Psoriasis: Types, Treatment, Doctor Tips

Psoriasis is a chronic skin disease with an unknown cause, manifested by the appearance of red spots of peeling on the skin.

The treatment is performed by a dermatologist.Synonym - Lichen scaled.MKB Code 10: L40.According to the international classification, it refers to PAPULLOSKVAMOUS skin diseases.

Psoriasis as a disease is studied for about 200 years.Prior to this period, these patients were considered leprosy patients and dealt them with lepers.Difference: leprosy (leprosy) - infectious disease (pathogen - mycobacterium leprae).Psoriasis is not infectious.

Symptoms

The main symptom of psoriasis: the appearance of pink spots on the skin, whose surface is covered with silver scales of the keratinizing layer of the skin (epidermis).

1. The symptom of the "stearin point".This is a pathognomonic sign (ie characteristic only for a particular disease).Speaking (granting) of psoriatic points.It is produced with an opaque scalpel or object glass (not with a nail !!).With a slight deep, the point surface is white, as if covered with wax - this is a symptom of the "steerine point".
2. Symptom of "psoriatic film".Another pathognomonic symptom for psoriasis.With an additional scrap, carefully removes the scales of a psoriatic plate, a bright surface is visible under the scales - the symptom called psoriatic or terminal film.
3. The symptom of "Blood Dew Poltebnov" (Auspitz symptom).Another pathognomonic symptom for psoriasis.With additional propagation (fall) of plates, ie by removing the terminal film, the bleeding of points manifests itself, which does not merge.This is the symptom of "blood dew".
4. Pilnov symptom.Characteristic for the early stage and the progression stage.A rounded pink point without peeling, with clear limits.With the progression of the disease along the periphery, the spots (plates) mark the edge of the red skin, not yet covered with scales.
5. Kebner symptom.Psoriatic outbreaks appear on the skin in injury places - in scratching places, scratches, in friction places on clothing.
6. Kartamyshev symptom.When the fingers are examined (palpated) scalp plates (HCH), a clear edge of plates is felt with your fingers.Unlike seborrheic dermatitis, when there is no clear edge between blemishes and healthy skin in palpation.
7. Voronov's symptom is a symptom of regressive points (passing).For a while, the wrinkled skin remains along the periphery of the psoriatic point, lighter and shiny than healthy skin.
8. The symptom of the "finger" in the nails is a sign of damage to the nails.The nail is all in time recesses, like a finger.
9. The symptom of the "oil point" on the nails: A yellow brown stain under the nail plate is also a nail psoriasis signal.
10. Onicogrifosis - Nail plate deformation with nail psoriasis.The nail acquires ugly shapes, sometimes similar to a bird claw.
11. Bo-Rile line.The longitudinal line that passes all over the nail is a sign of violation of the nail plate.

Types of psoriasis and clinical

Generalized Pustulent Psoriasis (L40.1) and palmar and plantar pustulosis (L40.3)

These two forms of the disease differ only in the prevalence of the process.The mechanisms of pathogenesis are the same.Pusture forms are found in 1% of patients with psoriasis.Vesicle (bubbles) and pustules (pustules) appear on the skin, which can merge with each other, forming "purulent lakes".Around may be present peeling the skin.It can be disturbed by itching skin.The skin around the pustules is red, inflamed, hot to the touch.

Improving body temperature.In the blood - an increase in leukocytes (leukocytosis).These are rare and more severe types of psoriasis.But they require immediate doctor examination and complex treatment prescription.And widespread psoriasis requires hospital treatment.In very rare cases, when bacterial infection is united, even cases of sepsis and deaths are described in the literature.

One of the varieties of pustular psoriasis is an exudative form.At the same time, there are no abscesses and bubbles on the skin, but there is an affected skin crying, the formation of crusts and itching on the skin.

Acrodermatitis is persistent alpo

Code MKB 10: L40.2.

In the skin of the fingers and legs, pustular (pustular) changes and peeling appear.The process involves nail plates.The nails are deformed, exfoliated in nail bed sites, have time recesses.

A clearer form is nail psoriasis without pustular changes, ie without abscesses on the skin.

Psoriasis is a rocky

MKB Code 10: L40.4

Surve's supervator, a pink -sized haloid spots with peeling appear on the skin.There may be light -skinned itching.Location: The whole body is in the body, in the arms and legs.Rarely - on the face.

Often, a fall form appears after infectious diseases (tonsillitis, acute respiratory viral infections).

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.Articular surfaces and periarticular tissues are affected - ligaments, tendons and joint bags.

Location - Any joints, but the small joints of fingertips are mainly affected.However, there are cases, for example, psoriatic spondylitis - damage to intervertebral joints or psoriatic thigh - damage to the hip joint.

Patient complaints: pain, joint stiffness.Swelling and redness of the skin appears in the joints.There are frequent cases where patients bother nothing, however, artranse similar changes in joint surfaces are observed in radiographs.

Articular pain and restriction of joint movement lead to patients' inability.These patients should be directed to UTU examination to determine the disability group.

Another psoriasis

MKB Code 10: L40.8

This type includes reverse psoriasis (inverse, intertrigonic).

Location - On the contrary - not on extensor surfaces, but in flexion.The elbow folds, popliteal wells, axillary cavities, inguinal folds, under the mammary glands.At the same time, there are no rashes on the rest of the body.

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

Psoriasis is inadequate

MKB Code 10: L40.9

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

Seasonal forms of psoriasis

1. Winter form (photosensitive psoriasis).Skin rashes appear at the cold season.Well treated with ultraviolet radiation.
2. Summer form (phototoxic psoriasis).Exacerbations occur in summer.UFO prostration leads to an exacerbation of the disease.

Diagnosis

The diagnosis is based on the clinical symptoms and complaints of the patient.

• The presence of certain symptoms of skin damage, nails, joints etc.- See above.
• In difficult cases - a skin biopsy for verification (installation of an accurate diagnosis).At the same time, the infiltration of lymphocytes, neutrophils and macrophages, thickening of skin capillaries, immature keratinocytes are found in skin thickness.
• Articular radiography - Ideally, all patients should be done.But most of the time, it is performed according to the indications - in the presence of complaints about joint pain.
• A general blood test is more normal.Inflammatory changes are detected only in the severe course of the disease.
  Recently, it is common to diagnose blood tests under a microscope.This does not matter to the diagnosis of psoriasis!

Differential diagnosis of psoriasis is made with diseases:

• Red Lichen 
• Pink Lichen 
• Parapsorize,
• Atopic dermatitis
• Eczema
• Papular syphilide
• Seborrheic dermatitis on the head
• Dermatophytia on the head
• Reuters' disease, rheumatoid arthritis, arthrosis
• Medicinal allergic dermatoses
• Urticaria

Treatment of psoriasis

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

Local treatment

ATTENTION: If pustules appear in the ointment, the ointment should be canceled and consult your doctor to correct the treatment!

1. Vitamin D ointments and creams. For example, medications containing substances synthesizing vitamin D.
2. Corticosteroid ointments and creams.These medications reduce the immune response to the skin, reduce inflammation activity.
3. Combinations in a composition of corticosteroid vitamin D preparations.
4. Naphthala -based preparations.Lubricate the affected area of the skin 2-3 times a day-4 weeks.
5. Birch and drug tari -based tar.Berritin, birch tar.Lubricate the affected areas and give a stretch for 15 to 30 minutes, then washed with warm water and soap.
6. Solidol -based creams and ointments.You can use Solidol itself, but you need to find the old Soviet Solidol, not the solidol that is now sold in car stores with different additives.Creams and ointments.Solidol and creams based on it help in the midst of cases with psoriasis.The itching decreases on the third day, peeling the leaves and the point itself gradually decreases.
7. Keratolytic creams and creams and creams (exfoliating).Used unstable!Only to remove excessive peeling.Frequently - in combination with corticosteroid preparations to reduce itching and inflammation.You cannot use with exudative psoriasis!Keratolytic agent Salicylic acid.
8. Zinc drugs.  Reduces irritation and redness of the skin, dries the skin.It contains no hormones.
   ATTENTION: Do not use tar and salicylic acid in "service signs"!Irritation of source plaques can further cause the spread of pathological eruptions on the skin.

Instrumental Treatment Methods

Photo Cabinet for Bullet Therapy

We analyzed the video how PUVA therapy is performed:

• EXCREDER LASER.

Treatment with a scalp psoriasis eximer laser:

• Plasmapheresis, Hemostration - Purification of blood plasma in a special device.At the same time, toxic blood immune complexes occurs, which leads to skin infiltration with lymphocytes, occurs.The effectiveness of the procedure is high, especially in the severe course of the disease.But the procedure is expensive and aims to eliminate the mechanisms of disease development, not its causes.According to patients, plasmapheresis is tolerated satisfactorily, the effect appears in various procedures.

Diet with psoriasis

Delete:

Citrus fruits, tomatoes, pineapple and other fruits abroad, honey, sweets, sugar, cookies, spices, alcohol, spicy and savory dishes, coffee, white bread, smoked meats, products with dyes and replenishments of sugar, potatoes and semoline.

Don't eat too much!

Necessarily:

Single (sarracene wheat, oats), vegetable oils (sunflower, olive), fruits and vegetables - apples, carrots, beets, cabbage, cucumber, cooked meat, one day a week (usually Saturday) - post (or even hunger).On that day, drink only water or eat the sabbath of sarracene wheat flooded with water.

Popular remedies

At home, you can use multiple popular psoriasis remedies.But their effect is minimal or zero.

Remember: Independent treatment at home, in half of the cases, leads to the progression of the disease and the transition in a more serious way.

List of psoriasis folk remedies used in patient analysis:

1. Solidol.
2. Therapeutic mud of salty lakes.
3. Baths with sea salt.
4. Birch tar.
5. Naphtalane oil.
6. A decoction of a series - compresses (applications) for affected areas of the skin.
7. A decoction of celandins herbs.
8. A decoction of nettles.
9. Aloe juice.
10. Baths.
11. Hunger.
12. Asd faction 3.
13. Flaxseed oil.
14. Milk thistle.
15. Bads and anti -helmintical drugs.Ineffective or zero efficiently.At best, common grass extracts are contained, or even common starch with vitamins and tracking elements.Very expensive and bring good profit to manufacturers and traces of food supplements.They are not a medicine, so you can't expect their help in treating psoriasis.
16. Psoriasis ointment.In fact, the current remedy is Solidol.At the same time, there are many more herbs extracts, bee products that can cause an allergic reaction and exacerbation of the disease.
17. Chinese lotion.The drug contains acids that can lead to skin irritation and disease progression.

Exotic types of treatment

Ctiotherapy.
In black MRU, there are Gara-Ruf fish.They tighten the dead areas of human skin and contribute to "rejuvenating" the skin.This effect is also used to treat patients with psoriasis.

The effect of ichthytherapy is positive only with a complete observance of the technique and the choice of exactly the same fish.There are similar fish fish - they tear scales with sharp teeth, thus injuring psoriatic plates.The effect of the exposure of chin-chin fish is exactly the opposite spread of plates by the type of Kebner phenomenon.

Failure to comply with hygiene in some spa canalons can lead to the appearance of fungal or viral lesions on the skin (ringworms, warts).

Registration prevention

• Delete risk factors!
• Observe the regime of the day, the regime of work and rest
• Proper nutrition
• Timely treatment of infectious and endocrine diseases
• UFO and PUVA-therapy courses
• Complex vitamins
• Sanatory resort treatment, swimming at sea
• A healthy lifestyle!

It is psoriasis

No, not contradictory!This is a non -infectious disease.