What is psoriasis? Otherwise, he is known as a flake of ringworm. It is an infectious-inflammatory process, located, mainly, in the tissues of the dermis (in the arms, back, and t. d.). It is considered to be a variant of the dErmatoz. Characterized by the formation of the high places red on the skin (papules), which over time merge into a whole, forming large foci of injury.
Rate of development of the disease varies from 0.1 to 3%. The average rate of incidence - 2.5% of the total population of the planet. Disease-causing the anger of a process more susceptible to residents in the face of civilized nations. I know about this issue of the pathology of the unknown nothing: etiology, pathogenesis, all the questions that there is not a single response. There are only conjectures and theories. What you should know about the disease psoriasis?
Psoriasis - the causes of the formation of
Specified pathology different multifactoriality and polyethiologic. In practice, this means that the causes of psoriasis are plural, the role played by different factors. Direct, the reason is the reduction of the life cycle of the cells of the epidermis: structures and normal dermis, the "living" end of the month and a half, while scaly lichen this term is reduced to a few days.
As a result, the rate of programmed cell death becomes greater the intensity of its update. Scales of the epidermis ontelusivetXia, forming large growths and causing irritation.
- Abnormalities of the metabolism. According to the first theory, the psoriasis (photo symptoms and treatment in adults are presented in this article) occurs in response to an exchange of substances. It was observed that many patients express the increased concentration of cholesterol, which indicates a change of the lipid metabolism. In this context, the disease can be seen as "хonлewithtYerinoninonгon diatESA". The imbalance observed in the structure of vitamins and minerals of exchange: a typical clinical picture includes the lack of vitamins E, A, the content of vitamin c improves. Some role that they can play the hypothyroidism (insufficient function of the thyroid gland), the lack of sex hormones;
- Genetic factor. It is considered one of the major reasons for the formation of the disease. Is inherited is not the proper psoriasis photo symptoms and treatment in adults are represented by on), and the predisposition to it. Geneticist installed, in a kind of ascending line was a person that suffers from celuicitth depriving the probability of the son grows up to 25%. When patients of both parents, with a probability of 75% of the patient and the child. It is proven, up to 70% of the patients dermatologist with verified diagnosis have weighed on the family history;
- A theory. Today in day is considered the most respectable and academic. The hypothesis states that, at a certain time of immunity of the patient fail, which resulted in a safety system accepts the healthy cells for dangerous "intonржenцein". Is initiated activates the production of white blood cells and other cells of the immune system, which destroy the structure of the dermis. The basis of the pathology is the presence of a source of chronic infection loss: talk about the diseases of the throat, nasopharynx, and dp. With the shock of the blood or of the lymph PAtonгennth flora transported to the skin, forming new outbreaks. If you believe presented the theory, it is зandпonзdandлonм immune response;
- Infectious hypothesis. Until some time, was considered to be the most reliable and irrefutable. Its essence lies in the view of lichen, such as contagious of infectious disease. The guilt imputed" and withtandфandлonкonккandм, and ctpentokokkam, and spirochetes, as was the case later, to the contact with the flake ringworm is not transmitted from person to person, which favours the neinfecciosasro of genesis.
All theory are rational. The problem is seen as a solution for the management of пonлandэtandonлonгICHewithкone the disease. You can also talk about a number of factors stimulants. They are the triggers (cause manifestations or relapse), all of these help to cure psoriasis:
- Climate change;
- Psoriasis - frequent stress. Assume that the function in the development of the pathology plays a hormonal imbalance: activates the production of cortisol, adrenaline, noradrenaline;
- The abuse of alcohol;
- The administration of medicines. In the first place, anti-inflammatory drugs, vitamins, qitonwithtandtandкonin;
- The injury of the epidermis.
The causes of the disease are abundant. To understand them, can only the expert.
Classify the disease can be, for four reasons: the shape, the nature of the current stage, according to the location.
The form of:
- Pustular form;
- Non-vascular shape.
The nature of the current are:
- Generalized type (пуwiththave ulesnth flake ringworm). Psoriasis develops rarely, not more than 1% of the cases. It is characterized by fast, aggressive chain. In a short space of time in the skin will appear red spots, blending in a single nursery. The most frequent location of the pathological process: in the groin, in the hands, in the area of anatomy curves members;
- Экwithwithуdandtandinnth view. Development as a secondary loss in patients with disorders of the functioning of the thyroid, diabetes. For this form is typical insпonteinandnie liquid component of blood, with the formation of the surface of the wound. To remove the layer of the epidermis becomes exposed to the affected area of the skin, with the separation of a large amount of exudate;
- Plaque-shaped type. The most common type of the disease. Occurs in 85% of cases. "The classic" in the form of psoriasis begins with the emergence in the dermis of one or more papules red, covered with scales of dead skin. Within a few months or years of individual sections fuse together. Location: in your hands, flexion of the legs, scalp, and t. d.;
- Atypical way. It meets only rarely. It is characterized atypical location papules;
- Tear-shaped form. It received its name by the shape of the plates.
According to the location stand out:
- In the hands and feet;
- In the body;
- In the face;
- In the head;
- About the nails.
In isolation, these forms are not found.
- The initial phase. The disease мandnandфewithtiruet with the formation of small "pimple", or flawless, round, red or purple. Feet - withandneinandtonгon darkness. The surface papules covered with silver peeled less scales, which does not involve the dermis and easy to detach when mechanical impact - all of this psoriasis;
- The stage of progression. The clinical picture worsened. Formed fresh papules, with the passing of time, red spots merge, forming conglomerates. The skin at sites of injury blush, generates congestion of ghosts. Unlike cards in the initial phase, evolving from platelets does not have clear boundaries and smooth form;
- Fixed the stage. Developed phase flake deprive. At this stage, the formation of new entities stops, the old papules insignificant and they grow in volume. Экwithtenwithandinnth to grow.
Sometimes, issue and regressing phase, when the plates decrease in size.
ПandtonгnonмonnICHnon repeat offender, a long cycle. Each new cycle is characterized listed four stages.
Clinical picture typical. The symptoms of "classic" psoriasis include:
- The formation of papules - psoriasis. Diameter redness of 1 mm to 3 cm. In ordinary cases, the process is located on the hands, scalp, back;
- Horny thickening of the skin. The dermis at sites of injury becomes rigid, formed similar to those of maize tumors. In the phase of remission, when the redness out, horny tumors are saved;
- The sensation of itching, stinging of the affected areas of the epidermis. Due to andnфandльtрandtandinnth process with the participation in it of receptors on the skin itching. Occurs a reflection of the desire of comb пwithonрiatICHewithкie plate;
- The development of cracks in the skin coverage.
When the defeat nails are observed:
- Pitches ulceration nonгteinsх plates;
- The color change of the nail by a type of fungal defeat;
- Disturbances in the structure of the nail.
Flake ringworm - a systemic disease, in which is celebrated the total defeat of all the systems of the body. Developed stages, it is possible to observe and widespread onset of the disease:
- General weakness;
- Hypo-or гandпeрteрмandю, due to an immune response;
- Disorders of thyroid function (obesity, feeling of heat, tides);
- The mental disturbance (induced schizophreniform psychosis);
- Redness of the joints, pain that is caused in the members area (so manifested psoriatic arthritis).
Separately, you should stay in psoriatic arthritis of genesis. It is a disease (like psoriasis) is manifested aggressive current with the following symptoms:
- The redness of the joints;
- The Local temperature rise (caused by inflammation in the anatomical structures);
- Violation of the physical activity of the affected joint;
- Feeling contractions, "tight glove" - all of this psoriasis;
- Pain that is caused, increased night and subsiding in the middle of the day.
The specific manifestations depend on the type and stage of a disease process.
The degree of severity of the disease
One can highlight three main degree. The criteria for capture argue the severity of the current disease-causing the process and the area of extensive development of defeat.
- Easy to flake ringworm. Papules psoriatic process rare or non-existent. Can occur a slight, according to the nature of itching in the skin, body temperature normal, generalized symptoms do not. Are formed, the calculations of the areas, wash the skin with clear, smooth contours. On the surface affected the dermis are present бeлewithoninandtse scales of leather, resembling dandruff. The total area of the lesion is less than 3% of the whole body;
- Moderate ringworm. The volume of extensive growth пwithonрiatICHewithкandх changes expressed and represent about 3-10% of the entire surface of the body. Catch multiple, ontгрandnICHens each other, the conglomerates do not form. Can occur clouds hyperthermia subfebrile values of the thermometer (about 37-37.5 degrees);
- Heavy flake ringworm is psoriasis in a different way. Size of the skin lesion more than 10% of the whole body. Diameter пwithonрiatICHewithкandх plates is of a few centimeters. Areas in the pathogenic process of multiple, fused together in a uniform complex. Express redness, swelling of the dermis.
There is also a method of determining the severity of the process of t. n. index FEED (PASI) - psoriasis:
Is the multi-scale factor, taking into account all data in the system. It is considered the most accurate method of setting a total current.
The quality of life of patients
Ringworm of the specified type refers to a heavy system pathologies. Like any complex disease, ringworm reduces, significantly, the quality of life of patients, which point to the data of the survey.
Thus, as a point to the patients themselves, they learn to live with your problem, however, have difficulties in several areas:
- In the professional activity. Psoriatic arthritis is a constant itching in the skin and other factors interfere with the normal physical work;
- In the domestic sector. Particularly complex cases, the patients are not able even to serve others;
- In the area of leisure. Individuals affected by the illness, may not practice some sports, they experience a psychological discomfort because of the unaesthetic appearance of the skin.
Have to talk about the stigmatizing disease. Around fear of its contagiousness, it has affected the self-esteem of the patient. In addition to the physical discomfort is marked yet, and psychic. For obvious reasons, the face, the patients are depriving more and more to fall into a depression, tend to social isolation.
How to cure psoriasis? Therapy must be comprehensive. In the first place, it is мedandкandмentonзnonм the impact on the body. Are assigned to the following groups of drugs:
- CLE-vitamin drug. Are considered safe enough, because they do not have serious side effects. Has a andntandпрonлandфeрandtandinnth effect, decreasing the speed of division of cells of the dermis. This includes: Minisan, Окwithanddeinandt, Aquadetrim;
- The retinoids. Dangerous drugs with serious side effects. However, they can be the answer to the question how to heal psoriasis. Trade names: Accutane, Acitretin, Soriathan;
- Immune system suppressors. Neural, Methotrexate, Cyclosporine;
- Finally, the answer to the question "how to deal with developed psoriasis" can be found in the application of corticosteroids: Prednisone, Dexamethasone, and others.
Also practiced methods of physiotherapy:
- UVF-the emission;
- The ultra-sound;
Answers to the question of how to heal psoriasis there are many. To determine the tactics of therapy can only doctor. There are a number of nuances, it all depends on the severity of the disease and its location.