The initial symptoms of psoriasis are varied, with the common type of psoriasis being the most common. In this type, the skin lesions are initially red papules or macules, corn to green bean in size, which can later gradually expand and fuse into red patches with clear boundaries and distinct basal infiltrates, and the surface of the lesions is covered with multiple layers of silvery white scales that are easily scraped away. If the surface scales are removed, a light red shiny film is visible, and when the film is scraped away, small sieve-shaped bleeding dots appear, called “punctate bleeding phenomenon”. This is the clinical characteristic of the disease. 1, arthritic psoriasis symptoms: as the early clinical manifestations of psoriasis, these patients of psoriasis symptoms pictures in addition to psoriasis damage, but also rheumatoid arthritis symptoms can occur, the incidence of about 6.8%. Their joint symptoms are aggravated or reduced at the same time as the skin symptoms. Most cases often follow psoriasis or are seen in conjunction with pustular psoriasis or erythrodermic psoriasis. The lesions can affect large and small joints, but small joints such as the hands, wrists and feet, especially the finger-plantar end joints, are the most common. These joints are red, swollen and painful, with stiffness and even muscle atrophy. Some cases may have rheumatoid arthritis changes on x-ray, but rheumatoid factor test is negative. 2. Pustular psoriasis patients: Initial symptoms are less common clinically, and the lesions tend to appear as small yellow superficial pustules on or around the basic damage of common psoriasis, and are more common on the flexors and folds of the extremities. In addition, the initial symptoms of palmoplantar pustular psoriasis are often seen only on the palmoplantar area, where dense corn-sized pustules appear on top of the erythema, with the walls of the pustules not easily ruptured, and the pustules dry and crust over and peel off in about 2 weeks. The pustules often recur, and the lesions can gradually spread around to the dorsal side of the palms and toes. 3, mention the red skin type of psoriasis: many readers often do not know much about it, the reason is that this type of psoriasis symptoms are relatively rare, accounting for about 1% of psoriasis patients. The clinical condition is heavy and is mostly caused by the stimulation of topical medication or improper treatment of common psoriasis in the progressive phase. The clinical manifestation of psoriasis symptom picture is exfoliative dermatitis, mostly seen as diffuse flushing of the skin all over the body, swelling, massive bran-like flaking, keratinization of the palms and toes, and thickening or even loss of nails. At this time the features of common psoriasis often disappear, but small patches of common psoriasis lesions are visible after healing. Patients are often accompanied by fever, chills, headache discomfort, and generalized superficial lymph node enlargement. I hope you can have an intuitive understanding. In normal times, you should do a good job of disease prevention, pay more attention to your own skin changes, and go to a regular hospital for consultation and treatment in time to discover psoriasis symptoms, so as not to let the disease aggravate recklessly and bring more serious harm to yourself.