The initial stage of psoriasis. Causes of effective presentation and treatment

25 December 2020

In this article, we examine the initial stage of psoriasis, what are its causes and the mechanism of formation of areas of damage. By following our recommendations, you can recognize the symptoms of psoriasis at an early stage and eliminate them.

Early signs of psoriasis

Patients may have different initial signs of psoriasis. This disease is characterized by an acute onset, rashes occur for a short time. Primary rash is also called duty rash or guard rash.

The initial phase lasts several weeks. The duration of this stage of the disease depends on the general condition of the body and its protective ability.

The rash consists of pale pink to red papules that grow on the skin. They are dense to the touch.

After a while, you will find silvery-white scales that are easily removed. The skin of the affected areas is inflamed, swollen, redness is noticed.

Specialists identify 3 features of psoriasis that distinguish it from other diseases:

Tipari	Tipari
Stearine stain.	This is a plaque, the cleaning of which is accompanied by the appearance of small scales.
Psoriatic films.	The last layer that can be removed from the skin after the scales. This layer is similar to plastic wrap.
Blood dew or Auspitz phenomenon.	Appearance of blood droplets in violation of the integrity of the psoriatic film.

Cases have different shapes: dots, drop-shaped, coin-shaped, ring-shaped, diffuse.

In addition to redness, the patient worries about skin, redness, itching of varying intensity.

Psoriasis of the elbows

Plaque psoriasis is characteristic of the elbow area. At first, single red papules appear. Then the skin begins to peel and rough.

Psoriasis of the feet

First signs: a slight redness, inflammation and swelling of the skin. Typical localization: knees and feet. Over time, the skin peels off, the disease begins to progress.

Psoriasis on the hands

The first papules are located in the elongation of the joints (in the fingers and in the elbow area). Often, rashes occur on the palms along with foot injuries. Sometimes psoriatic arthritis occurs. Affects joints of different sizes. Characterized by swelling, redness, and deformity of the joint, painful sensations may be disturbing.

Psoriasis on the nails

The appearance of disease on the nail plate looks like a fungal infection. First, there are longitudinal grooves and depressed spots along the edge of the nail. The process moves closer to the root area of the nail over time. The nail dulls and thickens. As the disease progresses, the nail may become discarded.

Psoriasis of the head

Localization of the rash: frontal, behind the ears and neck area. Papular rashes are accompanied by scaling and itching. Damaged areas are often damp and cracked. The characteristic symptom is "psoriatic crown". Occurs when the rash goes beyond hair growth.

Psoriasis of the face

The disease rarely affects the front of the head. Localization of the rash: eyelids, nasolabial folds, around the eyes, in the eyebrow area, on the cheeks in the form of a thin network.

Characteristics of the initial stage of psoriasis in children

To determine if a child has psoriasis, the first thing to look for is redness between the folds of skin and the appearance of small pimples (papules) on the areas of friction with clothing and irritation. The child becomes anxious due to itching and burning.

You should know! In infants without the necessary examination, the early stage of psoriasis can be mistaken for allergic manifestations, diathesis, prickly heat, diaper dermatitis. A distinctive feature of psoriasis is the presence of a clear boundary.

It should be noted that congenital psoriasis in children is characterized by more pronounced clinical manifestations from the moment of birth.

Children with weak immunity after a severe infection are at risk for psoriasis. Special attention should be paid to children whose parents have psoriasis.

Mechanism of psoriatic plaque formation

Psoriasis spots are areas where an inflammatory reaction occurs and keratinocyte (epithelial cell) over-formation occurs. In this case, an excessive number of capillaries form in the dermis. Infiltration (wetting) of damaged skin with lymphocytes and macrophages leads to its thickening and lifting. As a result, pale gray spots form that look like hardened wax.

Important! Normally, the epidermis is renewed every 30 days. With psoriasis, the duration of this process is significantly reduced. Cell division, maturity and cell death in this disease occurs in just 5 days. Due to the pathological velocity, communication between cells is lost.

Causes of occurrence

Experts identify several provocative factors:

Hereditary predisposition.It is assumed that a genetic malfunction occurs in the human body, leading to increased keratinization.
Disruption of the immune system,leading to increased lymphocyte (T cell) production and inflammation. An autoimmune reaction is not ruled out - damage to one's own cells and tissues as a result of their perception as foreign.
Endocrine pathology,metabolic disorders.
Disease of the nervous system.
Excessive psycho-emotional stress, stress.This factor is provocative of the development of the disease, and also contributes to its worsening. During a stressful situation, the body releases hormones and a number of biochemical reactions, leading to the appearance of rashes and scales.
Alcohol consumption,medication, smoking.

You should know!Children whose parents have psoriasis have an increased risk of developing the disease.

Disease Diagnosis

If you suspect you have psoriasis, see your dermatologist. As a rule, after an external examination and assessment of the condition of the damaged areas of the skin, he makes a diagnosis. In rare cases, when doubts and difficulties in diagnosis arise, the doctor prescribes additional research methods. These include:

Skin biopsy- procedure for taking a sample of damaged skin. Helps identify changes at the cellular level.
Blood test.Helps identify the presence of inflammation and rule out other diseases.
Radiography of the joints.Used exclusively for joint pain in order to rule out the development of psoriatic arthritis.
Bacteriological culturefrom the pharynx. It has been prescribed to confirm the tear shape of psoriasis and to rule out acute pharyngitis.
Potassium hydroxide test.Helps eliminate fungal infections.

Treatment of the disease

Unfortunately, there is no cure for the disease today. Therefore, the main goal of therapy: elimination of symptoms and relief of relapses with an increase in remission time (time interval for weakening and disappearance of symptoms of the disease). Therefore, treatment should be comprehensive and long-term.

After establishing a diagnosis, determining the stage and severity of the disease, the dermatologist selects the necessary treatment methods. Prior to initiating therapy, correction of the patient's diet and lifestyle is performed. All possible factors that provoke an exacerbation of the disease are necessarily ruled out.

In the initial stage, the doctor may prescribe:

Clemastine, Promethazine hydrochloride.

Group of drugs	Name of drug	Expected effects and treatment characteristics.
Keratolytics	Betamethasone.	Improves layering.
Vitamins	Derivatives of vitamin D3 or A.	Improves the overall condition of the body and skin.
Local non-hormonal preparations with anti-inflammatory effect	Eliminate inflammation, redness, swelling.
Tar ointments	Coal Tar Oil Extract	Improves healing.
Tools containing solidol		Has a positive effect on healing, eliminates itching.
Salicylic acid ointments	Salicylic acid	Accelerate healing and promote crusting.

Do not use aggressive drugs in the first place. Drugs should be for external use, the doctor prescribes for oral administration in case of a severe course of the disease.

In addition to drug treatment, specialists prescribe physiotherapy procedures:

UFO (ultraviolet radiation).
Baths: paraffin, radon, sulfur.
Hirudotherapy.

Traditional methods of treatment

At home, it is possible to use popular recipes for treatment. It should be performed exclusively in connection with the basic treatment prescribed by a dermatologist, and only after consulting a doctor.

There are many recipes that aim to improve the general condition of the body, as well as daily remedies to eliminate external manifestations of the disease. A wire, flaxseed oil, celandine, ointment oil have a good effect.

Let's look at the most popular recipes for alternative treatment:

Ointment for psoriasis

Ingredients:

St. John's wort - 20
Celandine (root herb) - 20 g.
Propolis - 20g.
Calendula -10 years old
Vegetable oil - 10 g.

How to cook:Mash all the herbs until smooth. Then add vegetable oil and mix thoroughly. Store in a cool, dark place.

How to use:Apply to affected skin 2-3 times a day.

Result:vegetable oil will help eliminate inflammation.

Egg ointment

Ingredients:

Chicken eggs - 2 pieces.
Sunflower oil - 1 tbsp.
Acetic acid - 40 g.

How to cook:Beat eggs and butter. Then add acetic acid to the resulting mass and mix well.

How to use:Apply to affected skin once a day at night.

Result:an effective medicine eliminates the initial signs of psoriasis - reduces swelling, redness and helps to alleviate redness.

Herbal decoction

Ingredients:

Buckthorn - 10 years
Lucky Tansy - 10 years
Chamomile flower - 15 g.
Vodka - 50 g.
Sea oil - 10 g.
Water - 1 glass.

How to cook:chop all the herbs. Then pour boiling water and boil for 5 minutes. After that, let the soup soak for 40 minutes. Then drain and add vodka, buckthorn oil and mix well.

How to use:Take the liquid inside once a day. To do this, dilute the product - 3 drops per 0, 3 cups of warm boiled water. Diluted broth - 1 tbsp. l for the same amount of water, rub once a day on damaged skin.

Results: soup eliminates redness and inflammation when taken orally - has an overall tonic effect on the body.

Diet

Proper nutrition is the key to your health. A properly chosen diet will help prevent the worsening of psoriasis. An individual meal is prepared for each patient.

Be sure to exclude from your diet:

Alcohol and tobacco products.
Coffee.
Chocolate.
Smoked meats and spicy foods.
Preservatives and carbonated beverages.

Also, limit the use of flour products, sweets.

Your diet should be complete and meet your energy needs. Nutritionists recommend including the following foods in your diet:

Fermented milk products.
Vegetable oils.
Fresh vegetables and fruits.
Qull.

Question-answer

Which fat is used for psoriasis?

For this purpose, a medical solid is needed, which is sold in pharmacies. The agent is most effective in its pure form without any additives.

Can psoriasis be cured with traditional medicine?

is possible, but only in combination with traditional methods and after consulting a doctor about it. Salt baths have a good effect (sea salt is used). They help to eliminate the inflammation of chamomile or wire bath. Itching will help eliminate the juniper infusion. In the initial stages, rubbing with oatmeal helps eliminate flaking.

Is psoriasis contagious?

The answer is no: psoriasis is not contagious. The infectious origin of the disease has been completely ruled out.

Does psoriasis hair fall out?

If psoriasis is not combined with other diseases that cause hair loss, then this does not happen. In most patients, hair loss is not noticed.

What makes psoriasis worse?

The disease has periods of improvement and deterioration. Knowing the factors that aggravate the condition will increase the time when you will not be bothered by its manifestations. There are several possible causes of deterioration, so they should be considered and remembered:

Damage and itching of the skin.A very common symptom in psoriasis is itching and burning. Combing damaged areas worsens the situation.
Sunlight.Sunlight, when exposed to moderate skin, is beneficial. But at the same time, sunburn can cause the development of psoriasis.
Stress.Some patients report that after nervous tension, the manifestations of psoriasis worsen.
Various infections.They disrupt the body's defense system, weakening it.
Diet.A healthy and accurate diet is essential to treat the disease. But if violated, patients notice a deterioration in their condition. Especially if you consume alcohol and smoke unlimited amounts.

Can I remove the scales myself?

By no means! You can not remove the scales yourself. This can cause aggravation and discomfort.

What to remember

Psoriasis is a chronic disease with periods of improvement and deterioration.
There is currently no cure for the disease. Treatment consists of relieving the symptoms and increasing the remission periods (when the symptoms of psoriasis do not appear).
The initial stage of the disease is best treated, so if the first signs appear, consult a dermatologist.
Children whose parents have psoriasis are more likely to develop the disease.