Skin conditions may cause severe pain and itching. Many times these disorders affect the hands and the feet. A skin disorder on your hands may be so bad it will be hard for you to handle objects. If your feet are affected, you may have trouble standing or walking. The most common case is psoriasis. However there is a wide variability in the seriousness of the cases. Most cases are from mild to moderate severity and normally will not serve as a basis for disability. It normally takes a severe case of psoriasis, normally involving the hands or feet to persuade the Social Security Administration that you cannot work because of a skin condition. If you have a serious skin condition you must be treated by a dermatologist in order to properly present your case to the Social Security Administration. The reason a dermatologist is needed is simply because many judges who work for the Social Security Administration find it hard to believe that someone could be disabled from a skin disorder. Therefore the judge will want to hear from an expert in skin disorders to determine the authenticity of the disorder.