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psoriasis and vitiligo

Types of Psoriasis: Symptoms, Causes & Best Treatments

What is Psoriasis?

Psoriasis occurs when the immune system mistakenly attacks healthy skin cells. This results in rapid skin cell turnover, inflammation, and scaling. It can appear on any part of the body and can range from mild to severe.


Common Types of Psoriasis

1. Plaque Psoriasis (Psoriasis Vulgaris)

🔹 Most common type
🔹 Appears as raised, inflamed, red patches covered with silvery-white scales
🔹 Common areas: scalp, elbows, knees, and lower back

Symptoms:

  • Dry, cracked skin

  • Itching, burning, or soreness

  • Thickened nails

Treatment:

  • Topical steroids, moisturizers

  • Phototherapy

  • Systemic medications (like methotrexate, biologics)


2. Guttate Psoriasis

🔹 Small, red, drop-shaped spots
🔹 Often triggered by infections (like strep throat)
🔹 Affects children and young adults more

Common areas: arms, legs, trunk

Treatment:

  • Antibiotics (if infection-related)

  • Topical treatments

  • UV therapy


3. Inverse Psoriasis (Flexural Psoriasis)

🔹 Smooth, shiny red patches
🔹 Found in body folds – armpits, under breasts, groin

Symptoms:

  • No scaling, unlike other types

  • Can be painful due to friction and sweat

Treatment:

  • Low-potency topical steroids

  • Antifungal creams (if infected)

  • Lifestyle modifications


4. Pustular Psoriasis

🔹 White pus-filled blisters surrounded by red skin
🔹 Can be localized or widespread (generalized pustular psoriasis)

Triggers: medications, stress, infection, withdrawal of steroids

Treatment:

  • Hospitalization (in severe cases)

  • Oral medications, biologics

  • Topical therapy


5. Erythrodermic Psoriasis

🔺 Most severe and rare form
🔺 Widespread redness, shedding of skin
🔺 Can be life-threatening

Symptoms:

  • Intense itching and burning

  • Severe inflammation

  • Risk of infection and fluid loss

Treatment:

  • Immediate medical attention

  • Systemic treatments and hospitalization

  • Biologics or immunosuppressants


6. Nail Psoriasis

🔹 Affects fingernails and toenails
🔹 Can cause pitting, discoloration, thickening, or nail separation

Treatment:

  • Topical corticosteroids

  • Nail care

  • Systemic treatment if severe


7. Scalp Psoriasis

🔹 Thick, crusted plaques on the scalp
🔹 Can extend beyond the hairline

Symptoms:

  • Dandruff-like flaking

  • Itching and burning

  • Hair loss (due to scratching)

Treatment:

  • Medicated shampoos (coal tar, salicylic acid)

  • Steroid lotions

  • Light therapy


What Causes Psoriasis?

  • Genetic predisposition

  • Autoimmune dysfunction

  • Environmental triggers (cold weather, stress, skin injury)

  • Infections and certain medications


Is Psoriasis Curable?

There is no permanent cure for psoriasis, but many treatments can control the symptoms effectively. Holistic approaches, including Ayurveda, dietary changes, and stress management, have also shown promising results in managing the condition naturally.


Tips for Managing Psoriasis

  • Moisturize daily

  • Avoid harsh soaps

  • Maintain a healthy weight

  • Reduce stress

  • Follow a psoriasis-friendly diet

  • Consult a dermatologist regularly

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