Psoriasis

Very low urgency
Common-

A chronic, non-contagious skin disease characterized by inflammation, itching and scaling.

It is of autoimmune cause and has a hereditary component.

It occurs in outbreaks, with disease-free periods and others with symptoms of varying severity. It appears as silvery plaques of variable size, dark red in color and with well-defined borders. When scratching the skin, a multitude of scales are detached from these plaques. It usually affects the scalp, face, back, palms of the hands, soles of the feet and elbows, but can affect any area of the body.

Diagnosis is made by clinical history and physical examination; in some cases, it may be necessary to take a skin biopsy.

It is not completely curable, but outbreaks and their symptoms can be reduced with phototherapy. In mild cases, local treatment with emollients, topical corticosteroids, etc. may be sufficient. In severe cases or those resistant to local treatment, it may be necessary to use intravenous drugs that reduce the autoimmune response. 

Bibliographic references
  1. Steven R Feldman. Epidemiology, clinical manifestations, and diagnosis of psoriasis. UpToDate. Diciembre 2015
  2. Parisi R. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol 2013; 133:377.
  3. Steven R Feldman. Treatment of psoriasis. UpToDate. Octubre 2016
  4. Hüffmeier U. Common variants at TRAF3IP2 are associated with susceptibility to psoriatic arthritis and psoriasis. Nat Genet 2010; 42:996.
  5. Leslie P. Lawley. Eccema, psoriasis, infecciones cutáneas, acné y otros trastornos cutáneos frecuentes. Harrison. Principios de Medicina Interna, 19e. Capítulo 71
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Skin plaques between 1 and 30 cm / 0.4 and 12 inches in diameter


    When flakes slough off, a transparent film appears


    Scales upon scratching the lesion


    When the transparent layer is scratched, small bleeding points appear


    Skin lesions worsen with cold and improve with warmth

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Painful and reddened ulcer in affected area
Reddish sores that itch, break open and ooze clear fluid or pus

Self-care

Apply moisturizer daily.
Reduce situations that cause psychological stress
Avoid taking over-the-counter medications such as nonsteroidal anti-inflammatory drugs.
Bathe daily with mild soaps that contain added oils or fats.
Sun exposure in moderation.
Reduce tobacco consumption.
Reduce alcohol consumption.
Consult with your primary care physician regarding the possibility of phototherapy treatment or the use of retinoids or topical psoralens.