10 Misconceptions About Psoriasis & Black Skin

The appearance of psoriasis can vary depending on the color of the skin. Representation of psoriasis on dark skin is often lacking in medical literature. Although psoriasis may have a distinct appearance, the sensation of itchiness remains consistent across different cases. There are options for managing symptoms through treatment. The appearance of psoriasis varies between individuals with different skin tones.

Psoriasis can impact individuals from various racial backgrounds, including Black people, Black Americans, and people of color. The portrayal of psoriasis in the media tends to focus primarily on individuals with lighter skin tones. Although itchiness is a common symptom of psoriasis, it can vary in appearance from one person to another.

What Does Psoriasis Look Like On Dark Skin Tones?

Psoriasis plaques are typically characterized by their pink-to-red color. These features characterize psoriasis on light skin tones. A psoriasis plaque on dark skin tones can vary in color, ranging from light to dark brown, purple, or gray. Occasionally, skin discoloration may not be easily noticeable on darker skin tones. The appearance of psoriasis can vary depending on the type and location of your body. However, individuals with non-white skin tones are less likely to experience pink or red skin discoloration as a symptom of psoriasis.

Flare-ups of psoriasis may be more noticeable on darker skin tones than medium to light skin tones. The thickened skin will eventually go away, but the discoloration caused by psoriasis plaques may last up to a year. Discoloration is not permanent, and seeking treatment from a healthcare provider can help accelerate your body's healing process.

How Will Different Types Of Psoriasis Look On Darker Skin?

Psoriasis comes in various forms, each targeting specific body areas and exhibiting distinct traits alongside skin discoloration. These types include:

Plaque psoriasis: A thick skin patch with purple to gray scales.
Inverse psoriasis: A patch of moist, smooth, shiny skin.
Guttate psoriasis: Small, pinhead-sized bumps (papules) with flaky, silver scales.
Erythrodermic psoriasis: A scaly skin rash (plaque) covering a large body area. It looks like a burn.
Nail psoriasis: Tiny indentations in your finger or toenails (pits) with a brown spot, also known as an oil spot. Your nails could thin and fall off.

What Does Plaque Psoriasis Look Like On Dark Skin Tones?

Plaque psoriasis appears distinct on medium to dark skin tones. Psoriasis plaques may appear differently in individuals with different skin tones, including those with darker hues. The typical description of a psoriasis plaque as "red" may not accurately capture the appearance of people of color. It is common to have a discolored patch of skin that can vary in shade from light to dark.

Gray.
Purple.
Brown.

Scales and skin flakes caused by plaque psoriasis are usually silver on darker skin tones.

Will Scalp Psoriasis Affect My Hair Growth?

Plaques can develop on your scalp and hairline, causing scalp psoriasis. Temporary hair loss may occur until your flare-up subsides. Once your psoriasis symptoms clear up, your hair will regrow.

Does Psoriasis Cause More Than Physical Symptoms?

Yes. Psoriasis can significantly impact the mental well-being of individuals with dark skin tones, extending beyond the visible physical symptoms. It's understandable to feel stressed or frustrated about your symptoms or the process of getting an accurate diagnosis and effective treatment promptly. Diagnosing your condition may require some time, as your physical symptoms can resemble other common skin conditions. Furthermore, psoriasis can significantly impact your self-esteem as it causes more noticeable changes to your skin compared to skin discoloration in individuals with lighter skin tones.

If you're experiencing physical symptoms that are impacting your mental well-being, it might be helpful to reach out to a mental health professional for support.

Can Psoriasis Be Misdiagnosed In Black People And People Of Color?

While receiving a misdiagnosis for psoriasis is possible, it is not a common occurrence. Misdiagnoses often occur due to the lack of representation of skin conditions on dark skin tones in medical textbooks and educational material for healthcare providers.

Several common conditions have similar symptoms to psoriasis, which can sometimes result in misdiagnosis. These conditions include:

Eczema.
Seborrheic dermatitis.
Rosacea.

It is possible to experience multiple skin conditions simultaneously, such as eczema and psoriasis. If you suspect a misdiagnosis of psoriasis, it is advisable to consult with a dermatologist or another healthcare professional who specializes in skin care.

How Is Psoriasis Treated On Medium To Dark Skin Tones?

Various treatment options for psoriasis are available, as everyone's skin responds differently to treatment. Some common treatment options for psoriasis are:

Topical creams or ointments.
Medicated lotions or shampoos.
Steroid creams.
Medications or immune therapies.
Light therapy.

Do People Of Color Need Stronger Treatments For Psoriasis?

There is no one-size-fits-all treatment for psoriasis. Research suggests that individuals with darker skin tones may experience greater effectiveness in long-term psoriasis treatment, as the visible signs of skin plaque tend to persist longer on darker than lighter skin. The prescription medication dosage required to clear psoriasis plaques may vary depending on their thickness, regardless of skin tone.

Managing Psoriasis Triggers

Psoriasis symptoms may worsen when your immune system overreacts to environmental triggers. Managing common psoriasis triggers involves:

Reducing stress.
It is important to wear protective gear to avoid injuries and to care for any injuries to prevent infection properly.
Regulate your body temperature by staying indoors when the weather is too hot or cold outside. Fluctuations in temperature can impact your skin.
It's important to be aware of the possible side effects of your regular medications and to discuss any flare-ups of psoriasis symptoms with your healthcare provider. It is important to continue taking medicines until your healthcare provider advises otherwise.

When Should I Visit A Dermatologist For Psoriasis?

If you're experiencing a persistent psoriasis flare-up that isn't responding to standard treatment, you should schedule an appointment with your dermatologist. If you notice psoriasis spreading across a significant portion of your body, it is advisable to seek medical attention from a healthcare provider or dermatologist.