Psoriasis

Very low urgency
Common-

It is a chronic, non-contagious skin condition characterised by inflammation, itching and scaling.

It is an autoimmune disease with a hereditary component.

It is associated with flares, relapses and symptoms of varying severity.  It manifests as silvery patches of varying size with well-defined borders. Scratching the skin causes many of these patches to come off. It usually affects the scalp, face, back, palms, soles and elbows, but can occur on any part of the body.

It is diagnosed by clinical history and physical examination, but in some cases a skin biopsy may be needed.

There is no definitive cure, but outbreaks and symptoms can be reduced with phototherapy. Local treatment with emollients, topical corticosteroids, etc. may be sufficient in mild cases. In severe cases or those resistant to local treatment, intravenous drugs to reduce the autoimmune response may be needed.

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 patches between 1 and 30 cm in diameter


    When flakes slough off, a transparent film appears


    Flaking when lesion is scratched


    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 38 ºC)
Reddened and painful ulcer in the affected area
Reddish sores that are itchy, break open, and ooze clear fluid or pus

Self-care

Apply moisturiser daily.
Reduce situations that produce psychological stress.
Avoid taking over-the-counter medications like non-steroidal anti-inflammatories.
Shower everyday using gentle soaps that contain oils and added fats.
Sun exposure in moderation.
Reduce tobacco consumption.
Reduce alcohol consumption.
Check with your general practitioner regarding the use of phototherapy, retinoids or topical psoralens treatment.