Symptoms of Psoriasis

What are the first signs and symptoms of psoriasis?

The most common signs and symptoms of psoriasis include:

  1. Dry skin that may crack and bleed
  2. Bumps on the skin surface
  3. Red, raised patches of skin
  4. Itching and burning sensations
  5. Whitish-silver scales
  6. Plaques on the red patches
  7. Inflammation and soreness around patches
  8. Thick, pitted nails
  9. Nails that develop deep ridges

What triggers psoriasis?

The following factors may trigger psoriasis:

  • Alcohol,
  • Smoking,
  • Cold and dry weather,
  • Some medicines,
  • Stress,
  • Infections

What does scalp psoriasis look like?

Scalp Psoriasis patches can creep past your hairline to your forehead, the skin around your ears, or the back of your neck. Scalp psoriasis often affects the back of the head. But it may also occur across the scalp, or on other parts of the head.

Mild scalp psoriasis is scaly, silvery, or powdery patches. However serious scalp psoriasis can be in the form of red and painful patches. Scalp psoriasis can occur alone or together with plaque psoriasis.

How do you know if you have scalp psoriasis?

Symptoms of moderate to severe scalp psoriasis include:

  1. Bumps and growths on the scalp
  2. Burning or soreness of the scalp
  3. Dry scalp
  4. Hair loss
  5. Itching
  6. Scaly, red patches
  7. Silvery white scales
  8. Red patches of skin appear
  9. Flaking that looks like Dandruff

Where does Psoriasis usually start?

Psoriasis occurs when your immune system begins to attack healthy skin cells instead of infectious cells. Psoriasis may affect anywhere on the body however, psoriasis plaques most often develop on the elbows, knees, face, scalp, palms, back, and feet.

(6) Can psoriasis affect babies? What are the symptoms of psoriasis in babies?

What are the symptoms of psoriasis in children?

Symptoms of Psoriasis in babies:

Symptoms of psoriasis are difficult to diagnose in babies. They might also develop scaly lesions on the scalp just similar to cradle cap or seborrheic dermatitis. The symptoms in babies are similar to other more common skin conditions so it becomes very tough to differentiate these and diagnose psoriasis.

Non-scaly, red rashes around the folds of the groin area, and red areas in skin folds are the key symptoms to diagnose psoriasis in babies. You must also notice raised patches of skin that are often red and covered with whitish-silvery scales (often mistaken for diaper rash in infants)

What are the symptoms of nail psoriasis?

Symptoms of Nail Psoriasis:

When you see changes in your nail’s appearance, color, or form then you are developing nail psoriasis. People with psoriatic arthritis can experience nail changes if arthritis affects their fingers. Nail psoriasis may happen with plaque or another type of psoriasis and affects the finger and toenails. If symptoms are severe, it becomes very tough to use the hands and feet. Ridging, weakening, and pitting of nails are usually experienced in the case of nail psoriasis.

Psoriasis on nails

Color change

 Your nails may turn green, brown, or yellow. Yellow-red nail discoloring may seem like a drop of blood or oil under the pate of the nail. Your nails may also have small red or white spots underneath. White areas may also appear on the nail plate.

Debris buildup

Chalky white material can gather under your nail. This may be very painful and it causes your nails to lift away from the surface of the skin.

Surface appearance

  1. Pits develop in the nails
  2. Side to sidelines appear across the nails
  3. You may get ridges or grooves in your nails
  4. You might feel small pinprick holes on the nail surface
  5. Small black lines may appear from the tip of the nail to the cuticle.
  6. At the base of the nail, “half-moon” becomes spotted which may turn red if the capillaries under the nail are blocked


About 33% of patients with nail psoriasis can also get a fungal infection that makes the nails very thick. The skin under the nails also thickens and your nails may get brittle and break.


  1. The nails become weak.
  2. The nail may crumble.
  3. The nail may lift, and detach from the finger or toe.
  4. Infections may develop in the skin under the nail.
  5. The nail can loosen or separate from the nail bed.
  6. Where the nail separates, a white area may develop on the skin below.

What are the symptoms of psoriasis on the feet?

Symptoms of psoriasis on the feet:

Plaque psoriasis

Plaque psoriasis is the most common type of psoriasis, which occurs in around 85% to 90% of people with psoriasis. Plaque psoriasis can occur on almost any part of the body, including the feet.  Plaque psoriasis is called so as this type of psoriasis causes red, dry patches of skin known as plaques.

  1. Plaques can be itchy and sore
  2. Plaques are covered in silvery scales
  3. Plaques may also crack open and bleed

Palmoplantar pustulosis psoriasis:

Palmoplantar pustulosis specifically usually affects the palms of the hands and the soles of the feet. Symptoms of palmoplantar pustulosis psoriasis may include many tiny, pus-filled blisters on feet, hands, or both.

What are the symptoms of Plaque psoriasis?

Plaque psoriasis:

  • The skin around the joints may crack and bleed
  • Raised, inflamed, red lesions
  • Red scaly patches with a silvery sheen on the skin
  • Itchy, sore plaques
  • Plaques covered in a silvery-white scale

What are the symptoms of Inverse psoriasis?

Symptoms of Inverse psoriasis may include:

It appears in skin folds and it is more common in obese people. It affects the armpits, the groin, the skin between the buttocks, the skin under the breasts, and belly folds. Due to sweating and rubbing of skin folds, symptoms may get severe.

  • Bright red, but smooth patches,
  • No scaling of patches,
  • Itchy or painful lesions
  • Patches of skin become inflamed,

What are the symptoms of Guttate psoriasis?

Symptoms of Guttate psoriasis are:

  1. Guttate psoriasis usually occurs after a strep throat infection. Guttate psoriasis is sometimes known as teardrop psoriasis or raindrop psoriasis. Some signs and symptoms of nail psoriasis may also be present in the case of Guttate psoriasis.
  2. Its lesions may appear on the skin, but they look different from those in plaque psoriasis. It is more common among children and teenagers. It may disappear and not recur, but some people eventually develop plaque psoriasis.
  3. Commonly infected areas may include the arms, chest, legs, and scalp,
  4. Guttate psoriasis may develop anywhere in the body, except the soles and palms,
  5. Plaques are fairly widespread,
  6. Plaques are usually small,
  7. Plaques are no more than half an inch in diameter.

What are the symptoms of Pustular psoriasis?

Pustular psoriasis Symptoms are:

Pustular psoriasis has three main types that affect different areas of the body. In pustular psoriasis, the lesions contain pus. The pus may contain white blood cells. Pustular psoriasis is less common than the other types of psoriasis. The three kinds of pustular psoriasis are following:


  1. Acropustulosis Pustules appear on fingers, toes, or both.
  2. Patients may have symptoms of nail psoriasis,
  3. The pustules burst,
  4. Bright red areas appear that may ooze or become scaly.

Palmoplantar pustular psoriasis:

  1. Mostly, hands and feet are affected,
  2. Difficulty in walking or using hands,
  3. Pustules appear on the soles of the feet or the palms,
  4. Pustules may develop into brown, round scaly spots,
  5. It may happen alone or alongside another type of psoriasis,
  6. Cycles of recurrence may occur every few weeks or even within days,
  7. Pustules may dry and peel off,

Von Zumbusch psoriasis symptoms

  1. Von Zumbusch psoriasis pustules develop rapidly across a wide area of skin,
  2. Pustules may appear in cycles of weeks or even a few days,
  3. Symptoms of fever, chills, fatigue and weight loss appear at the beginning of the cycle,
  4. Within 2 days, the pustules usually dry and peel off,
  5. Skin becomes shiny and smooth after the peeling of pustules,
  6. The pus is not infected

What are the symptoms of Erythrodermic psoriasis?

Symptoms of Erythrodermic psoriasis:

This is a rare type of psoriasis which causes red, scaly patches on much of the body. Erythrodermic psoriasis is often a reaction to sunburn or certain medications, such as corticosteroids. Erythrodermic psoriasis affects a person’s feet mostly. This is a serious type of psoriasis and needs an immediate and emergency response.

If a person develops a red, fiery rash across the skin, then he/she is developing Erythrodermic psoriasis. It is life-threatening if on time treatment is not given. Erythrodermic psoriasis is the least common form of psoriasis, but very deadly. Its complications can be very severe.

  1. Chills,
  2. Fever,
  3. Rapid pulse,
  4. Weakness of muscles,
  5. The fiery red rash can cover the entire body,
  6. Severe itching, burning, and swelling,
  7. Intense itching, burning, and pain,
  8. Widespread exfoliation, or shedding of skin,
  9. Widespread inflammation on the infected skin areas,
  10. Fluctuation in body temperature, too hot or too cold at different times,
  11. Loss of proteins and fluid from the body leads to dehydration and heart failure

What are the symptoms of Psoriatic arthritis?

The symptoms of PsA may include:

  1. Back pain,
  2. Pain in the heel,
  3. Swelling and redness of joints,
  4. Pain around the joints and tendons,
  5. Stiffness in the morning, or after taking rest,
  6. Psoriatic arthritis can affect both the skin and the joints,
  7. Painful swollen finger or toe, known as a “sausage digit”,
  8. Reduced movement of the affected joint,
  9. Redness of the eye, blurred vision,
  10. Sensitivity to light, eye pain,
  11. Spondylitis,
  12. Inflammation of the place where ligaments and tendons attach to the spine
  13. Pain in the neck, back, and spine area,
  14. Stiffness in the neck, lower back, upper buttock area, and the rest of the spine.
  15. Inflammation of one or more of the vertebrae of the spine

What do the early stages of psoriasis look like?

PsA can affect the eyes. The eye becomes red and sensitive to light. Iritis, or inflammation of the iris, may occur. It may also cause Uveitis which is an inflammation of the uvea, which includes the iris and other parts of the eye.

Usually, psoriasis develops first, but sometimes arthritis may develop before the appearance of skin lesions. The symptoms of Psoriatic arthritis (PsA) may include: stiffness, flaking silver patches of skin and inflammation under the skin, redness of the skin, Backpain, swelling, and redness of joints are also some common symptoms of Psoriatic arthritis.

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