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Thick, scaly, silvery patches

Also called: Psoriasis

Thick, scaly, silvery patches, often on elbows, knees, and scalp, are a sign of psoriasis.

Common causesPsoriasis
Usually serious?Usually not
Get checked ifJoint pain or widespread rash
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Psoriasis is an immune condition.

It can affect joints.

When to get medical care

Call 911Not an emergency.
Get care todayWidespread red skin or fever.
See a doctor soonNew patches or joint pain.

Causes

Caused by an overactive immune system.

OwieClear has pages on 2 conditions that can cause thick, scaly, silvery patches. Each shows how soon to get care.

Common causes

  • PsoriasisSee a doctor if it doesn't get better

    A long-term immune condition that causes thick, scaly, silvery patches, often on the elbows, knees, and scalp.

Less likely causes

What you can do at home

  • Moisturize.
  • Get some sun.

Medicines

Creams, light therapy, or biologics.

At the doctor

Diagnosed by exam.

Questions you may be asked

  • Joint pain

The exam

A skin exam.

Tests

  • Biopsy if unclear

Prevention

Manage triggers.

  • Reduce stress
  • Don't smoke

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

Start the symptom checker

Sources

Last updated 2026-11-13.