Psoriasis - treatment, symptoms, causes of

Psoriasis is a chronic skin disease (dermatosis) is not up to the end studied the etiology, with a tendency to re-offend. Causes, symptoms and methods of treatment of psoriasis reviewed in the article below. This disease is characterized by the acceleration and intensification of the formation of the cells of the upper layer of the skin, persistent inflammation, and the violation of the properties of the cells of the epithelium of the skin. With the exception of the epidermis, reaches the internal organs and systems of the body. Dermatitis is also known as psoriasisvulgaris (scaly ringworm).

GENERAL INFORMATION

the appearance of psoriasis

Psoriasis is more prevalent among the younger population, with its beginnings usually occurs in 10 to 20 years. But reported cases in which the symptoms and the treatment of psoriasis observed in infants and the elderly. The disease occurs throughout the world and does not have a clear function of the latitude, of the race or of the climatic conditions of the habitat. The prevalence of dermatitis varies in the range of 0.1% to 3%. In the countries of the post-soviet space it saves about 1% of cases.

The same frequency of this pathology, the skin and the sick, men and women.

The REASONS

Until today, the time is not installed, the real reasons for the development of the disease.There are several factors that lead to the onset of the disease:

  • Heredity. According to the latest scientific data psoriasis are some disease dominant type of transfer.
  • The violation of lipid, protein and carbohydrate exchanges. In case of suspicion about psoriasis of the skin quite often, and the modification of these profiles in the blood, which promotes the development of cardiovascular pathology, endocrine dysfunction and metabolic syndrome.
  • The chronic presence of an outbreak in the body. In the study of psoriatic plaques often detected streptococcal flora. On the occurrence of genetic abnormalities may influence viral and bacterial infections, for example, tonsillitis, the flu.
  • The inconsistency of the immune system. The violation of the regulation of the population of T lymphocytes, the improvement of the circulation of immune complexes and the increase of antibody titers in the DNA lead to an autoimmune reaction in the cells of the epithelium of the skin.

Although the reasons for the appearance of the psoriasis are very different, this genetic disease is considered a systemic disease, with a propensity for inheritance and tore out the internal organs and the system.

The SYMPTOMS

The main element of psoriasis are papules - flat elevation above the level of the skin red-bluish or pink tint with a peeling of the silver surface with horns.

Expenses of precipitation have a more saturated color, more old with the time, into insignificance. They can be isolated or wear drain in the nature - in any case, what are the symptoms of psoriasis.

Immediately the papules appear as the unit point of damage, which, with time, the increase in size and change in psoriatic plaques of different shapes. In a sick, you may notice the elements of lesions at different stages of their development.

Symmetry observed for the defeat, but there are exceptions in terms of what were the reasons for the onset of psoriasis. The most frequently affected of the surface of the upper and lower limbs that are folded and unfolded, the large joints, but the disease is able to affect any part of the body, including the scalp and nails. Very often, there is osteo-articular pathology - arthropathy, psoriatic. Its prevalence is approximately 15% of all psoriasis patients.

Eruptions on the skin, which are the main symptom of psoriasis, there is quite a long time, but most often the period of exacerbation is giving way to a remission with no new lesions. Exacerbation of psoriasis characterized the cold time of the year, but with the time, the seasonality may change.

The DIAGNOSIS

psoriasis

The differentiation of the disease there are several methods, and the signs (of the triad of psa):

The phenomenon of spot of stearin occurs when the curettage psoriatic is a piece of a sharp object. During this form of many white-silver sequins, imitating the shavings from the stearin.

If further manipulations appears terminal psoriatic wet film and glossy surface.

The next step is the phenomenon of clot of dew to bare the surface of the wound is drip, drip of the bleeding.

CLASSIFICATION

Psoriatic-making process should be divided into several clinical stages of the pathology, based on the severity of the disease:

  • Incremental step. Cost of precipitation is very often formed on the spot traumatic stress disorder of the epidermis (the bite, the combing, the action of chemicals, trauma is damage). Usually 3 to 7 days between the time of the traumatic impact may reveal the emergence of new elements. Highlights strengthened regional increases in old papules, of the growth and fusion of the plates. Well determined of the triad psoriatic. Patients concerned about the obvious symptoms of psoriasis of the skin - itching is intense, a sensation of dryness and tightness of the skin.
  • Fixed the stage. New elements of precipitation, practically do not appear, the lack of growth of the old elements. Of the nodes is active preparation of the flaking. The itching is less pronounced or missing.
  • The stage of the discoloration. Psoriatic insert pale and flattened. Spell scaling, and itching. On the edges of the psoriatic eruption appears bezel of depigmentation. The inflammatory activity is reduced. Begins remission, for the most characteristic of the warm period of the year.

The aggravation of the process can cause many factors:

  • Drugs.
  • The impact of high or low temperature.
  • Stress and emotional instability.
  • The worsening or the occurrence of other diseases.
  • The consumption of alcohol, and forces the error in the power supply.

When defined with precision the causes and treatment of psoriasis be appropriate to the methodology, the positive momentum will not wait.

Clinical interest in the disease of psoriasis is in a period of stages, during which we observe the middle of the disease and active precipitation.

Also the disease are classified according to the degree of severity and emphasize the two forms.The simple or psoriasis vulgaris has several varieties depending on the shape and location of the elements:

  • on the palms and soles. Most often the causes of the occurrence of the disease linked to a professional activity and are celebrated with people performing intense exercise. This form of the disease is isolated and affects only the palms and feet. Skin rashes have a rounded shape on the plates, there are cracks that are painful. With the exception of the skin of the feet and the palms of the hands, are frequently affected nail plate, noted degenerative changes, the deformity, discoloration, and onycholysis.
  • Seborrheic. The primary focus of psoriasis is on the scalp. Then, the process of the disease can be spread on the face, neck, back and chest. The most commonly seen in people prone to oily seborrhea and dark with metabolic disorders of metabolic processes.
  • Norman. This view extends all over the body. Elements psoriatic small size (4-5 mm), are not exposed to the plum.
  • Folded. Rashes are located in the skin folds – armpits, genital mutilation in women under the breasts, in the umbilical cord, the hollow between the buttocks and the crotch. The elements of the rash is bright red, almost flaking, have clear boundaries and smooth, slightly damp. This form are often victims of the elderly and infants, as well as diabetics. In children dermatitis has a tendency to merge the plates forming huge homes. Sometimes, the papules on the genitals are the only signs of psoriasis. In this case, it is necessary to distinguish between the rashes of other diseases.
  • Warts. Them more vulnerable to become overweight. Usually occurs in the buttocks and the lumbar region during the long progression of psoriasis. Can transform from another of its forms under the effect of microbial contamination of the agent: pyodermite or viral flora. Outbreaks of dermatitis with pronounced weeping and intense inflammation, covered with a yellow-gray crust. With time, the process ends, depth of infiltration and the growths of warts.
the treatment of psoriasis

The second form - severe psoriasis, which, in turn, has several variants of the disease:

  • The most dangerous. Such an option common to psoriasis occurs under the influence of various endogenous triggering factors: stress, excessive sun exposure, steroid therapy but more often the cause of the impossible. In patients underlines allergic to the hyper-reaction, as well as the oppression of immunological parameters, reaches the internal organs. When relating the symptoms and causes of psoriasis, the skin of the body hyperemic, with a shade of bordeaux and abundant of the destruction of another nature. Throughout the body of the severity of the symptoms is not the same. Patients complain of weakness and malaise. There was an increase of lymph nodes, dystrophic defeat of the nails, loss of hair. Under the current, the disease causes an imbalance of metabolic processes in the body, problems in the functioning of the cardio-vascular system and kidney.
  • The psoriatic arthritis. With papular skin rash in these patients occurs with the pathology of the joints. The diseases are more vulnerable to young men and middle-age, the pathology of the characteristic of the rarity of the clinical symptomatology and dynamics of the manifestation on an x-ray. It is the most heavy and complicated form of psoriasis, which led to the disability, and in some cases death. Affects a member of type osteoarthritis of the small joints of the hands and feet, the spine. The manifestations of the joints occur in about 4-6 years from the beginning of the disease, sometimes accompanied by a rash. On the x-rays are visualized the foci of osteoporosis, narrowing of the joint space, the appearance of osteophytes.
  • And pustular. This type of dermatitis can be subdivided into two types: simple and the. In a simple type of pustular psoriasis on the feet and the palms of the hands appear symmetrical skin eruptions - pustules, leather during this erythematous, throughout the body can also be papular elements. When the general shape of the patient's condition is heavy, there is a rise of temperature, weakness, and leukocytosis. The massive eruption all over the body, in the form of diffuse bright red to households and small papules that form a brown-yellow crust. This type of dermatitis develops secondarily and has a tendency to degenerate, ending in death. Therefore, the symptoms, causes and treatment of psoriasis should be kept under the strict medical supervision.In addition to the main types of psoriasis, there are many non-standard forms current process.

TREATMENT

When the disease psoriasis and the choice of treatment takes into account numerous factors. But always, at the approach of the cure of a complex disease.All patients with psoriasis , it is recommended to standardize the mode of power supply:

  • Balance the ration on the content of protein, fat and carbohydrates.
  • Eat more fruits and vegetables, especially the solanaceae family.
  • Eliminate foods with preservatives and flavored, fast-food.
  • Renounce to the consumption of alcohol and coffee and tea.
  • You must try to avoid situations of stress, more rest and get the sleep.

Depending on the cause of psoriasis, the type and the degree of severity is necessarily assigned to the drug treatment.For mild cases the severity of the process is usually prescribed for such groups of basic drugs of the therapy:

  • Medications that reduce the permeability of the vascular wall, antihistamines.
  • Vitamins.
  • Sedatives and tranquilizers.
  • Detoxification of medications for the inside of the introduction and plasma substitutes of human origin.
  • Hepatoprotectors.
  • Ointments with corticosteroids, NSAIDS, tar, etc

When the average and severe forms of the disease, with the exception of the base of the therapy, apply:

  • Corticosteroids in the form of tablets and injections.
  • Cytostatic.
  • Immune modulators.
  • The NSAIDS.
  • Antibiotics.

An effective treatment for psoriasis involves the widespread use of methods of physiotherapy of the exhibition, in particular, photochemotherapy and selective phototherapy (integrated impact of UV rays from the spectrum a, and a photosensitizer). Sanitation using the photochemotherapy gives excellent results.

Phototherapy selective with the simultaneous application of vitamin A obtained good results for the treatment of dermatosis easy. Space for the procedure compact, you can use them to treat psoriasis of the house.

COMPLICATIONS

prevention

Run the severe forms of the disease can lead to disorders of functioning of the internal organs: the liver, the kidneys, the cardio-vascular system, metabolic, serious violation.

Psoriatic arthritis due to degenerative changes in bones and joints is fraught with sprains, subluxation and bone fractures. This type of dermatitis often leads to disability.

Headquarters in the form of psoriasis is progressing quickly and can lead to death. Therefore, even minor ones, the symptoms of psoriasis of the skin should not be left without attention and as quickly as possible to consult a doctor.

PREVENTION

No matter what kind of had the symptoms and the causes of the onset of psoriasis, all the activities are focused on the standardization of food, fashion and relaxation. Given the heredity is the transmission of psoriasis, it is worth the child to monitor their health, to undergo medical examinations, eating well and avoiding stress.

Because this disease affects the liver, for prophylactic purposes, it is appropriate to exclude from the diet of citrus fruits, candies, smoked and fried foods, preserved foods, semi-finished products, etc

In a period of remission of active process , it is recommended thermal cure, occupation, physiotherapy, massage.