
  • Chills.
  • Severe itching.
  • Rapid pulse.
  • Loss of appetite.
  • Muscle
  • Weakness

If you encounter or notice any of the above symptoms, don’t hesitate to reach out to our dermatologist London to get diagnosed and treated.

INVERSE PSORIASIS

This is also referred to as flexural psoriasis or intertriginous psoriasis. It develops in areas where there is overlapping of the skin such as the armpit. These are the clinical manifestations:

  • The appearance of raw-looking smooth, red patches on the skin.
  • Patches only develop where there is overlapping of the skin such as in the armpits, around the groin, genitals, & buttocks. Women can also develop a red, raw patch under their breasts.
  • Skin usually feels very sore in the cases of inverse psoriasis.

ERYTHRODERMIC PSORIASIS

Erythrodermic psoriasis usually makes the skin to appear badly burnt. The following are the clinical manifestations of erythrodermic psoriasis:

  • Skin appears burnt.
  • The skin all over the body becomes bright red.
  • There is an alteration in the body temperature. A person gets very hot or very cold.
  • Heartbeats increase significantly.
  • Intense itching all over the body.
  • Intense pain.

The individual affected with erythrodermic psoriasis should visit our Dermatology Clinic London for immediate diagnosis and treatment immediately as the life may be in danger.

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