Psoriasis can manifest itself in various forms.Psoriasis options include vulgar psoriasis (simple, ordinary) or, if not, plaque psoriasis (vulgaris psoriasis, plaque psoriasis), pustular psoriasis, psoriasis surfaces in the shape of drop or punctual).This section provides a brief description of each variety of psoriasis as well as its code according to the international classification of diseases (CIM-10).
Plush psoriasis, Or Ordinary psoriasis, vulgar psoriasis, simple psoriasis (psoriasis vulgaris) It is the most common form of psoriasis.It is observed in 80% to 90% of all patients with psoriasis.The vulgar psoriasis in the shape of a plush manifests most often in the form of typical areas raised on the surface of healthy skin of the zones of fiery skin, red, hot covered with gray or silver-white, easily exbect, scaly, dry and thickened.The red skin under a gray or silver layer easily removed is easily injured and rare, because it contains a large number of small vessels.These typical psoriac damage areas are called psoriatic plates.Psoriatic plates tend to increase in size, to merge with neighboring plates, forming an entire plate ("paraffin lakes").
Psoriasis of flexion surfaces (flexion psoriasis), Or "Reverse psoriasis". Usually, it looks like smooth spots, without coat or with minimal coat, fiery red spots that do not particularly exceed above the surface of the skin, located exclusively in the folds of the skin, in the absence or a minimum lesion of other areas of the skin.Most often, this form of psoriasis affects the folds in the external genitals, in the groin, on the inner surface of the hips, the axillary depressions, the folds under an obesity of the stomach (pannus psoriatic) and on the folds of the skin under the mammary glands in women.This form of psoriasis is particularly sensitive to deterioration under the influence of friction, skin lesions and perspiration, and is often accompanied or complicated by a secondary fungal infection or a Streptococcal pyoderma.
Guttate psoriasis (psoriasis guttate) It is characterized by the presence of a large quantity of small, raised above the surface of the healthy, dry, red or purple skin (up to the purple color), of shape similar to the drops, tears or small dots, circles of the elements of the lesion.These psoriatic elements generally reinforce large surfaces of the skin, the hips the most often, but can also be observed on the legs, forearms, shoulders, screen screening, back, neck.Psoriasis in the form of a soil is developing or often exacerbating after a streptococcal infection, in typical cases - after streptococcal amygdalite or streptococcal pharyngitis.
Pustular psoriasis Or Psoriasis exudation It is the most serious skin forms of psoriasis and resembles bubbles or blisters raised above the surface of the healthy skin, filled with an unhappy and transparent inflammatory exudat (pustules).The skin under and above the surface of the pustules and around them is red, warm, edematous, inflamed and thickened, exfoliated easily.Secondary infection of pustules can be observed, in which case the exudat acquires a purulent character.Pustular psoriasis can be limited, localized, while its most frequent location is the distal ends of the limbs (arms and legs), that is to say the lower leg and the forearm, this is called Palmoplanglatar pustules (Palmoplantar Pustulose).In other more serious cases, pustular psoriasis can be generalized, with the generalized propagation of pustules over the entire surface of the body and the tendency to merge into larger pustules.
The causes of psoriasis
The function of altered barrier of the skin (in particular mechanical trauma or irritation, friction and pressure on the skin, soap abuse and detergent, contact with solvents, household chemicals, solutions containing alcohol, the presence of infected hearths on skin or skin allergy, excessive dry skin) also play a role in the development of psoria.
Psoriasis - It is in many ways an idiosinratic skin disease.The experience of most patients suggests that psoriasis can improve spontaneously or, conversely, aggravate for no apparent reason.Studies of various factors associated with the emergence, development or exacerbation of psoriasis are tense at the basis of the study of small hospitals (not external patients), that is to say groups, obviously heavier, patients with psoriasis.Consequently, these studies often suffer from the insufficient representativeness of the sample and the inability to identify causal relationships in the presence of a large number of factors (including still unknown or not configured) which can influence the nature of the course of psoriasis.Often, in different studies, contradictory discoveries are found.Nevertheless, the first signs of psoriasis often appear after stress (physical or mental), skin damage in places of the first appearance of psoriac eruptions and / or a stocked streptococcal infection.Conditions, according to a certain number of sources which can contribute to exacerbation or worsen the course of psoriasis, include acute and chronic infections, stress, climate change and change of seasons.Certain drugs, in particular, lithium carbonate, beta-blockers, antidepressants, antimalarials, anticonvulsants, according to a certain number of sources, are associated with a deterioration of psoriasis or can even cause its main occurrence.Excessive alcohol consumption, smoking, overweight or obesity, poor nutrition can weight the course of psoriasis or complicate your treatment, cause exacerbations.Hair varnish, certain creams and handles for hand, cosmetics and perfumes, household chemicals can also cause exacerbation of psoriasis in certain patients.
Patients with HIV infection or AIDS often suffer from psoriasis.This seems to be paradoxical for psoriasis researchers, because treatment aimed at reducing the number of T cells or their activity generally helps to treat psoriasis, and HIV infection or, moreover, AIDS is accompanied by a decrease in the number of T cells. However, over time, with the increase in HIV or AIDS infection, an increase in viral load and a decrease in CD4circulating, psoriasis in patients infected with HIV or aggravating AIDS.In addition to this enigma, HIV infection is generally accompanied by a strong shift in the profile of cytokines to TH2, while vulgar psoriasis in non -infected patients is characterized by a strong shift in Cytokines profile to TH1.Depending on the hypothesis currently adopted, a reduced quantity and a pathologically modified activity of CD4 + T lymphocytes in patients infected with HIV or AIDS cause hyperactivation of CD8 + T lymphocytes, which are responsible for the development or worsening of psoriasis in HIV or patients with AID.However, it is important to know that most patients with psoriasis are healthy in relation to the transport of HIV, and HIV infection is responsible for less than 1% of psoriasis cases.On the other hand, psoriasis in people infected with HIV occurs, according to various sources, with a frequency of 1 to 6%, which is approximately 3 times higher than the frequency of psoriasis in the general population.Psoriasis in patients with HIV infection and in particular AIDS often takes place extremely difficult and is poorly ready or not at all susceptible to standard therapy methods.
Psoriasis most often develops in patients with an initially dry, thin and sensitive skin than in patients with oily skin or well, and is much more frequent in women than in men.In the same patient, psoriasis most often appears in dry or thinner skin areas than in oily skin, and especially often appears in places of damage to the integrity of the skin, in particular combing, abrasions, scratches, cuts, in places undergoing friction, pressure or contact with aggressive chemicals, detergents, detergents and detergents, detergentsfloors, solupherical, solubliers.(This is called Kebner's phenomenon).It is assumed that this phenomenon of psoriasis lesions is mainly with dry, thin or injured skin associated with infection with the fact that the body infected (probably most often Streptococcus) easily penetrates the skin with a minimum secretion of skin fat (which, under other conditions, protects the skin from infections) or the presence of skin damage.The most favorable conditions for the development of psoriasis are therefore opposed to the most favorable conditions for the development of fungal infection of the feet (the "athlete leg" if called) or the armpits, the inguinal region.For the development of fungal infections, the most favorable wet skin,For psoriasis, on the contrary, dry. The infection that has penetrated dry skin causes dry chronic inflammation (not expressed), which, in turn, causes characteristic symptoms of psoriasis, such as itching and increased proliferation of skin cells.This, in turn, leads to greater dryness of the skin, both due to the inflammation and the increased proliferation of keratinocytes, and the fact that the infected body consumes humidity, which would otherwise be used to hydrate the skin.To avoid excessive dryness of the skin and reduce the symptoms of psoriasis, patients with psoriasis are not recommended to use bath vests and scrubs, especially rigid, because they damage not only the skin, leaving microscopic scratches, but also the skin scraper from the upper germs and the skin, which protects the skin from drying and germ penetration.It is also recommended to use a talc or a baby blowing after washing or bath to absorb excess humidity from the skin, which, if not, will "get" an infected agent.In addition, it is recommended to use products that hydrate and feed the skin and lotions that improve the function of the sebaceous glands.It is not recommended to abuse soap, detergents.You should try to avoid skin contact with solvents, household chemicals.
Diagnosis of psoriasis
The diagnosis of psoriasis is generally simple and based on a characteristic appearance of the skin.There are no diagnostic procedures or blood tests specific to psoriasis.Nevertheless, with active and progressive psoriasis or its serious course, deviations from blood tests can be found, confirming the presence of an active, autoimmune, rheumatic inflammatory process (increasing the titles of the rheumatoid factor, acute phase proteins, leukocytosis, increased ESR, etc.), as well as endocrine and biochemical disorders.Sometimes, a skin biopsy is necessary to exclude other skin diseases and histological confirmation (verification) of the diagnosis of psoriasis.During a biopsy of the patient with psoriasis, clusters of the so-called tears of retail, thickening of a layer of keratinocytes, their histological immaturity, massive skin infiltration with t-lymphocytes, macrophages and dendritic cells, signs of incliferation of Keratinocytes of KeratinocytesAnd immunocomper Cells, accelerated angiogenesis in a layer of skin under the skin under a layer of skin under a layer of skin under a layer of skin under a layer of skin under a layer of skin under a layer of skin under the folds.Another characteristic sign of psoriasis is occasional hemorrhages and ease of bleeding the skin under the plate during its scrater, which is associated both with the acceleration of angiogenesis and with pathologically increased permeability and skin vessels in the lesion (symptom of increase).
Alternative psoriasis treatment
For the symptomatic treatment of vulgar psoriasis, some countries in some countries use ichthyotherapy in certain stations with open thermal springs.Garra Rufa fish that live there eat the skin on psoriac plates, without touching healthy areas.After such treatment, an improvement in the condition of patients is observed by six months or more.A successful location in subtropics allows you to combine rest in comfortable hotel rooms with fish spa and sea bath procedures. At your request, the hotel cook will prepare a special diet.Water in a bath with the Garra Rufa fish passes a three -storey cleaning system (mechanical, ultraviolet sterilization and biological purification).The sun, the sea, the fresh air, the special diet - everything in the complex helps to obtain a positive effect of the baths with miracle fishing.The daily aspirant with a mixture of powdered sugar and potato starch will help eliminate psoriatic plates.
Treatment of psoriasis with folk remedies
- To cope with psoriasis, Abandon fat, pork, smoking, chocolate, spices, alcohol, coffee and candies.Enrich the diet with fermented dairy products, fresh herbs, oven apples, fish and nettle salads.Eat a lot of vegetable oils rich in essential fatty acids) and products containing lecithin.
- Eat food In porridge, porridge or cooked (excluded fried and smoked) from the diet.
- Refuse foods that increase body acidity- Give preference to products that alkalize the body.Some people on the web have on several occasions that only a change in nutrition in the sense of alkalization has contributed to the complete restoration of health, not only from psoriasis itself, but also old chronic diseases.
- Wash Only children's soaps or tar, regularly taking baths with decorations of celandin, hops and violets of three dyes.
- Follow Surgery (famine from 1 to 2 days).