Psoriasis photo of the initial phase

Psoriasis, the initial phase of which can occur with a particular set of factors, manifests itself in the form of reddish plates with clear borders.Then, they are covered with white silver scales, joining each other.As a rule, the plates are found in the area of the head, knees and elbows.Psoriasis is able to affect patients of any age and gender.By the end of the unexplained etiology of the disease does not allow to cure psoriasis finally, however, it is possible to significantly reduce the symptoms of the disease and achieve prolonged remission if you start the initial stage of developing psoriasis, properly evaluating the initial signs of psoriasis.

Symptoms of the initial stage of the disease

To know the initial stage of the disease, it is important to know what the primary symptoms look like.At first, single papules appear, which can be from several mm to 2-5 cm and have the shape of white scales covered.When the squad manifests a characteristic symptom of the psoriatic triad:

• "Starine Spot" (slight separation of scales while skiming);
• "Terminal film" (exhibition of shiny, thin and wet skin after removal of scales);
• Symptoms of "blood dew" (with further removal of the terminal film, the small blood drops that resemble dew appear on the surface of the skin).

The initial stage of the disease is characterized by the appearance of psoriatic seals in places, which are most often subject to trauma of any kind.As a rule, these are elbows, an area of knee in combing places or scratches.These manifestations are called "Kebner symptoms".At first, the papular rash spreads linearly, directly at the site of irritation and can exist for a long time without dynamics.These rashes are called "guard".The rash is very itching and itching.The initial phase lasts for several weeks.Then, the papules grow and join into psoriatic plaques, which are able to cover important areas of the body.Psoriasis can appear anywhere.The most dangerous rashes on the face are, but this form of the initial phase is very rare.

Characteristic sites of the localization of the disease in the initial phase

The most common rashes are observed:

Feet.The initial phase of psoriasis in the foot develops from single small rashes, which are mainly located on the feet and knees but are able to appear on any surface of the feet.

Elbows.At the elbows, the most common plane appears, the symptoms of which are characterized by minor red redness with severe peel.At the same time, tightening the skin is observed in the elbows.In addition, the rashes on the elbows can be symmetrical.

Nails.In the hands on the nails, psoriatic manifestations resemble a fungal infection.First of all, the longitudinal straps (points) occur at the edge of the nails (in the picture), and then they spread to the nail roots.At the same time, the nail plate begins to thicken and dull.With the progression of the symptoms of the disease, the nail area can be completely exterminated.

Psoriasis face is very rare on the face, as this form of psoriasis is considered atypical.Hypersized papules appear in the area of the eyelids, nasolabial folds, near the eyes and eyebrows (in the picture).In rare cases, redness on the face appears in the red lip and mucous bachelor (cheeks and tongue).

The specification of rashes on the face is associated with delicate, sensitive skin and an abundance of nerve endings.First, papules (small, slightly raised above the skin, joints) appear, accompanied by severe itching.Then, an epithelium and tiles appear on top of the knot.

Hands.Symptoms of psoriasis in the hands occur suddenly, appearing in the form of a minor rash (in the picture), which many patients take as an allergic.And only with the appearance of dry gray scales on their hands, palms, and elbows, patients return to a dermatologist for help.It is characteristic that if there is a psoriatic redness in the palm, then similar manifestations are observed in the legs.Psoriatic manifestations in the palms are more often localized among the fingers, which is explained by the most favorable environment in this country.The back of the brushes are much more rarely amazed.When psoriatic points appear at the fingers, a loss of their sensitivity is possible.

Psoriasis photo of the initial phase

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What is it?Psoriasis is a skin disease of a non -infectious nature, so it is impossible to become infected.It not only affects the skin, but also has a negative effect throughout the body as a whole.It is characterized by a chronic course with periods of irritation and remissions.The disease is caused by their body's immune cells, that is, it is an autoimmune disease.Raising from the bottom of the skin in the upper layers, these cells provoke inflammation, excessive division of epidermis cells, leading to excessive increase, the appearance of young small capillaries.From the outside, it looks like the formation of red or purple spots - psoriatic plates.

The first signs and symptoms of psoriasis

Since psoriasis - a systemic disease affecting all body systems - the patient suffers from general weakness, rapid fatigue.The main symptom of the initial phase of psoriasis is psoriatic rashes and plaques, however, accompanies a person with further development of the disease.They arise due to the accelerated uncontrolled separation of cells located in the upper layer of the skin-kraratinocytes.The cells involved form, and the skin in these areas thickens, gains red due to the expanded formation of new capillaries.This leads to slight bleeding of points for any, even easy, tile damage.The surface of the tiles is often covered with a gray raid, similar to paraffin.Even the term "paraffin lakes" was formed.This plaque consists of dead epithelial cells that accumulate on the surface of the plates due to the damaged rejection process.Spots can reach quite large sizes, join one -another.They are hot to touch, often accompanied by severe itching.Combinations can lead to infection.

Over time, the nails begin to change.Their surface becomes exhausted, the pressure appears, the pink stains are visible under the nail plate - the accumulation of the fluid, the nail turns yellow, thickens, takes the shape of bird claws.All this is due to a violation of nail food and blood circulation.The nail bed is subject to excessive keratinization, which leads to the rejection of nail and loss.It often has a red border inflamed around the nails.Small connections are affected by the disease and small joints - this is associated with pain and inflammation.In addition to tiles, with psoriasis, the papules form on the skin - small (about 1 mm) prolonged formation that resembles a rash.It is often located on the elbows and knees, preserved even during the prayer period.During improvement, the tiles begin to turn on from the middle, gain the shape of the rings and can disappear completely.The pigmented areas remain in their place.Psoriasis in the head has the same symptoms as in the body.In this case, the hair structure does not change.The rashes also cover the adjacent areas of the skin - behind the ears, around the neck.

Types of psoriasis

According to the symptoms of the manifestation, the disease is divided into two types: pustular and not -with drawbacks.There are several types of disease within these groups.

Forms of pustular psoriasis:

• generalized;
• Ring;
• palmoplantar (affecting mainly limbs);
• Ladomary;
• Psoriatic impetigo.

• common (chronic plaque psoriasis);
• Erythrodermic.

Moreover, the following types of disease are distinguished:

• Napkins psoriasis;
• Psoriasis of skin folds and bending surfaces;
• Seborrheic -like;
• potion

• light (affected by less than 3 % of the body surface);
• average (affected up to 10 % of the body surface);
• Heavy (more than 10 % of surfaces are affected).

Depending on the shape of the rashes, such types of psoriasis are distinguished:

Stages of development of psoriasis, symptoms

The first tiles appear in areas with dry skin and never occur where the skin is very wet, for example, armpit.First, the appearance of points can be seen on the inside of the elbows, below the knees, along the hair border on the head, as well as in places undergoing any damage or friction.Location is usually symmetrical.Take such stages during the disease:

• Progressive (formation of new points, growth of existing, itching, visible peel);
• stationary pair (slowing or suspension of tile growth, lack of newly formed stains);
• Regressive (lowering or lack of peel, disappearance of stains and plaques with the appearance of pigmented skin areas in their place, signs of psoriasis are almost missing).

There are no special tests to create a diagnosis.Diagnosis is made on the basis of characteristic external traits.One of these signs will be the appearance of bleeding during the plaque, bloody bloody dew.Another specific sign of psoriasis will be the presence of a pale border around a new papule, still not covered with scales.This is what the vascular reaction of the skin looks like, which means the progression of the disease.In severe forms of the disease, a blood appearance can change.Signs of the flowing inflammatory process appear.In some cases, you need to make a biopsy to exclude other skin diseases and confirm the presence of psoriasis.

Effective treatment of psoriasis

In the treatment of psoriasis, both local remedies and internal treatment, physiotherapy and SPA are used.In the initial mild course of the disease, medicines are used in the form of ointments.First, ointments and creams of plain composition are used, then go to hormone -containing ointments.Psoriasis cream should only be applied to tiles and dots.With the average and severe course of the disease, internal products that affect the whole body are used but give the best results, are used.This group includes vitamin A, immunosuppressants, cytostatics.Physiotherapists cause tangible relief to patients with psoriasis, can inhibit the development of the disease and sometimes replace the use of some medicines.UV radiation (phototherapy), laser, ultrasound and magnetotherapy, hyperthermia, electrophoresis, electrophoresis are used.Psoriasis is capable of gaining resistance to the treatment used over time, so it is recommended to change the methods (treatment rotation) from time to time.The disease with manifestations in the head is treated in the same way as in other parts of the body using ointments and physiotherapy.

Diet with psoriasis

Nutrition should help regulate metabolism and prevent the appearance or deterioration of skin symptoms.Since almost all patients have a violation of lipid metabolism, preference should be given to low products.Special fire diet, Pegano gained widespread fame.When compiling a diet, you should try to respect some simple rules:

1. Refusal of alcoholic beverages;
2. Food up to 6 times a day, little by little;
3. Exclude fried food, smoked from the diet;
4. Reduce salt content in food;
5. If possible, do not consume foods with color content, stabilizers and other nutrients;
6. Exclude citrus fruits;
7. Increase the vegetable and cereal part in the diet;
8. Mandatory use of vegetable oils.

Compliance with these simple rules will help avoid worsening psoriasis and independently compose a therapeutic diet.

Picture of the initial stage symptoms of psoriasis

Among the first symptoms of initial phase psoriasis, the emergence of small papular elements of an epidermal-dermal nature is distinguished.In the early stage of psoriasis, in the picture, the papules look small, with a pink head, pink hemispherical formations with a smooth and shiny surface.A few days later, they are covered with white silver scales, lightly.Such manifestations are called "point" psoriasis.Psoriasis at an early stage is characterized by the emergence of new small elements of psoriasis or the growth of the first existing psoriasis signs.

 

Almost the presence of the Kebner phenomenon is installed according to psoriatic linear elements that appear after any damage, for example, after combing with severe itching, etc.Finally, with a progressive phase, patients feel itching of different intensity, which is usually not characteristic of other stages of the process.The duration of the progressive phase is individual.Usually the progressive phase lasts from 2 weeks to several months.It is during this period that it is best to use non -hormonal ointments from psoriasis as a further prevention and treatment.

The regressive phase of psoriasis is the last stage of the psoriatic cycle.It is associated with a peeling, gradual flattening of the elements in the center, and their subsequent resolution.In this case, a picture of different figures (arches, trapezoids, rings) can be obtained.In this case, psoriasis is called "geographical".There may be another way to solve the elements in which it begins with the periphery of the element.No wound or atrophy are formed.Hyperpigmentations or areas that are not of the pigment (pseudo -psoriatic producer) may appear at the place of the allowed elements.These changes are temporary.It should be noted that such a division is largely conditional.In some cases, it is difficult to immediately determine the process phase.In this case, the diagnosis of psoriasis is decided after the patient's observation.