Redness and silver-looking scaling often affect the scalp and hairline with psoriasis. This image displays the fine, scaly, slightly elevated lesions in the armpit (axilla) in psoriasis.  In psoriasis, this is a typical elevated lesion with white scale on the knee.  This image displays dry, scaly areas of the scalp typical of psoriasis.  This image displays widespread red, scaling slightly elevated lesions involving buttocks and lower extremities from psoriasis. Psoriasis of the ear typically involves the ear canal and appears as redness with white scale. Psoriasis often has white, thick scale that comes off in "plates" when picked, causing bleeding. Psoriasis typically has multiple areas of skin involvement with lesions clustered on or near the knees. This image displays a close-up of the scaly, slightly elevated lesions of psoriasis, which often appear to come off in plates. This image displays typical slightly elevation lesions of psoriasis with thick, white scale and redness. This image displays an extensive case of psoriasis that has been triggered by a strep infection. This image displays an uneven, pitted nail separated from the nail bed due to psoriasis. This image displays the contrast between a nail affected by psoriasis (on the right) and one that is normal (on the left). This image displays knees affected by psoriasis. This image displays a separation of the nail from the bed (onycholysis) caused by psoriasis. This image displays cracks in the skin of hands typical of psoriasis. Psoriasis on the bottoms of feet may affect the instep of the sole as well as areas of friction. Psoriasis may be evident in the nails with multiple tiny, pit-like depressions of the nail plate surface. In addition to pitting of the nail surface, this patient with psoriasis has a yellowish discoloration and separation of the nail plate from the nail bed (onycholysis) of the free edges of the nails.
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Picture of Psoriasis: Redness and silver-looking scaling often affect the scalp and hairline with psoriasis. Divider line
Redness and silver-looking scaling often affect the scalp and hairline with psoriasis.
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Overview
Psoriasis is a disorder that affects both the skin and the joints, causing a characteristic rash and sometimes arthritis-like joint pain. The rash is usually red and raised, and the skin has a tendency to turn silvery and flaky on top of the red raised areas. Psoriasis can occur on any part of the body, including the scalp and nails. Approximately half of people who have the rash of psoriasis have fingernail changes, and a quarter have joint difficulties. Psoriasis tends to run in families (be hereditary) and is related to problems with the immune system. Psoriasis flares are triggered by many things, some of which are poorly understood; some scientists believe that viruses, injury to the skin (trauma), Streptococcus infection, stress, smoking, and alcohol can all trigger flares. There are no certain cures for psoriasis, but there are treatments that your doctor can prescribe that may help you manage the condition. 
Last Modified: 29 Jan 2008
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