psoriasis on hands

This form of psoriasis is a chronic inflammatory disease that mainly affects:
  • Palm tree.
  • The area between the fingers.
  • hand.
Most often, people suffering from this disease develop severe psychological complexes.This form of the disease does not pose a serious threat to human life, however, as severe forms develop, the disease may be accompanied by the development of a number of very serious complications.
One of the most common complications is damage to the joint areas of the lower and upper limbs. This complication leads to the development of psoriatic arthritis. This disease is very dangerous because it can cause temporary disability or even disability.
Most people with hand psoriasis are diagnosed with lesions that appear exclusively on the palms and soles of the feet.This form of the disease brings many different inconveniences to the patient, since the main lesions of the development of this disease cannot be hidden under clothes, and the formation of cracks is accompanied by the appearance of painful sensations.
The lesions themselves are small pink patches. The patches protrude on the surface of the skin and are eventually covered by gray scales.
In some cases, the formation of yellow pustules is observed.The main symptoms of this disease:
  • Dry skin.
  • Thickening of the skin.
  • Redness appears.
  • Cracks appear.
  • A callus-like structure appears.

reason

Factors that may trigger this disease include:
  • allergic reactions;
  • Gastrointestinal disorders;
  • kidney, liver, and pancreatic diseases;
  • excess weight;
  • Metabolic and endocrine system dysfunction;
  • genetic predisposition;
  • Chronic depression, stress, or nervousness.
As we've already noted, the exact cause of psoriasis has not yet been determined. Experts are still unsure of the exact cause of psoriasis and under what circumstances it appears.At the same time, the disease or moment that caused the patient's skin damage has been identified:
  1. genetics.
  2. Immune system disorders and metabolic problems.
  3. Psychological and emotional overload.
  4. Bad habits and eating disorders.
  5. General poisoning.
  6. Viral, bacterial, fungal infections.
  7. With the drastic changes in climate living conditions.
  8. If you have chronic skin disease.
  9. If the patient takes drugs from different pharmacological groups for a long time.
Sometimes manifestations of the disease occur if a person uses cleansers that strip the skin of its natural covering. It's important to remember that since psoriasis is not contagious, you don't need to be overly concerned with your personal hygiene.
A variety of factors can cause eczema on the hands:
  • genetic predisposition;
  • decrease in immunity;
  • Endocrine gland dysfunction;
  • changes in hormonal levels;
  • chronic disease;
  • Infect;
  • Nervousness;
  • often under stress;
  • Regular skin contact with chemicals (cleaners, paints, solvents);
  • Uncontrolled use of medications (such as anti-inflammatory drugs);
  • Clothes made of synthetic fibers;
  • Rings and bracelets made of certain alloys;
  • cheap and low-quality cosmetics;
  • pollen;
  • poplar fuzz;
  • animal hair;
  • insect bites;
  • mold;
  • house dust;
  • helminth infection;
  • some food.
The pathogenesis of psoriasis has not been fully determined, but it has been found to be caused by an invasion of skin cell division, in which diseased cells begin to multiply and grow 5-10 times faster. Soon, immune cells join the process and blood vessels grow.After the cells die, keratinized areas remain on the smooth surface of the skin—raised psoriasis plaques. In addition to genetic predisposition (immune profile, skin structure), indirect causes influencing the onset of psoriasis development have also been identified.Recent medical research suggests links between the disease and other pathologies:
  • Metabolic disorders (diabetes, hyperlipidemia, increased production of free radicals and nitrogen oxides associated with skin keratinization);
  • Atherosclerosis;
  • Cardiovascular diseases;
  • liver and kidney disease;
  • Osteoporosis;
  • obesity.
Risk factors include:
  • smokes;
  • Abuse of alcohol;
  • Changes in weather conditions.
You cannot become infected through contact with someone who is sick; there are no external carriers of the disease. Inflammatory processes occur in the body and a genetic predisposition to a specific disease cannot be ruled out. Other causes of hand psoriasis are detailed below:
  • Impaired metabolism;
  • hormonal imbalance;
  • occupational hazards;
  • proneness to allergic reactions;
  • existence of bad habits;
  • malnutrition;
  • Immunological disorders of the body;
  • Breach of personal hygiene rules.
Skin diseases are heterogeneous. The causes of the disease are exogenous and endogenous.
Exogenous factors include ambient temperature fluctuations, poor habits, long-term medication use, infections, injuries, and atherogenic nutritional conditions. Endogenous factors include genetic predisposition, reduced immunity, stress and physical sensitivities.Predisposing factors trigger the development of pathological processes. Modern dermatologists tend to believe that psoriasis on the palms and soles of the feet is the result of a combination of triggers. The cause of this disease is not fully understood. Scientists have proposed several theories:
  1. Psoriasis is a hereditary disease.
  2. Psoriasis occurs due to disorders of the immune, endocrine and nervous systems.
  3. Psoriasis is a disease caused by poor ecology and accumulation of harmful substances in the body.
When these causes combine, psoriasis occurs. However, the main factor remains genetic: scientists have identified several genes that contribute to the development of the disease.Factors that trigger psoriasis:
  • stressful situations;
  • Hazardous industries, especially those containing high concentrations of phenolics;
  • Injuries, scrapes, burns: Sometimes psoriasis appears in these areas;
  • Alcoholism, smoking;
  • Infections: especially strep;
  • Wrong choice of certain medications.

Why does palmar psoriasis occur?

Psoriasis can appear in a person regardless of age or gender. However, there are some statistics showing that the disease occurs frequently between the ages of 30 and 50.Scientists have found that the main causes of the disease are dysfunction of the human immune system and genetic predisposition. However, these facts have not been fully proven, and to date the definite cause of psoriasis remains unknown. The main factors that induce palmar psoriasis include the following reasons:
  1. decrease in immunity.
  2. Mechanical damage to the palm.
  3. Hands are often exposed to water.
  4. Hand skin exposure to chemicals, such as household chemicals and various products at work.
  5. The causes are often scarlet fever, chronic tonsillitis, kidney disease and other diseases.
  6. Oncology.
Doctors believe alcohol, drugs and certain medications are another cause of the disease.

Main symptoms of palmar psoriasis

It is worth noting that this type of disease mainly occurs in people who perform manual labor related to stress on the hands. In medical practice, it is customary to distinguish three types of disease. These include:
  1. Plaque fan shape.
  2. round.
  3. Ruthless.

Types of psoriasis on hands

Location of psoriasis on hands Problem Description
on the palm of your hand The skin surface of the palms becomes red, itchy, rough, and calloused. On the surface, many people confuse palmar psoriasis with fungal disease or eczema. In order to make a correct diagnosis, you need to consult a specialist.
on hands and fingers Inflammation, swollen fingers, skin peeling, cracking, pain, and itching.
Depending on the localization of the lesion process and the specific location where the primary lesion appears, hand psoriasis can be divided into the following types:
  • Pustules - the most dangerous type, affecting any skin. First, small spots appear on the phalanges of the fingers and palms, involving the nail plate. The spots then coalesce, fill with pus, and the lesions spread to the hands and other areas, causing swelling and degenerative changes in the organs.
  • Droplet-shaped – The rash is pale pink, raised, and shaped like small droplets of water. It is located on the shoulders and forearms, gradually covering wider areas.
  • Nails – This type of psoriasis can cause changes in the appearance of the nails and nail beds. "Tip pin symptoms" are observed when the color of the nail plate changes and small dents and grooves form on it. At the same time, the nails thicken and begin to peel off, until they fall off completely.
  • Patches (vulgarity) – #1 in prevalence. These are typical psoriasis plaques that tend to coalesce and form "paraffin lakes. "They appear above the elbow joint, on the extensor surfaces of the arms, and affect the palms of the hands. Palmar psoriasis is characterized by thickening of the epidermis and the formation of fissured, callus-like nodules on the dermal surface.

stage of disease

In the initial stages of hand psoriasis, even before the first rash appears, the following conditions can be recognized:
  1. Swelling was observed in the joint area;
  2. A reddish tinge to the skin in places;
  3. Inflammation of the nail plate.
Types of Palm PsoriasisHand psoriasis is divided into the following stages:
  1. Exacerbation is the progressive stage of the disease. It is characterized by an increase in the number and size of spots, itching, and flaking.
  2. Worsening of psoriasis on hands
  3. Quiescent phase - characterized by a weakening of the disease, a change in the color of psoriasis plaques (they become less red and whiter), and a reduction in spots.
  4. The remission phase is characterized by the complete disappearance of all signs of psoriasis.
Looking at hands affected by psoriasis is very unpleasant. But the disease is so common, it's important for people to understand what psoriasis looks like on their hands so they can detect the problem and begin treatment promptly.Psoriasis on the hands develops gradually. Doctors pointed out that in medicine, this disease has several stages, and if not treated in time, these stages will unknowingly replace each other. The patient's clinical outcome depends entirely on timely response to therapeutic measures. The different stages of development and signs of upper limb psoriasis are as follows:
  1. Early days. Small round papules with clear borders. Initially they are solitary, but within 2-3 days after dermal peeling, they spread and cover large diseased areas.
  2. Advanced stage. Painful nodules are characterized by a bright red color with flaking and scabbing at the center. Pathology is preceded by microtrauma to the skin.
  3. Fixed stage. The once red rash turns blue and dries out. The inflammatory process reduces in intensity, the itching stops, but the skin becomes congested.
  4. Return stage. Local manifestations of psoriasis will decrease in intensity once the painful lesions disappear. The remission period is longer and there is no peeling, but white spots with clear borders are visible.
Psoriasis in any form and location, including psoriasis on the skin of the hands, goes through three stages:
  1. Progressive stage (exacerbation) – spots grow, new spots appear, and psoriasis symptoms worsen.
  2. Quiescent phase - the manifestations of the disease subside, the spots become pale and reduce in size.
  3. Resolution phase (remission) – Complete disappearance of symptoms.
The initial stages of psoriasis on the arms and hands can manifest themselves in different ways: either faint spots appear, which are barely noticeable, or they immediately become brighter, as in the acute stage (less commonly).

Treatment features for pregnant women and children

Since the mother’s immunity is reduced and the child’s immune system is immature, treatment of finger eczema requires:
  1. Adjust the diet of mothers and infants during lactation, limit milk intake, and eat more green fruits and vegetables and fermented dairy products. At older ages, it is necessary to exclude flour products, bacon and high-salt foods from the child's menu.
  2. Take a vitamin complex to support a pregnant woman's immune system.
  3. One of the recommended measures is to limit exposure to household chemicals and water.
  4. Use antihistamine ointments or skin medications.
For the treatment of children, the following drugs can be prescribed:
  • Making Boric Acid-Based Lotions
  • Taking into account the reduced content of this trace element, calcium-based drugs are taken, which is characteristic of this pathology in children.
  • Use ointments containing antibiotics to relieve symptoms of serious infections.
  • Use antihistamines to reduce the intensity of itching.
Symptoms of psoriasis in childrenA series of measures aimed at the recovery of mothers and children should include observing personal hygiene standards and maintaining hygienic conditions in the premises.

psoriasis on hands

Official medicine classifies hand psoriasis as a chronic disease with multifactorial etiology. This means the exact cause of the disease has not been determined and doctors believe they are possible factors. Doctors classify it as a skin disease based on its main symptom: red, scaly patches on the skin. But the culprit of the disease is hidden deep in the human body.During long-term research into the mechanisms of psoriasis development, scientists have discovered that it is related to autoimmune failure.The first signs of psoriasis appear on the hands as small, well-defined red papules. After 2-3 days, the papules will be covered with scales. The disease then begins a long process of progression, marked by periods of exacerbations and remissions. Therefore, psoriasis that initially occurs between the fingers can spread to the entire surface of the palm. Individual patches grow and coalesce to form a continuous scaly shell. This photo clearly shows what psoriasis looks like on your hands.Signs of psoriasis on handsThe first changes occur on the back of the hand, gradually affecting the sides of the hand. Not noticeable at the beginning of negative processes, they can lead to noticeable cosmetic defects, at a time when a person can already hardly hide the presence of the disease. what happens?

Symptoms of hand psoriasis

Characteristic symptoms of hand psoriasis should be considered in conjunction with manifestations anywhere on the patient's body. When the lesions begin, small areas of the dermis are affected, but the process does not end, and over time, plaques can cover the entire hand. General symptoms are as follows:
  • Small papules appear;
  • scale formation;
  • Dry, peeling skin on hands;
  • The nail plate loses its natural color, its structure changes;
  • signs of skin congestion;
  • The skin in the affected area becomes reddish;
  • Pain in joints;
  • A feeling of internal discomfort.
We give general symptoms of the disease, but experts break it down according to the stage of the disease.

What forms of the disease exist?

The diversity of manifestations of psoriasis that physicians encounter forces them to describe various forms of the disease. Experts divide existing species into two broad categories: pustular and non-pustular.The pustular group includes the following forms of the disease:
  • generalize;
  • Resembling annular centrifugal erythema;
  • Palm soles.
The non-pustular group contains:
  • Classic early-onset or late-onset psoriasis;
  • Psoriasis erythroderma.
The proposed classification excludes types of disease such as seborrheic psoriasis, exudative psoriasis, napkin disease, atypical psoriasis, and drug-induced psoriasis.

Causes of psoriasis on hands

Of all areas affected by the disease, the hands account for 85% of all diagnoses. Scientists who have observed patients suffering from this unpleasant disease for many years have concluded that the cause of hand psoriasis depends on the gender and age of the patient.
Psoriasis is extremely rare in black people. No scientific explanation for this fact has been received.

What causes psoriasis on women’s hands?

Causes of psoriasis in womenDoctors say a genetic predisposition is the main cause. It's important to note that even if the woman's parents don't have psoriasis, a relative may have it. Other reasons include:
  • Climatic characteristics (very humid, cold or hot);
  • hormonal imbalance;
  • Bad habits (alcohol, smoking, drug abuse);
  • stress and nervousness;
  • Taking antibiotics, certain vaccines, overdose of vitamin preparations;
  • Injuries, burns, cuts.
These same reasons may cause the disease to worsen. The factors listed are difficult to eliminate from your life, but some of them can be eliminated.

What causes psoriasis on men's hands?

In trying to identify the main factors, doctors were forced to admit that they could not pinpoint them with a high degree of accuracy. The root cause of psoriasis on male hands is immune system dysfunction, which is manifested as:
  • Improper metabolism;
  • Imbalances in lipid and carbohydrate metabolism;
  • increased sugar content;
  • cholesterol.
Men who have a family history of the disease are more likely to develop psoriasis. reasons may be:
  • Chronic lack of sleep;
  • malnutrition;
  • The climate is cold.
People who have moved to northern regions from southern countries say the cold climate can make the condition worse and more difficult to treat.

Causes of Psoriasis on Children's Hands

In recent years, confirmed cases have become increasingly frequent. It usually takes on a generalized form, with plaques covering large areas of the body. The first identified cause of the disease was genetic factors. According to statistics, 50% of parents of psoriasis patients will pass the disease on to their children. In addition to genetic factors, the disease may be caused by:
  • Infectious diseases in children (measles, ARVI, tonsillitis);
  • stressful situations;
  • severe fear of losing loved ones;
  • heat stroke;
  • Unbalanced diet;
  • hypothermia;
  • Allergy tendency.

Diagnosis of disease

Just knowing what psoriasis looks like on your hands is enough for your doctor to make an accurate diagnosis. No specific studies have been conducted to identify this disease. If a patient says the plaque has been present on his hands for a long time, the doctor may order additional tests. Their list includes:
  • blood biochemistry;
  • General blood tests to determine the amount of erythrocyte sedimentation rate (ESR);
  • Test for the presence of rheumatoid factor and specific proteins;
  • Biopsies are taken to detect the accumulation of immature skin cells, Rete bodies, macrophages, and T leukocytes.

How to treat psoriasis on hands?

Treatment for hand psoriasis depends entirely on the stage of the disease. While there is no cure for this disease, with a comprehensive treatment approach, symptoms are nearly invisible and remissions are long-lasting.

external means

In the early and middle stages of the disease, topical medications are sufficient. These can be creams and ointments of different categories:
  • Non-hormonal. Generally, they cause no side effects and are mildly effective.
  • Hormones.
These treatments are used when obvious symptoms (persistent rash, brittle nails) occur and other ointments have not helped. Only prescribed by a doctor, they can have strong side effects. The frequency and duration of topical medication depends on the severity of symptoms: 1-2 times a day for 10-20 days. A break is required after every course.

systemic medication

When external medications are ineffective in the later stages of hand psoriasis, pills and injections are prescribed:
  • Tablets: Antihistamine, anti-inflammatory. Medications such as cytostatics, monoclonal antibodies, immunosuppressants, immunomodulators, sedatives and vitamins are also used.
  • Injections: antihistamines, hepatoprotective drugs, immunosuppressants, immunomodulators, hormones.
The form and type of medication depends on the stage of the disease and the intensity of its manifestations. The use of systemic drugs should only be done under the supervision of a doctor.

Physical therapy and traditional methods

Psoriasis is a long-term disease with multifaceted symptoms. Therefore, treatment is always comprehensive. Alternative methods can be used:
  • Physical therapy: phototherapy, bioresonance and PUVA therapy, cryotherapy, ozone therapy, fish therapy.
  • Folk remedies: birch tar, linseed oil or sea buckthorn oil, aloe vera, bay leaves, baking soda, sea salt, etc.
Their purpose and use should also be approved by a dermatologist.

use herbs

Many medicinal herbs have the following properties:
  • anti-inflammatory (drug;
  • regeneration;
  • Antibacterial.
To treat palmar psoriasis, you can use celandine, St. John's wort, horsetail, oregano, nettle, etc. Infusions or decoctions are made from herbs. They are also used to decorate bathrooms.

Treat with sparkling water

One of the ways that alternative medicine offers to get rid of psoriasis on the palms is to treat it with ordinary baking soda. Its use has the following effects on affected skin:
  • clean;
  • soften;
  • Eliminate inflammatory processes;
  • Improve local blood circulation;
  • Eliminate peeling;
  • Relieve itching.
The preparation of the topical solution is very simple: dilute a certain amount of the product with purified water. You should get a thick paste mixture. This product must be used in epidemic areas. No need to rinse.

Prevention: what rules must be followed

If possible, it will be easier to cure hand psoriasis by eliminating or minimizing the triggers. In this case, treatment is more effective and the progression of the disease is stopped.Even in the earliest stages, correct treatment can only be prescribed by a specialist, so examination is necessary. As well as using all available methods and means: from ointments and creams to injections, tablets and physical therapy. The doctor will prescribe the sequence and dosage, but even in the regression phase we must not forget about prevention. Hands should be treated with extreme caution: use protective creams and avoid using corrosive household chemicals.