Psoriasis on Fingers Causes: Triggers and Treatments

Running my fingers over the rough, flaky skin makes me wonder, “Why is this happening to me?” I’m battling psoriasis, a persistent skin issue. It’s on my fingers, making me uncomfortable, embarrassed, and interfering with daily activities.

Dealing with psoriasis on your fingers? You’re not alone. This autoimmune condition affects 12-16% who have psoriasis itself. It’s known as palmoplantar psoriasis1. Symptoms can be overwhelming, from sore, broken skin to difficult nail issues like thickening and color changes1. Understanding what causes and triggers the condition, plus its treatments, can bring back control. It helps you live better with this lasting skin disease.

Key Takeaways

  • Psoriasis can show up on the hands and fingers, affecting up to 16% of psoriasis patients1.
  • Symptoms include scaly skin, flawed nails, and more1.
  • Things like infections, weather, meds, stress, and dry air can worsen psoriasis1.
  • Treatments vary from creams to light and systemic therapies1.
  • Managing it with lifestyle changes and good hand care is also key1.

Understanding Psoriasis on Hands and Fingers

Palmoplantar psoriasis targets the hands and feet, causing scaly and flaky skin.2 This condition makes the skin on palms, soles, fingers, and toes look different.2 It often leads to skin that’s cracked, bleeds, and feels painful, and nails that change in texture and color.

Coping with psoriasis on hands and fingers can make daily life hard and cause social worries.2 It’s linked to the immune system attacking its own skin cells mistakenly, causing too much skin to grow.

What is Palmoplantar Psoriasis?

This condition affects the palms and soles mainly.2 It shows up as scaly and colored patches that are both uncomfortable and not nice to look at.1

Doctors believe it happens because the immune system fights healthy skin by mistake, causing too many skin cells to form.

Common Symptoms and Affected Areas

Psoriasis can show different symptoms on hands and fingers, like painful skin and odd-looking nails.2 Simple tasks like holding things or writing can become hard because of it, causing embarrassment.2

The problem also sometimes affects the feet. This makes moving around and daily life even tougher.

About half of all psoriasis patients see changes in their nails.2 Nails can become thick, lift, pit, and change color, which is both painful and not good to look at.

Types of Psoriasis Affecting the Hands

The most common kind that affects the hands and fingers is palmoplantar psoriasis. But, other types can show up there too.

Guttate Psoriasis

Guttate psoriasis shows as small, round, red or discolored spots. It affects about 8% of psoriasis patients.1

Pustular Psoriasis

This type causes painful, pus-filled bumps. It affects 3% of people who have psoriasis.1

Plaque Psoriasis

The most common overall is plaque psoriasis. It makes itchy, painful patches that can be red, white, or purple. This type can also show up on the hands.1

It’s crucial to know the exact type of psoriasis affecting your hands. This helps choose the right treatment.

Treatment Options for Hand Psoriasis

Many treatments can help with psoriasis on the hands and fingers. The first choice is usually topical treatments. These include creams, ointments, vitamin D analogs, and calcineurin inhibitors3. They can cut down on redness, slow skin growth, and make the skin look and feel better.

Topical Treatments

For hand psoriasis, using creams and ointments is often very helpful. They keep the skin moist and decrease dryness and irritation. Steroid-based products lessen swelling and redness. Vitamin D products and calcineurin inhibitors calm the immune system and reduce fast skin cell growth of psoriasis.

Light Therapy

Light therapy is another option to treat hand psoriasis. UVA and UVB light, when used on hands, can do wonders. Light therapy cuts down on swelling and skin cell growth. It also makes the skin on hands look better.

Systemic Medications

More severe cases might need systemic medications. These are strong medicines like methotrexate, cyclosporine, and biologics3. They act on the body’s overall immune reaction, treating psoriasis from the inside.

The focus for treating hand psoriasis is on easing redness, slowing skin growth, and making hands look and feel better. Working closely with a healthcare provider helps find the right treatment mix. This can greatly improve life quality for those with hand psoriasis.

hand psoriasis treatments

Prevention and Management Strategies

There are ways to help prevent and manage psoriasis on the hands and fingers. Lifestyle changes can make a big difference. Avoiding triggers like stress4, infections, and certain medications is crucial.1 Weather changes1 and dry air are also important to watch for.1

Avoiding Triggers

Finding your triggers and stepping away from them is a solid plan. Stress, certain medicines, and bad weather can make psoriasis worse.1 Knowing and handling these triggers puts you in charge of managing your condition.

Proper Hand Care

Taking care of your hands is a must if you have psoriasis. Use mild soap, moisturize often, and skip the rough scrubbing.3 Put petroleum jelly on the skin and wear soft gloves. This can soothe and help the skin heal.3 Good hand care helps prevent triggers and flare-ups.

Stress Management Techniques

Stress really affects psoriasis, so it’s vital to keep it low.1,4 Adding meditation and exercise to your day can really help.4 Dealing with stress means better skin and a happier life overall.

With the right mix of treatments, recognizing triggers, and good self-care, living with hand psoriasis can get much easier. It’s all about taking control.

preventing psoriasis flare-ups

Psoriasis on Fingers Causes

Psoriasis on your fingers and hands often starts with an autoimmune disorder. This means the body attacks its skin cells by mistake. It leads to fast cell growth and skin piling up too much.1 If someone in your family has had psoriasis, you might be more likely to get it, too.2 Things like infections, certain drugs, stress, and even the weather can make psoriasis on your hands and fingers worse. So, a mix of things like your own immune system, family history, and what’s happening around you causes the skin problems you see with psoriasis.

Autoimmune Factors

Psoriasis is a way your body’s immune system acts up. It attacks your skin, which makes new cells too quickly. This leads to the red, scaly, and thick patches on your hands and fingers, and sometimes your feet.

Genetic and Environmental Contributors

A family link to psoriasis is a big factor in getting it on your hands and fingers.2 But, things from the world around you, like infections, medicines, stress, and even changing weather, can also set off or make psoriasis worse.3

psoriasis on fingers causes

Psoriasis on Fingers: Symptoms and Manifestations

Psoriasis on the fingers and hands shows many different signs. The skin can look red, have scales, and be thick. It might also crack and bleed, making simple tasks hurt.

5 Nail problems are common. Changes like thickening, lifting, and discoloration happen in up to 50% of psoriasis patients.2 Sometimes, there are fluid-filled bumps too. These are called palmoplantar pustulosis.5 Knowing these symptoms helps doctors diagnose and treat psoriasis on the fingers effectively.

Appearance on Hands and Fingers

Palmoplantar psoriasis affects 12-16% of people with psoriasis.1 This type shows similar symptoms on the hands and feet. They might look flushed, scaly, and thick. These issues can be embarrassing and affect daily life.

Nail Abnormalities

Psoriasis doesn’t just impact the skin. It can also change your nails. You might see your nails thicken, lift, or change color.2 About half of psoriasis patients deal with these changes. They can bring discomfort and trouble with using your hands.

Fluid-Filled Bumps

Fluid-filled bumps can be another sign of psoriasis on the hands or fingers. This condition is called palmoplantar pustulosis.5 It’s hard to treat, and the bumps can come back.

Diagnosing and Seeking Treatment

A doctor will normally diagnose psoriasis on your hands and fingers through a physical exam. They will look at the skin and its symptoms closely.2 Sometimes, a skin biopsy might be needed to confirm the diagnosis. This helps to make sure it’s psoriasis and not something else.2

Physical Examination and Biopsy

Your doctor will carefully check your hands and fingers for signs of psoriasis. They look for things like rough, discolored, and thick skin. This detailed look helps figure out what type and how severe your skin issue is. If they need more evidence, they might do a skin biopsy. This is a simple procedure where they take a tiny piece of skin. It helps get a clear diagnosis and rules out similar skin problems.

Medical History and Risk Factors

Your doctor will also ask about your medical history. This includes if anyone in your family has psoriasis or other immune system problems.6 They’ll want to know about your job, medications you take, and where you live. These details can help understand why you might have psoriasis on your hands. Their goal is to correctly diagnose you. Then, they can create a treatment plan that fits your unique situation.

diagnosing psoriasis on hands

Living with Hand Psoriasis

Psoriasis on the hands and fingers can really change how you live daily. The skin cracks, bleeds, and hurts, making simple tasks hard. This includes things like washing dishes or typing.3 Even though hands and feet are a small part of our bodies, psoriasis there can lower our life’s quality.3 It brings frustration, shame, and less joy in life.

Impact on Daily Activities

Hand psoriasis shows symptoms like cracking, thickening, and swelling. It can hinder your day-to-day actions.3 This is tough for those whose jobs depend on their hands. Keeping your hands clean, finding ways to deal with pain, and adapting are key. They help keep your life quality and freedom.

Lifestyle Modifications

To handle and make life better with hand psoriasis, changes might be needed. This could involve using gloves to protect your hands or keeping them moisturized. Also, stress management through meditation or exercise is vital.1 External factors like cold, stress, and smoking can trigger flare-ups.1 By avoiding these and with solid support from doctors and loved ones, the condition’s effects can be eased.

Using a broad strategy can really improve how you deal with hand psoriasis. This includes medical care, life changes, and support from friends and professionals.1 Since psoriasis gets worse without good care, a strong treatment plan with your healthcare team is critical.


Psoriasis on the fingers and hands is known as palmoplantar psoriasis. It’s a chronic skin issue that can really impact how you live. This autoimmune disorder makes skin cells grow too quickly. This leads to scaly, cracked, and red skin on the hands and fingers. It can also cause problems with your nails.7 To handle this, it’s key to know what can cause it, what signs to look out for, and your treatment options.

Working with your doctors and making changes to your daily habits can really help. For example, some things like smoking, things that bother your skin, or injuries can make your skin condition worse. But, eating foods that fight inflammation and taking good care of your hands can actually make a big difference.8 Sometimes, you might need special medicines or biologic drugs if your hand psoriasis is very bad.8

Battling psoriasis on your hands and fingers might seem tough, but it’s not impossible. With the right knowledge, teamwork with your healthcare team, and lifestyle tweaks, you can gain some control. This way, you do better in managing hand psoriasis and improving how you feel about life.


What is palmoplantar psoriasis?

Palmoplantar psoriasis is a kind that appears on the hands and feet. You see scaly, discolored patches on the skin there. It often affects palms, soles, fingers, and toes.

What are the common symptoms of psoriasis on the hands and fingers?

Psoriasis on hands and fingers has symptoms like cracked, bleeding, and painful skin. You might also notice issues with your nails, like thickening or discoloration.

What are the different types of psoriasis that can affect the hands?

Other than palmoplantar psoriasis, types affecting hands include guttate, pustular, and plaque psoriasis.

What are the treatment options for psoriasis on the hands and fingers?

Doctors use ways like putting medicine on the skin, using light, and even special drugs. These help control the body’s overactive immune response.

How can I prevent and manage psoriasis on the hands and fingers?

You can try to avoid what starts it and keep hands clean. Also, stress management is important for overall health.

What causes psoriasis on the fingers and hands?

This kind of psoriasis is linked to the immune system not working right. Some people may inherit this condition. Things in the environment can also trigger it.

How are psoriasis on the hands and fingers diagnosed?

Doctors look closely at your skin, sometimes taking a small piece to study. They also ask about your health and family history.

How does psoriasis on the hands and fingers impact daily life?

It can really affect how you do things every day. You might feel embarrassed and have to change how you live.

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