Psoriasis - Causes, Symptoms and Treatment .MF .
Causes Symptoms of psoriasis
What analyzes to hand over
Consultation on psoriasis
psoriasis or psoriasis - a chronic, often relapsing non-infectious diseases of the skin, prone to damage periarticular tissues.
Causes of psoriasis
most credible reason for the development of the process is considered to be a genetic predisposition, enhance the impact of a variety of precipitating factors.
known that psoriasis can occur at any age and equally affects men and women.At the same time various factors external and internal environment creates favorable conditions for the development of psoriasis.It is noted that the original elements of psoriatic rashes appear on the skin in the area of its annoyance factor by any mechanical, chemical or toxic substances contained in the means for external use.Such a process is often preceded by a variety of inflammatory processes in the skin from exposure to numerous pathogenic agents of bacterial or fungal origin.P
symptoms of psoriasis
are the following forms of psoriasis:
- plaque most typical form, red papules, clearly limited, shelled, merge and form pockets of different size.Affects the extensor surfaces (elbows and knees), scalp, lumbar region.Unaffected remain the face, palms, soles.The scales are tightly adjacent to each other and when you try to remove them - bleeding.
- Guttate psoriasis is characterized by the sudden appearance of many spots.Most often appears in young people aged 8-16 years.appearance of the form is often preceded by a streptococcal infection.
- pustular psoriasis most often localized to the palms and soles.There are small sterile pustules, often painful.
- intertriginoznoy - there are eruptions on flexor surfaces and in the field of major folds (groin, under the breasts).
- Generalized pustular psoriasis is severe, requires immediate medical attention.It is accompanied by high fever and soreness.
- Erythroderma - a severe form of psoriasis, requires immediate medical attention.It is accompanied by fever, pain, marked redness of the whole body.
disease usually begins acutely, with education in the area of the previously injured skin itchy papules flat pink or red, with clear boundaries, the size of a pinhead to lentil beans.Almost immediately, these papules are covered by silvery scales easily detachable.For acute (progressive) period of the disease is characterized by the appearance of new elements of the rash and the rapid growth of the peripheral.Increasing papules merge among themselves, forming plaques peculiar bizarre shapes, covered with silvery scaly elements only in the center, leaving a free edge.
Photo psoriasis symptoms: inverse psoriasis
Photo psoriasis: guttate psoriasis
Photo: progressive phase psoriasis
Photo: progressive psoriasis phase
Such elementsrash may be localized in any area of skin, most often they are symmetrical, mainly around large joints (elbows, knees, sacral region), in the folds (inguinal, axillary) and on the scalp.
Photo: symptoms of psoriasis of the scalp
Photo: psoriatic crown
fixed period of psoriasis occurs in a few months, which is characterized by the absence of peripheral plaque growth and the emergence of "fresh" items.Peeling completely covers the plaque, which is formed around the light area and thinning of the skin.This plaque condition may exist for a long time: months and years.
Photo: stationary phase psoriasis
authorization period is characterized by the flattening of the elements of an eruption and a gradual cleansing of plaque from peeling.In place of long-existing elements are spots, often dark in color.
In this classic form of psoriasis patients general condition is usually not affected.
Often psoriatic process affects the nails and is characterized by typical changes in the nail plate, in the form of punctate (naperstkopodobnyh) recesses.As psoriasis is characterized by thickening and loosening of the free edge of the nail plate to change its color to a dull yellow.This picture reminds fungal nail infections, and therefore should be carried out analysis of nail scales on pathogenic fungi.For a long time psoriatic process may be limited to only a barely noticeable change in the specific nail plates.You must know that such a defeat often combined with defeat joints.
Photo: "thimble" in psoriasis
psoriatic arthritis - this particular joint disease as a result of inflammation of periarticular tissues haraktezuyuscheesya degenerative changes and the development of joint deformity with subsequent disability of the patient.In this process, most often affects the interphalangeal joints of fingers and toes, which appears at the beginning of pain and increase joint, and then change their form with limited mobility.At the same joints are affected symmetrically.In the pathological process may be involved and the larger joints, as well as the joints of the spine.
- swelling in the joints;
- pain on palpation;
- limited mobility, especially in the morning ( "morning stiffness");
- decrease in the functional activity of the joints and / or spine;
- nail psoriasis;
- psoriasis have blood relatives;
- negative reaction to revmatoidy factor.
Photo: psoriatic nail
When irrational use of external treatment in the progressive phase of the disease psoriasis often develop nonspecific toxic-allegicheskaya reaction.On the free areas of psoriatic plaques appear redness, which merge to affect all the skin.This process is accompanied by an increase in body temperature up to 39 ° C and an increase in lymph nodes, as well as the emergence of a sense of skin tightening, itching and burning.
often stated abundant desquamation, increased hair loss and detachment of the nail plate.This picture is the so-called erythrodermic psoriasis , which can lead to a more severe form of psoriasis - pustular , when the background of reddened skin appear pustules, increase in size and merge into "purulent lakes" and drying soil in the scales-peel yellow-brown.In this case, patients have general weakness and malaise.This state is one of the heaviest, therefore, when the first symptoms of this form of psoriasis is an urgent need to consult a physician and the patient's hospitalization.
Photo: symptoms of erythrodermic psoriasis
For the purpose of these psoriatic conditions prevent the development of self-medication in the progressive phase is considered unacceptable.
survey of suspected psoriasis
first appeared psoriasis requires microscopic and mycological study of damaged skin flakes on the pathogenic fungi to eliminate infectious dermatosis.The separate injury of joints needed X-ray pattern and a blood test for rheumatologic tests.In difficult cases, resorting to diagnostic biopsy altered skin.
- Symptom "stearin spot" - when grottazhe (poskablivanii) psoriatic lesions, the surface elements vysypnyh becomes intensely white, separated stearin scales.
- Symptom "psoriatic film" ( "terminal film") - when removing the scales from psoriatic plaques appear bright red surface.
- Symptom Auspittsa (the phenomenon of "blood dew" phenomenon point of bleeding) - if grottazhe (poskablivanii) psoriatic lesions after the phenomenon of "stearin spot" and "terminal film" appears a bleeding point.
progressive stage of psoriasis:
- Symptom Pilnova (bezel Pilnova) - red rim flare around the periphery of the psoriatic plaques, are not covered in these foci scales.
- Symptom Kebnera - in case of damage or skin irritation, rashes appear fresh on the site of injury.
- Symptom Voronov (psevdoatrofichesky bezel) - around the psoriatic plaques - brilliant, bright ring slightly wrinkled skin.
Since psoriasis is characterized by chronic, relapsing course (roughly speaking - psoriasis cure, but we can ensure that light will be periods of the year), to the attending physician should be challenged to achieve the best long-term remission.Selection of the treatment phase is carried out, respectively, and psoriasis.It is necessary to normalize the conditions of work and rest, eliminate triggers, namely skin irritation, stress, smoking, alcohol consumption, in a timely manner to treat streptococcal infection (sore throat, etc).
In progressive period of psoriasis are appointed by means of general therapy and external preparations.Inside applied vitamin, called «Hungarian diagram» , which includes a combination of vitamin C and folic acid in the powder taken three times a day for 30 days, and intramuscular injection of vitamin B12, 400 mcg a day, №15.
Additionally appointed hyposensitization preparations (15 injections of 10% calcium gluconate 10 ml intramuscular injection, every other day, which alternates with injections of vitamin B12).
sedative therapy (drugs bromine or valerian) have its positive effect for the process of stabilization.
two experimental vehicles - brodalumab and iksekizumab - promise to get rid of psoriasis and showed excellent results of treatment, but studies of their toxicity and conducted more funds are not willing to enter the market.
Externally this phase psoriasis used only weak peeling means: ointments, creams, lotions containing salicylic acid (2%), sulfur (2%), and in some areas - "flutsinar" "ftorokort" "Lorinden A"" Diprosalik "and other corticosteroid ointment.Constantly need to use moisturizers that have a soothing effect for 12 hours ( "Koldo cream", "Trikzera" Unna cream).Good effects have dexpanthenol, zinc pyrithione in the composition of various external agents.
When stabilization process allow external agents appointed in gradually increasing concentrations and longer fixation on the plaque.This multiple affecting skin ointment: ihtiolovaya 5-10%, 2-5% sulfur Tar, Naftalan 10-20% with the addition of corticosteroids and gidroksiantrony.Tar 2-5-10% and anthralin used in the form of compresses and baths, leaving a free person, a region of folds, scalp and genitals.These preparations have proved as well in the treatment of psoriasis in combination with topical steroids and ultraviolet irradiation in doses suberythermal (only patients with the "winter" form of psoriasis).Well established re-PUVA therapy and photochemotherapy, autohemotherapy, pirogenal, staphylococcal toxoid injections (in the presence of chronic foci of infection), hemosorbtion and plasmapheresis.For the treatment of psoriatic arthritis using paraffin baths and physiotherapy.
Exacerbation of psoriasis, flowing with a heavy and torpid course docked cytotoxic immunosuppressants (MTX), appointed inside.
From the modern, successfully used in recent years in the world for the treatment of psoriasis, attention is drawn to calcipotriol, a synthetic analogue of the active metabolite of vitamin D. Its effectiveness is due to the ability to inhibit the proliferation of keratinocytes and accelerate their morphological differentiation.The use of this component in isolation, and in combination with betamethasone promotes the formation of long-term remission.You need to know and remember that outdoor products containing these substances should only be used under medical supervision.
And once again like to draw your attention to the involvement of Staphylococcus to autoimmune diseases, including psoriasis.At the slightest suspicion of its activity it is necessary to treat with antibiotics.
Patients with psoriatic process are under constant medical observation dermatologist and receive appropriate supportive treatment.
Folk remedies for the treatment of psoriasis
Among the folk remedies used to treat psoriasis, a good effect is observed when applying tar birch with honey and egg white on the basis of various oils.It must be remembered that these treatments are safe and effective when stationary and regressive phases of the disease.With these funds in the acute phase of the process there is a risk of progression.
To maintain a long-term remission in patients with psoriasis is acute showing various spa treatments, such as sunbathing and sea bathing, mud (for joints), hydrogen sulfide and radon sources (Matsesta, Tskhaltubo, etc.), Heliotherapy.
diet for the treatment of psoriasis
During exacerbation of psoriasis in the diet is recommended to limit foods that are high in animal fats and carbohydrates, eliminate spicy food and alcohol.Copious drinking at the same time helps the excretion of various toxic substances, which accelerates the process of stabilization.
Complications of psoriasis
Ignoring patients with psoriasis treatment of this disease, may develop such severe complications, such as:
generalized pustular psoriasis.
And all of these complications can result in profound disability and death.
In addition, people with this skin disease often develop diabetes, cardiovascular abnormalities, including hypertension and heart attack, ulcer disease, kidney disease, liver, rheumatic disease and peripheral vascular disease.
Consulting Dermatologist on psoriasis:
1. Can mosquito bites cause psoriasis?
In this case, the bite serves as a trigger irritating factor for the formation of psoriatic elements.This so-called isomorphic irritation response or symptom Kebnera, which are characterized by the appearance of new elements in the field of mechanical trauma of the skin after 1-2 weeks.This scratch and iektsii and insect bites, and the friction of clothing and still much more.
2. What is "psoriatic triad"?
For psoriatic triad includes 3 classic symptoms of psoriasis, a dermatologist detected during examination of the patient.When poskablivanii psoriatic plaques scalpel, first there is a growing silver flaking (a symptom of "stearin spot"), a flake detected glossy surface (a symptom of "terminal film"), and then a drop of blood (symptom "blood dew").
3. Recently I had dandruff white, began to scratch his head and very much hair fall out.Could it be psoriasis?