{"id":496,"date":"2020-07-26T23:36:15","date_gmt":"2020-07-26T23:36:15","guid":{"rendered":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/?p=496"},"modified":"2020-07-26T23:47:26","modified_gmt":"2020-07-26T23:47:26","slug":"chronic-plaque-psoriasis","status":"publish","type":"post","link":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/2020\/07\/26\/chronic-plaque-psoriasis\/","title":{"rendered":"Chronic plaque psoriasis"},"content":{"rendered":"\n<h6>What is&nbsp;chronic&nbsp;plaque&nbsp;psoriasis?<\/h6>\n\n\n\n<p>Chronic plaque psoriasis is the most common presentation of psoriasis. It presents as small to large, well-demarcated, red,&nbsp;scaly&nbsp;and thickened areas of skin. It most likely to affect elbows, knees, and lower back but may arise on any part of the body.<\/p>\n\n\n\n<p>It tends to be a relatively&nbsp;persistent&nbsp;or chronic pattern of psoriasis that can be improved with treatment but is difficult to clear completely with&nbsp;topical&nbsp;treatments alone. It is characterised by large flat areas (plaques) of psoriasis with a typical silvery&nbsp;scale. These plaques may join together to involve very extensive areas of the skin, particularly on the trunk and limbs. It is often accompanied by scalp and&nbsp;nail&nbsp;psoriasis.<\/p>\n\n\n\n<h6>Types of chronic plaque psoriasis<\/h6>\n\n\n\n<p>Most cases of plaque psoriasis are described as &#8216;large plaque&#8217; or &#8216;small plaque&#8217; psoriasis. The plaques may be&nbsp;localised&nbsp;(e.g. to elbows and knees) or&nbsp;generalised&nbsp;(involving scalp, trunk and limbs).<\/p>\n\n\n\n<h6>Large plaque psoriasis<\/h6>\n\n\n\n<p>Large plaque psoriasis describes thick, well-demarcated, red plaques with a silvery scale. This type of psoriasis often has an early onset (&lt;40 years) and may be associated with&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/metabolic-syndrome\/\">metabolic&nbsp;syndrome<\/a>. There&#8217;s often a family history of psoriasis. It can be quite resistant to treatment.<\/p>\n\n\n\n<h5>Large plaque psoriasis<\/h5>\n\n\n\n<figure class=\"wp-block-table is-style-regular\"><table><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15539?copyright=&amp;label=\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-509\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-1.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-1.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-1-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15541?copyright=&amp;label=\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-508\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-2.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-2.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-2-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15543?copyright=&amp;label=\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-507\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-3.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-3.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/plaque-psoriasis-1-3-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h6>Small plaque psoriasis<\/h6>\n\n\n\n<p>Small plaque psoriasis often presents with numerous&nbsp;lesions&nbsp;a few millimetres to a few centimetres in diameter. The plaques are thinner, pinkish in colour and have a fine scale. They may be&nbsp;well-defined&nbsp;or merge with surrounding skin. Family history is less common. Although it may arise at any age, small plaque psoriasis often arises in those over than 40 years of age. This type of psoriasis often responds well to&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/phototherapy\/\">phototherapy<\/a>.<\/p>\n\n\n\n<h5>Small plaque psoriasis<\/h5>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15533?copyright=&amp;label=\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-506\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-1.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-1.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-1-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15535?copyright=&amp;label=\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-505\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-2.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-2.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-2-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15537?copyright=&amp;label=\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-504\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-3.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-3.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/small-plaque-psoriasis-1-3-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h6>Other types of plaque psoriasis<\/h6>\n\n\n\n<p>Uncommon subtypes or descriptions of chronic plaque psoriasis include:<\/p>\n\n\n\n<ul><li>Rupioid psoriasis: limpet-like cone-shaped&nbsp;hyperkeratotic&nbsp;lesions of psoriasis<\/li><li>Lichenified psoriasis: chronically rubbed or scratched areas of psoriasis that have become very thickened<\/li><li>Elephantine psoriasis: very persistent, very thickly scaled, large areas of psoriasis<\/li><li>Ostraceous psoriasis: very thickly scaled, ring-like areas of psoriasis, resembling an oyster shell<\/li><li>Linear&nbsp;psoriasis: psoriasis arranged in lines along the body (often corresponding to fetal&nbsp;developmental&nbsp;lines)<\/li><li>Koebnerised&nbsp;psoriasis: psoriasis&nbsp;developing&nbsp;within an area of skin&nbsp;trauma&nbsp;such as injury,&nbsp;infection, a surgical wound or scratch mark.<\/li><li>Photosensitive&nbsp;psoriasis: psoriasis worst in the sun-exposed areas of the face, neck, hands and forearms. Most patients with psoriasis find ultraviolet light very helpful for their psoriasis. A small group experience&nbsp;exacerbations&nbsp;of their&nbsp;rash&nbsp;following sun exposure. In these people, sometimes clear &#8216;<a href=\"https:\/\/dermnetnz.org\/topics\/sunburn\/\">sunburn<\/a>&#8216; lines are seen. They may also have typical plaque psoriasis elsewhere. Strict&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/sun-protection\/\">sun protection<\/a>, usually in combination with other treatment, is required to&nbsp;control&nbsp;this type of psoriasis.<\/li><\/ul>\n\n\n\n<h5>Uncommon forms of plaque psoriasis<\/h5>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15523?copyright=&amp;label=Lichenified+psoriasis&amp;caption=Lichenified+psoriasis\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-503\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-1.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-1.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-1-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15525?copyright=&amp;label=Ostraceous+psoriasis&amp;caption=Ostraceous+psoriasis\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-502\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-2.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-2.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-2-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15527?copyright=&amp;label=Elephantine+psoriasis&amp;caption=Elephantine+psoriasis\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-501\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-3.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-3.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-1-3-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15529?copyright=&amp;label=Linear+psoriasis&amp;caption=Linear+psoriasis\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-500\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-1.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-1.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-1-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/14817?copyright=&amp;label=Koebnerised+psoriasis&amp;caption=Koebnerised+psoriasis\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-499\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-2.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-2.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-2-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a href=\"https:\/\/dermnetnz.org\/imagedetail\/15531?copyright=&amp;label=Photosensitive+psoriasis&amp;caption=Photosensitive+psoriasis\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" loading=\"lazy\" width=\"294\" height=\"222\" class=\"wp-image-498\" style=\"width: 150px;\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-3.jpg\" alt=\"\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-3.jpg 294w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/uncommon-plaque-psoriasis-2-3-100x76.jpg 100w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><a href=\"https:\/\/dermnetnz.org\/topics\/chronic-plaque-psoriasis-images\/\">See more images of plaque psoriasis<\/a>.<\/p>\n\n\n\n<h6>Assessment of plaque psoriasis<\/h6>\n\n\n\n<p>Patients with chronic plaque psoriasis should be assessed by a&nbsp;dermatologist. Factors considered may include the following:<\/p>\n\n\n\n<ul><li>Age of onset of psoriasis<\/li><li>Current age and&nbsp;sex<\/li><li>Sites affected by psoriasis<\/li><li>Symptoms (itch, soreness)<\/li><li>The categorisation of psoriasis (localised or generalised, large plaque or small plaque)<\/li><li>Extent and severity of psoriasis (often by&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/pasi-score\/\">PASI<\/a>&nbsp;scoring)<\/li><li>Functional impairment or disability due to skin disease (often using&nbsp;DLQI&nbsp;or&nbsp;Dermatology&nbsp;Life Quality Index scoring)<\/li><li>Health problems including blood pressure, weight and body mass index (BMI)<\/li><li>Smoking status and alcohol intake<\/li><li>Current medications for psoriasis and other conditions<\/li><li>Previous treatments and their effect<\/li><li>Skin&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/skin-phototype\/\">phototype<\/a><\/li><li>Suitability of&nbsp;systemic&nbsp;therapy.<\/li><\/ul>\n\n\n\n<p>Patients to be treated with systemic therapy will be asked to undertake screening tests to ensure the medication is safe for them and as a&nbsp;baseline.<\/p>\n\n\n\n<h6>Treatment of chronic plaque psoriasis<\/h6>\n\n\n\n<p>Localised or mild chronic plaque psoriasis is usually managed initially with one or more topical agents. The following agents are usually effective for plaque psoriasis:<\/p>\n\n\n\n<ul><li><a href=\"https:\/\/dermnetnz.org\/topics\/topical-steroid\/\">Topical steroids<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/coal-tar\/\">Coal tar<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/dithranol\/\">Dithranol<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/calcipotriol\/\">Calcipotriol<\/a><\/li><li>Combinations, such as&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/calcipotriolbetamethasone-dipropionate-foam\/\">calcipotriol\/betamethasone propionate foam<\/a>.<\/li><\/ul>\n\n\n\n<p>If plaque psoriasis is too extensive or severe to be effectively managed with topical treatments alone,&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/phototherapy\/\">phototherapy<\/a>&nbsp;or systemic agents can be used and are usually very effective at improving and even clearing psoriasis; these include:<\/p>\n\n\n\n<ul><li><a href=\"https:\/\/dermnetnz.org\/topics\/methotrexate\/\">Methotrexate<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/acitretin\/\">Acitretin<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/ciclosporin\/\">Ciclosporin<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/mycophenolate-mofetil\/\">Mycophenolate<\/a><\/li><li><a href=\"https:\/\/dermnetnz.org\/topics\/biological-agents-for-psoriasis\/\">Biologics<\/a>&nbsp;including&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/adalimumab-for-psoriasis\/\">adalimumab<\/a>,&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/etanercept-for-psoriasis\/\">etanercept<\/a>,&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/infliximab-for-psoriasis\/\">infliximab<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/ustekinumab-for-psoriasis\/\">ustekinumab<\/a>.<\/li><\/ul>\n\n\n\n<p>For more information on these and other treatments, see DermNet&#8217;s page on&nbsp;<a href=\"https:\/\/dermnetnz.org\/topics\/treatment-of-psoriasis\/\">treatment for psoriasis<\/a>.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium\"><img decoding=\"async\" loading=\"lazy\" width=\"300\" height=\"67\" src=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-300x67.png\" alt=\"\" class=\"wp-image-492\" srcset=\"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-300x67.png 300w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-1024x228.png 1024w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-768x171.png 768w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-500x111.png 500w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-100x22.png 100w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-864x193.png 864w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x-1200x267.png 1200w, http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/wp-content\/uploads\/2020\/07\/DermNetNZ-logo@2x.png 1391w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption>Author: Dr Amy Stanway, Registrar, Department of Dermatology, Waikato Hospital, Hamilton, New Zealand, 2004.<\/figcaption><\/figure><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is&nbsp;chronic&nbsp;plaque&nbsp;psoriasis? Chronic plaque psoriasis is the most common presentation of psoriasis. It presents as small to large, well-demarcated, red,&nbsp;scaly&nbsp;and thickened areas of skin. It most likely to affect elbows, &#8230;<\/p>\n","protected":false},"author":5,"featured_media":510,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[78,39,81,51],"tags":[],"acf":[],"_links":{"self":[{"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/posts\/496"}],"collection":[{"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/comments?post=496"}],"version-history":[{"count":3,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/posts\/496\/revisions"}],"predecessor-version":[{"id":518,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/posts\/496\/revisions\/518"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/media\/510"}],"wp:attachment":[{"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/media?parent=496"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/categories?post=496"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ec2-34-224-182-223.compute-1.amazonaws.com\/dermatology.healthcare.pro\/index.php\/wp-json\/wp\/v2\/tags?post=496"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}