inverse psoriasis

Introduction

Clinical manfestations:

• thin, erythematous plaques
• variable epidermal scales
• distributed in body folds*
  • axilla
  • under the breasts or pannus
  • intergluteal clefts
  • perineum
• broad areas of erythema, confluent through skin folds

* distinguished from extensor surfaces in psoriasis vulgaris

Differential diagnosis

• striae distensae (adverse effect of potent glucocorticoids)

Management

• use less potent topical glucocorticoids first

More general terms

• psoriasis