As it begins to psoriasis!
The uncomplicated skin manifestations – the result of the pathology, and common malfunctions of the internal organs and systems, or organs of the gastrointestinal tract, kidney, cardiovascular system and musculoskeletal systems.
Despite the existence of different forms of psoriasis, the initial phase and the pathogenesis of the disease have in common:
Altered homeostasis cellular.
Dermis – vascular, layer of the epidermis – even for outwardly healthy areas of the skin is in the stage of inflammation. Some doctors consider the inflammatory response of the dermis to the mechanism of worsening or initial phase of psoriasis.
Forced to lipid peroxidation of membranes of cells, and this process is a provider of huge amount reactive oxygen. Its action is toxic, and the antioxidant system of the body is unable to cope with high levels of free radicals. That is why the more likely to decrease the immunity and the body resistance in case of infection, stress to provide the initial expressions of psoriasis whose symptoms дебютируют with skin lesions. The initial phase of psoriasis in children, in the great majority of cases, due to infectious diseases and the lack of work, the antioxidant system in these conditions.
The insufficient and poor functioning of the organs of the digestive tract, especially the liver and the pancreas, does break the balance of lipoprotein of high and low density in favor of the latter, the growth of the number of levels of total cholesterol and triglycerides.
Obesity, atherosclerosis and diabetes, that can cause initial expressions of psoriasis type 2 in individuals older than 40 years. Due to the decreased circulation of polyunsaturated fatty acids in these patients occurs to a destabilisation of the DNA of the epidermis and starts the excessive cell division.
Factors that trigger psoriasis
As soon as you start the psoriasis?
What trigger factors lead to the appearance of rashes?
The main trigger of disease:
Injury to the skin, even the small – friction, maceration, scratches, injection, burns, and т. п. contribute to the appearance of the first symptoms of the initial phase of psoriasis.
Errors in the feed.
Diabetes and hypothyroidism.
Heavy infectious diseases.
Hypothermia or extreme heat.
Allergens and factors of production.
As it seems to psoriasis in the initial phase
The clinical and initial phase of psoriasis generates a complex of changes in the epidermis and the dermis: the cumulus of neutrophils in the skin leads to inflammation, increased permeability of the blood vessels of the dermis with accompanying edema and экссудацией, and degranulation basofílica skin, with the release of large amount of histamine provides an intense itching.
Are supported by the uncomplicated skin manifestations are not coordinated working of internal organs and systems. The skin is formed of a defect of the horny layer in the form of a rash and plaques, the appearance, which depends on the shape and type of the disease, the age and the individual characteristics.
The earliest manifestations of psoriasis are different common features:
The location of the plates in the area of the outside of the knee, on the outer side of the elbow, behind the ears, on the head, back, buttocks.
Itching: is it when the vulgar way, slows down , psoriasis of the scalp.
The aggravation if you have provoking factors.
Patients interested, it itches if psoriasis in the initial phase? The answer to that question is yes. It is important to. All phases of psoriasis is accompanied by itching of varying degrees of intensity.
Forms of psoriasis and the initial symptoms more Often than not the first manifestations are considered ordinary precipitation.
The foci have a diameter of 0.5 to 2 cm, the typical location for this disease, in the stomach and in other places the eruption appears rarely.
On the surface of the rounding of the foci celebrated the bark, color of scales white or silver. Such sites, or the so-called papules have clear boundaries, the skin around them is not changed.
Years of age, the form is also one of the most frequent ways to the earliest manifestations of psoriasis. On the scalp, the skin of the neckline, the upper part of the back appear eruptions of small size, pale pink base.
Apache psoriasis is formed with the fusion of rashes the common of the species. The symptoms are characterized by the formation of large, with a diameter of about 20-25 cm from the focus, the basis of its bright red. It is important to. The initial phase of psoriasis on the stomach is manifested by the presence of plates of large diameter. Catch can локализоваться in the back, in part, thighs, buttocks. But the initial expressions of the disease, such as are rare.
Экссудативная the form of the Premiere of psoriasis in such a way a rare phenomenon, and often, экссудативный type is the consequence of a bad approach of treatment or self-medication. Elements of the rash have different diameter – from 2 to 10 cm or more.
The symptoms are characteristic of the accession of secondary infection – the cover are yellow, fever, signs of intoxication are growing.
Severe forms of – pustular arthropathic, erythroderma – are rarely the cause of symptoms of the initial phase. As a general rule, the fund expresses to reduced immunity, diseases of the internal organs can be throughout the epidermis, the joints.
The primary form of psoriasis such as erythroderma, arthropathy, characteristic of type 1, associated with a system of histocompatibility HLA – this debut becomes the cause инвалидизации.
In the blood of patients with severe forms of detect a large number of circulating immune complexes "antigen-antibody" (CEC), which, in large measure, to strike the joints.
In addition, the CEC take the endonuclease of intoxication.
How to recognize the onset of psoriasis in children
Among the skin diseases in children of early age, most frequently recorded atopic dermatitis with those who differ from psoriasis.
If you have this disease, for both parents, the child inherits it in 70-80% of cases, if you are sick, a parent – in 40%.
As seems to be the initial phase of psoriasis in a child?
This subject matters to all parents, whose children have a variety of skin eruptions.
To distinguish the disease, doctors perform a series of tests:
If you pass the point of radi, the shell will be strengthened.
If you completely remove with fireplace, flakes, begins to shine a thin delicate film.
In the case of intentional application to remove the film act drops of blood.
Typical location rash for children sometimes is not typical.
The younger the child, the most tipichnye are precipitation foci appear on the buttocks, back, tummy, and not just in your head, elbows and knees.
The age of debut is different. If you have allergy, pathology, GASTROINTESTINAL, chronic and acute, infectious diseases, psoriasis in children, you receive in the year. The number of outbreaks also depends on the co-morbidity in the child. This may be the only precipitation on the back of the head or generativus rash.
So how to recognize psoriasis in the initial phase of having a child is not easy, baby dermatologists pass the Urn probat, immunogram and detailed study on the functioning of the organs and systems.
Methods of treatment of the initial phase
Dermatologists are guided by certain methods, if the person started psoriasis:
the initial phase – the treatment is performed Detoxicación means of ointments with keratoplastic action without content of hormones, retinoid, седативными and psychotropic means, anti-histamines; the recurrence and the aggravation – the treatment is supplemented by local and general corticosteroids, monoclonal antibodies, цитостатиками and immunosuppressive drugs.
The principles of treatment of the initial phase are restricted to the naming of medicinal products, general and local application hormonal and non-hormonal in character.
The detoxification treatment is carried out necessarily in adults and in children. Парентерально use the magnesium sulfate, manganese solutions , the glucose. Within use the calcium gluconate, энтеросорбенты, activated charcoal, charcoal, white, Lignin. Anti-inflammatory non-hormonal means prescribed by initial expressions erythroderma, экссудативной form, and arthropathy.
The treatment hormone drugs must be performed if the patient has debuted a heavy psoriasis.
The treatment involves the use of salicylic acid ointment, ichthyol ointments, medicines based on naphthalan oil, tar. To decrease the itching, the doctors prescribe medicines anti-histamines. The sedative and psychotropic medications, are related in vegetable rates, sedatives, anti-depressants.
Necessarily sanifying chronic foci of infection, is carried out the correction of the work of the liver, pancreas,
For the regular application of cosmetics, you should consult your dermatologist.
Many shampoos, creams for the daily use can cause the worsening of the disease.
As well as the skin of patients characterized by dryness, it is needed a thorough moisturizing treatment.
It is recommended to use
Shampoos should choose with a minimum term of validity, months, artificial colors and sulfates.
High-efficiency, have a cream with vitamin D, tar, a retinoid. In children you can use the mare Lycium oil. The washing of the hands should be special medicinal means without content of soap
Treatment physical therapy, ozone therapy and hirudotherapy
Physiotherapy in the treatment of early stage prominently.
Appropriate combination of the techniques of physical therapy, treatments allows you to achieve a long remission, and the "retention" of a mild illness.
Traditionally, they are used in the following procedures:
The ultraviolet radiation in the form of PUVA therapy, кварцевания,
the local and total radiation long and medium waves.
nitri, крахмальные, dairy, manganese, торфяные, сероводородные, радоновые of the bathroom.
In recent years, a considerable number of studies devoted to ozone therapy . The new method and embeds itself in practice over the last few years. Notes pronounced effect is in the initial phase of psoriasis.
The ozone treatment has the following action on the psoriatic foci:
Improves the microcirculation. emendat the rheological properties of blood.
It stimulates the antioxidant activity of the system.
Application girudoterapii true when psoriatic defeat of the joints. In the area of the joints apply 5-7 leeches, that is a long hunger strike.
The essence of the method is that the leeches, they release substances рассасывающие foci inflammatory and blood-thinning drugs. Perform 10 to 15 procedures, after which patients point to the weakening of the pain and improve the mobility of the joints.
Recipes folk in the initial phase of psoriasis
Among the recipes traditionally use methods based on the use of betula tar, oak bark, burdock.
Desk in birch wood the tar must be applied in liquid form. Its applied on the plate a thin layer once per day. Should take to dry.
Forth relieve, the lotion of the range cosmetics curative or infant cream.