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Rashes
Skin is dark and hard
Skin is dry
Skin is rough and dry
Redness of the skin
Rash on the head
There is a lump
Not seeing your symptoms? No worries!
A skin disease caused by the immune system attacking the skin cells, which leads to red-brown reas of thickened skin with a silvery scale. It is thought to have some genetic predisposition and then triggered by factors such as environment, infections, and stress. Rarely it can be due to medications.
Your doctor may ask these questions to check for this disease:
A specialist will confirm the diagnosis with a simple procedure and recommend a treatment plan. There are many treatment options, from creams and light therapy to tablet and most commonly injection immune modulating "biologics" medications.
Reviewed By:
Sarita Nori, MD (Dermatology)
Dr. Sarita Nori was drawn to dermatology because of the intersection of science and medicine that is at the heart of dermatology. She feels this is what really allows her to help her patients. “There is a lot of problem-solving in dermatology and I like that,” she explains. “It’s also a profession where you can help people quickly and really make a difference in their lives.” | Some of the typical skin problems that Dr. Nori treats include skin cancers, psoriasis, acne, eczema, rashes, and contact dermatitis. Dr Nori believes in using all possible avenues of treatment, such as biologics, especially in patients with chronic diseases such as eczema and psoriasis. “These medications can work superbly, and they are really life-changing for many patients.” | Dr. Nori feels it’s important for patients to have a good understanding of the disease or condition that is affecting them. “I like to educate my patients on their problem and have them really understand it so they can take the best course of action. Patients always do better when they understand their skin condition, and how to treat it.”
Yukiko Ueda, MD (Dermatology)
Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.
Content updated on Feb 19, 2025
Following the Medical Content Editorial Policy
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Q.
Is plaque psoriasis contagious?
A.
Plaque psoriasis is not contagious—you can’t catch it from touch, sharing items, or close contact, because it’s an autoimmune, genetic condition rather than an infection. There are several factors to consider for managing symptoms and flares (like stress, infections, medications, and skin injury) and knowing when to seek care; see below for important details that could affect your next steps.
References:
Nestle FO, Kaplan DH, & Barker J. (2009). Psoriasis. N Engl J Med, 19641217.
https://pubmed.ncbi.nlm.nih.gov/19641217/
D’Amico G, Garcia-Tsao G, & Pagliaro L. (2006). Natural history and prognostic indicators of survival in patients w… J Hepatol, 16483930.
https://pubmed.ncbi.nlm.nih.gov/16483930/
Castera L, Pinzani M, & Bosch J. (2012). Non-invasive evaluation of portal hypertension using transient… J Hepatol, 22178137.
Q.
Is red scaly rash psoriasis or fungal infection?
A.
There are several factors to consider—see below to understand more. Thick, well-demarcated silvery plaques that are symmetric on elbows/knees/scalp (often with nail pitting or joint pain) point to psoriasis, while an intensely itchy, ring-shaped rash with central clearing—often on feet or in the groin—suggests a fungal infection; a simple KOH scraping, dermoscopy, or rarely biopsy can confirm. Because treatments differ markedly (steroids/phototherapy vs antifungals and hygiene) and certain warning signs change the next steps, see the complete guidance below for when to try home care and when to see a clinician.
References:
Hall S, & Gow NA. (2011). Laboratory testing for superficial fungal infections: state of the art and… Journal of the American Academy of Dermatology, 20851307.
https://pubmed.ncbi.nlm.nih.gov/20851307/
Lallas A, Apalla Z, & Argenziano G. (2012). Use of dermoscopy in general dermatology: a systematic… J Eur Acad Dermatol Venereol, 22385379.
https://pubmed.ncbi.nlm.nih.gov/22385379/
European Association for the Study of the Liver. (2010). EASL clinical practice guidelines on the management of ascites, spontaneous bacterial… Journal of Hepatology, 20609827.
Q.
Red scaly patches on elbows and knees – is it psoriasis?
A.
Red, scaly, well-defined patches on elbows and knees are most often plaque psoriasis, but eczema, fungal infections, and contact dermatitis can look similar, and confirmation usually needs a dermatologist’s exam and sometimes a scraping or biopsy. Treatments range from moisturizers and topical steroids/Vitamin D to phototherapy and systemic medications, and triggers like stress, skin injury, or certain drugs can drive flares; urgent care is warranted for rapid spread, severe pain/bleeding, signs of infection, or joint swelling/stiffness. There are several factors to consider; see below for hallmark signs, risks like psoriatic arthritis and heart disease, an optional free symptom check, and clear guidance on next steps.
References:
Schön MP, & Boehncke WH. (2005). Psoriasis. N Engl J Med, 15888743.
https://pubmed.ncbi.nlm.nih.gov/15888743/
Parisi R, Symmons DPM, Griffiths CEM, & Ashcroft DM. (2013). Global epidemiology of psoriasis: a systematic review of inci… J Invest Dermatol, 22868089.
https://pubmed.ncbi.nlm.nih.gov/22868089/
Kamath PS, & Wiesner RH. (2001). A model to predict survival in patients with end-stage liver disease. Hepatology, 11157951.
Q.
What are some early signs of plaque psoriasis on body?
A.
Early signs include well-defined red/pink (or purple on darker skin) patches topped with silvery-white scales, very dry or cracked skin that may bleed, itching/burning or soreness, and nail changes like pitting, yellow-brown “oil-drop” discoloration, or lifting. These typically appear on elbows, knees, scalp/hairline, lower back, buttocks, palms/soles, or skin folds, and can less commonly start as small drop-like spots or come with early joint stiffness. There are several factors to consider and important next steps (risk factors, when to seek care, treatment options, and a free symptom check)—see below for complete details.
References:
Armstrong AW, & Read C. (2020). Pathophysiology, clinical presentation, and treatment of psoriasis:… JAMA, 32196263.
https://pubmed.ncbi.nlm.nih.gov/32196263/
D’Amico G, Garcia-Tsao G, & Pagliaro L. (2006). Natural history and prognostic indicators of… Journal of Hepatology, 16427389.
https://pubmed.ncbi.nlm.nih.gov/16427389/
Tsochatzis EA, Bosch J, & Burroughs AK. (2014). Liver cirrhosis. Lancet, 24447442.
Q.
What are some early signs of plaque psoriasis on scalp?
A.
Early scalp plaque psoriasis signs include well-defined raised patches on a pink-red base covered with thick, silvery-white scales, persistent itch or burning, and stubborn flaking that may crack or bleed; lesions can cross the hairline or appear behind the ears, and nail pitting can be an early clue. Unlike dandruff or seborrheic dermatitis, the scales are thicker and more adherent with sharply bordered plaques. There are several factors to consider for distinguishing causes, triggers, and when to seek treatment—see the complete details below, which can affect your next steps.
References:
Kreuter A, Gambichler T, Tigges C, Liebetrau M, Brockmeyer NH. (2010). Scalp psoriasis in children and adults: a prospective study of 200 patients. J Dtsch Dermatol Ges, 21038738.
https://pubmed.ncbi.nlm.nih.gov/21038738/
Nestle FO, Kaplan DH, Barker J. (2009). Psoriasis. Nat Rev Immunol, 19763118.
https://pubmed.ncbi.nlm.nih.gov/19763118/
Kamath PS, & Wiesner RH. (2001). A model to predict survival in patients with end-stage liver disease. Hepatology, 11157951.
Q.
What does plaque psoriasis look like?
A.
Plaque psoriasis typically appears as raised, well-defined patches covered with a silvery-white (or slate-gray) scale—red or pink on lighter skin and dark brown or purple on darker skin—commonly on the scalp, elbows, knees, lower back, and sometimes the nails. It can itch, crack, or bleed, and there are several factors to consider that could affect your next steps; see below for important details on variations by skin tone and location, triggers, a symptom check tool, and when to see a doctor.
References:
Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, et al. (2010). Guidelines of care for the management of psoriasis and… Journal of the American Academy of Dermatology, 19922995.
https://pubmed.ncbi.nlm.nih.gov/19922995/
D’Amico G, Garcia-Tsao G, Pagliaro L. (2006). Natural history and prognostic indicators of survival in cirrhosis: a systematic… Journal of Hepatology, 16256333.
https://pubmed.ncbi.nlm.nih.gov/16256333/
Garcia-Tsao G, Sanyal AJ, Grace ND, Carey W; Practice Guidelines Committee of the American Association for the Study of Liver Diseases. (2007). Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Hepatology, 17335087.
Q.
What is plaque psoriasis and could it be the cause of my itchy skin?
A.
Plaque psoriasis is the most common form of psoriasis—an immune-mediated skin disease causing well-defined red, scaly plaques (often on the elbows, knees, scalp, and lower back)—and itch is extremely common in it. It could be the cause of your itchy skin, but eczema, fungal infections, and other issues can look similar, so the pattern of plaques, nail changes, family history, and severity matter. There are several factors to consider; see below for key signs to watch for, when to seek care, and the full range of treatments and self-care options.
References:
Nestle FO, Kaplan DH, & Barker J. (2009). Psoriasis. N Engl J Med, 19641219.
https://pubmed.ncbi.nlm.nih.gov/19641219/
Szepietowski JC, & Reich A. (2020). Pruritus in psoriasis: a review… J Eur Acad Dermatol Venereol, 31709369.
https://pubmed.ncbi.nlm.nih.gov/31709369/
Schuppan D, & Afdhal NH. (2008). Liver cirrhosis: diagnosis, manage… J Hepatol, 18308546.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Griffiths CEM, Armstrong AW, Gudjonsson JE, Barker JNWN (2021). Psoriasis. Lancet (London, England).
https://pubmed.ncbi.nlm.nih.gov/33812489/Armstrong AW, Read C (2020). Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review. JAMA.
https://pubmed.ncbi.nlm.nih.gov/32427307/Garner KK, Hoy KDS, Carpenter AM (2021). Psoriasis: Recognition and Management Strategies. American family physician.
https://pubmed.ncbi.nlm.nih.gov/38215417/