It is most likely to appear between the ages of 15 and 30 years.
Psoriasis is a chronic inflammatory skin disease, with a
strong genetic basis, characterized by complex alterations in epidermal growth and differentiation and multiple biochemical, immunologic, and vascular abnormalities, and a poorly understood relationship to nervous system function.
The classic lesion of psoriasis is a well-demarcated,
raised, red plaque with a white scaly surface.
Lesions can vary in size from pinpoint papules
to plaques that cover large areas of the body.
Under the scale, the skin has a glossy homogeneous erythema,
and bleeding points appear when the scale is removed, traumatizing the dilated capillaries below (the Auspitz sign)
Nail changes are frequent in psoriasis, being found in up to 40% of patients,21 and are rare in the absence of skin disease elsewhere.
Nail pitting is one of the commonest features of psoriasis,
involving the fingers more often than the toes Pits range from 0.5 to 2.0 mm in size and can be single or multiple.