TYPES, KINDS AND SYMPTOMS OF PSORIASIS

There are many types of psoriasis, taking into account the specificity of the course, clinical picture and clinical symptoms. However, there are two types of psoriasis in terms of the time it occurs as well as the way it appears:

Type I: hereditary psoriasis - appears around the age of 40. The first changes occur most often in childhood or early adolescence. This type of psoriasis is associated with regular relapses and has a significant relationship with specific antigens such as HLA, Cw6 and DR7.

Type II: adult psoriasis - appears after the age of 40. It is characterized by a milder course than hereditary psoriasis, and it responds more easily to treatment.

Types and symptoms of psoriasis:
The clinical picture of psoriasis can be very diverse: from the classic form of plaque psoriasis with typical plaques covered with silvery scales in typical locations (knees, elbows, scalp), through small-scale psoriasis to inverse psoriasis involving the skin of the armpits, groin and genitals.

Guttate psoriasis
It is characterized by small blooms ranging in diameter from a few millimeters to 2 cm. Guttate psoriasis is most often observed in children and is the first sign of the onset of ordinary psoriasis.

Plaque psoriasis
It is the most common type of skin psoriasis. The clinical picture of plaque psoriasis is confluent round red patches covered with silvery scales. The changes range from a few to several centimeters. They can also occur around the scalp and nails.

Psoriatic erythroderma
Generalized psoriasis is the most severe form of psoriasis. It is manifested by inflammation of the skin of the whole body. The epidermis is bright red and peels off all over the surface. This type of psoriasis covers a larger area of ​​the body. Generalized psoriasis is often the result of an exacerbation of plaque psoriasis. It is accompanied by symptoms such as fever, itching, as well as changes in the nails and scalp.

Pustular psoriasis of the hands and feet
It most often appears after the age of 40. It is characterized by numerous erythematous-exfoliating pustules. The changes appear in the area of ​​the fingers of the lower and upper limbs.

Nail psoriasis
It occurs in 25% of psoriasis patients and is very often confused with onychomycosis. Symptoms of the nail plate are similar to those of ringworm: yellow-brown spots (an oil stain symptom) under the nail plate. The nails become brittle and split apart. Nail psoriasis very often coexists with articular psoriasis.

Inverse psoriasis
A characteristic feature of inverse psoriasis is the appearance of changes at the folded surfaces and skin folds, e.g. around the genitals, anus, groin, armpits or under the breasts. The papules are flat, bright red and the epidermis is slightly peeling. Due to the location of the lesions, painful irritation and cracks in the skin often occur.

Articular psoriasis
It occurs in 5-30% of patients with skin lesions. Joint discomfort may precede skin lesions, which occurs in 10-15% of patients.
This type of psoriasis often causes deformities that, in its advanced stage, may become disabling. Psoriatic arthritis usually occurs about 10 years after the onset of skin changes. There are three types of articular psoriasis: rheumatoid, distal and deforming.