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Health Protocols

Psoriasis

Signs and Symptoms

Symptoms of psoriasis can vary from person to person depending on the type and severity. While psoriasis can appear anywhere on the skin, it most often affects the elbows, knees, scalp, lower back, and genitals. Potential signs and symptoms include (Schett 2011; Liu 2014; Thomson 1990; Usatine 2013; UMMC 2014a; AAD 2015; NIH 2013; Schalock 2014):

  • Skin
    • Raised, reddish patches covered with thick, silvery-white, shiny scales
    • Reddening of skin can also be diffuse and widespread
    • Pinpoint bleeding spots appear when scales are scraped off (Auspitz sign)
    • Appearance of plaques at site of skin injury or infection (Koebner phenomenon)
    • Teardrop-shaped lesions on trunk, limbs, and scalp after viral or bacterial (usually streptococcal) infection
    • Pus-filled bumps or blisters on palms and soles
    • Skin lesions may be itchy
  • Systemic
    • Fever, dehydration, and elevated white blood cell count may occur in severe cases
    • muscle weakness
    • uveitis (inflammation of part of the eye called the uvea)
  • Other
    • Nail changes – pitting, discoloration, thickening, separation from nail bed
    • Joint stiffness or pain, including inflammation or damage in psoriatic arthritis