Psoriasis: types, treatment, doctor's advice

Psoriasis is a chronic skin disease with an unknown cause, manifested by the appearance of red coats on the skin.

The treatment is carried out by a dermatologist.Synonym - Scaly lichen.MKB 10: L40.According to the international classification, it refers to the skin diseases of Papulloskvamous.

Psoriasis as a disease is studied for about 200 years.Before this period, these patients were considered as patients with leprosy and treated them accordingly as lepers.Difference: leprosy (lepra) - infectious disease (pathogen - Mycobacterium leprae).Psoriasis is not infectious.

Symptoms

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

1. The symptom of "stearine point".This is a pathognomonic sign (that is to say characteristic only for a given disease).Speaking (subsidy) of psoriatic spots.It is produced with a dull scalpel or an object glass (not with a nail !!).With a slight scarf, the surface of the spot becomes white, as if it were covered with wax - it is a symptom of the "stearine point".
2. Symptom of "psoriatic film".Another pathognomonic symptom for psoriasis.With another piece, carefully eliminates the ladders from a psoriac plate, a shiny surface is visible under the ladders - the symptom so called from the film psorias or terminal.
3. The symptom of "Poltebnov blood dew" (symptom of Auspitz).Another pathognomonic symptom for psoriasis.With an additional propagation (cave) of the plates, that is to say when removing the terminal film, punctual bleeding appear, which do not merge with each other.It is the symptom of "blood dew".
4. Pilnov symptom.Characteristic for the initial step and the stage of progression.A rounded pink spot without peeling, with clear limits.With the progression of the disease along the periphery, the stains (plates) mark the edge of the red skin, not yet covered with scales.
5. Kebner symptom.Psoriatic foci appear on the skin in places of injury - in places of scratch, scratch, in places of friction on clothes.
6. Kartamyshev symptom.When the fingers are examined (palpated) plates on the scalp (HCH), a clear border of plates is felt with the fingers.Unlike seborrheic dermatitis, when there is no clear border between stains and healthy skin on palpation.
7. Voronov's symptom is a symptom of regressive spots (passers -by).For a while, wrinkled skin remains along the periphery of the psoriatic spot, lighter and lighter than healthy skin.
8. The symptom of "unheating" on the nails is a sign of damage to the nails.The nail is entirely in corners, like a dementary die.
9. The symptom of the "oil spot" on the nails: a yellow-brown spot under the nail plate is also a sign of nail psoriasis.
10. Onichogrifose - Deformation of the nail plate with nails psoriasis.The nail acquires ugly shapes, sometimes similar to a bird claw.
11. Bo-Rile Line.The longitudinal line passing through the whole nail is a sign of violation of the nail plate.

Types of psoriasis and clinic

Generalized pustule psoriasis (L40.1) and Pustulose Palmar and Plantaire (L40.3)

These two forms of the disease differ only by the prevalence of the process.The pathogenesis mechanisms are the same.Pusture forms are found in 1% of patients with psoriasis.Vesicles (bubbles) and pustules (pustules) appear on the skin, which can merge with each other, forming "purulent lakes".Around can be present from the skin of the skin.It can be disturbed by skin itching.The skin around the pustules are red, inflamed, hot to the touch.

Improvement in body temperature.In the blood - an increase in leukocytes (leukocytosis).These are rare and most serious types of psoriasis.But they require an immediate examination of the doctor and prescribing complex treatment.And generalized pustular psoriasis requires hospital treatment.In very rare cases, when bacterial infection is attached, even cases of septicemia and death are described in the literature.

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

Acrodermatitis is a persistent allopo

MKB 10: L40.2 code.

On the skin of the fingers and legs, psoriac changes pustulas (pustules) and peeling appear.The process involves nail plates.The nails are distorted, exfoliated in places in the nail bed, have sharp corners.

A lighter shape is nail psoriasis without pustula changes, that is to say without abscess on the skin.

Psoriasis is a rocky

MKB code 10: L40.4

The spots on survival, haloids with a pink size with peeling appear on the skin.There may be light itching.Location: The whole body is on the body, on the arms and on the legs.Rarely - on the face.

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

Psoriasis is arthropathic

MKB 10: L40.5 code

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

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

LOCATION - All joints, but the small interfering joints of the fingers are mainly affected.However, there are cases, for example, psoriatic spondylitis - damage to the intervertebral joints or psoriatic coxarthrosis - damage to the hip joint.

Patient complaints: pain, stiffness in the joints.Swelling and redness of the skin appear in the joints.There are frequent cases when patients do not bother anything at all, however, arthosis type changes on joint surfaces are noted on radiographs.

The joint pain and the restriction of movement in the joints cause handicap of patients.These patients should be sent to the ITU exam to determine the disability group.

Another psoriasis

MKB code 10: L40.8

This type includes psoriasis on the other hand (opposite, intertriginous).

Location - On the contrary - not on extensor surfaces, but on flexion.The elbow folds, the popliteal wells, the axillary cavities, the inguinal folds, under the breast 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 peel, slightly raised above the surrounding skin.

Psoriasis is not suitable

MKB code 10: L40.9

All the other species which, to 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).Skin rashes appear in the cold season.Well treated with ultraviolet influence.
2. Summer form (photootoxic psoriasis).Exacerbations occur in summer.UFO prostration leads to exacerbation of the disease.

Diagnosis

The diagnosis is made on the basis of clinical symptoms and patient complaints.

• The presence of certain symptoms of damage to skin, nails, joints, etc.- see above.
• In difficult cases - a skin biopsy for verification (installation of a precise diagnosis).At the same time, the infiltration of lymphocytes, neutrophils and macrophages, a thickening of skin capillaries, immature keratinocytes are found in the thickness of the skin.
• Joint x -ray - Ideally, all patients should be carried out.But more often than not, it is carried out according to the indications - in the presence of complaints concerning pain in the joints.
• A general blood test is most often normal.Inflammatory changes are only detected in the severe course of the disease.
  Recently, it is common to diagnose the blood test under a microscope.This does not matter for the diagnosis of psoriasis!

The differential diagnosis of psoriasis is made with diseases:

• Red flat lichen 
• Pink lichen 
• Parapsorize,
• Atopic dermatitis
• Eczema
• Papular syphilide
• Seborrheic dermatitis on the head
• Dermatophytia on the head
• Reuters disease, rheumatoid arthritis, osteoarthritis
• Medicinal allergic dermatoses
• Urticaria

Psoriasis treatment

Do not forget: it is impossible to completely cure psoriasis.You cannot get a long -term remission.

Local treatment

Please note: if pustules appeared from the ointment, the ointment must be canceled and consult your doctor to correct the treatment!

1. ONGUTS AND CROCS with vitamin D. For example, drugs containing substances synthesizing vitamin D.
2. Corticosteroids and creams.These drugs reduce the immune response to the skin, reduce the activity of inflammation.
3. Combinations in a composition of vitamin D and corticosteroid preparations.
4. Preparations based on Naphthalan.Lubricate the affected area of the skin 2 to 3 times a day.
5. Birch and drugs based on him.Berritine, birch tar.Lubricate the affected areas and give an extract for 15 to 30 minutes, then washed with warm water and soap.
6. Creams and ointments based on Solidol.You can use Solidol himself, but you must find the old solid Soviet, and not the solid which is now sold in car stores with different additives.Creams and ointments.Solidol and creams based on this help in both cases with psoriasis.The itching decreases on the 3rd day, the peeling leaves and the spot itself gradually decreases.
7. Keratolytic (exfoliating) and creams.Used unstable!Only to remove excessive coat.Often - in combination with corticosteroid preparations to reduce itching and inflammation.You cannot use with an exsudative psoriasis!Salicylic acid keratolytic agent.
8. Zinc drugs.  Reduces irritation and redness of the skin, dries the skin.It does not contain hormones.
   Please note: do not use tar and salicylic acid on "service plates"!The irritation of the on-duty plates can cause more the spread of pathological rashes on the skin.

Instrumental treatment methods

Photo cabinet for ball therapy

We watch the video how PUVA therapy is done:

• Laser Eximmer.

Treatment with a laser Eximmer of the scalp psoriasis:

• Plasmapheresis, hemosorption - Purification of blood plasma on a special device.At the same time, toxic blood immune complexes, which causes skin infiltration with lymphocytes, occurs.The effectiveness of the procedure is high, in particular in the severe evolution of the disease.But the procedure is expensive and essentially aims to eliminate the mechanisms of the development of the disease, not its causes.According to patients, plasmapheresis is satisfactorily tolerated, the effect appears from several procedures.

Diet with psoriasis

Exclude:

Citrus, tomatoes, pineapple and other fruits abroad, honey, candies, sugar, cookies, spices, alcohol, spicy and salted dishes, coffee, white bread, smoked meats, products with colors and sugar - repayments, potatoes and seminal.

Don't eat too much!

Necessarily:

Porridge (buckwheat, gruel), vegetable oils (sunflower, olive), fruits and vegetables - apples, carrots, beets, cabbage, cucumbers, pork meat, one day a week (generally Saturday) - Post (or even famine).On that day, drink only water or eat buckwheat porridge flooded with water.

Folk remedies

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

Do not forget: independent treatment at home in half of the cases leads to the progression of the disease and the transition in a more serious form.

List of folk remedies of psoriasis used in patient journals:

1. Solidol.
2. Therapeutic mud of salt lakes.
3. Baths with sea salt.
4. Birch.
5. Naphthalan oil.
6. A decoction of a series - tablets (applications) to affected areas of the skin.
7. A decoction of celandine herbs.
8. A decoction of Ettles.
9. Aloe juice.
10. Baths Dripidar.
11. Famine.
12. TSA faction 3.
13. Linseed oil.
14. Milk Thistle.
15. Anthelminitic Bades and Drugs.Ineffective or with zero efficiency.In the best of cases, extracts of ordinary herbs are contained, even an ordinary starch with vitamins and trace elements.Very expensive and bring in good profits to manufacturers and dot of food supplements.They are not a medication, so you cannot expect using them in the treatment of psoriasis.
16. Psoriasis ointment.In fact, the current remedy is Solidol.At the same time, there are many other extracts from herbs, bee products that can cause an allergic reaction and exacerbation of the disease.
17. Chinese lotion.The drug contains acids that can cause skin irritation and the progression of the disease.

Exotic treatment types

Ichtyotherapy.
In the black MRU, there is Gara-Ruf fish.They pinch the dead areas of human skin and help to "rejuvenate" the skin.This effect is also used in the treatment of patients with psoriasis.

The effect of ichthyotherapy is only positive with in -depth respect for the technique and the choice exactly of the same fish.There are similar fish - fish - they pick scales with pointed teeth, hurt the psoriatic plates.The effect of the exposure of the chin-chin is exactly the opposite of the propagation of the plates by the type of phenomenon of Kebner.

Do not comply with hygiene in certain SPA channels can lead to the appearance of fungal or viral lesions on the skin (yeast infection, warts).

Registration prevention

• Exclude risk factors!
• Observe the day's diet, the labor and rest regime
• Good nutrition
• Timely treatment of infectious and endocrine diseases
• UFO lessons and PUVA therapy
• Complex vitamins
• Treatment of sanatorium-proter, swimming on the sea
• A healthy lifestyle!

Is psoriasis

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