Category Archives: Psoriasis and Related Disorders

Psoriasis and related disorders

Plaque psoriasis

Very well-demarcated, large, oval, red plaque covered with silvery scales involved the lower part of the shin of one year duration. Many other similar but smaller plaques were seen on other parts of the body even on the scalp.

Palmar psoriasis

A 30-year-old female suffered pruritic, erythematous, scaly plaques with some fissuring of both palms of more than one year duration. The rash involved mostly the thenar and hypothenar eminences. No other body area, scalp or nail involvement.

Annular lichen planus

A 30-year-old man presented with a few pruritic annular plaques with elevated violaceous borders and depressed hyperpigmented centers of many months duration on the dorsa of the hands. Skin biopsy was consistent with lichen planus.

Palmar psoriasis

Plaque psoriasis of the palms and/or soles may be one of the difficult-to- treat types of psoriasis. However, it may present with few patches or plaques with mild desquamation as in this 35-year-old man who had has few lesions confined to the palms only of more than one year duration.

Plaque Psoriasis

A 41-year old lady with 7 years history of well-demarcated, fiery red plaques covered with characteristic white scales involved mainly the extremities and scalp and less on the trunk. The rash has affected about 25% of the body surface area. She was put on methotrexate 15 mg per week orally.

Lichen planus

A 59-year-old man presented with 9-month-history of darkly pigmented rash on the side of the chin and cheek. It has been treated with topical and “systemic steroids” !!! for long time. At presentation linear hyperpigmented slightly atrophic patch with some still elevated papules at the periphery. LP commonly leaves post-inflammatory hyperpigmentation on spontaneous or treatment-induced resolution.