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Psoriasis is equally common in males and females

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.

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