Psoriasis is a chronic autoimmune condition that primarily affects the skin, but it can also manifest in unexpected areas of the body. It’s important to note that psoriasis can affect individuals of all skin types, including Black people, although it may present differently on darker skin tones. Understanding these lesser-known locations can help you recognize and manage symptoms more effectively.
1. Nail Psoriasis
Psoriasis can affect the nails, causing them to become pitted, discolored, and even detached from the nail bed. This type of psoriasis, known as nail psoriasis, can be challenging to treat and may require specialized care from a dermatologist. Nail psoriasis can also lead to nail deformities, such as ridges or thickening, which can be bothersome and affect the appearance of the nails. On Black skin, nail psoriasis may appear as dark discoloration or lines on the nails.
Treatment for nail psoriasis may include topical treatments, oral medications, or injections, depending on the severity of the condition.
2. Foot Psoriasis
Psoriasis can develop on the soles of the feet, a condition known as palmoplantar psoriasis. This type of psoriasis can cause thick, scaly patches on the palms of the hands and the soles of the feet, which can be painful and may crack or bleed. Palmoplantar psoriasis can make walking and standing uncomfortable, and it can also affect daily activities that involve using the hands. On Black skin, palmoplantar psoriasis may appear as hyperpigmented patches.
Treatment for palmoplantar psoriasis may include topical treatments, phototherapy, or systemic medications, depending on the severity of the condition.
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3. Hand Psoriasis
Psoriasis can also affect the hands, leading to redness, scaling, and cracking of the skin. Hand psoriasis can be particularly troublesome, as it can interfere with daily activities that require the use of the hands, such as washing dishes or typing on a keyboard. People with hand psoriasis may experience discomfort or pain, especially if the skin cracks or bleeds. On Black skin, hand psoriasis may appear as ashy or scaly patches.
Treatment for hand psoriasis may include topical treatments, phototherapy, or systemic medications, depending on the severity of the condition.
4. Genital Psoriasis
Psoriasis can occur in the genital area, causing redness, itching, and discomfort. Genital psoriasis can be challenging to manage due to the sensitive nature of the skin in this area. On Black skin, genital psoriasis may appear as dark or hyperpigmented patches.
It is essential to seek medical advice for proper diagnosis and treatment, as using over-the-counter treatments may not be suitable for genital psoriasis. Treatment for genital psoriasis may include topical treatments, phototherapy, or systemic medications, depending on the severity of the condition.
5. Buttocks Psoriasis
Psoriasis can develop on the buttocks, presenting as hyperpigmented, scaly patches on Black skin. Like other forms of psoriasis, buttocks psoriasis can be itchy and uncomfortable.
Keeping the affected area clean and dry can help manage symptoms, along with using topical treatments prescribed by a healthcare professional. In some cases, systemic medications may be necessary to control buttocks psoriasis.
6. Oral Psoriasis
Psoriasis can affect the inside of the mouth, appearing as white or red (dark brown/purple in Black skin) patches on the gums, tongue, or cheeks. Oral psoriasis can be painful and may interfere with eating, drinking, and speaking.
It is essential to consult with a dentist or dermatologist for an accurate diagnosis and appropriate treatment. Treatment for oral psoriasis may include topical treatments or systemic medications, depending on the severity of the condition.
7. Nasal Psoriasis
Psoriasis can occur inside the nasal passages, causing irritation, dryness, and sometimes bleeding. Nasal psoriasis can be uncomfortable and may affect the sense of smell.
Using a saline nasal spray can help alleviate symptoms and prevent dryness. In some cases, topical treatments or systemic medications may be necessary to manage nasal psoriasis.
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8. Around the Eyes Psoriasis
Psoriasis can affect the skin around the eyes, leading to redness, scaling, and discomfort. On Black skin, around the eyes, psoriasis may appear as dark or hyperpigmented patches. Around the eyes, psoriasis can be challenging to manage due to the delicate nature of the skin in this area.
It is essential to use gentle skincare products and avoid rubbing or scratching the affected area. In some cases, topical treatments or systemic medications may be necessary to control around the eyes psoriasis.
9. Scalp Psoriasis
Psoriasis commonly affects the scalp, causing raised, flaking and scaly patches that are darker. Scalp psoriasis can be itchy and uncomfortable, and it can also lead to hair loss in some cases.
Using medicated shampoos containing ingredients like coal tar, salicylic acid, or ketoconazole can help manage symptoms and improve scalp health. In more severe cases, topical treatments, phototherapy, or systemic medications may be necessary to control scalp psoriasis.
If you suspect you have psoriasis in any of these areas, it’s essential to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan. With proper care and management, you can effectively control psoriasis symptoms and improve your quality of life.
