Plaque Psoriasis

Overview: What Is Plaque Psoriasis?

Plaque psoriasis is the most common form of psoriasis. About 80 to 90 percent of people living with psoriasis experience plaque psoriasis. [1]

Psoriasis is a chronic disease that is caused by an overactive immune system and is associated with inflammation throughout the body. Symptoms may resolve and recur throughout a person's life.

Plaque psoriasis in skin of color.

Plaque psoriasis on the back of the hand.

Plaque psoriasis on skin of color.

Symptoms

Psoriasis plaques appear as raised, inflamed, and scaly patches of skin that may also be itchy and painful. 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.

Plaques can appear anywhere on the body, although they most often appear on the scalp, knees, elbows, and torso. Plaques generally appear symmetrically on the body, affecting the same areas of the body on the right and left sides. 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.

Psoriasis is often classified by severity, ranging from mild to moderate to severe. This classification is typically based solely on the body surface area covered by psoriasis lesions and does not take into account high-impact sites or impacts on quality of life.

Plaque psoriasis often accompanies nail psoriasis, which may look like discoloration, pitting, or separation of the nail from the nail bed.

Causes and Triggers

The cause of psoriasis is not fully understood. 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.

Plaque psoriasis can be triggered by the same factors as other types of psoriasis, which include:

  • Certain medications
  • Starting or stopping medicines
  • Infections
  • Injury to the skin
  • Stress
  • Tobacco or alcohol use

Learn more about triggers and flares by requesting a free Flare Guide and Symptom Tracker.

Diagnosis

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). A 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:

Over-the-Counter Products

Over-the-counter (OTC) products may help manage symptoms if you have mild plaque psoriasis. If you are looking for OTC products to try, check out NPF's Seal of Recognition program. These products have been created or are intended to be non-irritating and safe for people with psoriasis

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.

Additional Resources

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Psoriasis Simplified

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A woman with dark skin and a woman of lighter skin both look at a mobile phone.

Psoriasis or Eczema?

Similar symptoms may have you confused, so we talked with an expert about differentiating factors.

Learn the difference

Frequently Asked Questions

Is plaque psoriasis chronic?

Psoriasis is a lifelong disease, also known as a chronic disease. Symptoms may disappear and reappear throughout the lifetime.

What are common treatments for plaque psoriasis?

Plaque psoriasis is often treated with topicals (including steroids), phototherapy, biologic therapy, and oral systemics.

Flare Guide & Symptom Tracker

Learn about common triggers and symptoms and get your fillable flare tracker.

Get your guide

References

  1. Wilson FC, Icen M, Crowson CS, McEvoy MT, Gabriel SE, Kremers HM. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study [published correction appears in Arthritis Rheum. 2010 Apr;62(4):574]. Arthritis Rheum. 2009;61(2):233-239. doi:10.1002/art.24172

Last updated on 3/26/2025 by the National Psoriasis Foundation.

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