About Psoriasis

Overview: What Is Psoriasis?

Psoriasis is a chronic disease where skin cells build up quickly, typically causing red or discolored, scaly, and itchy patches on the skin. It is not contagious and can vary in severity.

Psoriasis is an immune-mediated disease (a disease with an unclear cause that is characterized by inflammation caused by dysfunction of the immune system) that causes inflammation in the body.

Image of Plaque and Guttate psoriasis on a person's stomach

Plaque Psoriasis

Image of a guttate psoriasis on a person's back

Guttate Psoriasis

Inverse Psoriasis

Symptoms of Psoriasis

Symptoms of psoriasis include:

  • Red, brown, or purple patches of skin
  • Patches of thick, raised skin (plaques)
  • Itching
  • Irritation, burning, or stinging
  • Pustules or blisters
  • Dry skin that may crack or bleed
  • Changes to nails
  • Flaking of dead skin

On Caucasian skin, plaques typically appear as raised, red patches covered with a silvery white buildup of dead skin cells or scale. On skin of color, the plaques may appear darker and thicker and more of a purple or grayish color or darker brown.

Scalp psoriasis

Plaque psoriasis in skin of color.

Pustular psoriasis on the arm of a white person.

Symptoms often start between ages 15 and 25 but can start at any age. Men, women, and children of all skin colors can get psoriasis.

Common Psoriasis Locations

Psoriasis can be anywhere on the body. Plaques can be a few small patches or can affect large areas. It’s possible to have psoriasis plaques and scales in more than one location on the body at a time. Psoriasis on certain locations, called high-impact sites, can have an increased negative impact on quality of life, regardless of the total area affected by psoriasis.

Causes and Triggers of Psoriasis

The cause of psoriasis is not fully understood. It is believed to be caused by genetics, the immune system, and the environment.

Psoriasis plaques occur because the overactive immune system speeds up skin cell growth. Normal skin cells completely grow and shed (fall off) in a month. With psoriasis, skin cells do this in only three or four days. Instead of shedding, the skin cells pile up on the surface of the skin.

Inflammation caused by psoriasis can impact other organs and tissues in the body. People with psoriasis may also experience related health conditions. One in three people with psoriasis may also develop psoriatic arthritis.

While scientists do not know what exactly causes psoriasis, we do know that the immune system and genetics play major roles in its development. One thing we do know: psoriasis is not contagious. You cannot catch psoriasis from another person. Usually, something triggers psoriasis, causing symptoms to appear or worsen. Triggers vary from person to person.

Diagnosis of Psoriasis

A health care provider will take several factors into consideration when making a diagnosis for psoriasis including:

  • The appearance of the skin. Psoriasis lesions (patches) may be thick, raised plaques, or fine scaling.
  • The location of psoriasis. There are areas on the body that are more common for psoriasis to appear.
  • Itch of the skin. This is a common symptom of psoriasis.
  • A skin biopsy (the removal of a small piece of skin to be looked at under a microscope). The biopsy may also be done to determine if it is psoriasis or another skin condition.

Treatment & Management

Although there is no cure, there are more effective psoriasis treatments today than ever before. Treating psoriasis can help improve symptoms as well as lower the risk of developing psoriasis comorbidities such as psoriatic arthritis, heart disease, obesity, diabetes, and depression.

Treatments for psoriasis include:

Complementary and Integrative Medicine

Complementary and integrative medicine (CIM), which includes natural products, lifestyle changes, and mind and body practices is a popular addition to some people’s treatment plans. Talk with your health care provider before making any changes to your treatment plan to decide if it is right for you.

Prevention

There is no known way to prevent the onset of psoriasis, however, there are many ways that you can manage your triggers to reduce flares.

Outlook/Prognosis

Psoriatic disease is lifelong, and symptoms may resolve and recur throughout the lifetime.

While there is no cure for psoriasis, treatments today are more effective than ever before and research into new treatments, as well as a cure, is ongoing. Treating psoriasis can help improve symptoms and may decrease the associated inflammation that can lead to psoriasis comorbidities such as psoriatic arthritis, heart disease, and depression.

Life with Psoriasis

As with other chronic diseases, psoriasis may affect areas of your life other than your physical health. Psoriasis may affect your emotional health, your relationships, and how you handle stress. It could even affect areas of your life that you wouldn’t expect, such as your skin care routine or the clothes that you choose to wear. For some people, living with psoriasis can be a challenge. However, there are ways to handle those challenges so you can thrive with psoriasis.

Frequently Asked Questions

Is psoriasis contagious?

No. Because psoriasis is non-infectious, one individual cannot transmit it to another via physical touch.

Is there a cure for psoriasis?

Currently, there is no known cure for psoriasis, but various treatments can help manage the symptoms and improve the quality of life for those affected.

What are the common types and locations of psoriasis?

Plaque psoriasis is the most common form of psoriasis. About 80 to 90 percent of people living with psoriasis experience plaque psoriasis. [1] Up to two-thirds of people with psoriasis experience genital psoriasis [2] and around half of people living with psoriasis have scalp psoriasis [3] and/or psoriasis on the face [4].

What causes a psoriasis flare?

A psoriasis flare-up can be caused by various triggers such as stress, certain medications, smoking, alcohol, weather, and diet. While a flare is sometimes called a psoriasis outbreak, this can incorrectly suggest contagiousness. Psoriasis is not contagious.

Additional Resources

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Psoriasis 101

Dr. Jason E. Hawkes is here to break down the science of psoriatic disease.

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Skin of Color Resource Center

People of all different skin types can get psoriasis.

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These products have been created or are intended to be non-irritating and safe for people with psoriasis.

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Psoriasis affects more than 3% of the US adult population. That is more than 7.5 million US adults.

Armstrong et al., JAMA Derm 2021

Did You Know?

References

  1. Wilson, F. C., Icen, M., Crowson, C. S., McEvoy, M. T., Gabriel, S. E., & Kremers, H. M. (2009). Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum, 61(2), 233-239. doi:10.1002/art.24172
  2. Ryan, C., Sadlier, M., De Vol, E., Patel, M., Lloyd, A. A., Day, A., ... Menter, A. (2015). Genital psoriasis is associated with significant impairment in quality of life and sexual functioning. J Am Acad Dermatol, 72(6), 978-983. doi:10.1016/j.jaad.2015.02.1127
  3. Merola, J. F., Li, T., Li, W. Q., Cho, E., & Qureshi, A. A. (2016). Prevalence of psoriasis phenotypes among men and women in the USA. Clin Exp Dermatol, 41(5), 486-489. doi:10.1111/ced.12805
  4. Canpolat F, Cemil BC, Eskioğlu F, Akis HK. Is facial involvement a sign of severe psoriasis? Eur J Dermatol. 2008;18(2):169-171. doi:10.1684/ejd.2008.0363
  5. Armstrong AW, Mehta MD, Schupp CW, Gondo GC, Bell SJ, Griffiths CEM. Psoriasis Prevalence in Adults in the United States. JAMA Dermatol. 2021;157(8):940-946. doi:10.1001/jamadermatol.2021.2007

Last updated on 3/18/25 by the National Psoriasis Foundation.

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