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Symptoms of Psoriasis
In patients with psoriasis, as a result of rapid growth of skin cells appear dense patches on the skin that are white, red or silver . In a healthy human skin cell development occurs gradually, their peeling happens about once a month . Consequently, the new cells gradually move to the place of old cells in the top layer of skin . In patients with psoriasis the development of new cells is much faster: they are not formed in a few weeks and a few days . Accordingly, during this time the upper skin cells do not have time to die, and as a result there is a manifestation of the main symptoms of psoriasis - layers and the formation of plaques on the skin . Such plaque psoriasis patients vary in size . Their expression is observed in various parts of the body - on the scalp, knees, hands, elbows, lower back . The most common symptoms of psoriasis occur in mature people, but the disease can occur in children and adolescents .
The first symptoms of psoriasis can be noted at any age - and a two-month baby and a man of advanced years. However, psoriasis is most often seen in people between the ages of twenty to forty years.
Accepted provide three stages during the course of psoriasis: progressive . fixed . regress .
In the first, advanced stage, papules have a more vivid color, they appear edema, papules about noticeable pronounced erythematous-edematous spotted the curb. Papules may be on the verge of merging, joining together in large common areas or plaques with various contours. At this stage, psoriasis often manifests positive Kobner phenomenon phenomenon . For this condition characterized by the appearance of papules at locations that have previously been exposed to pressure and friction. In this case, even a slight irritation of the skin is a recipe papules.
In the period of regression papular infiltration disappears completely in a large area of the body surface of the patient. Where previously rashes, hotspots hyperpigmentation or secondary sites leucoderma . At the same time around the psoriatic elements that regressed, there is a distinct pale border, which is called psevdoatroficheskim rim Voronov .
Causes of Psoriasis
Today also found chromosomal abnormalities that lead to outbreaks of disease. It has been identified chromosome, which is responsible for the appearance of dermatosis. If the virus is introduced into the cell, the coding genetic information is disrupted. As a consequence, new transformed cells having altered hereditary properties.
Studies suggest that hereditary factors are important bole compared with exposure to environmental factors. Defines mechanisms that trigger the onset of the disease, are injuries of mental nature, status stress , Length of stay in a state of tension.
Also a role in the development of the disease belongs to the homes of focal infection ( cholecystitis . tonsillitis . otitis . genyantritis . caries and etc.). Due to the sensitivity of the organism infection increases significantly, thereby can deteriorate dermatosis or its primary symptoms appear. Exacerbation of psoriasis and development takes place under the influence of streptococcal infections.
Furthermore, the symptoms of psoriasis can be exacerbated by a number of drugs - antibiotics . beta-blockers . the nature of the non-steroidal anti-inflammatory drugs . B vitamins .
Complications of the disease, its further spread and shortening the period of remission occurs under the influence of alcohol poisoning.
In addition, psoriasis progresses as a result of non-compliance with the rules of personal hygiene, persistent problems of seed nature, ignoring the doctor prescribed treatment regimen.
Types of psoriasis
With rupioidnom psoriasis patient layered crust formed, which after removal of the skin becomes bright red. This form of psoriasis is rarely diagnosed.
Patients warty and papillomatoznyh psoriasis lesions mainly occur on the limbs. Warty growths have a shape or are papilliform. This form of psoriasis is very rare.
On the palms and soles of the person manifests itself blyashkovy . lenticular . horny . pustular psoriasis .
Psoriasis folds They suffer mostly children and the elderly. The illness develops diabetes mellitus. For this form of the disease characterized by red rashes that occur under the breasts, armpits, in the crotch area, the navel. Their surface is wet, as often occur within folds crack.
On the hairy part of the head is developed seborrheic psoriasis . For this disease characterized by lesions of the diffuse type. Sometimes the rash can also occur outside of the head covered with hair. In this case, the patient, a so-called "psoriatic crown." This defeat and hair loss does not occur. In this form of the disease appear as small plaques on the face, near his chest.
With psoriasis of the nail plate the patient always amazed nail plate, but the damage can be expressed in different ways. In the case of point defeat nail polish on the plates there are small depressions in the form of points. In this case, the surface of the nail plate look like a thimble, so called psoriasis naperstkovidnym .
All patients with nail psoriasis, a slight cloudiness of the nail plate, nail grayish color and discreet longitudinal striations.
If the defeat of the nail is very significant, it is allocated three forms of nail psoriasis: atrophic . hypertrophic , and nail involvement with subungual hemorrhages .
When artropaticheskom damage occurs asymmetrically in one or more joints of the feet and hands. This disease is more common in young people. In this case, generally there is a lesion of the distal joints, as if the disease continues to progress, the Charter could be defeated generalized . This will resemble the symptoms of psoriasis rheumatoid arthritis Do patients have swelling of the joints, pain, erythema, limited in his movements, changes in the small joints of the hands and others. Sometimes you can see the X-ray study of articular osteoporosis . osteophytes , Rarely occurs bone erosion . Accepted provide several forms artropaticheskom.
With pustular psoriasis on the palms and soles occurs generalized and limited precipitation.
Hard enough for at generalizovanogo pustular psoriasis : A person's body temperature rises, there is a general malaise. Initially on the skin appears erythema , Then there are small superficial pustules Manifested burning and pain. With further development of the disease is draining lesions, peeling skin and purulent appearance of erosions. The disease is protracted, its exacerbation occur periodically.
Diagnosis of psoriasis
The process of diagnosis of psoriasis presents no particular difficulties and is based on the study of the characteristic appearance of the skin of the patient. Usually laboratory analysis or specific studies in psoriasis are not held. However, in some cases with progressive severe psoriasis blood is still needed to identify the inflammatory . autoimmune . rheumatic processes. Also sometimes appointed by holding Biopsy skin to differentiate with other psoriasis skin ailments. Another sign of psoriasis, which draws the attention of a specialist in the diagnosis is the presence of petechial hemorrhages and rapid onset bleeding After scraping plaque off the skin.
Psoriasis Treatment
In severe forms of the disease and spread of lesions throughout the body psoriasis treatment becomes more difficult. Moreover, in most cases, psoriasis reveals tendency to relapse.
Methods for the treatment of psoriasis the doctor offers guided localization, form of the disease, the patient's age and his state of health. Selection of medicines made in view of the extent of damage the body psoriasis.
Local media are widely used for the treatment of psoriasis is mild. In this case, important regular proper care of the skin, the use of moisturizing creams and gels, the use of special medicated shampoos. Experts recommend also possible to take a sun bath.
It is important to be attentive to the possibility of falling under the influence of the factors that may cause disease progression.
If the impact of local media does not give the desired result, for the treatment of psoriasis using other means which are released only by prescription. Often the treatment of various forms of psoriasis use preparations containing vitamin D . topical corticosteroids . tar preparations . retinoids . Sometimes, on the recommendation of a doctor for the topical treatment is used not one but several different means. Also, local products combined with oral.
If a person is diagnosed with psoriasis of moderate severity, in this case, you can assign phototherapy - exposure to the sun or UV exposure.
Good results are often observed in the treatment of psoriasis folk remedies. There are special infusions and decoctions, which help to establish a clear work of all internal organs, which is a prerequisite for the further treatment of psoriasis.
Thus, the state of the thyroid gland and pancreas improves the use of a decoction of walnut shell. It is also possible to prepare special ointment, as components which are often used honey, egg white, grease medical powder celandine. It is also used to treat psoriasis herbal teas, which include valerian, everlasting, mother and stepmother, and a series of others. Is useful to take a bath with the addition of broth celandine.
Very often, patients with psoriasis should try a lot of different medications and therapies, including the treatment of psoriasis folk remedies, before being developed efficient and effective regimen. Patients with psoriasis moderate to severe, may require constant treatment throughout life.
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