Psoriasis is one of the most common chronic skin pathologies in the world, and the problem of treatment remains urgent.According to statistics, for 2017, 130 ml of cases are recorded in the world: every twenty -fourth resident of the planet suffers from a disease.Typically, pathology debuts drop from 16 to 20 and from 40 to 60 years.In 65% of patients, it is observed in a mild form, and the surface of the skin is slightly affected by the plaque (up to 3%).The average rate of psoriasis suffers 25% (up to 10% of the skin area) and severe, which affects more than 10% of the surface - 8%.
The exact cause of the disease has not yet been studied.It is assumed that a parasitic infection, an allergic predisposition, hormonal imbalance, metabolic disorders and inheritance can provoke the appearance of psoriatic plaques.
The tendency to develop psoriasis in childhood, if one of the parents is sick, is 25%.When both - probability increases to 50%.According to statistics, out of 100 children in the world, 4 of them are psoriasis, and cases of illness in boys, less often than girls with 25%.
The list of adverse factors also includes that they undergo infectious diseases, neuropsychic damage and the negative effect of low temperatures.
As a result of the interaction of some external and internal causes, there is a violation of the blood circulation of the papillary layer of the dermis, from which the reproduction of new and insufficient mature epidermal cells occur so quickly that, having no time to mature, accumulate on the surface with white silver stairs or the form of wood.
The disease is progressing so much that over time they come together and become large.
Psoriasis lasts all life and the cases of self -healing are single.Periods of forgiveness alternate with irritation, which is most often observed in the autumn-winter time.But there are cases of indefinite (all -season) and photosensitive (wine).
PHASE
In the pathological process in psoriasis, some periods and wave -like course develops with the alternation of irritation and forgiveness cycles.For a specialist, the diagnosis of the disease is not difficult: it has specific, specific symptoms and a characteristic type of skin at different stages of pathology development.
Initial
At first, when the disease has just begun to appear, redness (papules) of no more than a pin head appear. In psoriasis, they are grouped into the skin of the limb curves and initially do not progress and do not change.These so -called tasks (task).
The classical clinical manifestations in the initial phase form a trio of psoriasis:
- Wax spot.The papules are covered with white slab with a gray tinge of the plate, loose and poorly fixed.It can be easily chopped from a spatula.Exterior exfoliated scales resemble the smaller Starin chips - substances to make candles.
- Terminal film.A smooth, glossy, juicy hyperemic surface is visible under a loose raid.This is the last layer of cells that can be removed.
- Bloody dew is the final sign of the triad.It is formed when the terminal film is damaged and manifested externally in the form of condensate from small blood drops, which do not join each other.
Psoriasis is a chronic disease and it is impossible to fully heal from it.The main task of treatment is to achieve a continuous, prolonged forgiveness.From the inadequate irritation therapy, they are observed every two to three months.The treatment in the initial stage of psoriasis is soft, and begins with the use of external keratolytic products in the form of ointments and creams based on salicylic acid and lactic.
The drug eliminates discomfort, suppress excess cell formation, relieve inflammation and peel.Psoriasis over time becomes resistant to the action of certain medicines.Therefore, the medicinal program is reviewed after a certain period of time.This approach is called rotation - a periodic change in the techniques that goes into a circle.
Phase
The second stage of the disease is the actual peak of irritation.
The first sign - the peel is located only in the central part of the papules, and a pink whip remains along the edges.It is a symptom of growth when single rashes grow and join.The second sign of progress becomes a symptom of skin reaction: 10-14 days after damage (scratches, scratches) of the skin, a typical new plaque appears.Progressive psoriasis gives another symptom that is not observed in other stages - it is itching of varying intensity.The treatment of the progressive phase of psoriasis is performed in a hospital and includes:
- Drug medicines: antihistamines, non -steroidal anti -inflammatory drugs, immunostimulants, vitamins.
- Physiotherapy: PUVA, UFO, Bathroom application with paraffin, sulfide and radon.
After patients, treatment with resort sanatorium is recommended.In particularly severe cases, corticosteroid and cytostatic agents are prescribed.Psoriasis affects nail plates.They become fragile, dull, rise above the bed.Typically, this condition with a disease also appears from minor damage.
Motion
After progress, around the end of the fourth week, the healing of the papule occurs.It starts from the center to the periphery, and the tiles acquire a characteristic ring shape.Their color becomes less intense, new formations do not appear.The immovable phase of psoriasis does not provide special discomfort.The patient is not painful, no itching.The therapeutic program remains the same.There can only be small adjustments that pursue a goal: give the opportunity to enter the last stage and not become again into the progressive phase of psoriasis.
Faded
After complex and intense care, forgiveness occurs, and the disease is included in the hidden phase.In the last stage, peeling psoriasis disappears, the tiles gain a pale color.They gradually solve and join the skin.An exception - the so -called "frozen" daddles remain in the elbows, knees, stomach and buttocks.The prayer period is individual, and can take from three months to several years.A patient with psoriasis should monitor himself and in the first signs of irritation to see a doctor and undergo a course of treatment.Despite the chronic illness prone to return, undergoing all recommendations, psoriasis makes it possible to orphans an ordinary and rich life.