Psoriasis, whose early stage can occur with a certain set of factors, manifests itself in the form of reddish plates with clear limits.Subsequently, they are covered with white silver scales, merging.As a rule, the plates are found in the head area, knees and elbows.Psoriasis is able to affect patients of any age and gender.Until the end of the unexplored etiology of the disease, it does not allow psoriasis to cure finally, however, it is possible to significantly reduce the symptoms of the disease and obtain prolonged remission if you start therapy at the early stage of psoriasis development, properly evaluating the initial signs of psoriasis.
Early stage symptoms of the disease
To recognize the early stage of the disease, it is important to know what the primary symptoms are like.In the beginning, unique papules appear, which can be from several mm to 2-5 cm and have the shape of plates covered with white scales.When they were slavery, a characteristic symptom of the psoriatic triad manifests itself:
- "Starine Spot" (light scales compartment during slavery);
- “Terminal Movie” (shiny, thin and moist skin exposure after scale removal);
- Symptoms of “blood dew” (with additional removal of terminal film, small drops of blood -like blood appear on the surface of the skin).
The early stage of the disease is characterized by the occurrence of psoriatic outbreaks in places, which are more often subjected to trauma of any kind.As a rule, they are elbows, an area of the knee in locations of combs or scratches.These manifestations are called "Kebner's symptom".At first, the papular rash spreads linearly, directly at the irritation site and may exist for a long time without dynamics.These rashes are called "guard".The rash is a lot of itching and itching.The early stage lasts several weeks.Subsequently, the papules increase and merge into psoriatic plates, capable of covering significant areas of the body.Psoriasis can appear anywhere.The most dangerous rashes are, but this form of the early stage is very rare.
Characteristic places of disease location at the early stage
The most common rashes are observed:
Legs.The early stage of psoriasis on the legs develops from small rashes, which are located mainly on the feet and knees, but are able to appear on any leg surface.
Elbows.In elbows, the most common plane occurs, whose symptoms are characterized by small red eruptions with severe peeling.At the same time, the bulk of the skin is observed in the elbows.In addition, rash in elbows can be symmetrical.
Nails.In the hands on the nails, the psoriatic manifestations resemble a fungal infection.First of all, longitudinal strips (points) occur on the edge of the nails (in the photo) and then they spread towards the roots of the nails.At the same time, the nail plate begins to thicken and bland.With the progression of symptoms of the disease, the nail area can completely exfoliate.
Face.Psoriasis is very rare on the face, since this form of psoriasis is considered atypical.Hyperized baby food appears in the area of the eyelids, nasolabial folds, near the eyes and eyebrows (in the photo).In rare cases, the rash on the face appears on the red lips of the lips and mucous membranes (cheeks and tongue).
The specificity of rashes on the face is associated with delicate and sensitive skin and an abundance of nerve endings.First, the papules appear (small, slightly high above the skin, nodules), accompanied by severe itching.Subsequently, an epithelium and plates appear at the top of the node.
Hands.Symptoms of psoriasis in the hands occur suddenly, appearing in the form of a small rash (in the photo), which many patients take as allergic.And only with the appearance of gray dried scales in your hands, palm trees, as well as elbows, patients resort to a dermatologist for help.It is characteristic that if there is a psoriatic rash in the palms of the hands, similar manifestations are observed in the legs.Psoriatic manifestations on their palms are located more often between their fingers, which is explained by the most favorable environment in this place.The rear parts of the brushes are impressed with much less frequency.When psoriatic points appear at the fingertips, it is possible to lose their sensitivity.
Early Stage Psoriasis Photo
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What is it?Psoriasis is a non -infectious skin disease, so it is impossible to be infected.It affects not only the skin, but also has a negative effect throughout the body as a whole.It is characterized by a chronic course with periods of exacerbations and remissions.The disease is caused by the immune cells of your own body, that is, it is an autoimmune disease.Climbing from the depths of the skin to the upper layers, these cells cause inflammation, excessive division of the epidermis cells, leading to excessive growth, the appearance of new small capillaries.Externally, it looks like the formation of red or red points - psoriatic plates.
The first signs and symptoms of psoriasis
Like psoriasis - a systemic disease that affects all body systems - the patient suffers from general weakness, fast fatigue.The main symptom of the early stage of psoriasis is eruptions and psoriatic plaques, however, accompanies a person with the additional development of the disease.They arise due to the not controlled division of accelerated cells located in the upper layer of the beratinocytes of the skin.The cells involved are formed and the skin in these thickened areas, acquires red due to the improved formation of new capillaries.This leads to a small drip bleeding for any lesion, even lightweight, in plates.The surface of the plates is often covered with a gray attack, similar to paraffin.Even the term "Paraffin Lakes" was formed.This plate consists of dead epithelium cells that accumulate on the surface of the plates due to the impaired rejection process.The spots can reach very large sizes, merge with each other.They are hot to the touch, usually accompanied by severe itching.Combs can lead to infection.
Over time, nails begin to change.Its surface is exhausted, the press appears, the pink spots are visible under the nail plate - the fluid accumulation, the nail turns yellow, thick, takes the shape of bird claws.All of this occurs due to a violation of nail nutrition and blood circulation.The nail bed is subjected to excessive keratinization, which leads to nail rejection and loss.Often there is a red inflamed edge around the nails.Small joints are affected by disease and small joints - this is accompanied by pain and inflammation.In addition to the plates, with psoriasis, the papules form on the skin - small (about 1 mm) of salient formation similar to a rash.Often located in elbows and knees, preserved even during the period of remission.During improvement, the plates begin to light the middle, acquire the shape of the rings and may disappear completely.The pigmented areas remain in their place.Psoriasis on the scalp has the same symptoms as the body.In this case, the hair structure does not change.Cutaneous rashes also cover the adjacent areas of the skin - behind the ears around the neck.
Types of psoriasis
According to the protesting symptoms, the disease is divided into two types: pustular and not marked.There are several varieties of the disease within these groups.
Forms of psoriasis pustular:
- widespread;
- Nullify;
- Palmoplantation (mainly affecting members);
- Ladomary;
- Psoriatic impetigo.
- Common (chronic plate psoriasis);
- erythrodermic.
In addition, the following types of disease are distinguished:
- Napkin psoriasis;
- psoriasis of skin folds and flexion surfaces;
- Seborrheic;
- medicine.
- Light (affected by less than 3 % of the body surface);
- average (affected up to 10 % of the body surface);
- Heavy (over 10 % of surfaces are affected).
Depending on the form of rash, these types of psoriasis are distinguished:
Stages of psoriasis development, symptoms
The first plates appear in areas with dry skin and never happen where the skin is very wet, for example, armpits.First, the appearance of spots can be seen inside the elbows, under the knees, along the hair border on the head, as well as in places subjected to any injury or friction.The location is usually symmetrical.Make such steps during the disease:
- Progressive (the formation of new points, the growth of existing, itching and noticeable peeling);
- Stationary (deceleration or suspension of plates growth, the absence of newly applied points);
- Regressive (declaration or lack of peeling, disappearance of blemishes and plaques with the appearance of pigmented skin areas instead, signs of psoriasis are almost absent).
There are no special tests to establish a diagnosis.The diagnosis is made based on external characteristics.One of these signs will be the occurrence of bleeding during plates scraping, the bloody dew and so called.Another specific sign of psoriasis will be the presence of a pale edge around a young book, not yet covered with scales.This is what the vascular reaction of the skin seems, which means the progression of the disease.In serious forms of the disease, a blood picture can change.The signs of the inflammatory process fluid appear.In some cases, you need to make a biopsy to exclude other skin diseases and confirm the presence of psoriasis.
Effective treatment of psoriasis
In the treatment of psoriasis, local and internal remedies, physiotherapy and SPA treatment are used.In the light course of the disease, medication in the form of ointments are used.First, simple composition ointments and creams are used and then go to ointments containing hormones.Psoriasis cream should be applied only to plates and stains.With the middle and severe course of the disease, internal products that affect the entire body are used, but provide the best results.This group includes vitamin A, immunosuppressants, cytostatic.Physiotherapists bring tangible relief to patients with psoriasis, may inhibit disease development and sometimes replace the use of some medications.UV irradiation (phototherapy), laser, ultrasound and magnetotherapy, hyperthermia, electrons, electrophoresis and electrophoresis are used.Psoriasis is able to obtain resistance to treatment used over time;Therefore, it is recommended to change methods (treatment rotation) from time to time.The disease with head manifestations is treated in the same way as in other parts of the body using ointments and physiotherapy.
Diet with psoriasis
Nutrition should help adjust metabolism and prevent the appearance or exacerbation of skin symptoms.Since almost all patients have a violation of lipid metabolism, the preference should be given to low fat products.Special fire diets, Pegano gained great fame.By compiling a diet, you need to try to comply with some simple rules:
- Rejection of alcoholic beverages;
- Food up to 6 times a day, little by little;
- Exclude fried and smoked foods from the diet;
- Reduce salt content in food;
- If possible, do not consume food with the content of dyes, stabilizers and other nutritional supplements;
- Exclude citrus fruits;
- Increase the participation of vegetables and cereals in the diet;
- Mandatory use of vegetable oils.
Compliance with these simple rules will help to avoid exacerbation of psoriasis and compose independently a therapeutic diet.
PHOTO PHORIASIS symptom photo
Among the first symptoms of early stage psoriasis, the appearance of small papular elements of an epidermal-derive nature is distinguished.In the early stage of psoriasis, in the photo, the papules look small, with a pink head, pink hemispheric formations with a smooth and shiny surface.A few days later, they are covered with silver and lightly white scales.Such manifestations are called "point" psoriasis.Psoriasis at an early stage is characterized by the appearance of new small elements of psoriasis or the growth of the first existing signs of psoriasis.
Almost the presence of the Kebner phenomenon is installed according to linear psoriatic elements that appear after any injury, for example, after searched with severe itching, etc.Finally, with a progressive stage, patients are itching of various intensity, which is usually not characteristic of other stages of the process.The duration of the progressive stage is individual.Generally, the progressive stage lasts 2 weeks to several months.It is during this period that it is best to use non -hormonal psoriasis ointments such as prevention and additional treatment.
The regressive stage of psoriasis is the final stage of the psoriatic cycle.It is accompanied by a declaration decrease, gradual flattening of the elements in the center and their complete subsequent resolution.In this case, an image of various figures (arches, trapezoes, rings) can be obtained.In this case, psoriasis is called "geographical".There may be another way to solve the elements in which it begins with the periphery of the element.Scars or atrophy are not formed.Hyperpigmentations or areas devoid of pigment (pseudo -psoriatic proof) may appear at the site of the allowed elements.These changes are temporary.It should be noted that this division is widely conditional.In some cases, it is difficult to immediately establish the stage of the process.In this case, the diagnosis of psoriasis is established after observing the patient.