Psoriasis can manifest itself in different forms.Psoriasis options include vulgar (simple, ordinary) or, otherwise, plaque psoriasis (psoriasis vulgaris, psoriasis of the plate), pustling psoriasis, psoriasis in the shape of a drop or flexible psoriasis) (flexible psoriasis) (flexible psoriasis).This section provides a brief description of each variety of psoriasis together with its code according to the international classification of diseases (ICD-10).
Psoriasis in the peluche -shaped, Or Ordinary psoriasis, vulgar psoriasis, simple psoriasis (psoriasis vulgaris) It is the most common form of psoriasis.It is observed in 80% - 90% of all patients with psoriasis.Vulgar psoriasis in the shape of a pelutta often manifests itself in the form of typical areas raised on the surface of the healthy skin of the areas of inflamed skin, red, warm covered by gray or silver skin, easily esphusing, scalded, dry and thickened.Red skin under a gray or silver layer easily removed is easily injured and bleeding, as it contains a large number of small vases.These areas of typical psoriatic damage are called psoriatic plates.Psoriatic plates tend to increase in size, merge with nearby plates, forming a whole plate ("paraffin lakes").
Psoriasis of the flexion surfaces (flexible psoriasis), Or "Reverse psoriasis". Usually it seems smooth, not peeling or with minimal peeling points and inflamed red that do not protrude particularly above the surface of the skin, located exclusively in the folds of the skin, in the absence or minimum injury of other areas of the skin.Very often, this form of psoriasis affects the folds in the external genital organs, in the groin, on the internal surface of the hips, on the depression of the axillaries, the folds under an obesity of the stomach (PS -PSORIORSICA PANS) and on the folds of the skin under the mammary glands in women.This form of psoriasis is particularly susceptible to the deterioration under the influence of friction, lesions to the skin and sweat and is often accompanied or complicated by a secondary fungal infection or by a streptococcal pioderma.
Psoriasis gutta (psoriasis gutta) It is characterized by the presence of a large amount of small, raised above the surface of healthy, dry, red or purple leather (up to purple), similar in shape to drops, tears or small points, looking for the elements of the lesion.These psorial elements usually strengthen large surfaces of the skin, the hips most often, but they can also be observed on legs, forearms, shoulders, the hair of the head, the back, the neck.Earth -shaped psoriasis often develops or aggravates after streptococcus infection, in typical cases - after Streptococcal tonsillitis or streptococcal pharyngitis.
Pustling psoriasis OR Psoriasis for exudation It is the most serious of the skin forms of psoriasis and seems bubbles or blisters raised above the surface of the healthy skin, full of unfortunate and transparent inflammatory exudate (pustules).The skin below and above the surface of the pustules and around them is red, warm, edematous, inflamed and thickened, easily exfoliating.The secondary infection of the pustules can be observed, in which case the exudate acquires a purulent character.Pustolous psoriasis can be limited, localized, while its most frequent location is the distal ends of the limbs (arms and legs), that is, the lower part of the leg and forearm, it is called pustules palmoplantar (pustulosis palmoplantar).In other more serious cases, pustular psoriasis can be generalized, with the widespread diffusion of pustules on the entire surface of the body and the tendency to merge in larger pustules.
The causes of psoriasis
Compromised barrier function of the skin (in particular, mechanical trauma or irritation, friction and pressure on the skin, abuse of soap and detergent, contact with solvents, domestic chemicals, solutions containing alcohol, the presence of infected focals on the skin or skin of the skin, excessive dry skin) play a role in the development of psoriasis.
Psoriasis - This is in many ways a disease of idiosinratic skin.The experience of most patients suggests that psoriasis can improve spontaneously or, on the contrary, to worsen without an apparent reason.Studies of various factors associated with the emergency, development or exacerbation of psoriasis are tends to be based on the study of children, usually hospital (not outpatient patients), that is, obviously heavier, groups of patients with psoriasis.Therefore, 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 other factors (including still unknown or not configured) which can influence the nature of the course of psoriasis.Often, in several studies, there are contradictory finds.However, the first signs of psoriasis often appear after suffering stress (physical or mental), damage to the skin in places of the first appearance of psorial rashes and/or infection from streptococcal transferred.The conditions, according to a series of sources that can contribute to exacerbation or worsen the course of psoriasis, include acute and chronic infections, stress, climate change and the change of seasons.Some drugs, in particular, lithium carbonate, beta-blockers, antidepressants, antimalaric drugs, anticonvulsants, according to a series of sources, are associated with a deterioration of psoriasis or may even cause its primary occurrence.Excessive consumption of alcohol, smoking, overweight or obesity, an improper diet can weigh the course of psoriasis or complicate its treatment, cause exacerbations.The hair paint, some creams and handles by the hand, cosmetics and perfumes, domestic chemicals can also cause an exacerbation of psoriasis in some patients.
Patients suffering from HIV or AIDS infection often suffer from psoriasis.This seems to be paradoxical for psoriasis researchers, since the treatment aimed at reducing the number of T cells or their activity generally helps to treat psoriasis and HIV infection or, moreover, the AIDS is accompanied by a decrease in the number of T cells. However, over time, with the progression of HIV or AIDS infection, an increase in viral load and a decrease in the number of T -CD cells.Psoriasis in patients with HIV infection or patients with AIDS worsen.In addition to this riddle, HIV infection is generally accompanied by a strong change in the profile of cytokines towards Th2, while vulgar psoriasis in non -infected patients is characterized by a strong change in the profile of cytokines towards Th1.According to the hypothesis currently adopted, a reduced quantity and a pathologically altered activity of CD4+ lymphocytes in patients with HIV or AIDS infection cause hyperactivation of CD8+ T lymphocytes, which are responsible for the development or aggravation of psoriasis in infected HIV or in patients with AIDS.However, it is important to know that most patients with psoriasis are healthy in relation to the transport of HIV and HIV infection are responsible for less than 1 % of the cases of psoriasis.On the other hand, psoriasis in people with HIV infection occurs, according to various sources, with a frequency from 1 to 6 %, which is about 3 times higher than the frequency of psoriasis in the general population.Psoriasis in patients with HIV infection and in particular AIDS often proceeds extremely difficult, and is scarcely lent or not at all likely susceptible to standard therapy methods.
Psoriasis develops more often in patients with initially dry, thin and sensitive skin patients than patients with oily or well consumed skin and is much more common in women than in men.In the same patient, psoriasis more often appears for the first time in areas of dry or thinner areas than the oily skin, and above all it often appears in places of damage to the integrity of the skin, including combing, abrasions, scratches, cuts, in places subjected to friction, pressure or contact with aggressive chemicals, detergents, detergents and cleaners, soluieri, soluieri, soluieri.(This is called Kebner phenomenon).It is assumed that this lesorid phenomenon of psoriasis is mainly with dry, thin or wound skin associated with the infection with the fact that the infected body (probably often streptococcus) easily penetrates the skin with a minimum secretion of skin fat (which, in other conditions, protects the skin from infections) or in the presence of damage to the skin.The most favorable conditions for the development of psoriasis are therefore opposed to the most favorable conditions for the development of the fungal feet infection (the so called "athlete leg") or armpits, the inguinal region.For the development of fungal infections, the most favorable and wet skin, for psoriasis, on the contrary, dry.Which has penetrated in dry skin causes dry chronic inflammation (not -expressed), which, in turn, causes characteristic symptoms of psoriasis, such as itching and increase in skin proliferation.This, in turn, leads to a further increase in dry skin, both due to the inflammation and the greater proliferation of keratinocytes, and due to the fact that the infected body consumes humidity, which would otherwise serve 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 canvas and scrubs, in particular the rigid ones, since not only damn the skin, leaving microscopic scratches, but also broken by the skin the higher protective cornea and the lard of the skin, which protect the skin from the learning and penetration of germs.It is also recommended to use a talc or a whisker after washing or bathroom to absorb excess humidity from the skin, which, otherwise, "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 advisable to abuse soap, detergents.You should try to avoid the contact of the skin with solvents, domestic chemicals.
Diagnosis of psoriasis
The diagnosis of psoriasis is generally simple and based on a characteristic aspect of the skin.There are no specific diagnostic procedures or blood tests of psoriasis.However, with active, progressive or its serious course psoriasis, you can find deviations in the blood tests, confirming the presence of an active inflammatory process, autoimmune, rheumatic (increasing the titles of the rheumatoid factor, the proteins of the acute phase, leukocytosis, increased ESR, etc.) as well as endocrine disorders.Sometimes a skin biopsy is needed to exclude other skin diseases and histological confirmation (verification) of the diagnosis of psoriasis.During a patient's biopsy with psoriasis, cluster of the so-called retail tears, thickening of a layer of keratinocytes, their histological immaturity, massive skin infiltration with T-Linfocyte cells, macrophocytes, macrophocytes, macrophages of calamifocites, macrophocytes, macro-phraphocytes ofMovosogenic, macrofocytes of motosogenic, macrofocytes, macrophages of calamifocytes, macrophocytes, macrofocytes of calamifocity the skin under the skin under a layer of skin under a layer of skin under a layer of skin under the layer of skin under a skin under a layer of skin under pipt.Another characteristic sign of psoriasis are the point bleeding and the ease of bleeding from the skin under the plaque during its writing, which is associated with both the acceleration of the angiogenesis and to the pathologically increased and fragile permeability of the skin vessels in the lesion (aushpitz symptom).
Alternative treatment of psoriasis
For the symptomatic treatment of vulgar psoriasis, some countries of some countries use iTiTterapy in some resorts with open thermal springs.Garra Rufa fish that lives there eats the skin on psoriatic plaques, without touching healthy areas.After this treatment, an improvement in the condition of patients has been observed for six months or more.A successful position in Subtropics allows you to combine rest in comfortable hotel rooms with spa fish procedures and sea bathrooms.At your request, the hotel cook will prepare a special diet.The water in a bathroom with the fish Garra Rufa passes a three -stage cleaning system (mechanical, with ultraviolet sterilization and organic purification).The sun, the sea, the fresh air, the special diet, all this overall helps to obtain a positive effect of the bathrooms with miraculous fishing.Daily sprinkling with a mixture of icing sugar and potato starch will help to remove psoriatic plaques.
Treatment of psoriasis with popular remedies
- To cope with psoriasis, Gives up fat, pork, fumes, chocolate, spices, alcohol, coffee and desserts.It enriches the diet with products -fermented lactiero products, fresh herbs, baked apples, fish salads and nettle.Eat many vegetable oils rich in indispensable fatty acids) and products containing lecithin.
- Eat food In boiled, boiled or stewed (excluding fried and smoked) by the diet.
- Refuse food that increase acidity in the body- Give preference to the products that threaten the body.Some people on the web have repeatedly testified that only a change in nutrition in the direction of alkalization has contributed to the complete restoration of health, not only by the same psoriasis, but also by old chronic diseases.
- Wash Only the children or the caprame soap regularly take the bath with decorations of curtains, hops and violets of three color.
- Follow Surgery (1-2 days hunger).