Psoriasis rash
Any child with a chronic or recurrent rash that is
unresponsive to prescribed treatment deserves a trip to a
Pediatric dermatologist. With psoriasis, most kids have seen
several doctors, even dermatologists, before the diagnosis
is confirmed. Psoriasis is often not even considered in
children because the average age of onset is 28 years
(Dermatology Clinics, 1998; 16:593-608). Also, at least five
different patterns of the psoriasis rash exist, all of which
look quite different, adding to the likelihood of a missed
diagnosis.
The five recognized forms of psoriasis include:
- Guttate, in which the skin looks as if a hot liquid has
splattered on it.
- Plaque, the most common, with raised red patches and
silvery scales.
- Inverse, in which the rash is mostly on flexion creases,
such as the inside of the elbows.
- Erythrodermic, with sheets of reddened,
scalded-appearing skin.
- Pustular, with multiple little pimples.
One or more of these forms can appear simultaneously in a
person with psoriasis, and the disease can shift from one
form to another.
Although psoriasis is a long-term, recurrent problem for
most who have it, the extent of the problem varies from
quite mild to quite debilitating. It might be only a mild
scalp condition, easily controlled with the appropriate,
over-the-counter shampoo. It might show up as
temporomandibular joint disease (TMJ), geographic tongue, or
pitted nails. Or, for 5% to 10%, it might include the
swollen hands and feet of psoriatic arthritis.
People with psoriasis may suffer discomfort, including pain
and itching, restricted motion in their joints, and
emotional distress.
In its most typical form, psoriasis results in patches of
thick, red skin covered with silvery scales. These patches,
which are sometimes referred to as plaques, usually itch and
may burn. The skin at the joints may crack. Psoriasis most
often occurs on the elbows, knees, scalp, lower back, face,
palms, and soles of the feet but it can affect any skin
site. The disease may also affect the fingernails, the
toenails, and the soft tissues inside the mouth and
genitalia. About 15 percent of people with psoriasis have
joint inflammation that produces arthritis symptoms. This
condition is called psoriatic arthritis. (Source: excerpt
from Questions and Answers About Psoriasis: NIAMS)
People with psoriasis may notice that there are times when
their skin worsens, then improves. Conditions that may cause
flare-ups include changes in climate, infections, stress,
and dry skin. Also, certain medicines, most notably
beta-blockers, which are used to treat high blood pressure,
and lithium or drugs used to treat depression, may trigger
an outbreak or worsen the disease. (Source: excerpt from
Questions and Answers About Psoriasis: NIAMS)
When psoriasis develops, patches of skin thicken, redden,
and become covered with silvery scales. These patches are
sometimes referred to as plaques. They may itch or burn. The
skin at joints may crack. Psoriasis most often occurs on the
elbows, knees, scalp, lower back, face, palms, and soles of
the feet. The disease also may affect the fingernails,
toenails, and the soft tissues inside the mouth and
genitalia. About 10 percent of people with psoriasis have
joint inflammation that produces symptoms of arthritis. This
condition is called psoriatic arthritis. (Source: excerpt
from Psoriasis: NWHIC)
Symptoms of a psoriasis rash
The list of signs and symptoms mentioned in various sources
for Psoriasis includes those listed below. Note that
Psoriasis symptoms usually refers to various symptoms known
to a patient, but the phrase Psoriasis signs may refer to
those signs only noticeable by a doctor:
- Recurring attacks of skin rash symptoms
- Skin rash
- Small red patches - these gradually expand and become
scaly
- Red plaques (red scales)
- Silvery scales
- Skin rash may affect various locations:
- Elbow rash
- Knee rash
- Trunk rash
- Arm rash
- Leg rash
- Scalp rash
- Back rash
- Buttocks rash
- Nail rash
- Armpit rash
- Genital region rash
- Eyebrow rash
- Skin symptoms
- Skin pain
- Skin inflammation
- Skin itching
- Cracked skin
- Skin blisters - common in Pustular psoriasis
- Restricted joint motion
- Emotional distress
- Arthritis - about 10% of cases get arthritis caused by
psoriatic arthritis
- Thickening nails
- Split nails
The symptom information on this page attempts to provide a
list of some possible signs and symptoms of Psoriasis and
Psoriasis rash. This signs and symptoms information for
Psoriasis has been gathered from various sources, may not be
fully accurate, and may not be the full list of Psoriasis
signs or Psoriasis symptoms. Furthermore, signs and symptoms
of Psoriasis may vary on an individual basis for each
patient. Only your doctor can provide adequate diagnosis of
any signs or symptoms and whether they are indeed Psoriasis
symptoms.
products for the treatment of psoriasis
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