Chronic Plaque Psoriasis on Forearm
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What Is Psoriasis?

This skin condition causes a thick, patchy, red rash with silvery, white scales. The most common type is called plaque psoriasis.

You can get it anywhere, but it shows up most often on your scalp, elbows, knees, and lower back. You can't catch it by touching the skin of someone who's got it.

Kids can get psoriasis, but it's more common in adults.

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Symptoms of Psoriasis
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Psoriasis Symptoms

When psoriasis starts, you may see a few red bumps on your skin. These may get larger and thicker, and then get scales on top.

The patches may join together and cover large parts of your body. Your rash can be itchy and uncomfortable, and it may bleed easily if you rub or pick it.

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Skin Plaque Psoriasis on Fingernails
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Nail Psoriasis

Up to half of people with skin plaques have psoriasis of the nails as well. This makes your nails look yellowish-red.

Your nails may also crumble, become pitted, or get grooved lines. Nearly everyone with psoriasis of the nails also has psoriasis somewhere on the skin.

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Hands With Psoriatic Arthritis
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Psoriatic Arthritis

Some people with psoriasis may get psoriatic arthritis. It causes swelling and pain in your joints and can make it hard to use them for everyday tasks.

You can get psoriatic arthritis at any age, but it's most common between 30 and 50.

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Normal Skin and Skin With Psoriasis
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What Causes Psoriasis?

Scientists aren't sure exactly what causes psoriasis, but it's linked to a problem with your immune system, your body's defense against germs. 

If you have psoriasis, your immune system mistakenly attacks healthy skin cells, as if it were fighting an infection. Your body responds by making new skin cells every few days instead of the usual 4 weeks. Those new skin cells build up on your body's surface and form a rash.

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Tobacco and Alcohol Trigger Psoriasis
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Psoriasis Triggers

You may find your condition flares up at certain times. Common triggers include:

  • Skin injury or infection
  • Emotional stress
  • Certain medications
  • Smoking
  • Drinking alcohol
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isolated woman
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Living With Psoriasis

It's natural to wonder if psoriasis will affect your social life. It's important to keep your skin condition from hurting your self-esteem, though. Don't avoid dates, social events, or job interviews. If you feel like you're getting depressed, talk to your doctor or a counselor.

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Doctor Talking to Patient about Psoriasis
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Diagnosing Psoriasis

Your doctor can usually diagnose psoriasis by checking your skin, scalp, and nails. He might need to take a sample of your skin cells and look at them under a microscope to confirm the diagnosis.

If you have swelling and pain in your joints, your doctor may also order blood tests and X-rays to check for arthritis.

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Applying Psoriasis Ointment
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Treatment With Ointments

If you have mild to moderate psoriasis, you may get some relief from skin creams. They can reduce inflammation, itching, and cut the rate of skin cell growth.

Some examples include steroid creams, moisturizers, salicylic acid, anthralin, retinoids, calcipotriene (a form of vitamin D), and coal tar. Tar shampoos are helpful for psoriasis of the scalp.

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Treating Psoriasis with Phototherapy
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Phototherapy

If you have moderate to severe psoriasis, UVB phototherapy may help. This treats the skin with exposure to ultraviolet light. It's done at your doctor's office or at home using a light device.

PUVA is a form of phototherapy that combines a medicine called psoralen with UVA light. PUVA (seen here) and UVB phototherapy can help clear up psoriasis. Side effects include headache, nausea, and fatigue. Either treatment may lead to skin cancer.

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Effects of Laser Therapy on Psoriasis
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Laser Therapy

Lasers are a new twist on phototherapy. They send out highly focused beams of light. This lets doctors aim the treatment directly at your rash without hitting healthy skin.

Laser therapy may have fewer side effects and a smaller risk of skin cancer compared to traditional phototherapy.

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woman with pill
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Drug Treatments

Your doctor may also suggest medicine that you take as a pill that targets your immune system.

Options include methotrexate and cyclosporine. Both have serious side effects, so you'll need to be checked by your doctor carefully. Certain oral retinoids can also be used to treat severe psoriasis.

The newest pill is Otezla (apremilast). It can also have side effects, but you'll need less monitoring.

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Syringe of Biologic Treatment for Psoriasis
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Biologics

Biologics are a relatively new way to treat psoriasis. These drugs are made from living cells. Like some older psoriasis medications, they change the way your immune system behaves.

You take biologics by an injection, pill, or through an IV. They work by curbing your immune system, so they can raise your risk of infections.

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Aloe Vera Plant
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Natural Remedies

Getting some sunshine on your skin rash can improve symptoms for some people. But it's important not to overdo it. Sunburn makes your psoriasis worse, and too much sun raises your risk of skin cancer.

Other natural options include aloe, tea tree oil, and oatmeal baths to soothe itchy skin. Experts are skeptical about diets that claim to treat psoriasis. There's no convincing evidence that they work.

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Man Treating Psoriasis with Climatotherapy
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Climatotherapy

For decades, people have claimed that visiting the Dead Sea in Israel is a powerful treatment for psoriasis. The sun and water, which is 10 times saltier than the ocean, is believed to be a healing combination.

Scientific evidence suggests this form of climatotherapy works. In studies, 80% to 90% of people with psoriasis improved after visiting the Dead Sea. Almost half saw their rash disappear for the next several months.

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woman meditating
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Relieve Stress

Stress can make your psoriasis worse, so try relaxation techniques to control your flare-ups. Anything that helps you relax, whether it's yoga, deep breathing, or a long walk, may help ease your symptoms.

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Group of People Swimming
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Social Support

There may be days when you feel like hiding at home, but don't avoid the relationships and activities you enjoy. Isolation can lead to stress and depression, which can make your psoriasis symptoms worse.

Stay connected to your friends and family. You may also want to look into a support group through the National Psoriasis Foundation. You'll meet people who understand just what you're going through.

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Sources | Medically Reviewed on 09/01/2016 Reviewed by Debra Jaliman, MD on September 01, 2016

IMAGES PROVIDED BY:

1)    © Interactive Medical Media, LLC
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4)    Bart's Medical Library/Phototake
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6)    iStockphoto
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10)  Veronique Burger/Photo Researchers Inc
11)  "Color Atlas of Cosmetic Dermatology"; Marc R. Avram, Sandy Tsao, Zeina Tannous, Mathew M. Avram; Copyright 2007 by The McGraw-Hill Companies, Inc. All rights reserved.
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17)  Corbis

REFERENCES:

American Academy of Dermatology web site.

American Academy of Dermatology's PsoriasisNet web site.

American College of Rheumatology web site.

International Eczema-Psoriasis Foundation web site.

National Institute of Arthritis and Musculoskeletal and Skin Diseases web site.

Reviewed by Debra Jaliman, MD on September 01, 2016

This tool does not provide medical advice. See additional information.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.