Psoriasis: Types, Treatment, Doctor Tips

Psoriasis is an unknown cause of a chronic skin disease that shows the appearance of red peeling spots on the skin.

Treatment is done by a dermatologist.Synonym - scaly lichen.MKB Code 10: L40.According to international classification, Papulloskvamous refers to skin diseases.

Psoriasis as a disease is examined for about 200 years.Prior to this period, such patients were considered a leprosy patient and were treated as leprosy.Difference: leprosy (leprosy) - infectious disease (pathogen - mycobacterium leprae).Psoriasis is not contagious.

Symptoms

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

1. Symptom of "stearin patch".This is a pathognomic sign (that is, only a particular disease) sign.Speech (dosage) of psoriasis spots.It is produced with a boring scalpel or object glass (not with nails !!).With a mild strap, the surface of the spot becomes white as if covered with wax - a symptom of "stearin spot".
2. Symptom of "psoriasis movie".Another pathognomic symptom for psoriasis.With additional waste, it nicely removes the scales from the psoriatic plaque, a brilliant surface is visible under the scales - the psoriatic or terminal, the symptom of such a symptom of films.
3. Symptom of "Blood Dew -poltebnov" (auspitz symptom).Another pathognomic symptom for psoriasis.With further spread of plaques, that is, when the terminal film is removed, the point is bleeding, which do not merge with each other.This is a symptom of "blood beef".
4. Symptom Pilnov.Typical in the initial and stages of progression.A rounded pink spot without peeling with clean borders.Along with the periphery of the disease, the spots (plaques) indicate the rim of the red skin as the disease progresses, not yet covered with scales.
5. Kebner symptom.The psoriatic focuses appear on the skin at the site of the injury - scratches, ducks, at the friction places of the clothes.
6. Cartamyshev symptom.When your fingers are examined (tactile) plaques on the scalp (HCH), pure plaques are bounded with the fingers.Unlike the seborrheic dermatitis, when there is no clear border between spots and healthy skin on the palpation.
7. Voronov symptom is a symptom of regressive (passing) spots.For a while, wrinkled skin remains on the periphery of psoriasis patch, lighter and brilliant than healthy skin.
8. The symptom of the "thimble" on the nails is a sign of damage to the nails.The nails are all accurate recesses like a thread.
9. Symptom of the "oil spot" of the nails: the yellow-brown spot under the nail plate is also a sign of psoriasis.
10. Onichogrifosis - deformation of nail plate with psoriasis of the nail.The nail gets ugly shapes, sometimes similar to birds of birds.
11. Bo-rile line.The longitudinal line passing through the entire nail is a sign of a nail plate violation.

Types of psoriasis and clinic

General pustulent psoriasis (L40.1) and Pustulose Palmar and Planta (L40.3)

These two forms of the disease differ only in the prevalence of the process.The mechanisms of pathogenesis are the same.Stink forms are found in 1% of patients with psoriasis.Vesicula (bubbles) and pustulas (pustulars) appear on the skin that can merge with each other and form "confused lakes".About skin peeling may be present.It may interfere with itching of the skin.The skin around the pustulas is red, inflamed, tactile.

It improves body temperature.In the blood - an increase in leukocytes (leukocytosis).These are the rare and severe type of psoriasis.But they need immediate examination of the doctor and prescribe complex treatment.And general pustular psoriasis requires inpatient treatment.In very rare cases, when bacterial infection is combined, even cases of sepsis and deaths are described in literature.

One type of pustular psoriasis is an exudative form.However, there are no abscesses and bubbles on the skin, but crying of the affected skin, formation of the bark and itching of the skin.

Acrodermatitis is durable allopo

MKB Code 10: L40.2.

Pustular (pustular) psoriasis changes and peeling appear on the skin of the fingers and legs.The process includes the nail plates.The nails are deformed, they are peeled in areas from the nail bed, and they have a recess.

The lighter form of nail psoriasis, without pustular changes, that is, without the skin of the skin.

Psoriasis is a rocky

MKB Code 10: L40.4

The skin shows exaggerated haloid spots, which are pink with peeling.It may be light skin itching.Localization: The whole body is on the body, arms and legs.Rarely - on the face.

Often a drop -shaped form appears after infectious diseases (tonsillitis, acute respiratory viral infections).

Psoriasis is artropathic

MKB Code 10: L40.5

Other names of the joints are psoriasis, psoriatic artropathy, psoriasis arthritis.

It develops in 10% of patients with psoriasis.It affects the joint surfaces and periarticular tissues - ligaments, tendons, joint bags.

Localization - any joint, but the small, inter -wall joints of the fingers are primarily affected.However, there are cases such as psoriatic spondilitis - damage to intervertebral joints or psoriatic coxarthrosis - damage to the hip joint.

Patient complaints: pain, stiffness in the joints.Swelling and redness of the skin appears in the joints.There are often cases where patients do not disturb at all, but X -rays detect changes in joint surfaces on joint surfaces.

Restriction of joint pain and movement leads to the disability of patients in the joints.Such patients should be directed to examine ITU to determine the disability group.

New psoriasis

MKB Code 10: L40.8

This type includes psoriasis in the reverse (Inverse, Intertigonic) movie.

On the contrary, localization is not on extensor surfaces, but on bending.The elbows are bends, popliteal pits, axillary cavities, inguinal folds, under the mammary glands.However, there is no rash in the rest of the body.

Develops in obese patients with diabetes.
Press: Red spots appear on the skin, almost without peeling, slightly elevated over the surrounding skin.

Psoriasis is inappropriate

MKB Code 10: L40.9

All other species that cannot be attributed to one or each other can be attributed to this group.

Seasonal forms of psoriasis

1. Winter form (photosensitive psoriasis).The rashes appear in the cold season.Well -treated ultraviolet radiation.
2. Summer form (phototoxic psoriasis).The aggravations happen in the summer.UFO prostation leads to worsening of the disease.

Diagnosis

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

• Skin, nails, joints, etc.Presence of certain symptoms - see above.
• In difficult cases - the biopsy of the skin for control (installation of accurate diagnosis).At the same time, the infiltration of lymphocytes, neutrophils and macrophages, the thickening of the skin capillaries, and immature keratinocytes are found in the thickness of the skin.
• Common radiography - Ideally, all patients should be done.But it is most often done according to indications - in the presence of joint pain.
• The general blood test is most commonly normal.Inflammatory changes are only observed during the severe course of the disease.
  Recently, it is common to diagnose blood tests under a microscope.It doesn't matter to diagnosing psoriasis!

Differential diagnosis of psoriasis is done with diseases:

• Red flat 
• Pink lichen 
• Parasorize,
• Atopic dermatitis
• Eczema
• Papular syphilide
• Dermatitis seborrheic dermatitis
• Dermatofitia on his head
• Reuters -kór, rheumatoid arthritis, joint
• Medical allergic dermatoses
• Hives

Treatment of psoriasis

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

Local treatment

Caution: If the ointment has occurred from pustules, the ointment must be wiped out and consult your doctor to correct treatment!

1. Ointments and creams.For example, medicines with vitamin D.
2. Corticosteroid ointments and creams.These drugs reduce the skin's immune response and reduce inflammation.
3. Combinations in one composition of vitamin D and corticosteroid formulations.
4. Naphthaan -based preparations.Lubricate the affected area of the skin 2-3 times a day.
5. Based on birch tar and medicines.Berritin, birch tar.Lubricate the affected areas and give a extract for 15-30 minutes, then wash with warm water and soap.
6. Creams and ointments based on solidol.You can use solidol itself, but you need to find the old Soviet solidol, not the solidol, which is now sold on car shops with different additives.Creams and ointments.Solidol and creams, based on IT, help with psoriasis.Itching decreases on day 3, peeling of leaves and the stain itself gradually decreases.
7. Keratolytic (peeling) ointments and creams.Used unstable!Only to remove excessive peeling.Often - in combination with corticosteroid products to reduce itching and inflammation.You can't use exudative psoriasis!Keratolytic agent salicylic acid.
8. Zinc medicines.  Reduces skin irritation and redness and dries the skin.Does not contain hormones.
   Caution: Do not use tar and salicylic acid on the "customs boards"!Irritation of On -Duty Plaque can further provoke the spread of abnormal rashes on the skin.

Instrumental treatment methods

Photo cabinet for ball therapy

We'll watch the video how to perform PUVA therapy:

• Eximer laser.

Treatment with the psoriasis psoriasis laser of the scalp:

• Plasma puresis, hemosorption - cleaning blood plasma on a special device.At the same time, toxic immune complexes from blood lead to infiltration of skin with lymphocytes.The effectiveness of the procedure is high, especially during the severe course of the disease.But the procedure is expensive and is essentially aimed at eliminating the mechanisms of the disease, not its causes.Patients say the plasma puresis is tolerated satisfactorily and the effect comes from several procedures.

Diet with psoriasis

Excluded:

Citrus fruits, tomatoes, pineapple and other overseas fruits, honey, sweets, sugar, cakes, spices, alcohol, spicy and salty vessels, coffee, white bread, smoked meats, dyes and sugar replications, potatoes and demolition.

Don't outdo it!

Necessarily:

Porridge (buckwheat, oatmeal), vegetable oils (sunflower, olives), fruits and vegetables - apples, carrots, beets, cabbage, cucumbers, cooked meat, fish, one day (usually Saturday) - post office (or even star selection).On this day, drink only water or eat buckwheat porridge flooded with water.

Folk medicines

At home, you can use various folk drugs for psoriasis.But their effect is minimal or zero.

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

List of folk cures for psoriasis in patients' reviews:

1. Solidol.
2. Therapeutic drunk of salty lakes.
3. Baths with sea salt.
4. Birch tar.
5. Naphtheless oil.
6. A series of decoction - compresses (application) to the affected areas of the skin.
7. Celandine herbs.
8. The decoction of the nettle.
9. Aloe juice.
10. Dripidar baths.
11. Starvation.
12. ASD 3.
13. Linseed oil.
14. Milkality.
15. Bades and Anthelmintic drugs.Ineffective or zero efficiency.At best, they contain extracts of the usual grasses or even regular starch with vitamins and trace elements.It is very expensive and brings good profits for the dietary supplements.These are not medicines, so you can't count on them in treating psoriasis.
16. Ointment from psoriasis.In fact, the current medicine is solidol.At the same time, there are many more herbs, bee products that can cause allergic reaction and worsening of the disease.
17. Chinese cream.The drug contains acids that can lead to skin irritation and progression of the disease.

Exotic treatment

Ichtiotherapy.
The black MU has Gara-Ruf fish.They pinch the dead areas of human skin and contribute to the "renewal" of the skin.This effect is also used to treat patients with psoriasis.

The effect of ichtiotherapy is positive only with a thorough adherence to technology and exactly the same fish.There are similar fish - clin fish - with sharp teeth, thus damaging the psoriatic plaques.The effect of the exposure to the chin is exactly the opposite of the spread of plaques based on the type of kebner phenomenon.

Failure to follow non -compliance with hygiene in some spa can lead to fungal or viral lesions on the skin (mycosis, warts).

Registration prevention

• Excludes risk factors!
• Observe your daily system, workforce and rest system
• Proper nutrition
• Timely treatment of infectious and endocrine diseases
• UFO and PUVA therapy courses
• Composite vitamins
• Sanatorium resort treatment, swimming at sea
• Healthy lifestyle!

The psoriasis

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