10 Misconceptions About Psoriasis & Black Skin


psoriasis skin


The appearance of psoriasis can vary depending on the color of the skin. Representation of psoriasis on dark skin is often lacking in medical literature. Although psoriasis may have a distinct appearance, the sensation of itchiness remains consistent across different cases. There are options for managing symptoms through treatment. The appearance of psoriasis varies between individuals with different skin tones.


Psoriasis can impact individuals from various racial backgrounds, including Black people, Black Americans, and people of color. The portrayal of psoriasis in the media tends to focus primarily on individuals with lighter skin tones. Although itchiness is a common symptom of psoriasis, it can vary in appearance from one person to another.


What Does Psoriasis Look Like On Dark Skin Tones?


Psoriasis plaques are typically characterized by their pink-to-red color. These features characterize psoriasis on light skin tones. A psoriasis plaque on dark skin tones can vary in color, ranging from light to dark brown, purple, or gray. Occasionally, skin discoloration may not be easily noticeable on darker skin tones. The appearance of psoriasis can vary depending on the type and location of your body. However, individuals with non-white skin tones are less likely to experience pink or red skin discoloration as a symptom of psoriasis.


Flare-ups of psoriasis may be more noticeable on darker skin tones than medium to light skin tones. The thickened skin will eventually go away, but the discoloration caused by psoriasis plaques may last up to a year. Discoloration is not permanent, and seeking treatment from a healthcare provider can help accelerate your body’s healing process.


How Will Different Types Of Psoriasis Look On Darker Skin?


Psoriasis comes in various forms, each targeting specific body areas and exhibiting distinct traits alongside skin discoloration. These types include:




  • Plaque psoriasis: A thick skin patch with purple to gray scales.


  • Inverse psoriasis: A patch of moist, smooth, shiny skin.


  • Guttate psoriasis: Small, pinhead-sized bumps (papules) with flaky, silver scales.


  • Erythrodermic psoriasis: A scaly skin rash (plaque) covering a large body area. It looks like a burn.


  • Nail psoriasis: Tiny indentations in your finger or toenails (pits) with a brown spot, also known as an oil spot. Your nails could thin and fall off.


RELATED: Q&A: Dr. Mona Shahriari’s Tips For Treating Scalp Psoriasis in Black Skin


What Does Plaque Psoriasis Look Like On Dark Skin Tones?


Plaque psoriasis appears distinct on medium to dark skin tones. Psoriasis plaques may appear differently in individuals with different skin tones, including those with darker hues. The typical description of a psoriasis plaque as “red” may not accurately capture the appearance of people of color. It is common to have a discolored patch of skin that can vary in shade from light to dark.



  • Gray.

  • Purple.

  • Brown.


Scales and skin flakes caused by plaque psoriasis are usually silver on darker skin tones.


Will Scalp Psoriasis Affect My Hair Growth?


Plaques can develop on your scalp and hairline, causing scalp psoriasis. Temporary hair loss may occur until your flare-up subsides. Once your psoriasis symptoms clear up, your hair will regrow.


Does Psoriasis Cause More Than Physical Symptoms?


Yes. Psoriasis can significantly impact the mental well-being of individuals with dark skin tones, extending beyond the visible physical symptoms. It’s understandable to feel stressed or frustrated about your symptoms or the process of getting an accurate diagnosis and effective treatment promptly. Diagnosing your condition may require some time, as your physical symptoms can