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International Psoriasis Council

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Filter Gallery Section: High Impact Sites

Palmoplantar psoriasis

25CG – HIS – PPP

Palmoplantar psoriasis

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Plaque psoriasis

24CG – HIS – Inverse

Plaque psoriasis

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10-year-old male patient with 2 month history of pruritic rash. Histopathologically confirmed: regular acanthosis, marked compact hyperkeratosis and parakeratosis, munro microabscess, dilated cappillaries in dermal papillae, and lymphohystiocytic perivascular dermal infiltrates seen. Rx: MTX 7.5 mg PO/week Urea 10% in simple cream vehicle daily. Was improving very well at first appointment.

21MTT – HIS

10-year-old male patient with 2 month history of pruritic rash. Histopathologically confirmed: regular acanthosis, marked compact hyperkeratosis and parakeratosis, munro

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A male patient with erythrodermic psoriasis presented with ridging, pitting, oil spots on the nails with subungual hyperkeratosis and mild onycholysis on all toenails.

19MM – HIS

A male patient with erythrodermic psoriasis presented with ridging, pitting, oil spots on the nails with subungual hyperkeratosis and mild

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A middle aged male patient presented with numerous hyperkeratotic plaque type lesions predominantly on both extremities with deformity in a few digits. Patient was on treatment with topical steroid.

HighImpact28

A middle aged male patient presented with numerous hyperkeratotic plaque type lesions predominantly on both extremities with deformity in a

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Patient presented with numerous scaly plaque on almost all of her body including scalp. There was hyperkeratosis of the palms and soles as well.

HighImpact27

Patient presented with numerous scaly plaque on almost all of her body including scalp. There was hyperkeratosis of the palms

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Patient has psoriasis confirmed by a skin biopsy. The patient presents with different types of lesions; plaque to patches and some pustular lesions.

HighImpact26

Patient has psoriasis confirmed by a skin biopsy. The patient presents with different types of lesions; plaque to patches and

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Patient is an Afro-Colombian woman who developed flexural psoriasis several years ago in the axillary, inframammary, inguinal and intergluteal areas. She has a history of multiple topical and oral treatments for fungal infections without resolution. Her medical history includes obesity. She is currently without treatment for psoriasis.

HighImpact25

Patient is an Afro-Colombian woman who developed flexural psoriasis several years ago in the axillary, inframammary, inguinal and intergluteal areas.

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Patient is an Afro-Colombian woman who developed flexural psoriasis several years ago in the axillary, inframammary, inguinal and intergluteal areas. She has a history of multiple topical and oral treatments for fungal infections without resolution. Her medical history includes obesity. She is currently without treatment for psoriasis.

HighImpact24

Patient is an Afro-Colombian woman who developed flexural psoriasis several years ago in the axillary, inframammary, inguinal and intergluteal areas.

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Patient presented to our health facility with longstanding untreated psoriasis.

HighImpact23

Patient presented to our health facility with longstanding untreated psoriasis.

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Patient has psoriasis confirmed by a skin biopsy. The patient presents with different types of lesions; plaque to patches and some pustular lesions.

HighImpact20

Patient has psoriasis confirmed by a skin biopsy. The patient presents with different types of lesions; plaque to patches and

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A middle aged male patient presents with insidious onset, gradually progressive, dark, raised lesions on hands and feet. Lesions have been present for one year. Examination revealed hyperpigmented indurated plaques over both hands. A diagnosis of palmoplantar psoriasis was made.

HighImpact15

A middle aged male patient presents with insidious onset, gradually progressive, dark, raised lesions on hands and feet. Lesions have

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Patient presents with red, itchy lesions in the groin. He was repeatedly treated as tinea cruris. Examination shows well defined, erythematous plaques in the groin fold. He was diagnosed with inverse psoriasis.

HighImpact14

Patient presents with red, itchy lesions in the groin. He was repeatedly treated as tinea cruris. Examination shows well defined,

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A young patient presents with severe plantar psoriasis.

HighImpact13

A young patient presents with severe plantar psoriasis.

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A young patient presents with inverse plantar psoriasis.

HighImpact12

A young patient presents with inverse plantar psoriasis.

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A young patient presents with severe plantar psoriasis.

HighImpact11

A young patient presents with severe plantar psoriasis.

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A 32-year-old male patient presents with scalp psoriasis with rough thick scales and some cracks.

Scaling28

A 32-year-old male patient presents with scalp psoriasis with rough thick scales and some cracks.

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A 38 -year-old male patient from a rural area visited the dermatology clinic for the first time and treatment naive.

Scaling10

A 38 -year-old male patient from a rural area visited the dermatology clinic for the first time and treatment naive.

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Patient presents with scalp psoriasis with adherent scales.

Scaling7

Patient presents with scalp psoriasis with adherent scales.

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A 31-year-old male patient with plaque psoriasis. Patient presented with a prolonged history of topical steroid use, showing drug induced hypopigmentation on the arms with scaling on the dorsal aspect of both hands.

PC55

A 31-year-old male patient with plaque psoriasis. Patient presented with a prolonged history of topical steroid use, showing drug induced

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PC47

A 38 -year-old male patient presented with erythematous, scaly lesions and desquamation associated with onycholysis and sub-ungual hyperkeratosis.

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A middle aged male presented with plaques over both feet and hands. He was treated with tapinarof 1% cream for 1 month.

PC14

A middle aged male presented with plaques over both feet and hands. He was treated with tapinarof 1% cream for

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An elderly man presented with purplish plaques with scales that have been present on his legs for 5 years. Upon first presentation, he was treated with topical medicines.

PC13

An elderly man presented with purplish plaques with scales that have been present on his legs for 5 years. Upon

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What's New

Psoriasis: An Expert Global Perspective Is Now Available for Pre-Order

IPC Board Member and Treasurer Joel Gelfand, MD, MSCE, is the editor of a new textbook, Psoriasis: An Expert Global Perspective, now available for preorder from Elsevier. He worked with associate editors IPC President Bruce Strober, MD, PhD; IPC Vice President/President-Elect Claudia de la Cruz, MD; and IPC Chief Medical Officer Peter van de Kerkhof, MD, PhD. Nearly 50 authors from 20 countries contributed 30 chapters covering psoriasis from its earliest descriptions through genetics, immunology, and current therapies, with clinical images of psoriasis across diverse skin tones. All royalties support IPC.

PRE-ORDER YOUR COPY

Thursday, September 10, 2026

New Video Resource: Early Diagnosis and Treatment of Psoriatic Arthritis (PsA)

In this video, IPC Councilor Rodrigo Garcia Salinas, MD, a rheumatologist from Argentina, explains how to recognize psoriatic arthritis early, including why joint pain, how long a patient has had psoriasis, and family history can matter more than skin severity alone. He also reviews how imaging helps catch early disease and how to choose treatment based on each patient’s joint, spine, and skin involvement.

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Friday, September 25, 2026

Take Ten Video: Bridging Psoriasis and Metabolic Comorbidities

IPC President Bruce Strober reviews the link between psoriasis and metabolic disease, drawing on findings from IPC’s recent paper in the Journal of the American Academy of Dermatology (JAAD). He translates this growing body of evidence into five concrete priorities from the 2025 IPC Think Tank for improving cardiometabolic screening and care.

WATCH NOW

Wednesday, September 9, 2026