Despite the unknown etiology of psoriasis and the factors that provoke it, the phases of his development are well studied.The classification of psoriasis on stage facilitates the evaluation of the disease stream, helps identify sensitivity to a certain method of treatment and determination of patient tactics.
Psoriasis phases are classified depending on the nature of deterioration (or activity of the inflammation process) and severity.
Psoriasis phases depending on worsening
Psoriasis is a disease that has 3 phases:
- progressively;
- stationary;
- Retrogressive;
- Remission.
Symptoms of progressive phase
This phase is characterized by obvious signs of deterioration.The skin appears on the skin on the skin, having the form of red nodes (papules, tuberlers) that have an oval or rounded shape.They combine and form foci occupying a large area, their surface active shell, the patient experiences a difficult itching skin at the same time, and sometimes ignition.Laughing can be exhausting and harassing the patient, not only during the ordinary life, but in a dream, itching to strengthen when contacting clothing.After the lagging of the scales, the surface can be woven and converted into a nutrient for spreading bacteria.
The main manifestations of the progressive phase are:
- The occurrence of a pedal on the surfaces of the extent of limbs and on the body;
- Fusion of Papule in conglomerates ("plaques"), has a whitish color;
- Heaters of conglomerate area;
- There is no scales in the region of the edges of the plaque, but there is a hyperematic hoop;
- The edges of the plaque are compacted;
- Presence of the Kebner phenomenon: When mechanical damage (cut, scratch) appears on uninhabited skin, a new psorian board was formed at its place.
It is more intense during the progressive phase of skin redness, the more active process of inflammation.The most dangerous consequence of psoriasis is psoriatic arthritis, while artistic pain occurs, as a result, the joints are deformed.
Stationary phase symptoms
With the beginning of the stationary phase, the gradual attenuation of the deterioration process comes.At the same time, papules turn pale, turning from red into a pink, a new rash in this period do not appear.The surface of the nodes has the form of "plaque", thick, covered with crust, which represent numerous dried skin scales.The nature of the healing of the pedal begins from the center to the periphery.The presence of a stationary phase of psoriasis confirms the efficiency of treatment.
The main manifestations of this phase are:
- Lack of rash of new pedals;
- Existing plaques stop their growth;
- The surface of the plate is covered with scales;
- The red edge disappears around the flaky plaque;
- Kebner phenomenon disappears.
Symptoms of regression phase
At the regression phase, the process is an involution."Plaques" are resolved, form areas of skin depigmentation.Itchy skin gradually disappears, signs peeling down.
Signs of regression of psoriasis:
- There is a knock out Voron's eye plaque (thick ring folds located around psoriotic plaque);
- Decrease and gradual disappearance of peeling;
- The place of the plaque forms areas of depigmentation (white or dark).
At the regression phase, the plaques disappear completely, the residues of plaque are possible in the area: knees, elbows, belly, buttocks.
Remission
Remission is a phase of obvious recovery.During the remission of psoriasis, it is in a state of "sleep", but does not disappear from the body.Remission Psoriasis lasts until the next deterioration (progressive phase).
It should be noted that during the worsening of the psoriasis, the general condition of the person does not change, goes to work, deals with famous households.Psoriasis brings only aesthetic and cosmetic defect of a person: Patient's skin a lot of scratches, a person cannot wear open clothes, if it gets worse in summer, person cannot visit the pool, go to massage, cosmetic procedures, etometic procedures, etomestly, and so on.
Psoriasis phases depending on the area of lesion
Psoriasis weight also depends on the area of leather lesions.Thus, in a light stage, only 3% of the skin surface, with averaging - from 3 to 10%, and with heavy - more than 10%.Psoriasis, which caused damage to the joints, belongs to a difficult degree, in which case the surface of the skin lesions is not taken into account.You can measure your self damage yourself.For this purpose, the open palm rule (skin surface corresponding to the human palm area is 1% of the whole body surface).
Pasi Index
The general system for assessing psoriasis is estimated using the passage of the index, which includes an assessment of prevalence and severity, as well as the severity of the disease manifestation.This indicator is estimated at 0 to 72. The mild degree of psoriasis has an indicator less than 10, average - from 10 to 20, heavy - more than 20. using the clinical efficiency of treatment.
In addition to the different phases, psoriasis may have different types: seborrec, education, plant, intercound, old, rupioid, stopped, psoriasis nails and mucous membranes.It is impossible to completely cure psoriasis, but you can achieve long remission.This is this goal that is performed by modern methods of treatment.