Scales
Skin flaking; Scaly skin; Papulosquamous disorders; IchthyosisScales are a visible peeling or flaking of outer skin layers. These layers are called the stratum corneum.
Causes
Scales may be caused by dry skin, certain inflammatory skin conditions, or infections.
Examples of disorders that can cause scales include:
- Eczema
Eczema
Atopic dermatitis is a long-term (chronic) skin disorder that involves scaly and itchy rashes. It is a type of eczema. Other forms of eczema include...
Read Article Now Book Mark Article - Fungal infections such as ringworm or tinea versicolor
Ringworm
Ringworm is a skin infection due to a fungus. Often, there are several patches of ringworm on the skin at once. The medical name for ringworm is ti...
Read Article Now Book Mark ArticleTinea versicolor
Tinea versicolor is a common fungal infection of the outer layer of the skin.
Read Article Now Book Mark Article - Psoriasis
Psoriasis
Psoriasis is a skin condition that causes skin redness, silvery scales, and irritation. Most people with psoriasis have thick, red, well-defined pat...
Read Article Now Book Mark Article - Seborrheic dermatitis
Seborrheic dermatitis
Seborrheic dermatitis is a common inflammatory skin condition. It causes flaky, white to yellowish scales to form on oily areas such as the scalp, f...
Read Article Now Book Mark Article - Pityriasis rosea
Pityriasis rosea
Pityriasis rosea is a common type of skin rash most often seen in young adults.
Read Article Now Book Mark Article - Discoid lupus erythematosus, an autoimmune disorder
Autoimmune disorder
An autoimmune disorder occurs when the body's immune system attacks and destroys healthy body tissue by mistake. There are more than 80 autoimmune d...
Read Article Now Book Mark Article - Genetic skin disorders called ichthyoses
Home Care
If your health care provider diagnoses you with dry skin, you'll likely be recommended the following self-care measures:
Self-care measures
Dry skin occurs when your skin loses too much water and oil. Dry skin is common and can affect anyone at any age. Symptoms of dry skin include:Scali...
Read Article Now Book Mark Article- Moisturize your skin with an ointment, cream, or lotion 2 to 3 times a day, or as often as needed.
- Moisturizers help lock in moisture, so they work best on damp skin. After you bathe, pat your skin dry then apply your moisturizer.
- Bathe only once a day. Take short, warm baths or showers. Limit your time to 5 to 10 minutes. Avoid taking hot baths or showers.
- Instead of regular soap, try using gentle skin cleansers or soap with added moisturizers.
- Avoid scrubbing your skin.
- Drink plenty of water.
- Try over-the-counter cortisone creams or lotions if your skin is inflamed.
If your provider diagnoses you with a skin disorder, such as an inflammatory or fungal disease, follow instructions on home care. This may include using a medicine on your skin. You may also need to take a medicine by mouth.
When to Contact a Medical Professional
Call your provider if your skin symptoms continue and self-care measures aren't helping.
What to Expect at Your Office Visit
Your provider will perform a physical exam to look closely at your skin. You may be asked questions such as when the scaling began, what other symptoms you have, and any self-care you've done at home.
You may need blood tests to check for other conditions.
Treatment depends on the cause of your skin problem. You may need to apply medicine to the skin, or take medicine by mouth.
References
Dinulos JGH. Psoriasis and other papulosquamous diseases. In: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 8.
Marks JG, Miller JJ. Scaling papules, plaques, and patches. In: Marks JG, Miller JJ, eds. Lookingbill and Marks' Principles of Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 9.
Psoriasis - magnified x4 - illustration
This picture shows a 400% magnification of psoriasis. The whitish scales give the silvery appearance to the typical psoriasis lesion.
Psoriasis - magnified x4
illustration
Athlete's foot - tinea pedis - illustration
This is a picture of Athlete's foot (tinea pedis). Tinea infection is caused by a fungus that grows on the skin, and is also referred to as ringworm. Cutaneous (skin) tinea infections are often named by their location such as pedis, meaning foot.
Athlete's foot - tinea pedis
illustration
Eczema, atopic - close-up - illustration
This view shows the red, scaly patches called plaques that are characteristic of atopic dermatitis.
Eczema, atopic - close-up
illustration
Ringworm - tinea manuum on the finger - illustration
This is a picture of ringworm, tinea manum, on the finger. This fungal infection is inflamed and scaly.
Ringworm - tinea manuum on the finger
illustration
Psoriasis - magnified x4 - illustration
This picture shows a 400% magnification of psoriasis. The whitish scales give the silvery appearance to the typical psoriasis lesion.
Psoriasis - magnified x4
illustration
Athlete's foot - tinea pedis - illustration
This is a picture of Athlete's foot (tinea pedis). Tinea infection is caused by a fungus that grows on the skin, and is also referred to as ringworm. Cutaneous (skin) tinea infections are often named by their location such as pedis, meaning foot.
Athlete's foot - tinea pedis
illustration
Eczema, atopic - close-up - illustration
This view shows the red, scaly patches called plaques that are characteristic of atopic dermatitis.
Eczema, atopic - close-up
illustration
Ringworm - tinea manuum on the finger - illustration
This is a picture of ringworm, tinea manum, on the finger. This fungal infection is inflamed and scaly.
Ringworm - tinea manuum on the finger
illustration
Review Date: 6/7/2023
Reviewed By: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.