Ecooric (vulgar) psoriasis is a chronic skin disease, which is characterized by the appearance of characteristic changes on the skin, a strong decrease in the quality of life due to the appearance of itching and burning skin, but at the same time it does not represent a direct threat to life, while maintaining in most cases.
The first signs of psoriasis in most cases are found in childhood or youth, after thirty years the disease, as a rule, does not manifest itself.About two percent of the population suffers from this disease, although according to some other data, the figure exceeds 6%, but many cases of slight course of the disease are not simply registered.
Causes
Ordinary common psoriasis is a versatile disease, that is, it does not occur under the influence of a certain cause, but due to the influence of a large number of factors.So it has been considered for a long time, until scientists discovered that genetic anomaly is actually based on the development of the disease.
The violations of the short shoulder of the fifth chromosome are the cause of a change in immune tolerance and under the influence of a series of factors that this change may appear in the form of psoriasis.In other words, a genetic anomaly creates a predisposition to the disease, but does not yet guarantee its presence.
The factors that can contribute to psoriasis should be called:
- Stress;
- Alcohol and smoke;
- Infectious diseases and chronic infection outbreaks;
- Endocrine disorders, mainly diabetes;
- Violations of immune tolerance under the influence of various external factors, including a poor ecology.
Symptoms and first signs
Professional psoriasis is the most common form of the disease, it is believed that 90% of all cases of psoriasis falls on vulgar psoriasis.
The psoriasis of the scalp can take place, but often manifestations are observed right on the skin.The first changes appear on the skin of the extensor surface of the joints of the elbow and the knee.Therefore they can spread from primary fires on the surface of the forearm expansion and on the shoulder, the chest and back.
The characteristics of the rashes are as follows:
- Black point;
- There is a white plate on the surface (it looks like a wax plaque);
- The crusts are removed, but not easy;
- After removing the crusts on the surface of the rash, the bloody discharge is displayed, since the removal of the crusts will hurt the blood vessels.
The rashes for psoriasis are always accompanied by serious itching, sometimes so pronounced that due to this night sleep is disturbed, which leads to pronounced negative emotions and altered regime and rest.Work skills are significantly reduced, in relation to which psoriasis without treatment can cause disabilities.
Ordinary psoriasis in children
In some cases, ordinary psoriasis in children can occur at an early age, in this case characteristic clinical events appear and standard treatment is difficult due to the negative effect of drugs on other organs and systems.
However, the ordinary or any other psoriasis in early childhood does not develop practically, in most cases the disease develops in adolescence and in previous years it can imitate much more common atopic dermatitis.However, when the changes on the skin are displayed, it is still necessary to consult a doctor as soon as possible to examine and form accurate diagnosis.
Diagnostic measures
In most cases, the diagnosis of ordinary psoriasis does not cause great difficulties.The characteristic clinical signs allow you to suspect the presence of the disease, a positive symptom confirms the conditions, but to make a final diagnosis, it is used to conduct a biopsy of the skin area covered by rashes, in which histological changes in the dermis are detected by the disease.
What can you confuse with?
Despite the presence of a characteristic clinical picture, it is not always possible to make a diagnosis only during the examination, in some cases it is necessary to differentiate the disease with:
- Seborrheic eczema;
- Red flat lichen;
- Neurodermatitis;
- Atopic dermatitis.
The most effective method for conducting a differential diagnosis is a biopsy of the skin area.The detection of characteristic changes of psoriasis in the skin allows you to verify the diagnosis.
Treatment of psoriasis
If there was a single effective treatment scheme of psoriasis, therefore, probably all patients could easily get rid of the manifestations of the disease and significantly improve the quality of life, but there are a series of problems in the therapy of this disease, among which it should be called:
- Refusal of patients with mild and moderate treatment treatment;
- The difficulty in dealing with the situation in a serious course of the disease;
- High cost of effective treatment methods;
- The need for an individual selection of therapy in order to obtain the desired result.
Psoriasis therapy should include not only treatment with systemic and local drugs, but also the use of physiotherapy techniques (good performance demonstrate power therapy), as well as compliance with a diet and a change in lifestyle (refusal of bad habits, limiting psychological stress).
Local drugs and drugs are most used between the system and the system:
- Cytostatic;
- Monoclonal antibodies;
- T-cellula of immunity;
- Glucocorticoids;
- Anti -inflammatory ointments based on salicylic acid.
The selection of specific drugs, the determination of their compatibility and the possibility of use (depending on the presence of concomitant pathology) is determined exclusively by the doctor after a global examination.In no case, in no case the correspondence recommendations to increase the effectiveness of the treatment.
How to treat psoriasis at home
The development of psoriasis is based on immune factors, a violation of tolerance due to genetic anomaly leads to the development of these changes in the skin, which are the cause of the appearance of the corresponding symptoms.
It is not surprising that traditional medicine implies the use of various recipes based on herbs, leaves and roots of plants that have immunomodulant properties.The immunomodulating effect is believed to reduce the severity of the manifestations.
But many herbs that are recommended to use (calendula, chamomile and so on) have immunostimulating properties rather.The activation of immunity in psoriasis can cause aggravation of the disease and only an increase in the severity of symptoms.
This is the reason why you should not resort to the car -Media with herbs and other popular remedies for psoriasis and if some methods can be used, therefore only in addition to the main therapy and only under the rigorous check of the doctor after a complete examination.
If during the treatment the appearance of new rashes, an increase in the severity of symptoms, there are aggravation of combustion and itching, this therapy should be stopped immediately, since it can represent a direct danger to health.
Do they take the army with psoriasis?
Psoriasis is the disease in which a temporary delay is given by military service or a conscript is recognized as useless for military service.In the serious forms of the disease, when large areas of the skin are affected, there are joint damage, the general condition suffers significantly: they do not take in the army.
If we talk about limited and easy to treat forms, then a temporary delay from the service in the army can be given with them, after the treatment, a medical commission is resuming, which recognizes the conscript suitable for the service or exonerate from it.
Psoriasis is believed to be a contraindication to serve, however, in some cases, a medical commission can be made with another decision, therefore, the final response to this question provides a medical commission after evaluating the general condition, the degree of severity of the disease and other factors.The actions of the doctors are regulated by the relevant instructions on the basis of which the conscript must be attributed to one of the categories (from to d) in accordance with which it is given a temporary or constant exemption from the service.
Prevention of the development of psoriasis
Is it possible to conduct effective prevention of psoriasis?The rhetorical question, which is not unequivocal.The fact is that all factors that contribute to the development of the disease can lead to psoriasis, as is considered today, only in the presence of a genetic anomaly that cannot be influenced.
Of course, in most cases prevention is not carried out, since neither the patient nor no one else aware of the presence of predisposition.Exceptions are only cases in which parents suffer from psoriasis and this fact can be evaluated as a high risk of developing the disease in the patient himself.
Measures to prevent disease development should include:
- The maximum restriction of all stressful influences and psychological stress is not always able to do it, but it is recommended to limit the psychoemotive load;
- Conduct a timely and complete treatment of infectious outbreaks and toilets -hexanitary of chronic infection outbreaks (recommended not only with the aim of preventing psoriasis, but also of others, including autoimmune diseases);
- Refusal of bad habits, respect for the work and rest regime, adequate diet;
- Adequate treatment of concomitant diseases, mainly - endocrine pathology;
- Protection against ultraviolet rays (restriction of the living room in direct sunlight, use of creams for sun protection).
The measures for the prevention of ordinary psoriasis are not strictly specific and the main difficulty of their practical use is that it is practically impossible to carry out primary prevention due to ignorance of potential risk, secondary prevention is important in terms of preventing the progression of the disease, but does not help to eliminate existing changes.
Forecast for life and recovery
With psoriasis, the forecast for life is favorable, but for the recovery - unfavorable.This disease does not lead to the development of complications that threaten life and is not the cause of the death of patients, but significantly reduces the quality of life.
The use of any approaches and treatment methods does not allow you to completely get rid of the disease, therefore the prognosis for recovery is unfavorable.Therapy should be aimed at reducing the severity of symptoms and prolong the period of remissions.With adequate treatment, it is possible to obtain an almost complete disappearance of rashes and significantly reduce the frequency of exacerbations.