Types of Psoriasis

What are the different types of psoriasis? What Kind of Psoriasis Is It?

Types of psoriasis

There are five types of psoriasis and each type has its own set of symptoms. People most often have only one type of psoriasis at a time. Mostly, psoriasis may go through cycles. They flare up for a few weeks, then go into complete remission.

Plaque Psoriasis

What is the most common type of psoriasis?

Plaque psoriasis is also known as psoriasis Vulgaris. It appears as raised, red plaques. Around 80% of cases of psoriasis are plaque psoriasis so it is the most common type of psoriasis. You may identify it by thick (1 to 10 centimeters wide) red patches of skin, silver or whitish scales.

Plaque Psoriasis patches often appear on the knees, hands, feet, elbows, scalp, and lower back. The itchy, painful plaques can crack and bleed, and the symptoms will often get worse if you scratch the scales. Larger patches can cover the whole body surface.

Guttate Psoriasis

What are the signs and symptoms of guttate psoriasis type?

Guttate psoriasis appears in small red spots on the skin and often begins in childhood or young adulthood. It comprises 10% of all psoriasis cases. Guttate psoriasis is the second most common type of psoriasis. The most common sites for guttate psoriasis are the torso, legs, and arms.

This type of psoriasis causes small pink spots that are small, separate, and drop-shaped. These spots are not thick as plaque psoriasis. They often appear on the torso and limbs, but they can also appear on your face and scalp. Guttate psoriasis spots can develop into plaque psoriasis over time.

Stress, skin injuries, strep throat, infections, and certain medicines trigger guttate psoriasis.

Inverse Psoriasis

What do you know about intertriginous psoriasis or Flexural psoriasis?

Inverse Psoriasis is also known as intertriginous psoriasis or Flexural psoriasis. This type of psoriasis is red, shiny, and smooth. Inverse psoriasis causes bright areas of red, shiny, inflamed patches in skin folds that may look smooth.

Flexural psoriasis often appears in skin folds, such as under the breasts or in the armpits or groin area. Flexural psoriasis lesions may occur on the genitals or in areas near the genitals. The sweat and moisture cause the shedding of skin scales in this type of psoriasis.

Skin folds or skin-to-skin contact can make inverse psoriasis very irritating and uncomfortable. People having flexural psoriasis can develop another type of psoriasis somewhere else on their body at the same time.

Pustular Psoriasis

What is Pustular Psoriasis?

This causes white blisters of pus that are typically localized to smaller areas of the body, such as the hands or feet. The Pustular Psoriasis pus consists of white blood cells. This type of psoriasis is more common in young adults.

A pustular psoriasis is a severe form of psoriasis as it develops very fast and can be widespread. It causes white, pus-filled blisters and broad areas of red, inflamed skin. When pus-filled bumps cover the body, they turn into bright-red skin. Pustular psoriasis pustules can also join together to form scales.

Pustular psoriasis patients may feel fever, chills, severe itching, appetite loss, muscle weakness, and rapid pulse.

There are three types of pustular psoriasis and each of these three types of pustular psoriasis can have different symptoms and severity.

  • (1) Von Zumbusch
  • (2) Palmoplantar pustulosis (PPP)
  • (3) Acropustulosis

Erythrodermic psoriasis

(6) What is Erythrodermic psoriasis? What is the rare type of psoriasis?

Erythrodermic psoriasis is also called exfoliative psoriasis. Exfoliation often occurs in larger pieces rather than the small scaling typical of most psoriasis types. This type of psoriasis is rare that looks like severe burns. This form of psoriasis is widespread, red, and scaly.

If the patient is suffering from Erythrodermic psoriasis type, then he/she may need medical emergency treatment. Patients may also need hospitalization because in this type of psoriasis body becomes unable to control body temperature.

This form often covers large portions of the body and the skin almost appears sunburned. In this type of psoriasis, scales that develop often slough off in large sections or sheets.

This type can be life-threatening, so the condition is very serious, and must be treated immediately on an emergency basis.

Erythrodermic psoriasis can develop from:

  • Alcoholism,
  • Infection,
  • Sunburn,
  • Stress,
  • Abrupt discontinuation of a systemic psoriasis medicine
  • Widespread or poorly controlled plaque psoriasis
  • Pustular psoriasis

Measuring psoriasis severity

If you have psoriasis, your healthcare provider will assess the severity of your psoriatic conditions. Usually, three signs are used to classify the severity of psoriasis. These signs are:

  • (1) erythema (redness),
  • (2) Induration (lesion thickness),
  • (3) Scaling

Your doctor may also ask about the effects of psoriasis on your psychological, social, and physical life. He/she will assess your skin by physically examining symptoms of psoriasis.

What are the types of psoriasis by severity?

Psoriasis is a common chronic autoimmune disease that causes the fast growth of skin cells. Psoriasis is a very complex disease having many types, and ranging in severity. One big question you may have is, “How severe is my psoriasis?”

The severity of psoriasis varies significantly from person to person. Certain treatments work best on mild to moderate psoriasis. More powerful drugs are used to treat moderate to severe psoriasis.

Mild to moderate psoriasis

When psoriasis plaques cover less than 5% of body surface area then such type of psoriasis comes under the mild to moderate psoriasis category. Psoriatic plaques are raised silvery surfaces known as scales.

Mild to moderate psoriasis does not occur in sensitive regions of your body. Sensitive regions include your genitals, face, hands, and feet. Topical treatments, like corticosteroids and vitamin D analogs, often work well to treat such types of psoriasis.

Moderate to severe psoriasis

When more than 5% of your body is affected by psoriasis then the type of psoriasis is considered moderate to severe. It can affect your genitals, face, hands, and feet.

Biologics may be often used alone or with other treatments to ease your psoriasis symptoms. Biologic drugs are a popular treatment option for moderate to severe types of psoriasis.

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