Psoriasis: Types, Treatment, doctor's advice

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

Treatment is performed by a dermatologist.Synonym - scales.MKB Code 10: L40.According to international classification, it refers to papuloskvam skin diseases.

Psoriasis as a disease is studied for about 200 years.Prior to this period, such patients were considered leprosy patients and treated them accordingly.Difference: leprosy (lephery) - infectious disease (pathogen - mycobacterium lepre).Psoriasis is non -infectious.

Symptoms

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

1. Symptom of "Spot Steinin".It is a pathognomonic (ie only characteristic of a particular disease) a sign.Psoriatic point speaking (granine).Produced produced with a head or glass of dull object (not with a nail !!).With a light sling, the surface of the site becomes white, as if covered with wax - this is a symptom of "Steinin Spot".
2. Symptom of "psoriatic film".Another pathognomonic symptom for psoriasis.With a further scrap, masterfully removes scales from a psoriatic plaque, an excellent surface is visible under the scales - the so -called psoriatic, or terminal symptom.
3. Symptom of "Blood Dew Poltebnov" (Auspitz symptoms).Another pathognomonic symptom for psoriasis.With the further spread of the plates, that is, when removing the terminal film, the bleeding of the point is manifested, which do not join each other.This is the symptom of "blood dew".
4. Pilnov symptoms.Characteristic of the initial phase and the progress phase.A rounded pink place without peel, with clear borders.With the progression of the disease along the periphery, the dots (plaques) mark the edge of the red skin, still unpaid with scales.
5. Symptom of kebner.Psoriatic focuses appear on the skin in damage sites - in scratch sites, scuffs, in the friction sites for clothes.
6. Symptom of kartamyshev.When the fingers are examined (palpable) the plates in the head of the head (HCH), a clear border of the tiles with the fingers is felt.Unlike seborrheic dermatitis, when there is no clear limit between points and healthy skin in palpation.
7. The symptom of Voronov is a symptom of regressive points.For some time, wrinkled skin remains along the periphery of the psoriatic point, lighter and brilliant than healthy skin.
8. The symptom of "nail" on the nails is a sign of nail damage.The nail is all at the dots, like a lump.
9. Symptom of "oil point" on nails: A yellow-brown spot under the nail plate is also a sign of nail psoriasis.
10. Onichogrifosis - deformation of the nail plate with nail psoriasis.The nail gains ugly forms, sometimes similar to a bird's claw.
11. Bo-rile line.The longitudinal line passing through the entire nail is a sign of breaking the nail plate.

Types of psoriasis and clinic

Pustulty general psoriasis (L40.1) and Pustulose and Plantar Palmar (L40.3)

These two forms of the disease differ only in the spread of the process.The pathogenesis mechanisms are the same.Pustura forms are found in 1% of patients with psoriasis.Vesicula (bubbles) and pustules appear on the skin, which can join each other, forming "purulent lakes".Skin peeling may be present around.It may be disturbed by itching of the skin.The skin around the pustules is red, inflamed, hot to the touch.

Improving body temperature.In the blood - an increase in leukocytes (leukocytosis).These are rare and more severe types of psoriasis.But they require an immediate examination of the doctor and the description of complex treatment.And generalized pustular psoriasis requires hospital treatment.In very rare cases, when bacterial infection joins, even cases of sepsis and deaths 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 is a cry of the affected skin, the formation of crusts and itching of the skin.

The acrodermatitis is the constant allopo

MKB Code 10: L40.2.

On the skin of the fingers and toes, psoriatic pustular (pustular) and peel changes appear.The process includes nail plates.The nails are deformed, exfoliated in places from the nail bed, they have points.

A lighter form is the psoriasis of nails without pustular changes, that is, without abscesses on the skin.

Psoriasis is a rock

MKB Code 10: L40.4

Survivors, haloids with a pink with peel size appear on the skin.There may be mild skin itching.Localization: the whole body is in the body, in the arms and in the leg.Rarely - on the face.

Often a form formed by the decline appears after infectious diseases (tonsils, acute respiratory infections).

Psoriasis is arthropatic

MKB Code 10: L40.5

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

It develops in 10% of patients with psoriasis.Articular surfaces and periarticular fabrics are affected - ligaments, tendons, articular bags.

Localization - each joint, but the small finger interconnection joints are mostly 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.Ellingance and rash appears in the joints.There are frequent cases when patients disturb nothing, however, changes in arthrosis on the common surfaces are listed in radiographs.

Joint pain and restriction of movement in the joints lead to patient disability.Such patients should be directed to the ITU examination to determine the disability group.

Another psoriasis

MKB Code 10: L40.8

This type includes psoriasis in reverse (inverse, interiges).

Localization - on the contrary - not on extensor surfaces, but in flexion.The elbows bend, the pits of the popliteal, the axillary cavities, the inguinal folds, under the mammals.At the same time, there is no redness in the rest of the body.

It develops in patients with overweight and diabetes.
Manifestation: Red spots appear on the skin, almost without peel, slightly raised on the surrounding skin.

Psoriasis is inappropriate

MKB Code 10: L40.9

All other species that, from one or another, cannot be attributed to the above species, are attributed to this group.

Seasonal forms of psoriasis

1. Winter form (photosensitive psoriasis).Rashes appear in the cold season.Well treated with ultraviolet radiation.
2. Summer shape (photocxical psoriasis).The irritations occur during the summer.UFO prostitution leads to a deterioration of the disease.

Troubleshooting

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

• The presence of some symptoms of skin damage, nails, joints, etc. - see above.
• In difficult cases - a skin biopsy for verification (installing an accurate diagnosis).At the same time, infiltration of lymphocytes, neutrophils and macrophages, obesity of skin capillaries, immature keratinocytes are found in the thickness of the skin.
• Common radiography - ideally, all patients should be done.But most often it is performed according to indications - in the presence of complaints about joint pain.
• A general blood test is most often normal.Inflammatory changes are detected only in the severe course of the disease.
  Recently, it is common to diagnose blood test under a microscope.It doesn't matter for the diagnosis of psoriasis!

Differential diagnosis of psoriasis is performed with disease:

• Flat -red 
• Pink 
• Foresee,
• Atopic dermatitis
• Eczema
• Syphilid
• Seborrheic dermatitis in the head
• Dermatophytia in the head
• Reuters disease, rheumatoid arthritis, arthritis
• Allergic medicinal dermatosis
• hive

Treatment of psoriasis

Remember: it is impossible to fully cure psoriasis.You can only achieve long -term apologies.

Local treatment

Attention: If pustules were displayed from the oil, then the oil should be canceled and consult your doctor to correct your treatment!

1. Ointments and creams with vitamin D. For example, medicines containing substances that synthesize vitamin D.
2. Ointments and corticosteroid creams.These medicines reduce the immune response to the skin, reduce the activity of inflammation.
3. Combinations in a composition of vitamin D and corticosteroid preparations.
4. Naphthalan -based preparations.Lubricate the affected area of the skin 2-3 times daily-4 weeks.
5. Tar birch and medication based on it.Berritin, Tar Birch.Lubricate the affected areas and give a fragment for 15-30 minutes, then wash with warm water and soap.
6. Creams and ointments based on solidol.You can use solidol yourself, but you need to find the old Soviet solidol, not the solidol that is now sold in car stores with different additives.Creams and ointments.Solidol and cream based on it help in half of the cases with psoriasis.Itching decreases on the 3rd day, leaf peeling and the place itself gradually decreases.
7. Ointments and keratolytic creams (exfoliating).Used unstable!Only for removing excessive peel.Often - in combination with corticosteroid preparations to reduce itching and inflammation.You can't use with exudative psoriasis!Salicylic acid keratolytic agent.
8. Zinc drugs.  Reduces irritation and redness of the skin, dries the skin.It contains no hormones.
   Attention: Do not use tar and salicylic acid on "task plates"!Irritation of on -duty plates can provoke the spread of pathological rashes further on the skin.

Instrumental treatment methods

Photographic cabinet for bullet therapy

We watch the video how PUVA therapy is performed:

• Laser Eximer.

Treatment with an eximeer laser of head psoriasis:

• Plasmaferesis, hemostorption - blood plasma cleaning into a special apparatus.At the same time, toxic immune complexes occur from the blood, which lead to skin infiltration with lymphocytes.The effectiveness of the procedure is high, especially in the severe course of the disease.But the procedure is expensive and is essentially aimed at eliminating the mechanisms of the development of the disease, not its causes.According to patients, plasmaferesis is satisfactorily tolerated, the effect appears from several procedures.

Diet with psoriasis

Exclude:

Citrus fruits, tomatoes, pineapples and other overseas fruits, honey, cakes, sugar, cookie, spices, alcohol, spicy and salty dishes, coffee, white bread, smoked meat, color and sugar products, potatoes and semolin.

Don't overdo it!

Necessarily:

Porridge (buckwheat, oatmeal), vegetable oils (sunflower, olive), fruits and vegetables - apples, carrots, beets, cabbage, cucumbers, boiled meat, fish, one day a week (usually Saturday) - posting (or even hunger).On this day, drink only water or eat buckwheat porridge flooded with water.

Folk remedies

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

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

List of popular remedies from psoriasis used in reviews by patients:

1. Solidol.
2. Therapeutic mud of salty lakes.
3. Baths with sea salt.
4. Tar birch.
5. Naphthalan oil.
6. A decoction of a series - applications in the affected areas of the skin.
7. A decoction of celandine plants.
8. A decoction of nettles.
9. Aloe juice.
10. Dripidar baths.
11. Hunger.
12. Fraction ASD 3.
13. Lin oil.
14. The milk thistle.
15. Bades and anthelmintic medicines.Ineffective or with zero efficiency.At best, the extracts of ordinary drugs are included, or even common starch with vitamins and trace elements.Very expensive and bring good profit to manufacturers and dietary supplements.They are not a medicine, so you cannot expect help from them in treating psoriasis.
16. Ointment from psoriasis.In fact, the current medicine is solidol.At the same time, there are many more plant extracts, bee products that can cause an allergic reaction and worsening of the disease.
17. Chinese lotion.The drug contains acids that can lead to skin irritation and the progression of the disease.

Exotic types of treatment

Ichthyotherapy.
In black mru there are racing fish.They remove dead areas from human skin and contribute to the "rejuvenation" of the skin.This effect is also used in the treatment of patients with psoriasis.

The effect of ichthyotherapy is positive only with the full observance of the technique and the choice of exactly the same fish.There are fish -like fish - they plunge scales with sharp teeth, thus damaging psoriatic plates.The effect of exposure of chin-chin fish is exactly the opposite-the spread of tiles by the type of kebner phenomenon.

Failure to comply with hygiene in some bathroom channels can lead to the appearance of fungal or viral lesions on the skin (mycosis, warts).

Preventing registration

• Exclude risk factors!
• Observe the day's regime, work regime and rest
• Proper food
• Timely treatment of infectious and endocrine diseases
• UFO and PUVA-Therapy courses
• Complex vitamins
• Treating the Sanatorium outcome, swimming in the sea
• A healthy lifestyle!

Is psoriasis

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