Psoriasis: types, treatment, tips from the doctor

Psoriasis is a chronic skin disease with an unknown cause, which is manifested by the occurrence of red shepherds on the skin.

The treatment is carried out by a dermatologist.Synonym - scaly.MKB code 10: L40.After international classification, she refers to Papulloskvamous skin diseases.

Psoriasis as a disease is examined for about 200 years.Before this period, such patients were regarded as patients with leprosy and treated them as lepers accordingly.Different: leprosy (leprosy) - infectious disease (pathogen - mycobacterium leprosy).Psoriasis is not infectious.

Symptoms

The main symptom for psoriasis: the appearance of pink-red spots on the skin, the surface of which is covered with silver scales of the keratinating layer of the skin (epidermis).

1. The symptom of the "Stearin spot".This is a pathognomonic (i.e. only characteristic for a certain disease).Speaking (Grante) of psoriasis.It is made with a blunt scalpel or an object glass (not with a fingernail !!).With a light loop, the surface of the stain knows as if it were covered with wax - this is a symptom of the "stearin stain".
2. Symptom for "psoriasis".Another pathognomonic symptom for psoriasis.With another scrap, the scales removed from a psoriasis plaque properly, a brilliant surface is visible under the scales - the so -called symptom of psoriasis or terminal, film.
3. The symptom for "blood -dew polbnov" (exit symptom).Another pathognomonic symptom for psoriasis.With further expansion (grottowing) of plaques, ie when removing the end film is manifested point bleeding that does not merge with each other.This is the symptom of "Blutensau".
4. Symptom Pilnov.Characteristic of the initial stage and the stage of the progression.A rounded pink stain without peeling, with clear limits.With the progress of the disease along the periphery, the spots (plaques) mark the edge of the red skin that is not yet covered with scales.
5. Kebner's symptom.Psoriate herds occur in injuries on the skin - in places of scratches, wear, wear, in places of clothing.
6. Symptom of Kartamyshew.If your fingers examined (HCH) (grati) plaques, the fingers will feel a clear border of the plaques.In contrast to seborrheic dermatitis, if there is no clear limit between stains and healthy skin in palpation.
7. Voronov's symptom is a symptom of regressive (temporary) stains.For some time, the wrinkles along the periphery of the psoriatic stain remains lighter and brilliant than healthy skin.
8. The symptom of the "foxglove" on the nails is a sign of the nails.The nail is everything in points, like a thimble.
9. The symptom of the "oil stain" on the nails: a yellow-brown spot under the nail plate is also a sign of nail psoriasis.
10. Onichogrifosis - Deformation of the nail plate with psoriasis of nails.The nail acquires ugly shapes, sometimes similar to a bird claw.
11. Bo-rile line.The longitudinal line that runs through the entire nail is a sign of violating the nail plate.

Types of psoriasis and clinic

Generalized pustulent psoriasis (L40.1) and Pustulose Palmar and Plantar (L40.3)

These two forms of the disease differ only in the prevalence of the process.The mechanisms of pathogenesis are the same.Pustur forms are found in 1% of patients with psoriasis.Vesicula (bubbles) and pustules (pustules) appear on the skin that merge together and form "purulent lakes".The skin can be rounded nearby.It can be disturbed by itchy.The skin around the pustules is red, inflamed, hot for touch.

Improve body temperature.In the blood - an increase in leukocytes (leukocytosis).These are rare and most serious types of psoriasis.However, they require an immediate examination of the doctor and the prescription of a complex treatment.And generalized pustular psoriasis requires inpatient treatment.In very rare cases, even cases of sepsis and deaths are described in the literature if the bacterial infection is connected.

One of the varieties of pustular psoriasis is an exudative form.At the same time, there are no abscesses and blisters on the skin, but there is a cry of the affected skin, the formation of crusts and skin itching.

Acrodermatitis is continuing Allopo

MKB code 10: L40.2.

Pustular (pustel -shaped) psoriatic changes and peeling occur on the skin of the fingers and legs.The process includes the nail plates.The nails are deformed and spiced from the nail bed and have points prices.

A lighter form is psoriasis of nails without pustular changes, ie without abscesses on the skin.

Psoriasis is rocky

MKB code 10: L40.4

Overlapping haloid stains with a pink size with peeling on the skin.It can itchy light.Localization: The whole body is on the body, on the arms and on the legs.Rare - on the face.

Often after infectious diseases (tonsillitis, acute respiratory virus infections) occurs an incorrect form.

Psoriasis is arthropathic

MKB code 10: L40.5

Other names are psoriasis of the joints, psoriasis arthropathy, psoriasis arthritis.

It develops in 10% of patients with psoriasis.The joint surfaces and periartic fabrics are affected - ligaments, tendons, joint bags.

Localization - all joints, but the small interfalances of the fingers are mainly affected.However, there are cases in which, for example, psoriatic spondylitis -damage to the Schwandlings joints or psoriasis -koxarthrosis damage to the hip joints are damaged.

Complaints of patients: pain, stiffness in the joints.The swelling and redness of the skin occurs in the joints.There are frequent cases in which patients do not interfere with anything.Osteoarthritis -similar changes on the articular surfaces are determined on the X -rays.

Joint pain and restriction of movement in the joints lead to a disability of patients.Such patients should be directed to the ITU examination in order to determine the group of disabled people.

Another psoriasis

MKB code 10: L40.8

This type contains psoriasis reverse (inverse, interrigonic).

Localization - on the contrary - not on extensor surfaces, but on flexion.The elbow bends, popliteal pits, armpits, groin folds under the mammary glands.At the same time, there are no rashes in the rest of the body.

It develops in patients with obesity and diabetes.
Manifestation: Red spots appear on the skin, almost without pulling off, slightly increased above the surrounding skin.

Psoriasis is unsuitable

MKB code 10: L40.9

All other types that one or the other cannot be attributed to the above species are attributed to this group.

Seasonal forms of psoriasis

1. Winter form (photosensitive psoriasis).Rashes appear in the cold season.Well treated with ultraviolet radiation.
2. Summer form (phototoxic psoriasis).Detachments occur in summer.UFO prostration leads to an aggravation of the disease.

Diagnosis

The diagnosis is based on the patient's clinical symptoms and symptoms.

• The presence of certain symptoms of damage to skin, nails, joints, etc. - see above.
• In difficult cases - a biopsy of the skin for checking (installation of a precise diagnosis).At the same time, the infiltration of lymphocytes, neutrophils and macrophages, the thickening of skin capillaries and immature keratinocytes can be found in the thickness of the skin.
• Gelen -Radiography - Ideally, all patients should be carried out.Most of the time, however, it is carried out according to information - in the presence of complaints about pain in the joints.
• A general blood test is most common.Inflammatory changes are only determined in the severe course of illness.
  It has recently been common to diagnose the blood test under a microscope.This does not matter for the diagnosis of psoriasis!

The differential diagnosis of psoriasis is carried out with diseases:

• Red flat braids 
• Rosa lichen 
• Paraporize,
• Atopic dermatitis
• eczema
• Papular syphilides
• Seborrheic dermatitis on the head
• Dermatophytia on the head
• Reuters' illness, rheumatoid arthritis, arthrosis
• Medical allergic dermatoses
• Hives

Treatment of psoriasis

Remember: it is impossible to heal psoriasis completely.You can only achieve long -term remission.

Local treatment

Attention: If pustules emerged from the ointment, the ointment should be canceled and consult your doctor to correct the treatment!

1. Ointments and creams with vitamin D. For example, medication that contains substances, synthesize vitamin D.
2. Corticosteroid ointments and creams.These drugs reduce the immune response in the skin and reduce the activity of inflammation.
3. Combinations in a composition of vitamin D and corticosteroid preparations.
4. Naphthalan -based preparations.Lubricate the affected area of the skin 2-3 times a day for 4 weeks.
5. Birkente tar and drugs based on it.Berritin, Birkener.Lubricate the affected areas and give an extract for 15 to 30 minutes, then be washed off with warm water and soap.
6. Creams and ointments based on solidol.You can use Solidol yourself, but you have to find the old Soviet solidol and not the solidol that is now sold in car shops with various additives.Creams and ointments.Solidol and creams based on it help in half cases with psoriasis.Itching decreases on the 3rd day, peel leaves and the point itself gradually decreases.
7. Keratolytic (peeling) ointments and creams.Used unstable!Only to remove excessive peeling.Often - in combination with corticosteroid preparations for reducing itching and inflammation.You cannot use with exudative psoriasis!Keratolytic agent salicylic acid.
8. Zinc drugs.  Reduces the irritation and redness of the skin, the skin dries.It does not contain any hormones.
   Attention: Do not use tar and salicylic acid on "duty plaques"!The irritation of the plaques spreading on the Duty plaques can further provoke the spread of pathological rashes on the skin.

Instrumental treatment methods

Photo cabinet for ball therapy

We look at the video how the Puva therapy is carried out:

• Eximer laser.

Treatment with an eximer laser of the scalp psoriasis:

• Plasmapheresis, hemosorption - cleaning of blood plasma on a special apparatus.At the same time, toxic immune complexes appear from the blood that lead to skin incoming with lymphocytes.The effectiveness of the procedure is high, especially in the severe course of illness.However, the procedure is expensive and essentially aims to eliminate the mechanisms of the development of the disease and not the causes.According to the patient, plasmapheresis is tolerated satisfactorily, the effect results from several methods.

Diet with psoriasis

Exclude:

Citrus fruits, tomatoes, pineapple and other fruits in overseas, honey, sweets, sugar, cookies, spices, alcohol, spicy and salty dishes, coffee, white bread, smoked meat, products with dyes and sugar explanations, potatoes and seeds.

Not too excessive!

Absolutely:

Brei (buckwheat, oatmeal), vegetable oils (sunflower, olive), fruit and vegetables - apples, carrots, beets, cabbage, cucumber, cooked meat, fish, one day a week (normally Saturday) - post (or even hunger).Just drink water on this day or eat buckwheat porridge with water.

Folk remedy

At home you can use different folk remedies for psoriasis.However, the impact of them is minimal or zero.

Remember: Independent treatment at home in half of the cases leads to the progress of the disease and the transition in a severe form.

List of folk remedies of psoriasis used in the reviews of patients:

1. Solidol.
2. Therapeutic mud of salty lakes.
3. Baths with sea salt.
4. Birkener.
5. Naphthalan oil.
6. A decoction of a series compresses (applications) into the affected skin areas.
7. A decoction of Celandine herbs.
8. A decoction of nettles.
9. Aloe juice.
10. Drop baths.
11. Hunger.
12. ASD group 3.
13. Linseed oil.
14. Milk thistle.
15. Bathing and anthelmine drugs.Ineffective or without efficiency.In the best case, there are extracts of ordinary grasses or even ordinary strength with vitamins and trace elements.Very expensive and bring manufacturers and streaks of nutritional supplements with a good profit.You are not medicine, so you cannot expect help from you treat psoriasis.
16. Ointment from psoriasis.In fact, the current means is solidol.At the same time, there are many other extracts of herbs, bee products that can cause an allergic reaction and deterioration in the disease.
17. Chinese lotion.The drug contains acids that can lead to skin irritation and the progression of the disease.

Exotic types of treatment

Ichthyotherapy.
Gara call fish are available in black MRU.They pinch the dead areas from human skin and contribute to "rejuvenate" the skin.This effect is also used in the treatment of patients with psoriasis.

The effect of ichthyotherapy is only positive with thorough compliance with the technology and the selection of exactly the same fish.There are similar fish -chin -fish -they pick scales with sharp teeth and thus violate psoriasis plaques.The impact of the exposure of the chin canal is exactly the opposite of the spread of plaques due to the type of Kebner phenomenon.

The failure of corresponding to hygiene in some SPA channen can lead to the occurrence of fungal or viral lesions on the skin (mycosis, warts).

Registration prevention

• Exclude risk factors!
• Watch the regime of the day, the regime of work and calm
• Real nutrition
• Temporary treatment of infectious and endocrine diseases
• UFO and PUVA therapy courses
• Complex vitamins
• Sanatorium resort treatment, swimming at sea
• A healthy lifestyle!

Is psoriasis

No, not contradictory!This is a non -infectious disease.