Psoriasis is a chronic dermatological disease, pathogenesis, the extraordinary growth of skin cells that cause the skin of the skin of the skin of different colors.
Today, psoriasis was the most common dermatological disease.Psoriasis does not include a prone tendency - both men and women suffer from them to the same extent.You can get this patri in any age, but the first signs of more diseases appear to 20 years.
Psoriasis is very weak in therapy, partly the etiology of this pathology and pathogenesis is still not clear.In addition, there is no means for the special prevention of psoriasis, because it is impossible to determine whether a person is prone to the disease.
Causes of development
Scientists are currently "Why does psoriasis develop?"They cannot answer unequivocally in question.The two main factors of the development of the disease are different - this is a genetic prone and hyperility of the immunity system.
It is built so farTends to develop psoriasis.However, the difficulty is that it is inherited by this trend and what factors are inherited after the impact on which the psoriasis can develop.
The following factors are believed to ensure the development of psoriasis:
- The skin is often hypothermia, as well as dry climate;
- Infectious processes;
- Often stresses;
- The use of some pharmaceutical groups: non-anti-inflammatory drugs (especially aspirin), some hypotonic and psychotropic medications;
Pathogenesis
At present, the pathogenesis of the psoriasis has not finally been clarified.The two main links of pathogenesis may differ:
- Violation of skin keratinization.
- Breach of immunity system.
Together, the above factors lead to sharing the attacks of the lower layers of the epidermis for an unknown reason.This process causes a reactive increase in the rise of the upper layer of the upper layer of the upper layer of the upper layer of the epidermal cells.
Symptoms
The disease always begins sharply without any palm of the development of the pathological process.As a rule, the first elements of the rash are localized where the skin is damaged.
Psoriasis appears in the head of the symptoms of pink or red papules on the skin.This process is accompanied by itching.The size of the elements varies from several millimeters to 1.5 centimeters (in some cases the elements reach large sizes).Then the rash elements are easily covered with silver scales.
Sometimes psoriasis damage to nail plates.This pathology is like mushroom damage to nails and manifests itself by the following symptoms:
- There are many small indentations on the surface of the nail;
- The edge of the nail plate is thick, thickened in yellowish and obtains;
Another characteristic manifestation of Psoriasis is psorized arthritis (symmetrical damage to joints and peredicular tissues).The most pathological process is developing in the obsolete joints of feet and hands.Initially the disease pain and swelling, then the deformation of the affected partners, even develops a partner that can cause the patient's disability.It should be noted that the damage is rarely possible.Sometimes the psorial arthritis is developing in the joints of the spinal column.
Type
The following psoriasis are different from the severity and features of clinical manifestations:
- The board.This type is the most common - the people suffering from the psoriasis are diagnosed with almost 90%.The intended rash elements can occur in any area of the skin.However, the most typical localizations are the scalp and expansions of the lower back, upper and lower extremities (area of elbows and knees).It should be noted that with this form of psoriasis, the pathological elements remain intact on the palms and soles.Externally, this shape looks like a silver-covered plaque with a scales.When the boards are shown below the scales, the lymph is released.The plaque with additional injury begins to bleed.The psoriasis plaque form is also characterized by a mixture of several boards of several plates in one element.
- Reverse psoriasis (psoriasis of flexible surfaces or intertrigonications).This form is quite rare.The elements of the rash are in the form of red spots without a feeling of frivolity, which does not go above the surface of the whole skin.Typical localization of this form of psoriasis - leather folds (Axillary gaps, inguinal layers, women in women under the chest).In addition, a fungal infection often joins the reverse psoriasis due to the characteristics of localization.
- The genital psoriasis.This form develops most girls mainly in adolescence (up to 16 years).Often the development of the pathological process is protected by Streptokok infection (eg angina).Rocky psoriasis rashes are similar to an ordinary allergic rash - small dots that have a color from the gray lilac, which does not go over the surface of the skin.Such rattles may appear in any area of the skin.The skin where the rash is located, as a rule, there is an inflammatory view.
- Pustulenia psoriasis.A larger shape than above.With pistuler psoriasis, small painful insulations filled with Pus appear in the patient's body.This form can occur both local and in general.The general condition of patients with pustular psoriasis is often deteriorated, and the body's temperature rises.It is necessary to accommodate the generalized form of the general pistuler psoriasis.
- Erytroderma is the most severe form of psoriasis.Thus, almost all the skin of the patient was damaged.This form is accompanied by a sharp deterioration in the patient, increasing body temperature, increasing body temperature.This disease requires that emergency medical intervention should be required if they can cause a fatal result.
Severity
In terms of violence, Psoriasis has many different grades.However, the simplest in the daily clinical practice is most commonly used in them, which does not require any special research method.
So, distinguishThree degree severity of psoriasisDepending on the spread of the pathological process:
- Light shape.This form is less than 3% of the skin in cases affected by the patient's psoriasis.
- Average form.This diagnosis is made with damage from 3 to 10% to 10% of the patient's skin.
- Heavy form.This form is exhibited taking into account the lesion of leather and clinical manifestations.Thus, this form is exhibited by a lesion with more than 10% of the skin or with the best deterioration of the patient.It should be noted that the psoriasis is considered violent with the presence of psoriasis arthritis, regardless of the spread of the pathological process.
The course of the disease and forecast
Psoriasis is a disease with a course like a wave, meaning remission periods (when symptoms disappear in practice).As a rule, the process is aggravated during the off-peacock periods.
For Psoriasis, the forecast depends on the disease and violence.As a rule, the forecast with the classic forms of the apple is affordable, but in severe forms, disability is possible and even death.
Despite the convenient forecast in most of the psoriasis, do not forget about the social side of this disease.During the drastic period of the disease, the skin and fluffy part of the human head is often covered with bark boards adopted by others as a manifestation of any infectious disease.Therefore, those around them are beginning to break the patient that causes you to close and frequently depressed.
Diagnosis
Are clinical manifestations of the main disease for diagnosis, current features, as well as objective inspection data.There are a number of characteristic symptoms set for Psoriasis diagnosis:
- "Psorized film" - is smooth and shiny if you clean the surface of the peeling hat.
- "Stear's spot" - when the schealped elements are shown, their superficial whitening, Starin movies appear visible.
- "Blood dew" - Do not stop the slipper of the elements after the manifestation of the above symptoms, then they are covered with blood drops (capillary bleeding).
The three symptoms described above are called "PsoriaKik Triad" and are the main method of diagnosis of psoriasis.However, there are several traits identified in a certain stage of the disease:
- At the sharp stage of Psoriasis, Pilnov symptoms (psorized elements are surrounded by red rings) and Kebner (seems active in the skin damaged).
- Regression stages also define Voronov's sign (determined in the case of a slightly wrinkled skin around the elements).
Laboratory and instrumental methods, the following are used:
- Scales and dough microscopy with potassium hydroxide (for the differential diagnosis that damages mushroom skin).
- Complex clinical cases, with an atypical course, pathological elements apply to deal with biopsy.
- Blood test indicators (mostly ESR and rheumatoid factor) with psorized arthritis are investigated and holding an X -Ray of the affected joints X -Ray (for differential diagnosis of another etiology).
Treatment
The treatment of psoriasis is a long and complex process.Unfortunately, due to a chronic disease of the psoriasis, the purpose of therapy is not the treatment of the patient, but the prevention of long-term remission and exacerbation.The treatment depends on the stage, form and severity of the psoriasis.It should be noted that a number of medical measures should be determined by a dermatologist and only after the inspection of the patient's comprehensive examination and diagnosis.
Diet.The treatment of psoriasis should begin with the patient's daily diet.Speaking about general recommendations, people with psoriasis should reduce the amount of protein in the diet and increase the amount of carbohydrates due to consumption of vegetables and fruits.The products that can cause effects to exacerbate psoriasis limits alcohol, chocolate, various spicy spices, as well as the use of garlic and onion.Fried meat and fish are also worth limiting the consumption of smoked meat.
In addition, when compiling an optimal diet, any product of the patient should rule out if possible and if possible.The optimal diet is a large amount of fresh and vegetables and the use of lean assortments in boiled in vegetables and fish.
Drug treatment.Pharmaceuticals for Psoriasis treatment are used in different release forms: ointments, tablets, injections, etc.
In addition to local drugs, the system therapy is also used when medicines are set as tablets or needles.The following medications are shown in the most:
- Immunosupers.Excessive impact on immunity system.It is difficult to transfer and transfer to other therapy methods because it has a large number of side effects.
- Cytostatics.His action is aimed at reducing the level of reducing the rate of development and peeling of psoriasis.It is only used in very difficult cases, resists other therapy methods.
- Different homeopathic medications.Unfortunately, these drugs are not suitable for all patients and do not always have the necessary effect.
Photocootherapy.Lighting is one of the main methods of psoriasis therapy.
In the end, it should be noted that Psoriasis is a complex and fully studied disease.A proper doctor should be done with treatment.Remember that no miraculous method praised online will help you get rid of the psoriasis.
The same thing can be said about folk medicine - all methods will benefit only with the main means of the participating doctor.
Thus, for us to succeed in treatment, the patient should only use the methods agreed with the doctor, as well as watching all the recommendations, but should only use these methods.This is the only way to achieve good success in treatment and a long-term remission of the psoriasis.