Psoriasis on the Arms

Overview

Psoriasis is a chronic disease that is caused by an overactive immune system and is associated with inflammation throughout the body. Symptoms may resolve and recur throughout a person's life.

Roughly 54% of people living with psoriasis have psoriasis on their arms, excluding elbows. [1] Psoriasis in the armpit is also called inverse psoriasis.

Plaque psoriasis in skin of color.

Pustular psoriasis on the arm of a white person.

Symptoms

Symptoms of psoriasis on the arms include:

  • Red, brown, or purple patches of skin
  • Patches of thick, raised skin (plaques)
  • Itching
  • Irritation, burning, or stinging
  • Pustules or blisters
  • Dry skin that may crack or bleed
  • Flaking of dead skin

On Caucasian skin, plaques typically appear as raised, red patches covered with a silvery white buildup of dead skin cells or scale. On skin of color, the plaques may appear darker, thicker, and more of a purple or grayish color or darker brown.

Causes & Triggers

The cause of psoriasis is not fully understood. Psoriasis plaques occur because the overactive immune system speeds up skin cell growth. Normal skin cells completely grow and shed (fall off) in a month. With psoriasis, skin cells do this in only three or four days. Instead of shedding, the skin cells pile up on the surface of the skin.

Inflammation caused by psoriasis can impact other organs and tissues in the body. People with psoriasis may also experience related health conditions. One in three people with psoriasis may also develop psoriatic arthritis.

Psoriasis on the arms can be triggered by the same factors as other types of psoriasis. Common psoriasis triggers include:

  • Stress
  • Certain medications
  • Smoking tobacco
  • Alcohol
  • Injuries or trauma to the skin
  • Illness, such as infections
  • Changes in weather
  • Diet

Learn more about triggers and flares by downloading your free Flare Guide and Symptom Tracker.

Diagnosis

health care provider will take several factors into consideration when making a diagnosis for psoriasis, including:

  • The appearance of the skin. Different types of psoriasis have different appearances.
  • The location of psoriasis. Certain types of psoriasis are more common in certain locations.
  • Itch of the skin. This is a common symptom of psoriasis.
  • A skin biopsy (the removal of a small piece of skin to be looked at under a microscope). A biopsy may also be done to determine if it is psoriasis or another skin condition.

Treatment & Management

Although there is no cure, there are more effective psoriasis treatments today than ever before. Treating psoriasis can help improve symptoms as well as lower the risk of developing psoriasis comorbidities such as psoriatic arthritis, heart disease, obesity, diabetes, and depression.

Treatments for psoriasis include:

Prevention

There is no known way to prevent the onset of psoriasis, however, there are many ways that you can manage your triggers to reduce flares.

Outlook/Prognosis

Psoriatic disease is lifelong, and symptoms may resolve and recur throughout the lifetime.

While there is no cure for psoriasis, treatments today are more effective than ever before and research into new treatments, as well as a cure, is ongoing. Treating psoriasis can help improve symptoms and may decrease the associated inflammation that can lead to psoriasis comorbidities such as psoriatic arthritis, heart disease, and depression.

Additional Resources

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Last updated on 7/25/2025 by the National Psoriasis Foundation.

References

  1. Bhutani, M. D., MAS, FAAD, Haberman, M. D., MSCI, Khattri, M. D., Lebwohl, M. D., & Feldman, M. D., Ph. D. (2025). The Psoriasis and Psoriatic Arthritis Pocket Guide: Treatment algorithms and management options (9th ed.). National Psoriasis Foundation. https://www.psoriasis.org/the-pocket-guide/

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