Is My Knee Skin Issue Psoriasis After an Accident? - Dermatology

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Psoriasis issues


Hello doctor, I would like to ask a question.
I was in a car accident a few weeks ago, and it's been three weeks since then.
All my other wounds have healed, but my knee is still not better.
The surface looks a bit like peeling skin.
I would like to know if this is psoriasis.

Kai, 20~29 year old female. Ask Date: 2022/06/04

Dr. Wu Yuxin reply Dermatology


No lesions were observed, and it is not possible to determine the issue.
If it is causing significant distress, please seek medical attention promptly.

Reply Date: 2022/06/04

More Info


It sounds like you're experiencing a concerning skin issue on your knee following an accident. While I cannot provide a definitive diagnosis without examining the affected area, I can offer some insights that may help you understand your symptoms better.

Psoriasis is a chronic autoimmune condition that often manifests as red, scaly patches on the skin. These patches can appear anywhere on the body, including the knees, and are typically characterized by well-defined edges and silvery scales. However, psoriasis usually does not develop immediately after an injury; it tends to be a long-term condition that can flare up due to various triggers, including stress, infections, or skin injuries.

Given that your knee issue arose after a car accident, it is possible that what you are experiencing is related to the trauma rather than psoriasis. Skin that appears to be peeling or flaking could be a sign of several conditions, including:
1. Post-Traumatic Dermatitis: After an injury, the skin can react in various ways, including inflammation, dryness, and peeling. This is often temporary and may resolve as the skin heals.

2. Xerotic Dermatitis: This condition, also known as dry skin, can occur after an injury, especially if the skin has been exposed to harsh conditions or if you have not been moisturizing adequately. Dry skin can lead to scaling and flaking.

3. Infection: If the area was not properly cared for after the injury, it could be susceptible to infection, which might cause symptoms like redness, swelling, and peeling.

4. Eczema: This is another possibility, particularly if you have a history of skin issues. Eczema can cause dry, itchy, and flaky skin, and it can be triggered by stress or skin irritation.

To address your knee skin issue, consider the following steps:
- Moisturize: Apply a gentle, fragrance-free moisturizer to the affected area regularly. This can help alleviate dryness and promote healing.

- Avoid Irritants: Be cautious with soaps, lotions, or any products that may irritate the skin. Opt for mild, hypoallergenic options.

- Monitor for Infection: Keep an eye on the area for any signs of infection, such as increased redness, warmth, swelling, or pus. If you notice these symptoms, seek medical attention promptly.

- Consult a Dermatologist: If the condition does not improve or worsens, it would be wise to consult a dermatologist. They can provide a thorough examination and may perform tests, such as a skin biopsy, to determine the exact cause of your symptoms.

In conclusion, while psoriasis is a possibility, it is essential to consider other factors, especially given the recent injury. Proper skin care and monitoring for any changes will be crucial in managing your symptoms. If you have any further concerns or if the condition persists, do not hesitate to seek professional medical advice.

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