Psoriasis Symptoms by Age
August 2025
What it Looks Like in Teens, Adults, and Older Adults.
Psoriasis is a chronic autoimmune skin condition that affects more than 7.5 million people in the U.S. alone, according to the National Psoriasis Foundation. While it can begin at any age, the way psoriasis presents and its impact on daily life can vary from adolescence to older adulthood.
In honor of Psoriasis Awareness Month this August, we’re exploring how psoriasis can appear differently in teens, adults, and older adults, and how treatment approaches can be tailored to meet the unique needs of each age group.
Psoriasis in Teens
While psoriasis is less common in children and teens than in adults, it can begin during adolescence. At this stage in life, the most common form is called plaque psoriasis, and it presents as raised, red patches with silvery-white scales, typically appearing on the scalp, elbows, knees, and back.
Key signs of psoriasis in teens:
- Itchy or painful skin lesions
- Flaking or scaling on the scalp (sometimes mistaken for dandruff)
- Sudden onset of symptoms triggered by stress, infections (like strep throat), or skin injuries
Common Challenges: Teenagers with psoriasis, especially on visible areas like the face or hands, may experience embarrassment or anxiety, emotional responses that can actually trigger psoriasis symptoms. Managing psoriasis during this stage often requires both medical treatment and emotional support.
Psoriasis in Adults
Most people are diagnosed with psoriasis between the ages of 15 and 35, and for many, it becomes a lifelong condition. Symptoms of psoriasis in adults may be more widespread and persistent.
Key signs of psoriasis in adults:
- Thickened, inflamed patches of skin that may crack or bleed
- Psoriatic arthritis: joint stiffness, swelling, and pain
- Nail changes: pitting, thickening, or discoloration
Triggers include stress, alcohol use, medications, and infections
Challenges: Adults often juggle work, family, and other responsibilities, making it difficult to keep up with consistent treatment. Psoriasis can also interfere with quality of life, including sleep, mobility, and self-esteem. In adults, psoriasis symptoms can be triggered by stress, alcohol use, medications, and infections, but can also manifest independently of these factors.
Psoriasis in Older Adults
Older adults with existing psoriasis may experience the same or worsening symptoms as they age, but many individuals develop psoriasis for the first time later in life.
At older ages, psoriasis symptoms may become more difficult to manage due to other age-related conditions or sensitivities, such as thinner and more fragile skin that becomes more prone to irritation.
Key signs of psoriasis in older adults:
- Slower healing of lesions
- Medication interactions that cause skin sensitivity
Challenges: Older adults may need to modify their treatment plans due to medical conditions or reduced tolerance for certain medications. Coordinating care with other providers is essential to ensure safe and effective treatments
Managing Psoriasis at Every Age
No matter your age, psoriasis can be managed with the right care plan. Work with your board-certified dermatologist to create a treatment plan that works for your symptoms, lifestyle, and overall health goals. Some psoriasis treatment options may include:
Topical therapies: Creams or ointments to reduce inflammation and scaling
Phototherapy: Controlled exposure to UV light
Systemic medications: Oral or injectable drugs that target the immune system
Biologics: Advanced medications that block specific immune responses
Your dermatologist can also help you identify and avoid possible triggers, whether they are related to stress, illness or medications, or environmental factors.
Whether you’re a teenager or a centenarian, psoriasis looks and feels different – and treatment options are different too. It’s important to seek the right care and work with a board-certified dermatologist who is going to put you on the right treatment path to manage your symptoms and improve your quality of life.
This Psoriasis Awareness Month, prioritize your skin health. If you’re struggling with psoriasis, request an appointment to explore your treatment options and get the support you need.