This is a question that is very common so thank you for asking! Psoriasis can be frustrating because it’s one of those things that seems to flare up randomly, and it can show up in different parts of the body. Essentially, it happens when your immune system gets a bit out of sync and starts attacking healthy skin cells, which causes them to multiply too quickly. There are a few things that could be contributing to why you have psoriasis in multiple areas. Genetics play a big role—if anyone in your family has it, you're more likely to develop it too. Stress is another common trigger, as well as skin injuries (like cuts or sunburns). Even certain weather conditions can make things worse, especially cold, dry air. I want to share an article with you that talks about this more that you might find helpful- https://plaquepsoriasis.com/living/body-areas. Have you noticed anything in particular that seems to set off your symptoms or make them worse? It might help to track patterns over time. Hope this helps! -Latoya (Team Member)