Psoriasis is a chronic skin disorder (dermatosis) are not up to the end studied the etiology, has a tendency to again. Causes, symptoms and ways of treatment of psoriasis the following article explores. This disease is characterized by an accelerated and enhanced formation of the cells of the upper layer of the skin, persistent inflammation and injury of the properties of the epithelial cells of the skin. In addition to the Epidermis affects the internal organs and systems of the body. Dermatosis is also known as psoriasis vulgaris (psoriasis).
Psoriasis is more among the young population, their debut is generally carried out in 10-20 years. But cases, if the symptoms and treatment of Psoriasis observed in infants and the elderly. The disease occurs throughout the world, and has no clear dependence on latitude, the race or the climatic conditions of the environment. The prevalence of dermatoses varied in the range of 0.1-3%. In the countries of the former Soviet Union approximately 1% of the patients registered.
Just as often this cutaneous diseases to suffer, both men and women.
Up to the present time is not installed on the real reasons for the development of the disease.There are several factors contributing to the emergence of the disease:
- Inheritance. According to the latest information from the scientists psoriasis belong to certain diseases with the dominant type of transmission.
- Violation of Lipid, Protein and carbohydrate metabolism. In the case of suspected skin Psoriasis enough changes in these profiles in the blood, often manifests itself, that promotes the development of the pathology of the cardiovascular, endocrine dysfunction and the metabolic syndrome.
- The presence of chronic infectious outbreak in the body. In the study of psoriatic Plaques streptococcal Flora shows often. On the occurrence of genetic anomalies, viral and bacterial infections, such as tonsillitis, flu can affect.
- Payment inability of the immune system. Disturbances in the Regulation of the population of T-lymphocytes, increased circulation of immune complexes and an increase in the Titer of antibodies against DNA cause an autoimmune reaction in the cells of the epithelium of the skin.
In spite of the fact that the causes of psoriasis are very different, this genetic disease is regarded as systemic disease, the tendency to inheritance, and through the internal organs and systems.
The most important Element of psoriasis, the papules are flat, increasing over the level of the skin is reddish, bluish or pinkish hue with a silvery scaly surface with horns.
The fresh rashes have an intense color, the older fade with time. You can character of the individual, or to wear drain - in any case, it is the symptoms of psoriasis.
Immediately papules appear in the Form of single-point lesionsthat over time increase in size and turn into psoriatic Plaques in various forms. In the case of a patient elements of the lesions noted in various stages of their development.
Is celebrated the symmetry of the lesion, but there are exceptions, depending on what are the causes of psoriasis. Most often, the surfaces of the upper and lower extremities, the skin is bent and unbend, the large joints, but the disease is able to every part of the body relate to, including the scalp and nails. Often muscle sustavnaya observed in the pathology of Psoriasis arthropathy. The prevalence is about 15% of all cases of Psoriasis.
Rashes on the skin, which are the main symptom of psoriasis there is quite a long time, but often the acute Remission soaked time, with no new lesions. For the worsening of Psoriasis is characterized by the cold time of the year, but with time, seasonality may change.
For the differentiation of the disease there are different methods and characteristics (psoriatic triad):
The phenomenon Stearin spot arises when a dilation and curettage Psoriasis-Element with a sharp object. In this time a number of white emerge silvery, imitating the chips stearic.
At the further manipulations incurable Psoriasis-movie - moist and shiny surface appears.
The next stage - the phenomenon of blood dew in the Nude on the wound surface Drip effect bleeding.
Psoriasis process is divided into several clinical stages of the pathology, based on the severity of the disease:
- Progressive Stage. The fresh rashes very often, the trauma of the Epidermis (bite, comb, effect of chemicals, traumatic injury) form on the body. Usually 3-7 days from the Moment of the traumatic exposure, the emergence of new elements of the show. Increased regional increase in old papules, growth, and merging Plaques. Well psoriatic triad is defined. Patients concerned about obvious symptoms of Psoriasis of the skin - intense itching, feeling of dryness and tightness of the skin.
- The stationary Phase. New elements rashes appear almost absent, the growth of the old elements. On the existing node, to an active superficial peeling is carried out. Itching is less pronounced or missing.
- Phase Fading. Psoriatic Plaques are pale and flattened. Out of flaking and itching. At the edges of the psoriatic lesions bezel depigmentation appears. The inflammatory activity is reduced. Remission begins, more typical of the warm season.
Exacerbation of the process can cause a number of factors:
- Intake of medicines.
- Exposure to high or low temperatures.
- Strong Stress and emotional instability.
- Aggravation or the emergence of other diseases.
- Alcohol and strong errors in the diet.
When exactly is the causes and treatment of psoriasis is made by suitable methods, the positive dynamics will not have to wait long.
The clinical interest is Psoriasis, the disease in the time of the advanced stage, in which the height of the disease observed, and the active rash.
Also disease classified according to the severity and distinguish two forms.Simple or vulgar Psoriasis several varieties, depending on the shape and localization of the elements:
- on the palms and soles. Most of the time the cause of the illness is work-related and occur in people, the intense physical stress. This Form of the disease is isolated and only strikes with the hands and feet. Rashes are in the Form of round Plaques, frequent painful cracks in them. In addition to the skin of the feet and palms of the hands, often affects the nail plate, marked degenerative changes, deformation, discoloration, and onycholysis.
- Seborrheic. The primary focus of the psoriasis is on the scalp. More disease spread to the face, neck, back and chest. More common in people who are prone to oily seborrhea and the metabolic disorders of the metabolism.
- Guttata. These kind of spreads throughout the body. Psoriatic elements of small size (4-5 mm), will not be on plum.
- Wrinkled. Eruptions are the armpits, in the folds of the skin, genitals, and in women, under the Breasts, the navel, the valley between the buttocks, and in the step. Elements of the rash have bright red color, almost no flakes, clear borders and a smooth, slightly moist surface. This Form is more frequently suffer from the elderly and children, as well as patients with Diabetes mellitus. In children dermatosis has a tendency to merge into Plaques, forming large pockets. Sometimes, papules on the genitals - these are the only symptoms of psoriasis. In this case, it is necessary to distinguish them from the skin rashes of other diseases.
- Warts. You are more prone to people with obesity. Usually occurs in the buttocks and lumbar area with prolonged progression of psoriasis. Can be converted to other forms under the influence of microbial agents: pyoderma or viral Flora. Focal points dermatosis with oozing pronounced inflammation and bright, with yellow-gray bark. The process ends with the period of deep Infiltration and proliferation of warts.
The second Form - to- severe psoriasis, which in turn has several variants of the disease:
- The most dangerous. This variant of Psoriasis occurs under the influence of various endogenous trigger factors: Stress, excessive exposure to the sun, therapy with corticosteroids, but in most cases the cause. In the case of the patients, there was a allergic Hyper-reaction, and the suppression of the immunological parameters, affects the internal organs. What are those symptoms and causes of psoriasis, the skin of the whole body is hyperemic, with purple and strong destruction of a different nature. On the whole body severity of the symptoms are not identical. The patients complain of weakness and malaise. There was an increase in the lymph nodes, dystrophic gave of lesions of the nails, intense hair loss. When a protracted course of the disease provoked an imbalance of metabolic processes in the body, problems in the work of the cardiovascular System and the kidneys.
- Psoriasis-Arthritis. Along with papules rashes in such patients skin occurs with the pathology of the joints. Diseases are more prone to men young and middle age, the pathology typical of the sparse clinical symptoms and a vivid Manifestation on the x-ray image. It is the serious Form of psoriasis, which leads to a disability, and in some cases, lead to death. Affected limb according to the type of Arthritis, the small joints of the hands and feet, the spine. Joint symptoms occur after about 4-6 years from the debut of the disease, sometimes in conjunction with a skin rash. On the x-ray focal points of the osteoporosis, joint space narrowing is visualized, the formation of osteophytes.
- Pustular. This type of dermatosis is divided into two categories: simple and General. In the case of the simple type pustules Psoriasis on the soles of the feet and palms of the hands appear to be symmetrical rashes - pustules, the skin eritematosnaya, throughout the body can also be papular elements. In the case of the shape of the patient's condition serious, there was an increased temperature, weakness, and leukocytosis. Massive skin rash, throughout the body, in the Form of a diffuse bright-red ovens, and small papules on the brown-and-yellow shell. This type of dermatosis secondary developed and has a tendency to degenerate, which can be lethal. So, the symptoms, causes and treatment of psoriasis keep under strict medical supervision.In addition to the main types of Psoriasis, there are many forms and atypical currents of the process.
At the disease of the psoriasis and the choice of its treatment are many factors to consider. But always approach to a comprehensive cure of the disease.All patients with Psoriasis , it is recommended to normalize diet:
- Diet of proteins, fats and carbohydrates to compensate.
- You eat more fruits and vegetables, especially from the family of Solanaceae.
- Eliminate foods with preservatives, and flavors addition, fast Food.
- Refuse from alcohol and strong tea and coffee.
- We must try to avoid stressful situations, to sleep more calm, and fully satisfying.
Depending on the cause of psoriasis, type and severity, not necessarily the drug treatment assigned.In the case of light degree of severity of the prescribed in the rule, such as a group of medicines basic therapy:
- Medications, the the permeability of the vascular wall, antihistamines.
- Sedatives and tranquilizers.
- Detoxification medication for the internal introduction and a plasma expander.
- Ointments with corticosteroids, NSAIDs, tar, etc.
In the case of medium and severe disease, with the exception of the base therapy are:
- Glucocorticoids in the Form of tablets and injections.
- Cytotoxic drugs.
- Immune modulators.
An effective treatment of Psoriasis includes extensive use of techniques of physiotherapeutic influences, in particular, photo-chemotherapy, and selective phototherapy (a complex effect of UV-radiation of the spectrum and photosensitizer). Recovery with the help of photo-chemotherapy with excellent results.
Selective photo-therapy with the concomitant use of Vitamin A showed good results for the treatment of dermatoses, mild. Device for implementing the method are compact, you can treat with the help of psoriasis home.
Ongoing severe forms of the disease can be a malfunction of the internal organs: liver, kidneys, cardiovascular System, severe metabolic disorders.
Psoriasis-Arthritis due to degenerative changes in the muscle-joint System fraught with dislocation, Subluxation, and bone fractures. This type of dermatitis often leads to disability.
General Form of psoriasis that is very rapidly and can lead to death. Therefore, even slight symptoms of Psoriasis of the skin does not without regard to leave and as quickly as possible to see a doctor.
Regardless of the reported symptoms and causes of Psoriasis, all the measures aimed at the normalization of the diet, daily routine and leisure time. In the light of inheritance, the transmission of Psoriasis since childhood, their health monitoring, medical examinations take place, eating well, and Stress to avoid.
Since in this condition the liver is affected, then in the prophylactic objectives of fruits, sweets, smoked and fried food, canned food, ready meals, etc. should be excluded from the diet citrus
In the period of Remission of active process it is recommended that Spa treatment, employment, physiotherapy, Massage.