Psoriasis | University of Maryland Medical Center

Introduction

Psoriasis is a common skin condition where people have a buildup of rough, dry, dead skin cells. They look like raised, reddish-pink areas covered with silvery scales and red borders.

Psoriasis usually occurs on the scalp, elbows, knees, groin, and lower back. It is a long-lasting or chronic disease that "comes and goes," and may show up as a few spots, or involve large areas. It is not contagious. You can't spread it from one part of your body to another, or from person to person.

More than 6 million people in the United States have psoriasis. You can develop psoriasis at any age, though it tends to come on during adolescence and old age. It usually comes on gradually, in both men and women. Doctors think psoriasis may be an inherited disease that can be triggered by emotional stress.

Most cases are not painful, although severe ones can be. About 5% of people with psoriasis also get psoriatic arthritis, a serious condition that involves painful and swollen joints.

The following are symptoms of psoriasis:

Researchers don't know what causes psoriasis. They do know that people who have it make more skin cells than normal. A faulty immune system seems to be involved. In people with psoriasis, T-cells (a kind of white blood cell) mistakenly attack skin cells. The new skin cells move to the outer layer of the skin too quickly, where they build up and form thick patches.

There seems to be a genetic component. You are more likely to develop psoriasis if a close relative also has the condition. Several underlying factors may trigger the condition or flare ups, including:

Your doctor will examine your skin and ask questions about your physical and emotional health. You may need a blood test to check levels of calcium, zinc, and certain other elements, and a skin biopsy to confirm the diagnosis.

Your doctor may suggest one or several different treatment options, including:

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Psoriasis | University of Maryland Medical Center

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