Clinical Presentation and Diagnosis of Plaque Psoriasis General

• Patients have small discrete to generalized confluent lesions over the entire body. Symptoms

• Patients may complain of severe itching. Signs

• Lesions are raised and are red to violet in color (commonly known as plaques).

• Lesions have sharply demarcated borders except where confluent.

• Lesions are loosely covered with silvery-white scales, which if lifted off, show small pinpoints of bleeding (Auspitz's sign).

• Plaques appear most commonly on the elbows, knees, scalp, umbilicus, and lumbar areas, and often extend to involve the trunk, arms, legs, face, ears, palms, soles, and nails.

• Nail involvement presents as pitting, discoloration ("oil spots"), crumbling, splinter hemorrhages, growth arrest lines, or tissue build-up around the nails.

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