Psoriasis. What is this disease, photo, stage, dry skin on the face, hands, head and body. Treatment preparations, ointments, injections, antibiotics, folk remedies

Psoriasis - a chronic disease of the skin, which is characterized by systemic changes in epithelial tissue in the foci of the disease. It occurs in people of all ages, races and nationalities. Doctors have learned to restrain the progression of the disease, but to get rid of psoriatic plaques is almost impossible.

What is psoriasis

Psoriasis - a non-infectious disease which is a chronic dermatosis with localization on the upper layer of the epithelium. Characterized by forming red, purple, or bluish papules, which may have the form of continuous spots with a large area.

This sites of chronic inflammation, the development of which leads to excessive dryness of the epithelium. In the sites of psoriatic plaques is always observed the proliferation of macrophages, keratinocytes and lymphocytes.

Due to the presence of permanent focal inflammation in grazing layer where localized papules psoriasis occurs the formation of new capillary blood vessels. It gives them an excess of epithelial tissue affected by the disease deep red hue. The basic version of the nature of the origin of the disease - an autoimmune reaction.

types of psoriasis

Psoriasis - a disease with complex clinical manifestations. Depending on symptoms occurred and the localization of foci formation of papules, the disease is divided into the following types as described in the table below.

psoriasis species	pathography
Blyashkovidny	This is one of the most common forms of psoriasis. On average, it occurs in 80% of all patients seeking medical help to the dermatologist. The disease is characterized by the appearance of gray, sometimes silvery spots, consisting of many small scales. When you try to remove the formed plaque, inflammation of the epithelium begins to bleed.
flexor surfaces	The localization of this type of the disease - this is only skin where there are folds or joints. Most often, the flexion develops psoriasis in the groin area, the inside of the hip joints, under the breasts in women, on the surface of the stomach in people suffering from excessive of body weight. The disease is complicated by secondary bacterial or fungal infection.
drop-shaped	The clinical picture of the disease characterized by the appearance on the skin of small size red formations in the form of drops. As psoriasis progression is an increase in the number of elements of epithelium lesions, which rise above the general surface of the skin. A distinctive feature of guttate psoriasis is that the dermatological disease is able to cover a large area of ​​the body, forming a solid red patches. Marked regularity, that in most cases the disease develops as a complication of streptococcal sore throat or skin infection with Staphylococcus aureus.
pustular	This is one of the most severe forms of psoriasis, which is characterized by the formation on epithelial surfaces red pustules. Outwardly, they look like blisters, within which is contained sukrovichny exudate. Leather, an pustules circumference, has red, edematous and inflamed look. During contact with nidus felt that epithelial tissue is hotter than the rest of the body. The inflamed skin is easily peeled off, which causes isolation ichor. There is a high probability of infection foci of secondary infection, which makes the disease more difficult.
Onihodistrofichesky	This kind of psoriasis affects exclusively the nail plates of the upper and lower extremities. The clinical picture of the disease is manifested in a variety of changes in the structure and form of the outer nail. Perhaps a complete whitening, yellowing, reddening or blackening of the nail plate. instances when the affected nail formed patterns, white spots encountered in medical practice. In the acute form of the disease, it is not ruled out a complete loss of the nail. In this case, the patient exhibited a definitive diagnosis - psoriatic onycholysis.
arthropathic	Severe form of psoriasis, the development of which is connected not only with the formation of large red pustules on the skin surface, but also with an inflammation of bone and connective tissue of the joints. As the disease progresses there is a gradual destruction of the joints. After that, the patient exhibited a diagnosis - psoriatic arthritis. In most cases, the disease affects the small joint compound in the upper and lower extremities. Also, there are more complicated forms of the disease, when psoriatic arthritis affects the knee, hip, elbow, shoulder joints, and even the spine. The main danger of the variety of the disease lies in the fact that it leads to severe consequences of patient disability, attracts him to the bed and can cause bedsores.
erythrodermic	This type of psoriasis manifests as general inflammation individual skin. It comes redness and inflammation of the affected epithelial surface. Foci covered with small white scales, which are easily removed during mechanical treatment of the skin. Patients suffering from erythrodermic psoriasis, complains of constant itching and soreness. It believed that the appearance of the symptoms is the first sign of the imminent development of plaque psoriasis. Erythrodermic skin lesions can cause the onset of death, if the disease will progress rapidly and cover large areas of the body. In this case there is a violation of thermal regulation of the organism, which can lead to an increase in body temperature to critical parameters.

Each kind of psoriasis causes harm to the physical health of the patient, as well as suschetvenno reduces its quality of life. In addition, certain types of illness require intensive medical treatment, because they can lead to complications and attaching secondary infection.

Stage and extent of psoriasis

Psoriasis - a disease, the development of which are classified according to the severity of clinical manifestations. It does not matter what type of disease diagnosed in a particular patient.

Psoriasis isolated following steps:

• stage 1 - a mild form of the disease when there is loss of not more than 3% of epithelial tissues contains minor reddening mild inflammation, itching and bruising absent;
• stage 2 - pockets of inflammation and flaking of the skin covering up to 10% of the epithelium, there are signs of acute inflammation, swelling, and when you try to clear psoriatic plaques on the scales, stands sukrovichnaya fluid, the patient experiences pain and the discomfort;
• stage 3 - severe degree of dermatological diseases with an inflammatory process involving more than 10% of the skin, itching, severe pain, partial breach of thermoregulation (arthritic psoriasis is also considered severe disease).

The larger the area of ​​skin covered by psoriatic pustules, the greater the likelihood of infection inflamed epithelial tissues by pathogenic infections such as Staphylococcus aureus, Streptococcus, Pseudomonas aeruginosa, Proteus. Stage and severity of psoriasis affect the selection of treatment tactics dermatological diseases.

psoriasis symptoms

Psoriasis - a disease that has a number of specific features that distinguish it from other dermatological diseases.

The main symptoms of psoriasis are the following state of the skin:

• lesion at the site of epithelial tissues forming white, gray, or silver stain, which rises above the general level of the skin;
• externally lesion resembles a fragment of solidified wax on the body;
• a more detailed study of psoriatic plaques found out that it consists of a plurality of small scales;
• in the process of removing dead skin particles epithelium in pustules starts to separate blood or sanies, due to the accumulation of a plurality of small blood vessels - the capillaries;
• skin blisters in a circle formation red, edematous, inflamed and hot;
• in psoriatic plaque may feel a sense of pain or itching;
• with arthritic psoriasis patient feels a strong pain, which intensified during the movement of the limbs or any other part of the musculoskeletal system.

Localization psoriatic plaques can cover absolutely any part of the skin.

In medical practice, there are clinical cases when the pustules are found even on the palms of the hands and feet of the surface. All of the above symptoms are worse under the influence of factors such as alcohol abuse, receiving drugs, skin contact with household products, stress and psycho-emotional overexertion.

Causes of Psoriasis

Psoriasis - a disease, the nature of the origin of which is not yet fully established. There are only assumptions and theories that indirectly support a causal relationship between the development of the disease.

There are the following factors provoking the appearance of psoriasis:

• heredity - the majority of patients suffering from psoriatic plaques, are in the family of relatives who had previously faced similar skin pathologies;
• autoimmunity - lymphocytes responsible for immune function, regard their own epithelial cells, as biohazardous agents that attack them and cause chronic inflammation foci to form pustules;
• bacterial or viral infection - in scientific circles, debate continues regarding the fact that such bacterial microorganisms such as Staphylococcus aureus and Streptococcus, can provoke psoriatic skin lesions;
• alcohol abuseWhen a person for several years suffering from alcohol addiction;
• frequent stressful situations, Nervous stress;
• endocrine disease - disruption of the endocrine glands, entails a deficiency or excess of hormones responsible for the state of health of the skin (melatonin, prolactin, testosterone, progesterone);
• daily contact epithelial tissues with pairs of chemicals, oil products.

Determination of the causes of development of psoriasis, is a prerequisite for qualitative diagnosis of the disease. Dermatologist will be able to not only create an effective course of treatment, but also to take measures to eliminate the prerequisites for relapse.

diagnosis of psoriasis

Examination of the patient to seek medical help to the dermatologist, begins with the initial examination of the body, as well as hearing complaints.

After that the doctor prescribed to patients following the surrender of analyzes:

• blood from finger and urine for their research on common clinical indicators (for rent on an empty stomach in the morning);
• pustules selection particles for tissue biopsy with the exception of oncological process;
• smear from the surface of the plaque, and edematous and inflamed part of the epithelium to hold tissue examination for possible bacterial flora;
• laboratory research exudates discharged from the pustules, during the treatment of psoriatic pustules;
• blood from vein for analysis for the presence of infectious microorganisms, hormones.

For an experienced dermatologist will not be difficult to determine the presence of the patient the diagnosis of psoriasis. Delivery of additional analysis is necessary in order to prevent the accession of a secondary infection, the development of serious complications, as well as to establish the nature of the origin of the disease.

When to see a doctor

Seek the help of a doctor, a dermatologist is necessary as soon as the first signs of the formation of psoriatic plaques are found. Completely get rid of the disease is difficult enough, but timely treatment can be started successfully hold the disease in the state of stable remission.

If a person does not take any response, it attempts to recover from psoriasis pustules, the disease progresses and covers all major areas of the skin.

Prevention of psoriasis

Prevent the occurrence of the disease is possible, but only if the daily execution prevention rules.

they are as following:

• organize their daily routine, sleep at least 8 hours a day, 3 times a week to play sports, avoid physical fatigue;
• follow the skin hygiene, especially the groin, to take a warm shower every day with a hypoallergenic soap and water, change clothes and always wear clean clothes;
• renounce the use of alcohol, drugs and tobacco;
• satiate your diet only biologically useful food in the form of cereal porridges, fresh vegetables, fruits, vegetables, milk, kefir, yogurt, cottage cheese, low-fat boiled meat, ocean fish;
• not to eat fast food, fried, fatty, smoked, food, fish and meat products, confectionery, sauces containing preservatives in its composition (mayonnaise, ketchup, mustard);
• undergo regular medical check-ups at the dermatologist (at least 1 time per year).

In the case of infection of the skin bacterial or viral infection, you must immediately take measures to eliminate the causative agent of the inflammatory process. Observance of the above rules will preserve the health of the skin and minimize the risk of developing psoriasis.

Methods of treating psoriasis

Modern methods of treatment of psoriasis include the use of certified drugs, which are sold in retail pharmacy networks. They can also be applied physiotherapy ways to deal with psoriatic plaques and folk remedies treatment.

drug therapy

To combat pustules and plaques caused by psoriasis, the following medicines:

• ihtiolovaya ointment - is a potent antiseptic and anti-inflammatory agent, applied 2 times a day, morning and evening for 10-15 days during the period of acute illness (cost 55 rubles. per tube);
• Sulfur-salicylic ointment - eliminates signs of inflammation, prevent further spread of psoriatic plaques, is applied 2-3 times a day for 10 days (the price of a tube - 210 rub.);
• Elidel cream - the medicament manufactured in the USA, which has antibacterial and antifungal properties, as well as inhibits the activity of the immune system in the local area lesions of the skin, which is especially effective in the autoimmune nature of the disease origin (applied 1-2 times a day on the affected skin in moments of exacerbation of the disease, and the cost of the drug 1500 rubles).;
• Tsinokap spray - a preparation based on zinc pyrithione, anti-inflammatory and drying effect, and prevents swelling exfoliation of epithelial tissues (the skin is treated 2-3 times a day for 10-15 days, and the price of the drug - 804 rub.).

Depending on the etiology of the occurrence of psoriatic plaques, the attending dermatologist may use other drugs aimed at relief of skin lesions. The above are the basic medicines pharmacy tools that allow to restrain the progress of the disease and provide the patient with the best quality of life.

Traditional methods

There are alternative ways to treat psoriasis, which are based on the use of recipes of traditional medicine, namely:

• chamomile broth - it is necessary to take 1 tbsp. l. dried plants, pour into a metal container, to fill in 1 l of water and boiled for 15 min. (Taken into the inside of 100 mL, 3 times a day before meals and 2 times a day to make a lotion with anti-lasting 20 minutes, the total course of treatment not timed.);
• trays of series - need 3 tbsp. l. this plant, fill it with 1.5 liters of boiling water, wait until configure themselves for 2 hours, and then add preparation of a medicament in a warm water bath and receive (active recipe used as needed without time limitations in terms of the duration of the therapeutic course);
• celandine tincture - preparing a water-based, it is necessary to take 1 hour. l. of dried stems and leaves of plants, pour them into glassware 0.5l then pour boiling water and put infuse in dark and cool place for 5 days (rubbing the affected skin surface 3 times a day for 20 days).

Folk remedies of therapy are most effective when used in combination with traditional drugs. Before the start of the application of home infusions and baths, it is recommended to visit a dermatologist, previously undergo an examination and consultation with a specialist.

Other methods

In addition to traditional medication, as well as folk therapy methods may be used physiotherapeutic techniques. After their conduct improves the health of the epithelial sheet to disappear symptoms of itching, swelling, pain, inflammation in the region of localization of psoriatic plaques or pustules.

We recommend the following methods of physiotherapy disease:

• UV irradiation - the patient is placed in a special box, which houses a lamp, emits a corresponding radiation (course length is from 4 to 7 sessions);
• cryotherapy - includes the impact on the affected skin hearth critically low temperatures using liquid nitrogen, is performed Only qualified dermatologists for severe patient's skin lesions (number of procedures is determined individually);
• mud baths - therapeutic measures of this type are carried out in spas and other health facilities of this type (in the patient's body surface is covered with mud containing elevated levels of minerals and chemical compounds on the basis of hydrogen sulfide, the recommended number of procedures - from 5 to 12 baths).

Physiotherapeutic methods of treatment of psoriasis is most effective if the patient further receives good food, take vitamins, renounced the use of alcohol, tobacco, drugs. Also, these therapies can be used as the final stage of rehabilitation or medical treatment.

possible complications

Development or absence of complications depends on whether the patient is engaged in their own health or disease started up to chance. With timely early treatment of psoriasis can be contained within its primary manifestation in a localized area of ​​skin.

Completely get rid of the disease can not be, but it is possible to achieve stable remission.

The absence of adequate therapy will lead to the following complications:

• distribution of psoriatic plaques on other areas of the skin;
• formation volume pustules with serous contents inside;
• detachment of epithelial tissues, in close proximity to the site of skin lesions;
• attachment of bacterial, viral or fungal infection, which exacerbates the disease, acute inflammation provokes not only epithelium but also soft tissues;
• destruction of bone and connective tissue of the joints, which ultimately leads to severe disability of the patient;
• transition psoriatic plaques and pustules on the surface of the scalp with the death of bulbs;
• onset of death, if the disease is enveloped more than 10-15% of the skin, body heat regulation violated, it causes a critical rise in temperature.

Psoriasis - a dermatological disease that can be effectively kept under control. Regular intake of drugs, performing physiotherapy, allows significantly improve the patient's quality of life, enhance its ability to work and the level of physical activity.

Psoriasis - a non-communicable diseases, so patients are not dangerous to their loved ones and society. Timely establishment of the reasons that influenced the development of the disease, simplifies the process of treatment and recovery of epithelial tissues in the future.

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