Dry Skin vs. Psoriasis in Winter — How to Tell the Difference

Winter weather can make everyone’s skin dry—but sometimes persistent flakes or redness are signs of something more serious: psoriasis. Because both conditions worsen during cold months, it’s easy to confuse them. Understanding the difference ensures proper treatment and prevents misdiagnosis.

What Is Dry Skin?

Dry skin occurs when the skin loses moisture and becomes rough or flaky. It’s usually temporary and improves with moisturizing.

Common symptoms:

• Flaking or peeling

• Tightness

• Mild itching

• Rough texture

Dry skin typically appears on:

• Arms

• Legs

• Hands

• Torso
  

What Is Psoriasis?

Psoriasis is an autoimmune condition that causes skin cells to build up too quickly, forming thick plaques.

Signs it may be psoriasis:

• Thick, raised patches

• Silver or white scales

• Redness with clear borders

• Bleeding when picked

• Chronic recurrence
  

Common locations:

• Knees

• Scalp

• Lower back

• Elbows
  

Why Winter Makes Psoriasis Worse

• Less sunlight → lower vitamin D

• Cold air → dries the barrier

• Indoor heating → worsens inflammation
  
  

How to Tell the Difference

Psoriasis:

• Texture: Thick, raised

• Color: Red plaques with silver scales

• Location: Elbows, knees, scalp

• Pain: Can crack or bleed

• Duration: Chronic

Dry Skin:

• Texture: Rough

• Color: Light flakes

• Location: Anywhere

• Pain: Mild

• Duration: Mild, temporary

When to See a Dermatologist

If dryness does not improve with moisturizer or is painful, bleeding, or scaly, it may be psoriasis. Dermatologists offer treatments such as topical steroids, vitamin D creams, and light therapy.