Types of Psoriasis: Visuals, Causes, and Symptoms

Psoriasis Overview

Psoriasis is a chronic autoimmune condition that manifests through the rapid growth of skin cells, leading to scaling on the skin’s surface. Understanding the different types of psoriasis is essential for diagnosis, treatment, and management. This article explores the various forms of psoriasis, their specific causes, and distinguishing symptoms.

Plaque Psoriasis

Visuals

Plaque psoriasis is the most common type, characterized by raised, inflamed, red patches covered with silvery-white scales. These patches often appear on elbows, knees, and the lower back but can develop anywhere on the body.

Causes

The exact cause of plaque psoriasis is not fully understood, but it is believed to involve an immune system dysfunction combined with genetic factors. Triggers such as stress, skin injuries, infections, and certain medications can exacerbate symptoms.

Symptoms

  • Red patches of skin covered with thick, silvery scales
  • Dry and cracked skin that may bleed
  • Itching, burning, or soreness
  • Thickened or ridged nails

Guttate Psoriasis

Visuals

Guttate psoriasis presents as small, drop-shaped lesions that appear suddenly, typically on the trunk, arms, legs, and scalp. The lesions are usually less than 1 inch in diameter and may be less scaly than plaque psoriasis.

Causes

Often triggered by a streptococcal infection such as strep throat, guttate psoriasis can also be influenced by factors like stress or skin injuries. This form commonly affects younger individuals.

Symptoms

  • Small, individual red spots
  • Scaling that may be finer than that seen in plaque psoriasis
  • Potential itchiness in the affected areas

Inverse Psoriasis

Visuals

Inverse psoriasis appears as smooth, red patches located in skin folds, such as under the breasts, armpits, and in the groin area. Unlike other types, it does not usually have the typical scales and may appear shiny.

Causes

This type is often triggered by friction, sweating, and other irritants. It is also linked with fungal infections that can coexist in these warm areas of the body.

Symptoms

  • Intense itching
  • Discomfort
  • Red, inflamed skin without the heavy silvery scales common in other types

Pustular Psoriasis

Visuals

Pustular psoriasis is characterized by white pustules (blisters of noninfectious pus) surrounded by red skin. The pustules can be localized (found on hands and feet) or widespread.

Causes

The exact cause remains unclear, but hormonal changes, stress, and certain medications can trigger flare-ups. Genetics may also play a role.

Symptoms

  • Development of small, white pustules
  • Redness and inflammation surrounding the pustules
  • Desquamation, or shedding of skin

Erythrodermic Psoriasis

Visuals

Erythrodermic psoriasis is a rare and severe form that causes widespread redness and shedding of skin over large areas of the body, leading to a "burning" sensation.

Causes

This type can be triggered by severe sunburn, systemic illness, or sudden withdrawal from corticosteroids. It often follows another type of psoriasis.

Symptoms

  • Severe redness
  • Itching, pain, and dramatic skin shedding

Nail Psoriasis

Visuals

Nail psoriasis can affect both the fingernails and toenails, leading to pitting, ridging, and abnormal nail growth. In some cases, nails may become discolored or separate from the nail bed.

Causes

The condition arises from the same autoimmune issues affecting the skin. It may be hereditary and affects individuals with other types of psoriasis.

Symptoms

  • Pitted nails
  • Discoloration
  • Thickening, and in severe cases, nail loss

Conclusion

Psoriasis comprises several types, each with distinct characteristics, causes, and symptoms. Accurate identification and understanding of these types are crucial for effective management and treatment strategies. Individuals experiencing symptoms suggestive of psoriasis should consult healthcare professionals or dermatologists for proper diagnosis and tailored treatment plans.

Back to blog