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Hi & welcome. Just yesterday there was an article about psoriasis in our newspaper on psoriasis and its 5 subtypes. Most common is plaque psoriasis, accounting for 80% of patients. This kind was described as red, raised, inflamed patches covered with silvery scale. While this subtype can appear anywhere, it favors knees, elbows, scalp and lower back. Finding effective treatment is trial & error: author said many people have to try varous meds. While sun typically brings improvement, stress, injury to skin (??), strep throat, certain meds (including anti-malarials), etc. can cause worsening. Patients must keep skin well moisturized, to prevent cracking & reduce itch. (Ironically, steroid creams often dry out skin & promote further itching...)

Just on the face of it---but I'm only a patient!---some of above seems to fit what you posted pretty well. But if you're worried, could your dermatologist do a skin biopsy?

Changing gears... Have you read up on the various lupus-specific rashes? Most lupus rashes, with exception of lupus uriticaria = hives, tend NOT to itch. However, there is a type, SCLE "psoriasiform", that looks a lot like psoriasis (but isn't). (I'm pretty sure of that because I had the second kind of SCLE rash, SCLE "annular" form, which looks entirely different from the psoriasiform kind.) Both the SCLE rashes tend to be extremely photosensitive. Also, you could read up on lupus symptoms, starting with the "sticky posts" (permanent info posts) at the top of the thread list.

It's my understanding that autoimmunes tned to run in families, but not necessarily the same ones. In my immediate family, we have my sister with hypothyroidism, and me with lupus; further removed, cousins have ulcerative colitis, psoriasis, Type 1 diabetes, etc. Finally, researchers are now learning that people with psoriasis are more at risk for other things, like Crohn's disease, heart problems, and diabetes.

While knowing little about any of this---when compared to real doctors!---in your shoes I'd want confirming tests, too. Then while waiting for results, I'd want to try other treatments; and I'd protect my skin from over-dryness. I hope people with first-hand knowledge add more thoughts. Post more soon, OK? Sending my very best wishes, Vee

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