Psoriasis is a chronic disease of the skin integument (skin conditions) are not fully understood etiology, with a tendency to recurrence. Causes, symptoms and ways of treatment of psoriasis in the article below. This disease is characterized accelerated and reinforced the formation of the cells of the top layer of the skin, persistent inflammation and violation of properties of the epithelial cells of the skin. In addition to the epidermis are surprised with the internal organs and systems of the body. Dermatoses also known as psoriasisvulgaris (flake ringworm).
Psoriasis is more common among young people, the debut, usually, occurs in 10 to 20 years of age. But recorded cases in which the symptoms and treatment of psoriasis have been reported in children and persons of advanced age. The disease occurs throughout the world and not have of course, depending on the latitude, the race to the climatic conditions of the habitat. The prevalence of dermatosesa varies in the range of 0.1% to 3%. In the post-soviet countries registered in about 1% of people with influenza.
Equally often this pathology of the skin patients and the men and women.
Up to now you have not installed the real reasons for the development of the disease.Highlight some factors that lead to the occurrence of the disease:
- Heredity. According to recent data from scientists psoriasis relate certain diseases with the dominant type of transmission.
- Violation of lipid, protein and carbohydrate exchanges. When the suspicion of psoriasis of the leather quite often manifests itself in the change of these profiles in the blood, which contributes to the development of the pathology of the cardiovascular, endocrine dysfunction and the metabolic syndrome.
- The presence of chronic infection oven in the body. When the search psoriatic plaques often reveals streptococci flora. On the occurrence of genetic abnormalities may affect the viral and bacterial infections, for example, tonsillitis, flu.
- The bankruptcy of the immune system. Violation of the regulation of the T lymphocyte population, the increased circulation of immune complexes and the increase of title of antibodies against the DNA lead to an auto-immune reaction of the epithelial cells of the skin of the integument.
Despite the fact that the causes of psoriasis are very different, this disease is considered genetic of a systemic disease, have a tendency to inheritance, and surprising, and the internal organs and systems.
The main element of the psoriasis are papules - plan of exaltation above the level of the skin, reddish cyanotic or rose hue with flaky silver surface with the horns.
Fresh rainfall have for the color more saturated, more old with the time to the website of your agency. They can be unique or use a drain for the nature - in any case, be symptoms of psoriasis.
Immediately papules appear in the form of isolated maps of eruptions, which, with time, increase in size and become in psoriatic plaque in different ways. A patient can notice the elements of eruptions at different stages of their development.
Notes symmetrical defeat, but there are exceptions depending on what were the causes of psoriasis. More often they are surprised with the surface of the upper and lower limbs which are bent-and-drop, the large joints, but the disease is able to affect any part of the body including the fibrous part of the head and the nails. Many times can occur osteo-articular pathology - psoriatic arthropathy. Its prevalence in about 15% of all psoriasis cases.
Eruptions on the skin, which are the main symptom of psoriasis, a long time ago, but, more frequently, the period of worsening changes remission with no new eruptions. For the worsening of psoriasis it is characteristic of cold, it is time for a year, but, with time, the seasonality can change.
For the differentiation of the disease, there are several methods and features (psoriatic triad):
The phenomenon stearic point occurs when the curettage psoriatic item pointed. During this trained numerous white-silvery flakes, mimicking the metal stearin.
When more manipulation appears terminal psoriatic film moist and shiny surface.
The next phase - a phenomenon of condensation, in which the naked surface of the wound acts drip bleeding.
Psoriatic arthritis the process of splitting at various stages of clinical pathology, based on the severity of the disease:
- Progressing phase. Fresh precipitation often form at the site of trauma to the skin (bite, blow, action of chemicals, the traumatic damage). Usually 3-7 days from the moment of the traumatic impact possible to identify the emergence of new elements. Notes reinforced edge increase in the older papules, growth and fusion of plates. Is well defined psoriatic triad. Patients equally obvious symptoms of psoriasis of the leather - intense itching, sensation of dryness and tightening of the skin.
- Fixed the stage. New items of precipitation, practically does not appear, absent the growth of the older items. On their sites, occurs active the superficial peel. The itching is less marked or missing.
- The phase of fading. Psoriatic plaque pale and flattened. Leaves scaly, and itchy. On the edges psoriatic eruptions appears in the frame of depigmentation. The activity decreases the inflammatory process. Begins to remission, which is more typical of the warmer months of the year.
The deterioration process can cause a variety of factors:
- Acquisition of medicines.
- Exposure to high or low temperatures.
- Strong stress and emotional instability.
- The worsening or the occurrence of other diseases.
- Alcohol intake and strong margin of error in the diet.
When defined with precision the causes and treatment of psoriasis is conducted on the best methods, the positive trend will not wait.
Clinical interest in the disease psoriasis presents itself in the period, a phase in which occurs the peak of the disease, and by precipitation.
Also, the disease are classified according to the degree of severity and include two forms.Simple or psoriasis vulgaris has several varieties according to the shape and location of items:
- on the palms of the hands and soles. More often than not the causes of diseases related to professional activity and are marked with the people, carrying out an intense exercise. This form of the disease is isolated and affects only the hands and feet. Precipitation in the form of round plates, there are a painful cracking of them. In addition to stop skin, and the palms of the hands, are often amazed with the nail plate, it is observed dystrophic changes, deformation, color change, onycholysis.
- Dermatitis. The primary nursery for psoriasis is located on the scalp. Next, the process of the disease can be spread on the face, neck, back and chest. It is more likely to occur in people with a tendency to oily seborrhea and disorders metabolic exchange processes.
- Guttate. This vision extends throughout the body. Psoriatic items of small size (4-5 mm), it is not susceptible of plum.
- Folded. Skin rashes located in the folds of the skin – the armpits, the genitals in women under the breasts, on the navel trough, between the buttocks and groin. Elements of the rash of bright red color, it almost does not chip, has a clear boundary and smooth, slightly damp surface. This way you suffer more the older people and babies, and also diabetic patients. In children dermatoses has a tendency to the fusion of the plates, forming huge pockets. Sometimes, papules on the genitals are the only signs of psoriasis. In this case, it is necessary to differentiate them from eruptions other diseases.
- Warts. They are more likely to people with excess weight. Typically occurs in the gluteus medius and lumbar region along the progression of psoriasis. Can be transformed, otherwise, under the influence of microbial agent: pyoderma viral or flora. Outbreaks of dermatosesa with a crying and alive the inflammation, covered in green-yellow-grey crust. With the time, the failure process deep infiltration and growth of warts.
The second way heavy psoriasis, which, in turn, have various options of progression of the disease:
- It is the most dangerous. This option of the current psoriasis occurs under the influence of different endogenous triggering factors: stress, over exposure to the sun, and corticosteroid therapy, but it is more likely that the cause cannot be defined. In patients observed a hyper-reaction, and also depression, immunological indicators, are surprised with the internal organs. When you are celebrated for the symptoms and the causes of psoriasis, the curtains of the skin of the whole body hyperemic, with Burgundy a touch and abundant destruction of a different nature. Throughout the body, and the severity of the symptoms is not the same. Patients present complaints of weakness and malaise. Can occur increase of the lymph nodes, dystrophic defeat nails, intense hair loss. When prolonged all, the disease causes an imbalance of metabolic processes in the body, problems in the functioning of the cardiovascular system and kidney.
- The psoriatic arthritis. Along with papular eruptions in these patients occurs in joint pathology. The disease the most susceptible of men, young and middle-age, to the pathology characterized the lack of clinical semiology and bright manifestations on x-ray. This is the most difficult and complex form of psoriasis, leading to invalidization and, in some cases fatal. They are surprised with any of the members, by type of arthritis, the small joints of the hands and feet, the spine. The manifestations of the joints occur in about 4 to 6 years of debut of the disease, sometimes simultaneously with the skin eruptions. An x-ray viewed with the foci of osteoporosis, with the narrowing of the joint slit, the emergence of bone spurs.
- Pustular. This type of dermatosesa divided into two types: simple and general. Simply the type of pustular psoriasis on the feet and the palms of the hands appear symmetrical precipitation - pustules, the skin of the whole body also may be papular elements. When the general shape of the patient's state is severe, you can occur the increase of temperature, weakness and leukocytosis. Eruptions are massive, throughout the body, in the form of special fuzzy bright red foci and small papules, forming brownish-yellow cover. This type of dermatosesa develops new and has the tendency of rebirth, which ends with fatal consequences. Therefore, the symptoms, the causes and treatment of psoriasis should be kept under strict medical control.In addition to the main types of psoriasis, there is still a multitude of ways, and atypical of the process streams.
When the disease psoriasis and to choose your treatment take into account a number of factors. But it is always a approach for the cure of disease comprehensive.To all psoriasis patients, it is recommended to normalize the power mode:
- Balance the diet with the content of proteins, fats and carbohydrates.
- Eat more fruits and vegetables, especially the family solanaceae.
- Exclude products with preservatives and flavors, the fast-food.
- Abandon the consumption of alcohol and drinks of tea and coffee.
- You should try to avoid stressful situations, more rest and full sleep.
Depending on the cause of psoriasis, the type and the degree of severity necessarily is assigned to a drug treatment.When the light of the severity of the process is usually prescribed for these groups based medication therapy:
- Drugs, reduces the permeability of the vascular wall, anti-histamines.
- Sedatives and tranquilizers.
- Detox drugs for internal use by the administration and plasma substitutes of human origin.
- Ointment with corticosteroids, NSAIDS, tar, and t. d.
When medium and severe disease, in addition to the basic therapy, apply:
- GlucocortikostEroids in the form of tablets and injections.
Effective for the treatment of psoriasis involves the wide use of techniques of physical impact, in particular, photochemotherapy and selective phototherapy (integrated UV rays of the spectrum and photosensitizer). Recovery using the photochemotherapy, gives excellent results.
Selective phototherapy with simultaneous application of vitamin E showed good results for the therapy dermatosesa easy level. Apparatus for the performance of procedures compact, can treat psoriasis at home.
Execution of severe forms of the disease can impair the work of the organs: liver, kidneys, cardiovascular system, metabolic serious violation.
Psoriatic arthritis is due dIPteroticheskih changes in osteo-articular system full of sprains, podentorses and bone fractures. This type of dermatosesa often leads to disability.
The general forms of psoriasis progress rapidly and can be fatal. Thus, even a small symptoms of psoriasis of the skin should not be taken mood and as soon as possible consult your doctor.
No matter what were the observed symptoms and causes of psoriasis, all the actions aimed at the normalization of diet, daily routine and leisure. Considering the heredity of transfer of psoriasis, it is worth since childhood, to take care of your health, go for health checkups, eat well, and avoid stress.
Because this disease affects the liver, then in the purposes of prevention should be excluded from the diet foods citrus fruits, sweets, smoked and fried foods, canned goods, semi-finished and t. p.
In a period of remission active process it is recommended that a spa treatment, the occupation of healing, physical exercises, massage.