Signs and Symptoms
Psoriasis usually affects the elbows, knees, buttocks, scalp, and genitals; areas of rubbing or friction are particularly likely to develop lesions.
Red or salmon-red, raised areas often have silvery-white or grayish-white scale. Moist areas (such as body folds) may not be scaly.
People with related arthritis may have swelling and pain in the joints (often fingers or toes) or tendons.
The nails may be affected in psoriasis, causing pitting, "oil spots" (yellowish-brown discoloration of nail plate), and lifting of the nail plate from the nail bed (onycholysis).
Psoriasis can be graded as:
- Mild – Few, scattered, small areas of involvement
- Moderate – More widespread disease affecting larger areas, sometimes affecting the joints
- Severe – Most of the skin surface is affected, sometimes affecting the joints