What are the common types of psoriasis that affect the feet. How can psoriasis on feet be identified and treated. What triggers psoriasis flare-ups on the feet. How does psoriasis impact foot health and mobility.

Understanding Psoriasis and Its Impact on Feet

Psoriasis is a chronic autoimmune skin condition that can affect various parts of the body, including the feet. When psoriasis develops on the feet, it can cause significant discomfort and impact daily activities like walking. The condition typically manifests as itchy, scaly rashes, but in some cases, it can also lead to pus-filled blisters.

While psoriasis commonly affects areas like the knees, elbows, scalp, and trunk, its presence on the feet can be particularly challenging. A 2020 Danish study identified the soles of the feet as the fourth most difficult-to-treat area for psoriasis. The severity of foot psoriasis can range from mild cases manageable with home remedies to severe instances requiring prescription medications.

Types of Psoriasis That Can Affect the Feet

Several types of psoriasis can manifest on the feet, each with its unique characteristics:

• Plaque Psoriasis
• Palmoplantar Psoriasis
• Localized Pustular Psoriasis
• Nail Psoriasis
• Guttate Psoriasis
• Erythrodermic Psoriasis
• Acropustulosis

Plaque Psoriasis

Plaque psoriasis, also known as psoriasis vulgaris, is the most prevalent form, accounting for approximately 90% of cases. On the feet, it presents as raised patches of dry, scaly skin that can be itchy or sore. The appearance of these patches can vary depending on skin tone, appearing pink or red on lighter skin and violet or dark brown on darker skin.

Palmoplantar Psoriasis

When plaque psoriasis specifically affects the soles of the feet (or palms of the hands), it’s referred to as palmoplantar psoriasis. Studies have shown that about 15% of people with psoriasis experience this form.

Localized Pustular Psoriasis

Also known as palmoplantar pustular psoriasis, this rare form causes pus-filled blisters to form on the soles of the feet. It’s more common in women aged 40-69 who smoke.

Nail Psoriasis

Nail psoriasis typically develops years after skin symptoms appear and can cause grooves, blood beneath the nail, and lifting of the nail from the nailbed.

Guttate Psoriasis

While guttate psoriasis primarily affects the trunk, upper arms, legs, face, and scalp, case studies have reported its occurrence on the soles of the feet. It presents as small, red, scaly spots resembling raindrops.

Erythrodermic Psoriasis

This rare and severe form of psoriasis can cause widespread redness and fluid retention in the feet and ankles. It requires immediate medical attention due to the risk of serious complications.

Acropustulosis

Acropustulosis is a rare form that causes a painful rash on the soles of the feet, characterized by small, reddish bumps that can turn into blisters. While most common in infants, it can affect individuals of any age.

Recognizing Symptoms of Foot Psoriasis

The symptoms of psoriasis on the feet can vary depending on the type and severity of the condition. Common signs include:

• Red and inflamed patches covered in whitish-silver scales
• Itching and burning sensations
• Pain and discomfort
• Dry and cracked skin
• Pitted and thickened nails
• Tiny blisters filled with yellow pus (in pustular psoriasis)
• Painful cracking and bleeding

Is foot psoriasis always painful? Not necessarily. The level of discomfort can range from mild to severe, with some individuals experiencing only minor itching while others may find it difficult to walk due to pain and cracking.

The Link Between Psoriasis and Psoriatic Arthritis

Approximately 20% of people with psoriasis also develop psoriatic arthritis, a condition that can affect various joints, including those in the feet. Symptoms of psoriatic arthritis in the feet may include:

• Swollen and tender joints
• Morning stiffness
• Swollen toes
• Pain in the ankles or heel area

Can psoriatic arthritis affect only the feet? While psoriatic arthritis can affect any joint in the body, it’s possible for symptoms to be primarily localized in the feet, particularly in the small joints of the toes or the larger joints like the ankles.

Understanding the Causes and Triggers of Foot Psoriasis

Psoriasis develops when the immune system mistakenly attacks healthy skin cells, leading to accelerated skin cell growth and the formation of psoriatic plaques. While the exact cause isn’t fully understood, a combination of genetic and environmental factors likely play a role.

Genetic predisposition is a significant factor in psoriasis development. A 2020 study found that 31.9% of people with psoriasis had a family history of the condition. The HLA-Cw6 gene variant has been particularly associated with an increased susceptibility to palmoplantar psoriasis.

What triggers psoriasis flare-ups on the feet? Common triggers can include:

• Stress
• Skin injuries or trauma
• Infections, particularly strep throat
• Certain medications
• Cold, dry weather
• Alcohol consumption
• Smoking

Are triggers the same for everyone with foot psoriasis? No, triggers can vary significantly between individuals. It’s important for people with psoriasis to identify their personal triggers to better manage their condition.

Diagnosis and Treatment Options for Foot Psoriasis

Diagnosing psoriasis on the feet typically involves a physical examination and a review of the patient’s medical history. In some cases, a skin biopsy may be necessary to confirm the diagnosis or rule out other conditions.

Treatment options for foot psoriasis can vary depending on the severity of the condition and may include:

1. Topical treatments: Over-the-counter or prescription creams, ointments, and lotions containing corticosteroids, vitamin D analogues, or retinoids.
2. Phototherapy: Controlled exposure to ultraviolet light to slow skin cell growth.
3. Systemic medications: Oral or injectable drugs that work throughout the body to reduce inflammation and slow skin cell growth.
4. Biologics: Targeted therapies that modify specific parts of the immune system.

How effective are topical treatments for foot psoriasis? Topical treatments can be highly effective for mild to moderate cases of foot psoriasis. However, the thick skin on the soles of the feet can make it more challenging for these treatments to penetrate, potentially requiring stronger or occlusive formulations.

Living with Foot Psoriasis: Self-Care and Management Strategies

Managing foot psoriasis involves a combination of medical treatments and self-care strategies. Here are some tips for living with foot psoriasis:

• Keep feet moisturized: Use thick, fragrance-free moisturizers to prevent dryness and cracking.
• Wear comfortable shoes: Choose footwear that doesn’t put pressure on affected areas.
• Practice good foot hygiene: Wash feet daily and dry thoroughly, especially between toes.
• Use gentle exfoliation: Carefully remove scales to improve the effectiveness of topical treatments.
• Manage stress: Incorporate stress-reduction techniques like meditation or yoga into your routine.
• Avoid triggers: Identify and avoid personal triggers that exacerbate your symptoms.

Can dietary changes help manage foot psoriasis? While there’s no definitive psoriasis diet, some people find that reducing inflammatory foods and increasing anti-inflammatory ones can help manage symptoms. It’s always best to consult with a healthcare provider before making significant dietary changes.

The Impact of Foot Psoriasis on Quality of Life

Foot psoriasis can significantly impact an individual’s quality of life, affecting mobility, comfort, and self-esteem. The visible nature of the condition, especially during warmer months when open footwear is common, can lead to social anxiety and self-consciousness.

How does foot psoriasis affect daily activities? Foot psoriasis can make simple tasks like walking or standing for extended periods painful or uncomfortable. This can impact work performance, exercise routines, and social activities. In severe cases, it may lead to reduced mobility and a more sedentary lifestyle.

Coping with the psychological impact of foot psoriasis is an important aspect of management. Support groups, counseling, and open communication with healthcare providers can help individuals navigate the emotional challenges associated with the condition.

Footwear Considerations for Psoriasis Sufferers

Choosing appropriate footwear is crucial for individuals with foot psoriasis. Consider the following tips:

• Opt for breathable materials like leather or canvas
• Choose shoes with a wide toe box to reduce pressure on affected areas
• Use soft, seamless socks to minimize friction
• Consider custom orthotics for additional support and comfort

Is it necessary to avoid certain types of shoes with foot psoriasis? While individual needs may vary, it’s generally advisable to avoid tight-fitting shoes, high heels, and footwear made from synthetic materials that don’t allow the skin to breathe.

Emerging Research and Future Treatments for Foot Psoriasis

The field of psoriasis research is continuously evolving, with new treatments and management strategies emerging. Some areas of current research include:

• Targeted biologics that offer more precise immune system modulation
• Gene therapy approaches to address the genetic components of psoriasis
• Novel topical formulations that enhance penetration through thick foot skin
• Personalized medicine approaches based on genetic profiles

What promising treatments are on the horizon for foot psoriasis? While it’s difficult to predict future breakthroughs, researchers are exploring several promising avenues, including JAK inhibitors, IL-23 inhibitors, and combination therapies that may offer more effective and targeted treatment for difficult-to-treat areas like the feet.

As research progresses, individuals with foot psoriasis can look forward to potentially more effective and personalized treatment options in the future. However, it’s important to work closely with healthcare providers to find the best current management strategies for individual cases.

The Role of Interdisciplinary Care in Managing Foot Psoriasis

Effective management of foot psoriasis often requires a multidisciplinary approach. This may involve coordination between:

• Dermatologists
• Podiatrists
• Rheumatologists (for cases involving psoriatic arthritis)
• Physical therapists
• Mental health professionals

How does interdisciplinary care benefit patients with foot psoriasis? By addressing the condition from multiple angles, interdisciplinary care can provide more comprehensive management, addressing not only the skin symptoms but also potential joint involvement, biomechanical issues, and psychological impacts.

Regular communication between healthcare providers ensures that all aspects of the condition are being addressed and that treatments are complementary rather than conflicting.

The Importance of Patient Education and Self-Advocacy

Empowering individuals with foot psoriasis through education and self-advocacy is crucial for effective long-term management. This includes:

• Understanding the nature of psoriasis as a chronic condition
• Learning to recognize early signs of flare-ups
• Being aware of treatment options and potential side effects
• Communicating effectively with healthcare providers
• Staying informed about new research and treatment developments

How can patients become better advocates for their foot psoriasis care? Patients can take an active role in their care by keeping detailed records of symptoms, triggers, and treatment responses, asking questions during medical appointments, and participating in support groups or patient advocacy organizations.

By becoming informed and engaged participants in their care, individuals with foot psoriasis can work more effectively with their healthcare team to achieve optimal management of their condition.

Symptoms, Causes, Pictures, and Treatment

When psoriasis develops on your feet, it can cause uncomfortable itching or soreness that makes tasks like walking difficult.

Psoriasis, an autoimmune skin condition, usually causes itchy and scaly rashes but can also cause pus-filled blisters. It most commonly develops on your:

• knees
• elbows
• scalp
• trunk

Psoriasis can affect many other parts of your body, such as your feet. In a 2020 study from Denmark, researchers found the soles of the feet were the fourth most common hard-to-treat area.

Mild psoriasis on your feet can be managed with home remedies such as moisturizers, but more severe psoriasis may need prescription medications.

Read on to learn more about the signs of psoriasis on your feet and how it can be treated.

Psoriasis is divided into subtypes depending on its features. Several types can develop on your feet.

Plaque psoriasis

Plaque psoriasis is the most common type of psoriasis. It makes up about 90% of cases. It’s also known as psoriasis vulgaris. Vulgaris is the Latin word for “common.”

Plaque psoriasis on your feet causes similar symptoms as when it develops on other parts of your body. It’s characterized by raised patches of dry and scaly skin. These patches tend to be itchy or sore.

Palmoplantar psoriasis on feet

When plaque psoriasis occurs on the palms of your hands or soles of your feet, it’s referred to as palmoplantar psoriasis. In a study of people with psoriasis, 15% of them were found to have palmoplantar psoriasis.

Localized pustular psoriasis on feet (also known as palmoplantar pustular psoriasis)

Palmoplantar pustular psoriasis is a rare form of psoriasis that causes pus-filled blisters to form on your palms or the soles of your feet. It’s much more common in women between the ages of 40 and 69 who smoke.

Nail psoriasis

Nail psoriasis is when psoriasis also causes nail symptoms. According to the American Academy of Dermatology Association, nail symptoms usually start years after psoriasis develops on your skin. They may include:

• grooves
• blood beneath the nail
• lifting of the nail from the nailbed

Guttate psoriasis

Guttate psoriasis causes small red and scaly spots to form on your skin. These spots often resemble raindrops and generally form on your:

• trunk
• upper arms and legs
• face
• scalp

Guttate psoriasis has also been reported in case studies on the soles of the feet. It’s usually triggered by infections, particularly strep throat.

Erythrodermic psoriasis

Erythrodermic psoriasis makes up about 1% to 2.25% of cases of psoriasis. It causes redness over at least 75% of your body’s surface. It can also lead to fluid retention in parts of your body, such as your feet and ankles.

Erythrodermic psoriasis requires immediate emergency medical attention to prevent severe complications such as heart failure or hypothermia.

Acropustulosis

Acropustulosis is a rare form of psoriasis that causes a painful rash on the soles of your feet or palms of your hand. The rash may contain small, reddish, flat bumps that turn into blisters.

Acropustulosis is most common in infants but can affect anybody.

Psoriasis can cause similar symptoms on your feet as on other parts of your body. Psoriasis on the feet can be mild, only affecting a small area of your feet, to severe, which affects your quality of life. Symptoms usually flare up for a few weeks to a few months and then go into remission for months to years.

Plaque psoriasis can cause:

• red and inflamed patches covered in whitish-silver scales
• itching and burning
• pain
• dry and cracked skin
• pitted and thick nails

Plaque psoriasis patches tend to be pink or red on people with light skin and violet or dark brown on people with darker skin.

Palmoplantar pustular psoriasis can cause:

• tiny blisters filled with yellow pus
• scaly skin
• painful cracking
• bleeding

About 10% to 25% of people with palmoplantar pustular psoriasis also have plaque psoriasis.

Psoriatic arthritis

About 20% of people with psoriasis also develop psoriatic arthritis. Psoriatic arthritis can affect any of your joints but often occurs in your:

• knees
• ankles
• hands
• feet

Symptoms can include:

• swollen and tender joints
• stiffness in the mornings
• swollen fingers or toes
• lower back pain

Psoriasis develops when your immune system attacks healthy skin cells. It’s not clear why this happens, but a combination of genetic and environmental factors likely play a role.

People with family members with psoriasis are at an elevated risk of developing it too. In a 2020 study, researchers found 31.9% (444 of 1,393) of people with psoriasis had a family history.

The most common gene associated with palmoplantar psoriasis is HLA. People with a version of this gene called HLA-Cw6 seem more susceptible to developing psoriasis.

Symptoms often develop when genetically susceptible people are exposed to certain triggers.

Triggers vary between people but often include:

• stress
• certain foods
• alcohol
• excess sunlight
• cold and dry weather
• obesity
• smoking
• some medications
• infections
• skin injury
• hormone changes

The majority of people with palmoplantar psoriasis are current or former smokers. It’s been hypothesized that activated nicotine receptors in sweat glands could trigger an inflammatory reaction that leads to psoriasis.

Here are some images of different types of psoriasis on the feet.

Psoriasis doesn’t have a cure, but a combination of home and medical treatments can help relieve flare-ups and symptoms.

Home remedies

Home remedies might be all you need to treat mild psoriasis. The following remedies may help ease your symptoms:

• warm baths
• oatmeal baths
• aloe vera to soothe irritation
• emollient creams to lower itching and scaling

Making lifestyle changes may help reduce flare-ups. Some habits you can adopt include:

• maintaining a moderate weight
• avoiding smoking and reducing alcohol intake (quitting can be difficult, but a doctor can build a cessation plan that works for you)
• eating a balanced diet
• keeping your skin moisturized
• tracking your symptoms with a diary
• minimizing stress
• exercising regularly

Learn more about home remedies for psoriasis.

Over-the-counter treatments

Some over-the-counter medications may help ease your symptoms. These include:

• coal tar to lower itchiness and flaking
• hydrocortisone creams or ointment to lower inflammation
• moisturizers to keep your skin hydrated
• salicylic acid products to soften scaly skin
• anti-itch creams

Medical treatment

A doctor may prescribe you stronger medications if you have moderate or severe psoriasis. Some of these medications include:

• apremilast
• biologic drugs
• cyclosporine
• methotrexate
• retinoids
• prescription topical steroids

A doctor may also recommend you try light therapy to treat pain and itchiness. This treatment involves exposing your skin to ultraviolet light in a controlled way to lower symptoms.

It’s a good idea to visit a doctor any time you develop an unknown rash or skin lesion. A doctor can help you determine if it might be a sign of psoriasis or another condition.

The National Psoriasis Foundation recommends seeing a dermatologist if:

• your symptoms are flaring up or getting worse
• treatments recommended by your primary care doctor aren’t working
• you’re interested in trying treatments such as biologics, oral medications, or phototherapy

A primary care doctor may be able to diagnose psoriasis based on the appearance of your skin if you have typical symptoms. They may refer you to a dermatologist if your condition is severe or if they aren’t sure if you have psoriasis. They may refer you to a rheumatologist if you have signs of psoriatic arthritis.

In some cases, a small skin sample called a biopsy may be taken to confirm the diagnosis.

Psoriasis can develop on any part of your body, including your feet. Symptoms can range from mild to severe. Some people have soreness that may lead to disability.

There’s no cure for psoriasis, but a number of treatments can help you manage your symptoms. If you have mild psoriasis, a doctor may recommend home remedies and over-the-counter treatments. They may recommend prescription medications or light therapy if your symptoms are more severe.

Symptoms, Causes, Pictures, and Treatment

When psoriasis develops on your feet, it can cause uncomfortable itching or soreness that makes tasks like walking difficult.

Psoriasis, an autoimmune skin condition, usually causes itchy and scaly rashes but can also cause pus-filled blisters. It most commonly develops on your:

• knees
• elbows
• scalp
• trunk

Psoriasis can affect many other parts of your body, such as your feet. In a 2020 study from Denmark, researchers found the soles of the feet were the fourth most common hard-to-treat area.

Mild psoriasis on your feet can be managed with home remedies such as moisturizers, but more severe psoriasis may need prescription medications.

Read on to learn more about the signs of psoriasis on your feet and how it can be treated.

Psoriasis is divided into subtypes depending on its features. Several types can develop on your feet.

Plaque psoriasis

Plaque psoriasis is the most common type of psoriasis. It makes up about 90% of cases. It’s also known as psoriasis vulgaris. Vulgaris is the Latin word for “common.”

Plaque psoriasis on your feet causes similar symptoms as when it develops on other parts of your body. It’s characterized by raised patches of dry and scaly skin. These patches tend to be itchy or sore.

Palmoplantar psoriasis on feet

When plaque psoriasis occurs on the palms of your hands or soles of your feet, it’s referred to as palmoplantar psoriasis. In a study of people with psoriasis, 15% of them were found to have palmoplantar psoriasis.

Localized pustular psoriasis on feet (also known as palmoplantar pustular psoriasis)

Palmoplantar pustular psoriasis is a rare form of psoriasis that causes pus-filled blisters to form on your palms or the soles of your feet. It’s much more common in women between the ages of 40 and 69 who smoke.

Nail psoriasis

Nail psoriasis is when psoriasis also causes nail symptoms. According to the American Academy of Dermatology Association, nail symptoms usually start years after psoriasis develops on your skin. They may include:

• grooves
• blood beneath the nail
• lifting of the nail from the nailbed

Guttate psoriasis

Guttate psoriasis causes small red and scaly spots to form on your skin. These spots often resemble raindrops and generally form on your:

• trunk
• upper arms and legs
• face
• scalp

Guttate psoriasis has also been reported in case studies on the soles of the feet. It’s usually triggered by infections, particularly strep throat.

Erythrodermic psoriasis

Erythrodermic psoriasis makes up about 1% to 2.25% of cases of psoriasis. It causes redness over at least 75% of your body’s surface. It can also lead to fluid retention in parts of your body, such as your feet and ankles.

Erythrodermic psoriasis requires immediate emergency medical attention to prevent severe complications such as heart failure or hypothermia.

Acropustulosis

Acropustulosis is a rare form of psoriasis that causes a painful rash on the soles of your feet or palms of your hand. The rash may contain small, reddish, flat bumps that turn into blisters.

Acropustulosis is most common in infants but can affect anybody.

Psoriasis can cause similar symptoms on your feet as on other parts of your body. Psoriasis on the feet can be mild, only affecting a small area of your feet, to severe, which affects your quality of life. Symptoms usually flare up for a few weeks to a few months and then go into remission for months to years.

Plaque psoriasis can cause:

• red and inflamed patches covered in whitish-silver scales
• itching and burning
• pain
• dry and cracked skin
• pitted and thick nails

Plaque psoriasis patches tend to be pink or red on people with light skin and violet or dark brown on people with darker skin.

Palmoplantar pustular psoriasis can cause:

• tiny blisters filled with yellow pus
• scaly skin
• painful cracking
• bleeding

About 10% to 25% of people with palmoplantar pustular psoriasis also have plaque psoriasis.

Psoriatic arthritis

About 20% of people with psoriasis also develop psoriatic arthritis. Psoriatic arthritis can affect any of your joints but often occurs in your:

• knees
• ankles
• hands
• feet

Symptoms can include:

• swollen and tender joints
• stiffness in the mornings
• swollen fingers or toes
• lower back pain

Psoriasis develops when your immune system attacks healthy skin cells. It’s not clear why this happens, but a combination of genetic and environmental factors likely play a role.

People with family members with psoriasis are at an elevated risk of developing it too. In a 2020 study, researchers found 31.9% (444 of 1,393) of people with psoriasis had a family history.

The most common gene associated with palmoplantar psoriasis is HLA. People with a version of this gene called HLA-Cw6 seem more susceptible to developing psoriasis.

Symptoms often develop when genetically susceptible people are exposed to certain triggers.

Triggers vary between people but often include:

• stress
• certain foods
• alcohol
• excess sunlight
• cold and dry weather
• obesity
• smoking
• some medications
• infections
• skin injury
• hormone changes

The majority of people with palmoplantar psoriasis are current or former smokers. It’s been hypothesized that activated nicotine receptors in sweat glands could trigger an inflammatory reaction that leads to psoriasis.

Here are some images of different types of psoriasis on the feet.

Psoriasis doesn’t have a cure, but a combination of home and medical treatments can help relieve flare-ups and symptoms.

Home remedies

Home remedies might be all you need to treat mild psoriasis. The following remedies may help ease your symptoms:

• warm baths
• oatmeal baths
• aloe vera to soothe irritation
• emollient creams to lower itching and scaling

Making lifestyle changes may help reduce flare-ups. Some habits you can adopt include:

• maintaining a moderate weight
• avoiding smoking and reducing alcohol intake (quitting can be difficult, but a doctor can build a cessation plan that works for you)
• eating a balanced diet
• keeping your skin moisturized
• tracking your symptoms with a diary
• minimizing stress
• exercising regularly

Learn more about home remedies for psoriasis.

Over-the-counter treatments

Some over-the-counter medications may help ease your symptoms. These include:

• coal tar to lower itchiness and flaking
• hydrocortisone creams or ointment to lower inflammation
• moisturizers to keep your skin hydrated
• salicylic acid products to soften scaly skin
• anti-itch creams

Medical treatment

A doctor may prescribe you stronger medications if you have moderate or severe psoriasis. Some of these medications include:

• apremilast
• biologic drugs
• cyclosporine
• methotrexate
• retinoids
• prescription topical steroids

A doctor may also recommend you try light therapy to treat pain and itchiness. This treatment involves exposing your skin to ultraviolet light in a controlled way to lower symptoms.

It’s a good idea to visit a doctor any time you develop an unknown rash or skin lesion. A doctor can help you determine if it might be a sign of psoriasis or another condition.

The National Psoriasis Foundation recommends seeing a dermatologist if:

• your symptoms are flaring up or getting worse
• treatments recommended by your primary care doctor aren’t working
• you’re interested in trying treatments such as biologics, oral medications, or phototherapy

A primary care doctor may be able to diagnose psoriasis based on the appearance of your skin if you have typical symptoms. They may refer you to a dermatologist if your condition is severe or if they aren’t sure if you have psoriasis. They may refer you to a rheumatologist if you have signs of psoriatic arthritis.

In some cases, a small skin sample called a biopsy may be taken to confirm the diagnosis.

Psoriasis can develop on any part of your body, including your feet. Symptoms can range from mild to severe. Some people have soreness that may lead to disability.

There’s no cure for psoriasis, but a number of treatments can help you manage your symptoms. If you have mild psoriasis, a doctor may recommend home remedies and over-the-counter treatments. They may recommend prescription medications or light therapy if your symptoms are more severe.

Psoriasis on the legs: causes, stages (photo), treatment

Author of the article

Razheva Valentina

Pediatrician,
member of the Union of Pediatricians of Russia

Last updated: 01/12/2023

Contents of the article

• Initial stage of psoriasis on the legs
• Symptoms of psoriasis on the legs
• Treatment of psoriasis on the legs

The appearance of psoriasis on the legs gives a person significant physical and emotional discomfort. The presence of deep painful cracks on the feet, the formation of psoriatic plaques on the knees, increased dryness and thickening of the skin – all this interferes with the patient, worsening his quality of life. The difficulty lies in the fact that it is almost impossible to completely cure psoriasis on the legs. However, there are ways to maximize the duration of remissions and reduce the manifestations of the disease.

Psoriasis on legs: initial stage

The initial stage of the disease is represented by the appearance on the surface of the skin of small areas of a rash – dry reddish papules with a loose structure. As psoriasis progresses, their area grows, so over time, the rashes merge into large plaques.

The first symptoms of psoriasis on the legs can be mistaken for manifestations of other skin diseases. The so-called psoriatic triad helps not to confuse this disease with others – a set of signs characteristic of psoriasis at the initial stage:

1. Stearin stain. With a slight scraping of the rashes, an increase in peeling is observed, giving the surface of the rash a resemblance to a crushed drop of stearin.
2. Terminal film. Under the layer of scales is a layer of shiny red skin.
3. “Blood dew”. At the slightest injury to the terminal film, small drops of blood appear on its surface, resembling dew.

It should be remembered that in infants, as well as in the intertriginous form of psoriasis in children, the phenomena of the psoriatic triad may not be determined.

Symptoms of psoriasis on the legs

Depending on the type of disease, the signs of psoriasis on the legs may vary.

Ordinary psoriasis on the legs

Ordinary (vulgar, simple, plaque-like) psoriasis is characterized by the formation of so-called psoriatic plaques – rounded islands, slightly rising above areas of healthy skin. Their surface is covered with dry scales of gray, silver or white, which are easily separated in case of scraping. The surrounding skin usually turns red, its temperature rises slightly, and the plaques themselves are accompanied by severe itching. As the number of eruptions grows, they can merge, forming the so-called “paraffin lakes”. Most often, psoriasis vulgaris on the legs appears in places subject to strong friction – these can be the feet, the outer surface of the knees, and the shins.

Pustular and exudative forms

Pustular and exudative forms of psoriasis are characterized by the appearance of vesicles on the affected areas of the skin, inside of which there is exudate. The skin around the rash is hot to the touch and red, the patient experiences itching, because of which he can scratch the rash. Due to the violation of the integrity of the blisters, the disease can be complicated by the addition of an infection and subsequent suppuration. If we talk about pustular and exudative psoriasis on the legs, then most often the disease is localized in the lower legs.

Psoriatic erythroderma

Symptoms of psoriatic erythroderma are red rashes localized on large areas of the skin, severe itching, in some cases – detachment of the affected skin, swelling of the subcutaneous tissue, swollen lymph nodes. If we talk about the legs, then the rash can affect them completely – from the groin and buttocks to the ankles.

Localization of foot psoriasis

Foot psoriasis

Special attention deserves the defeat of the feet. Psoriasis on the soles of the feet gives a person great psychological discomfort: the patient is embarrassed to walk in open shoes or barefoot, which can adversely affect his social adaptation and personal life. In addition, with psoriasis, painful wounds and cracks form on the feet, which interfere with a person walking.

Skin lesions in psoriasis are localized on the heels, fingertips, around the nails, between the toes, on the top of the foot. It can be small or deep cracks, psoriatic plaques, fluid-filled blisters.

The danger of foot psoriasis is that the rashes are constantly exposed to friction due to wearing socks, tights and shoes. Irritation caused by friction leads to increased itching and scratching of the affected skin – this can lead to infection or fungus.

In addition, the course of psoriasis on the soles of the feet is aggravated by sweating. By itself, sweat may not be dangerous for psoriatic rashes. However, it is a favorable environment for the reproduction and vital activity of bacteria, which can cause complications in the form of inflammation.

Joint psoriasis (psoriatic arthritis)

Psoriasis of the legs can affect not only the skin, but also the joints – in such cases we are talking about psoriatic arthritis. In particular, the knees and joints of the toes can suffer from this form of the disease. Usually, psoriatic arthritis does not appear in early childhood, affecting mainly adolescents, adults and the elderly.
Joint damage can develop simultaneously with psoriatic skin rashes or precede them (in 50% of cases).

The main symptom of psoriatic arthritis in the legs is the deformity of the joints and an increase in their size. Due to a violation of the shape of the joint, a change in the shape of the limb occurs – for example, a bone may appear at the base of the thumb. Due to the articular deformity, the patient feels stiffness and soreness, which manifests itself mainly in the morning. The skin over the affected joint stretches and acquires a painful burgundy hue. Edema may also be observed.

Psoriatic arthritis can have a negative impact not only on the joints, but also on ligaments, tendons and bone tissue. For example, the lesion may be localized to the calcaneus and tibia.

Damage to the nails

Damage to the toenails with psoriasis is not uncommon. This form of the disease manifests itself in the form of a change in the color and structure of the nail plates: they usually thicken, acquire a yellowish, gray or white tint, easily break, crumble and exfoliate, or vice versa – they become very thick. Also, depressions and grooves appear on the nails, and the skin around them becomes denser. Small hemorrhages and inflammatory processes can be observed under the nail plate. If you do not deal with the treatment of nail psoriasis on the legs, there is a possibility of complete loss of the damaged nail.

How to treat psoriasis on the legs?

All people who are faced with this disease are interested in how to cure psoriasis on the legs. Unfortunately, it is not possible to completely get rid of it – but the patient can make every effort to reduce the manifestations of psoriasis and prolong the periods of remission.

Treatment of psoriasis on the feet, shins, calves and thighs should be comprehensive – only in this case can noticeable results be achieved. If you act solely on the external manifestations of the disease, the effect of such therapy will be short-lived.

Preparations

The appointment of drugs for the treatment of psoriasis on the legs should be handled by a dermatologist, since medications arbitrarily chosen by the patient himself can harm him. Hormonal ointments, gels and creams are used to reduce skin itching, peeling and inflammation in psoriasis on the legs. In addition to them, the doctor may prescribe non-hormonal external agents based on tar, salicylic and boric acids, zinc. As for taking medications orally, depending on the form of manifestation of psoriasis, sedatives, antihistamines, multivitamin complexes, retinoids, and cytostatics can be prescribed.

Physiotherapy

Physiotherapy plays an important role in the treatment of psoriasis on the legs. This can be selective phototherapy, PUVA therapy, X-ray therapy, ultrasound therapy, magnetotherapy, cryotherapy, diadynamic therapy, laser treatment, baths with sea salt, soda, herbal decoctions.

Traditional medicine

Traditional medicine recommends using vegetable oils as an additional remedy in the treatment of psoriasis on the legs – olive, sea buckthorn, burdock, linseed. Thanks to a balanced composition rich in useful substances, oils provide additional nutrition and softening to the affected skin, fight inflammation, and accelerate the process of skin regeneration.

The use of traditional medicine is possible only after consulting a doctor.

To reduce the signs of psoriasis on the legs and prevent the development of exacerbations, the patient is recommended to follow some rules:

• Wear comfortable, not too tight, light shoes without heels. It is also recommended to use special insoles that provide maximum cushioning.
• Pants and skirts should be spacious enough, made of soft materials that are pleasant to the touch.
• It is necessary to treat any inflammatory processes on the legs in a timely manner.
• During the period of exacerbation of psoriasis, it is recommended to reduce the load on the legs to protect them from friction.

With psoriasis on the legs, it is extremely important to provide quality care to the affected areas of the skin. For this purpose, La Cree products are well suited:

• It is better to replace daily hygiene procedures with the use of soap with the use of a more gentle product – La Cree cleansing gel. It contains hypoallergenic detergents, avocado and olive oil derivatives, licorice and walnut extracts – these components provide gentle skin cleansing, have anti-inflammatory and healing effects.
• For additional hydration and nourishment of the affected areas, you can use the La Cree cream for dry skin. It contains wheat germ, jojoba and shea oils, beeswax, licorice and string extracts, the action of which is aimed at combating itching and flaking of the skin.

Clinical studies

Conducted clinical studies prove the high efficiency, safety and tolerability of TM “La Cree” products for daily skin care of children with mild and moderate atopic dermatitis and during remission, accompanied by a decrease in the quality of life of patients. As a result of therapy, a decrease in the activity of the inflammatory process, a decrease in dryness, itching and flaking were noted.

Many products of the line are recommended by the St. Petersburg branch of the Union of Pediatricians of Russia.

Sources:

1. Sukolin Gennady Ivanovich, Clinical dermatology. Brief guide to the diagnosis and treatment of dermatoses, Notabene, 2017.
2. Reken Martin, Schaller Martin, Sattler Elke, Burgdorf Walter, Atlas of Dermatology, MEDpress-inform, 2018.
3. Schneiderman Paul, Grossman Mark, Differential diagnosis in dermatology. Atlas, Binom, 2017.

Photos of neurodermatitis in adults

Neurodermatitis in adults on the body

Neurodermatitis in adults on the neck

Neurodermatitis in adults on the hands

Symptoms of neurodermatitis in adults

Neurodermatitis in adults on the head

Neurodermatitis in adults on the palms

Neurodermatitis in adults on the elbows

Neurodermatitis on fingers in adults

Neurodermatitis in adults on the legs

Signs of neurodermatitis in adults

Photo album on the disease

See also

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Psoriasis

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photos, treatment, symptoms of the initial stage, causes – Losterin

The appearance of psoriasis on the legs causes discomfort to the patient, the quality of life decreases, the emotional background worsens. The presence of lesions prone to dryness and the appearance of deep cracks hinders movement and brings pain. To start pathogenetic therapy, it is recommended to know what psoriasis looks like on the legs in order to distinguish it from other skin diseases.

Causes of psoriasis on the legs

Psoriasis is a non-communicable disease that affects the skin and causes bright pink rashes. The elements of the rash are most often represented by separate rashes – papules, which can sometimes merge and form plaques. Statistically, psoriasis accounts for 2% of all skin diseases. Most often localized on the lower and upper limbs.

The exact cause of the development of the disease is difficult to trace, experts identify a number of etiological factors that become a trigger:

Often there is a combination of several causes, which complicates the diagnosis and prescription of causal treatment to target the trigger.

Photo of psoriasis on the legs, what psoriasis on the legs looks like

Photo 1.
Psoriasis of the feet.

Photo 2.
Psoriasis on the legs.

Photo 3.
Symptoms of psoriasis: itching.

Photo 4.
Symptoms of psoriasis: deterioration of the nails.

Picture 5.
Psoriasis on the heels.

Photo 6.
Cracks in the heels from psoriasis.

To see what psoriasis looks like on the legs, you can look at photos of rashes on medical websites. Detailed photos of psoriasis on the feet and will allow you to consider the shape, type and structural features of the psoriatic plaque.

The initial stage of psoriasis on the legs

From the photo you can see that the initial stage of psoriasis on the legs is similar to many dermatopathies, therefore it is sometimes mistaken for another disease and treated at home. The rash is represented by pale pink papules, on the surface of which there are white scales. Subjective sensations in the form of itching are uncharacteristic of psoriasis; pain can be noted in the presence of cracks.

In order to differentiate psoriasis from other dermatoses, specific symptoms are checked:

In the progressive phase, the rash intensifies, becomes intensely pink, combines into plaques, partially covered with white scales with a silvery sheen. As the disease progresses, the area of ​​the lesion grows and is completely covered with scales. Itching and burning are noted in places of close contact with clothing, cracks occur due to dryness of the epidermis.

In infants and when the rash is located in large folds of the skin (intertriginous form of psoriasis), the symptom complex is difficult to perform due to the rapid desquamation of scales.

Symptoms of psoriasis on the legs

The peculiarity of the clinical picture of psoriasis on the lower extremities depends on the location and form of the disease.

Vulgar or common psoriasis is more often located in places of close contact with clothing and frequent friction: feet, extensor surface of the knees, shins. The rashes are round or irregular in shape, prone to rapid fusion and plaque formation. Abundantly covered with white, silvery and gray scales, which are easily peeled off by rubbing and scraping. There is local hyperthermia, infiltration, itching and burning.

Inverse psoriasis affects the flexion surfaces of the skin and areas of large folds: axillary, inguinal and intergluteal folds, elbow and popliteal folds. A complex form of the disease, similar to various types of dermatitis and allergies. Rashes are rounded, bright pink in color, a scarlet tint is possible, not covered with scales due to high humidity and active work of the sweat glands. Possible moderate itching, burning, pain. pain syndrome, severe itching and burning.

The exudative form can be located on the entire surface of the legs. On the skin, the presence of large, inflamed and weeping bright red plaques is noted. This form of psoriasis is characterized by the presence of dense scales-crusts of a yellowish-gray color on the surface of the rash.

Guttate psoriasis is manifested by multiple small reddish papules covered with silvery-white scales. With this form of psoriasis, the fusion of individual elements into plaques is rarely noted.

Psoriatic erythroderma is the most severe form, manifested by redness and infiltration of the entire human skin. There may be pronounced large-lamellar peeling. This form of psoriasis is characterized by a violation of the general condition of the patient – there is an increase in temperature, a violation of general well-being.

Psoriasis on the feet

Psoriasis on the feet brings significant psychological discomfort and limits daily activities due to the presence of pain. If psoriatic plaques are located on the back and plantar part of the foot, stiffness of movement occurs, it is difficult to find a pair of shoes.

Psoriasis on the feet is most often localized in areas of increased pressure on the skin. In these places, typical psoriatic rashes are formed, represented by infiltrated plaques of bright red color. On the surface of the plaques, there may be pronounced peeling, deep cracks.

Treatment of psoriasis on the legs

Before deciding how to treat psoriasis on the legs, it is important to exclude other skin diseases, such as a fungal infection. For this purpose, skin scrapings are most often taken for laboratory testing.

Treatment of psoriasis on the legs includes the use of drugs for external and internal use, physiotherapy, personal hygiene, diet, sleep and rest.

In severe psoriasis on the legs, systemic anti-inflammatory (immunosuppressive and cytostatic) drugs or drugs that affect the rate of cell division (synthetic retinoids) are used. Additionally or in milder cases, vitamin therapy, hepatoprotectors may be prescribed.

External treatment for psoriasis on the legs includes the use of drugs (hormonal preparations are most often used in combination with salicylic acid or a vitamin D analogue) and care products based on salicylic acid, urea, tar, naftalan oil.

Losterin in the treatment of psoriasis on the legs

The line of non-hormonal drugs Losterin is specially designed for the complex therapy of chronic skin diseases and care for damaged skin. Preparations are suitable for daily long-term use. Active ingredients: deresined naftalan, urea (urea), salicylic acid, D-panthenol, Japanese Sophora extract and almond oil do not cause addiction and “withdrawal syndrome”.

Carefully selected ingredients act directly on the lesions to reduce inflammation and itching. For the purpose of complex treatment and preventive measures for exacerbation of psoriasis on the legs and feet, the following are used: foot cream, thick emulsion and Losterin shower gel. The funds can be used during remission and as part of combination therapy.

Treatment can be supplemented with physiotherapy. The greatest therapeutic effect is observed from phototherapy (PUVA therapy. UVB-311 nm). This method significantly reduces inflammation within the focus, reduces the need for drugs and prevents the recurrence of the disease.

Sanatorium-and-spa treatment with hydrogen sulfide and sulfur sources in the period of regression and stationary form. The selection of an effective remedy for psoriasis on the legs is carried out by the attending specialist, it is important to have a complex effect on the body.

Prevention of psoriasis on the legs

Preventive measures include taking measures to prevent the recurrence of the disease:

1. Wearing clothes made of natural light material. Underwear should be in size, without squeezing elastic bands.
2. Selection of shoes strictly according to size. Wearing orthopedic insoles.
3. Keep the lesions clean and dry, air baths.
4. After bathing, pat skin dry with a clean, soft towel.
5. Cut nails regularly, check daily.
6. Antiseptic foot treatment: Furacilin solution, Chlorhexidine.
7. Application of moisturizing and wound healing agents.
8. Avoid stressful situations.
9. Weight normalization.