Psoriasis: Type, Treatment, Doctor Tips

Psoriasis is a chronic skin disease with unknown causes, indicated by the appearance of red peeling effects on the skin.

Treatment is done by a dermatologist.Synonym - scaly lichen.MKB Code 10: L40.According to international classification, it refers to papulloskvamous skin disease.

Psoriasis as a disease studied for about 200 years.Prior to this period, the patient was considered a patient with leprosy and treated it accordingly as a leprosy.Differences: Leprosy (LePRA) - Infectious Disease (pathogen - Mycobacterium leprae).Psoriasis is not up to date.

Symptom

The main symptoms of psoriasis: the appearance of pink spots on the skin, the surface is covered with a silver scale of the skin keratinizing layer (epidermis).

1. The symptoms of "Stearin's place".This is a pathognomonic (that is, a characteristic only for certain diseases).Talk (grantage) Psoriatic place.It is made with a boring object or glass of object (not with nails!).With a little sling, the surface of the place becomes white, as if it were covered with candles - this was a "stearin spot" symptom.
2. Symptoms of "psoriatic films."Another pathognomonic symptom for psoriasis.With the next scrap, neatly removes the scale from the psoriatic plaque, the excellent surface can be seen below the scale - a symptom called psoriatic, or terminal, film.
3. Symptoms of "Poltebnov Hall Hall" (Auspitz symptoms).Another pathognomonic symptom for psoriasis.With further sprottowing plaque, that is, when removing a terminal film, point bleeding is indicated, which does not combine with each other.These are symptoms of "blood dew".
4. Symptoms of Pilnov.Features for early stages and stages of development.Round pink spots without peeling, with clear boundaries.With the development of the disease along the edge, the spots (plaques) indicate red skin rims, not yet covered.
5. Symptoms of Kebner.Psoriatic foci appears on the skin in places of injury -in scratches, scuffs, in places of friction on clothing.
6. Kartamyshev symptoms.When the fingers are checked (feel) plaque on the scalp (HCH), the plaque border is clearly felt with the fingers.Unlike seborrheic dermatitis, when there is no clear border between spots and healthy skin on palpation.
7. Symptoms of voronov are symptoms of regressive spots (passing).For some time, wrinkled skin remains along the edge of the psoriatic area, lighter and excellent than healthy skin.
8. The symptoms of "thimble" on the nails are a sign of damage to the nails.Nails are all back points, like thimble.
9. Symptoms of "oil place" on the nails: yellow-brown stains under the nail plate are also a sign of nail psoriasis.
10. Onichogrifosis - Nail plate deformation with nail psoriasis.Nails get ugly shape, sometimes the same as bird claws.
11. Bo-rile line.The longitudinal line through the entire nail is a sign of a nail plate violation.

Types of psoriasis and clinics

Psoriasis of General Pustulent (L40.1) and Palmar and Plantar Pustulose (L40.3)

Both forms of the disease differ only in process prevalence.The pathogenesis mechanism is the same.The shape of the library is found in 1% of patients with psoriasis.Vesicula (bubbles) and pustules (pustules) appear on the skin, which can join each other, forming a "purulent lake".Around there may be peeling of the skin.It can be interrupted by itching -contains of the skin.The skin around the pustules is red, inflamed, hot to the touch.

Increase body temperature.In the blood - an increase in leukocytes (leukocytosis).This is a rare and worst type of psoriasis.But they need immediate examination of the doctor and prescribe complex treatment.And general pustular psoriasis require patient treatment.In very rare cases, when bacterial infections are consolidated, although sepsis and death cases are described in literature.

One type of pustular psoriasis is exudative form.At the same time, there are no abscesses and bubbles on the skin, but there is crying skin, crust formation and itching -skin.

Acrodermatitis is a continuous allopo

MKB Code 10: L40.2.

On the skin of the finger and toe, pustular (pustular) changes psoriatic and peeling appear.This process involves a nail plate.The nails are defective, peeled off the place of the nail bed, have a back point.

The lighter form is nail psoriasis without pustular changes, that is, without abscesses on the skin.

Psoriasis is rocky

MKB Code 10: L40.4

Survator, the spots of haloid with pink size with peeling appears on the skin.There may be light skin itching.Localization: The whole body is above the body, on the arm and leg.Rarely - in the face.

Often a form of drop forms after infectious disease (tonsilitis, acute respiratory virus infection).

Psoriasis is arthropathic

MKB Code 10: L40.5

Other names are joint psoriasis, psoriatic arthropathy, psoriatic arthritis.

It develops in 10% of patients with psoriasis.The articular surface and periarticular fabric are affected - ligaments, tendons, articular bags.

Localization - any joints, but small interforancing joints are mainly affected.However, there are cases, for example, psoriatic spondylitis - damage to the intervertebral joints, or psoriatic coxarthrosis - damage to the hip joint.

Patient complaint: pain, stiffness in the joints.Swelling and redness of the skin appear in the joints.There are frequent cases when the patient does not interfere with anything, however, changes such as arthrose on the surface are noted on radiography.

Joint pain and movement restrictions in the joints lead to patient defects.Such patients should be directed to the examination to determine the defect group.

Another psoriasis

MKB Code 10: L40.8

This type includes inverted psoriasis (inverse, intertrigonic).

Localization - on the contrary - not on the extensor surface, but on flexibility.Elbow bends, popliteal holes, axillary cavity, inguinal folds, under the milk gland.At the same time, there is no rash all over the body.

It develops in patients with obesity and diabetes.
Manifestation: Red spots appear on the skin, almost without peeling, slightly enlarged on the surrounding skin.

Psoriasis inappropriate

MKB Code 10: L40.9

All other species that, by one or the other, cannot be associated with the above species, are associated with this group.

The form of seasonal psoriasis

1. Winter form (psoriasis photosensitive).Rash appears in winter.Treated well with ultraviolet radiation.
2. Summer form (psoriasis phototoxic).Exacerbations occur in the summer.UFO-pain leads to increased disease.

Diagnostics

Diagnosis is based on clinical symptoms and patient complaints.

• The presence of certain symptoms of damage to the skin, nails, joints, etc. - see above.
• In difficult cases - skin biopsy for verification (proper diagnosis installation).At the same time, the infiltration of lymphocytes, neutrophils and macrophages, skin capillary thickening, immature keratinocytes is found in skin thickness.
• Radiography together - well, all patients need to be done.But it is usually done according to the guidance - with the presence of complaints about pain in the joints.
• General blood tests are most common.Changes in inflammation are detected only in severe diseases.
  Recently, it is common to diagnose blood tests under a microscope.This is not important to the diagnosis of psoriasis!

Diagnosis of differential psoriasis is performed with disease:

• Red Flat Lichen 
• Pink lichen 
• Parapsorize,
• Atopic dermatitis
• Eczema
• Papular syphilid
• Seborrheic dermatitis on the head
• Dermatophytia in the head
• Disease Reuters, rheumatoid arthritis, arthrosis
• Dermatosis allergic drugs
• Hives

Psoriasis treatment

Remember: It is impossible to cure psoriasis completely.You can only reach long remission.

Local treatment

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

1. Ointment and cream with vitamin D. For example, medicines containing substances that synthesize vitamin D.
2. Ointment and corticosteroid cream.These drugs reduce the immune response to the skin, reduce inflammation.
3. The combination in one vitamin D composition and corticosteroid preparations.
4. Naphthalan -based preparations.Lubricate the affected area 2-3 times daily -4 weeks.
5. Birch tar and medicines based on it.Berritin, birch tar.Lubricate the affected area and give the passage for 15-30 minutes, then wash with warm water and soap.
6. Cream and ointment based on solidol.You can use Solidol itself, but you need to find the old Soviet Solidol, and not the Solidol that is now sold in a car shop with different additives.Cream and ointment.Solidol and IT creams help in half cases with psoriasis.Itching decreases on the 3rd day, peeling the leaves and the place gradually decreases.
7. Keratolytic ointment and cream (exfoliation).Used unstable!Just to produce excess advantages.Often - combined with corticosteroid preparations to reduce itching and inflammation.You can't use Exudative Psoriasis!Keratolytic agent salicylic acid.
8. Zinc medicine.  Reduces irritation and redness of the skin, drying the skin.It does not contain hormones.
   Note: Do not use tar and salicylic acid on "task plaque"!Plaque irritation on -duty can trigger the spread of pathological rash further on the skin.

Instrumental treatment method

Photo cabinets for bullet therapy

We saw a video of how PUVA therapy was run:

• Laser Eximer.

Treatment with Laser Eximer Psoriasis scalp:

• Plasmapheresis, hemosorption - purification of blood plasma on special tools.At the same time, the toxic immune complex from the blood, leading to infiltration of the skin with lymphocytes, occurs.The effectiveness of the procedure is high, especially in severe diseases.But the procedure is expensive and is basically aimed at eliminating the mechanism of development of the disease, and not the cause.According to patients, plasmapheresis is satisfactory, the effects arise from several procedures.

Diet with psoriasis

Not included:

Fruits of citrus, tomatoes, pineapple and fruits overseas, honey, sugar, sugar, cakes, spices, alcohol, spicy and salty dishes, coffee, white bread, smoked meat, products with coloring and sugar -gula, potatoes and semolina.

Don't eat too much!

Of course:

Porridge (buckwheat, oats), vegetable oil (sunflower, olive), fruits and vegetables - apple - apple, carrot, beet, cabbage, cucumber, boiled meat, fish, one day a week (usually Saturday) - post (or even starvation).Today, just drink water or eat buckwheat porridge flooded with water.

The recovery of the people

At home, you can use a variety of folk remedies for psoriasis.But the effect is minimal or zero.

Remember: free treatment at home in half cases leads to the development of the disease and the transition in a worse form.

A list of folk remedies from psoriasis used in patients' reviews:

1. Solidol.
2. The Therapeutic Lake of the Salt Lake.
3. Bath with sea salt.
4. Birch tar.
5. Naphthalan oil.
6. Boil the series - compress (application) to the affected area of the skin.
7. Boil herbs celandine.
8. Boil nettles.
9. Aloe juice.
10. Dripidar shower.
11. Hunger.
12. FACTION ASD 3.
13. Hemp oil.
14. Milk thistle.
15. Bades and anthelmintic drugs.Ineffective or with zero efficiency.In the best case, the usual grass extract is contained, or even starch with vitamins and trace elements.Very expensive and brings good benefits to manufacturers and supplements.They are not drugs, so you can't expect their help in the treatment of psoriasis.
16. Ointment from psoriasis.In fact, the current drug is solidol.At the same time, there are many more herbal extracts, bee products that can cause allergic reactions and severity of the disease.
17. Chinese lotion.This drug contains acids that can cause skin irritation and disease development.

The type of exotic treatment

Ichthyotherapy.
In black mru there is a crazy fish.They pinch the dead area from the human skin and contribute to the "rejuvenate" of the skin.This effect is also used in the treatment of patients with psoriasis.

The effect of ichthyotherapy is only positive with the compliance with the same technique and the same fish choice.There are the same fish - they pick up a scale with sharp teeth, thus injuring the psoriatic plaque.The effect of chin-chin fish exposure is exactly the opposite of plaque by the type of phenomenon.

Failure to comply with hygiene in some spa canal can lead to the appearance of fungal lesions or viruses on the skin (mycosis, warts).

Prevention of registration

• Exclude risk factors!
• Note the day regime, labor regime and rest
• Proper nutrition
• Timely infectious and endocrine diseases
• UFO and PUVA-Basi courses
• Complex vitamins
• Sanatorium-Resort treatment, swimming at sea
• A healthy lifestyle!

Is psoriasis

No, don't conflict!This is a non -latest disease.