Psoriasis: Type, treatment, doctor's tips

Psoriasis is a chronic skin disease that is an unknown cause, manifested as red peeling stains on the skin.

Treatment is performed by a dermatologist.Synonym - Scaly Lichen.MKB code 10: L40.According to international classification, it refers to skin diseases of proteases.

Psoriasis has been studied as a disease for 200 years.During this period, such patients were considered to have leprosy patients and regarded them as leprosy.Difference: Leprosy (LEPRA) - Infectious Disease (Pathogen - Leprosy Pathogen).Psoriasis is non-infectious.

symptom

The main symptoms of psoriasis: the appearance of pink spots on the skin, whose surface is covered by the silver scale of the skin's keratinous layer (epiderma).

1. Symptoms of "sternum spots".This is a pathology (i.e., a characteristic of only a given disease).Talking about the Psoriasis Attractions (Granta).It is made with a blunt scalpel or object glass (not with nails!).With a slight sling, the surface of the spot turns white, as if covered with wax - this is a symptom of the "stearin spot".
2. Symptoms of "psoriasis".Another symptom of psoriasis.With further scraps, neatly removed the scales in the psoriatic plaque, a brilliant surface can be seen at the scale - SO symptoms of psoriasis or end membranes.
3. Symptoms of "blood exposure poltebnov" (Ospitz's symptoms).Another symptom of psoriasis.As the plaques spread further (landing), i.e., when the terminal membrane is removed, the manifestation of point bleeding will not merge with each other.This is a symptom of "blood dew".
4. Symptoms Pirnov.Characteristics of the initial and progressive stages.A round pink spot with no peeling and has clear borders.As the disease develops along the surroundings, spots (plaques) mark the edges of the red skin, which are not yet covered.
5. Kebner's symptoms.The focus of psoriasis appears on the skin in the injured area - in scratches, scratches, rubbing on clothes.
6. Symptoms of Kartamyshev.When checking for fingers (palpation) patches on the scalp (HCH), the patches on the fingers become transparent.Unlike sebum dermatitis, there is no obvious boundary between spots and healthy skin at palpation.
7. The symptoms of Voronov are the symptoms of returning to the attractions (through) the sights.For some time, wrinkled skin remains along the periphery of psoriasis spots, lighter than healthy skin.
8. The symptoms of "thimble" on the nails are a sign of damage to the nails.The nails are all like thimbles.
9. Symptoms of "oil spots" on the nails: The yellow-brown stains under the nail plate are also a sign of nail psoriasis.
10. Hybrid - Deformation of nail plates with psoriasis.Nails gain ugly forms, sometimes similar to bird claws.
11. Bo-Rile line.The longitudinal line that passes through the entire nail is a sign that violates the nail plate.

Types of psoriasis and clinics

Popular hypertrophic psoriasis (L40.1) and pustule psoria and soles (L40.3)

These two forms of disease differ only in terms of the generality of the process.The mechanism of pathogenesis is the same.Pustules were found in 1% of psoriasis patients.Vesicles (bubble) and pustules (pustubes) appear on the skin and can merge with each other to form a "purulent lake."There may be skin peeling around.Itchy skin may disturb it.The skin around the pustules is red, inflamed, and hot to touch.

Improve body temperature.In the blood - increased leukocytes (leukocytes).These are the rarest and most severe types of psoriasis.But they need to check the doctor immediately and prescribe complex treatments.Pustule psoriasis in a broad sense requires hospitalization.In rare cases, cases of sepsis and death are also described in the literature when bacterial infections connect.

One of the varieties of pustule psoriasis is a form of oozing.Meanwhile, there are no abscesses and bubbles on the skin, but the affected skin crys, the formation of the earth's crust and itchy skin.

Lipoitis persists

MKB code 10: L40.2.

On the skin of the fingers and legs, psoriatic changes and peeling of pustules (ptules).The process involves the nail plate.The nails were deformed and peeled off in the area of the nail bed, a little sunken.

The psoriasis of Beetles has no pustule changes, i.e. psoriasis without abscesses on the skin.

Psoriasis is a rock

MKB Code 10: L40.4

Surviving haloid spots, pink-sized, peeling on the skin.The skin may have light itching.Localization: The whole body is on the body, arms and legs.Very rarely - on the face.

Drip-shaped forms usually appear after infectious diseases (tonsillitis, acute respiratory virus infection).

Psoriasis is arthritis

MKB Code 10: L40.5

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

It occurs in 10% of psoriasis patients.The surface of the joint and surrounding fabrics are affected - ligaments, tendons, joint bags.

Localization - any joint, but the small interactive joints of the fingers are mainly affected.However, there are some conditions, such as psoriatic spondylitis - damage to the vertebrae or localized damage to psoriasis - damage to the hip joint.

Patient's complaints: pain, joint stiffness.Swelling and redness of the skin appear in the joints.In some cases, the patient does not disturb anything at all, but notices joint-like changes on the joint surface on the X-ray.

Joint pain and limitations in joint movement can lead to disability in the patient.These patients should be examined against ITU to identify the disabled group.

Another psoriasis

MKB Code 10: L40.8

This type includes psoriasis in the reverse (reverse, interstitial layer).

Localization - contrary - is not on the extensor surface, but on the flexion.The elbows are bent, the puppet pit, the axillary cavity, the groin folds, underneath the breast.Meanwhile, the rest of the body has no rashes.

It develops in obese and diabetics.
Performance: Red spots appear on the skin, with almost no peeling, slightly elevating the surrounding skin.

Psoriasis is not suitable

MKB Code 10: L40.9

All other species cannot be attributed to the above species, all to this population.

Seasonal forms of psoriasis

1. Winter form (photosensitive psoriasis).The rash appears in the cold season.It is well treated with ultraviolet radiation.
2. Summer form (phototoxic psoriasis).The deterioration occurs in the summer.UFO promotion leads to worsening of the disease.

diagnosis

The diagnosis is based on clinical symptoms and patient complaints.

• Certain symptoms of damage to skin, nails, joints, etc. exist - see above.
• In difficult situations - Perform biopsy verification of the skin (install accurate diagnosis).Meanwhile, lymphocytes, neutrophils and macrophages were found in the thickness of the skin, thickening of the skin capillaries, and infiltration of immature keratinocytes.
• Combined X-ray - Ideally, all patients should complete it.But for the most part, it is done according to the instructions - in the presence of pain related to joints.
• Generally, blood tests are normal.Inflammatory changes are detected only during severe disease.
  Recently, it is common to diagnose blood tests under a microscope.This has nothing to do with the diagnosis of psoriasis!

The differential diagnosis of psoriasis is performed through the disease:

• Red lichen
• Pink lichen
• parapsorize,
• Atopic dermatitis
• eczema
• Papules syphilis
• Head fatty dermatitis
• Skin plants on the mind
• Reuters Disease, Rheumatoid Arthritis, Arthritis
• Allergic to the skin disease
• measles

Treatment of psoriasis

Remember: it is impossible to completely cure psoriasis.You can only relieve it for a long time.

Local treatment

Note: If pustules appear from the ointment, the ointment should be cancelled and consult your doctor to correct treatment!

1. Use vitamin D ointment and face cream.For example, drugs containing synthetic vitamin D.
2. Corticosteroid ointment and face cream.These drugs reduce immune responses in the skin and reduce the activity of inflammation.
3. A combination of vitamin D and corticosteroid preparations.
4. Naphthalene-based preparations.Lubricate the affected area of the skin 2-3 times a day 4 weeks.
5. Based on birch tar and medicine.Berritin, birch tar.Lubricate the affected area, extract for 15-30 minutes, and then wash with warm water and soap.
6. Solid-based creams and ointments.You can use Solidol itself, but you need to find the old Soviet solid, not the ones that are now sold in car stores with different additives.Cream and ointment.Based on half of the cases of psoriasis, solids and creams help.Itching decreases on the third day, and the peeling leaves and spots themselves gradually decrease.
7. Keratinide (exfoliating) ointment and face cream.Second-hand unstable!Only used to remove excessive peeling.Usually - preparations that bind corticosteroids to reduce itching and inflammation.You can't use it with exudative psoriasis!Salicylic acid, keratinizer.
8. Zinc medicine.Reduce skin irritation and redness and make the skin dry.It contains no hormones.
   Note: Do not use tar and salicylic acid on the "tax patch"!The irritation of insertion of plaques may cause further transmission of the pathological rash on the skin.

Tool treatment methods

Bullet therapy photo cabinet

We watch videos on how to perform PUVA therapy:

• EXIMER laser.

Treatment with psoriasis laser on the scalp:

• Plasma replacement, blood absorption - purification of plasma on special equipment.At the same time, toxic immune complexes from the blood will occur, resulting in skin infiltration with lymphocytes.The operation is highly effective, especially during severe disease.But the procedure is expensive, basically to eliminate the mechanisms of disease development, not its cause.According to the patient, plasma surgery was satisfactory and therefore the effect emerged from several procedures.

Psoriasis diet

exclude:

Citrus fruits, tomatoes, pineapple and other overseas fruits, honey, candy, sugar, biscuits, spices, alcohol, spicy and pickled dishes, coffee, white bread, smoked meat, sugar and sugar products with dyes and sugar, potatoes and semolina.

Don't eat enough!

must:

Porridge (buckwheat, oatmeal), vegetable oil (sunflowers, olives), fruits and vegetables - apples, carrots, beets, cabbage, cucumbers, cooked meat, fish, fish, a week (usually Saturday) - postal (even hunger).On this day, drink only water or eat buckwheat mud is filled with water.

Folk therapy

At home, you can use a variety of folk remedies for psoriasis.But they have minimal or zero effects.

Remember: In half of the cases in the family, independent treatment can lead to disease progression and more severe transitions.

List of folk remedies for psoriasis used in patient reviews:

1. solid.
2. The therapeutic mud of Xianhu.
3. Bath with sea salt.
4. Birch tar.
5. Naphthalene oil.
6. A series of soups - compress (apply) the affected area of the skin.
7. Carnivorous herb soup.
8. Nettle soup.
9. Aloe Vera Juice.
10. Trichomonas bath.
11. hunger.
12. ASD Faction 3.
13. Flaxseed oil.
14. Milk thistle.
15. Bades and antiworming medicine.Ineffective or zero efficiency.In the best case, extracts containing common grass, even common starch, contain vitamins and trace elements.Very expensive and brings good profits for manufacturers and dietary supplements.They are not drugs, so you can't expect them to help with psoriasis.
16. Ointment for psoriasis.In fact, the current remedy is solid.At the same time, there are more herbal extracts, and bee products can cause allergic reactions and exacerbate the disease.
17. Chinese lotion.This drug contains acids that can cause skin irritation and disease progression.

Types of external treatment

Fish therapy.
In the black MRU, there are Gara-Ruf fish.They pinch the dead area from human skin and help to “rejuvenate the skin.”This effect is also used to treat psoriasis patients.

The role of fish therapy is only positive in thorough observation techniques and the choice of exactly the same fish.There are similar fish - spicy fish - they pull scales with sharp teeth, thus injuring psoriatic plaques.The effects of chinfish exposure are totally the opposite of plaques – propagating through the type of kebner phenomenon.

In the absence of hygiene in certain spas, fungal or viral lesions on the skin can lead to the appearance of fungal or viral lesions (mycosis, warts).

Prevention registration

• Exclude risk factors!
• Observe the regime of the day, the regime of labor and rest
• Proper nutrition
• Timely treatment of infections and endocrine diseases
• UFO and PUVA-THEAPY courses
• Complex vitamins
• Nursing home treatment, swimming at sea
• A healthy lifestyle!

It's psoriasis

No, no contradiction!This is a non-communicable disease.