Psoriasis: Types, treatment, medical advice

Psoriasis is a chronic leather disease with an unknown cause, manifested by the appearance of red spots peeling on the skin.

Treatment is performed by a dermatologist.Synonym - Skaly Lichen.MKB code 10: L40.According to the international classification, it refers to papular skin diseases.

Psoriasis as a disease is studied about 200 years.Prior to this period, such patients considered patients with Lepri and treated them as Lepers.Difference: LEPRAY (LEBRAY) - INFORMANCE (PATOGEN - Micobacterium LEPRAE).Psoriasis is ineffective.

Symptoms

The main symptom of psoriasis: the appearance of pink-red spots on the skin, of which the surface is covered with silver scales of the skin (epidermis).

1. Symptom of "stearin points".This is Potogenon (that is characteristic only for a given disease) sign.Speaking (Grand) from psorithic stains.It is produced with a dense scalpel or glass object (not with nails !!).With a slight belt, the area of the place becomes white, as if covered with wax - this is a symptom of "stearin points."
2. Symptom of "psorian film".Another pathomon symptom for psoriasis.With further waste, neatly removes scales from the psoriotic board, a great surface below scales - thus-iscoled symptom of psoracy or terminal, film.
3. Symptom "Blood of Rosa Polteblov" (symptom austitz).Another pathomon symptom for psoriasis.With further expansion of the plaque, ie when removing the terminal film, the bleeding point that do not connect to each other is manifested.This is the symptom of "blood dew".
4. Symptom of pilnies.Characteristic of the initial phase and phase of advancement.A rounded pink place without peeling, with clear boundaries.With the progression of the disease along the periphery, spots (plaques) indicate the rim of red skin, not more covered with scales.
5. Kebrov symptom.Psoriatic hotspots appear on the skin in areas of injury - at the places of scratches, shower, in places friction on clothing.
6. Symptom of cards.When fingers are examined (palpate) plaques on the scalp (HCH), the clear border of plaque with fingers is felt.Unlike Seberreic Dermatitis, when there is no clean boundary between stains and healthy skin on palpation.
7. Voron's symptom is a symptom of regressive (passing) points.For a while, wrinkled leather remains along the peripheral of the psoriatic site, brighter and great of healthy skin.
8. The symptom "thimble" on nails is a sign of nail damage.The nail is everything in dents, like that.
9. Symptom of "oilplace" on nails: Yellow-brown spot under nail plate is also a sign of psoriasis nails.
10. Onchicrosis - Deformation of nail plates with psoriasis nails.The nail acquires ugly shapes, sometimes similar to bird claws.
11. Bo-rila line.The longitudinal line that passes through the entire nail is a sign of breach of nail plate.

Types of psoriasis and clinics

Generalized pustulent psoriasis (L40.1) and Pustulose Palmar and Plantar (L40.3)

These two forms of diseases differ only in the prevalence of the process.Pathogenesis mechanisms are the same.Bush patterns are located in 1% patients with psoriasis.Vesicula (bubbles) and pustules on the skin appear on the skin, which can be connected to each other, by forming "pure lakes".The skin peeling can be present.It can disrupt the skin itch.The skin around the pustula is red, lit, hot on the touch.

Improving body temperature.In the blood - increasing leukocytes (leukocytosis).These are rare and most difficult types of psoriasis.But they require direct examination of doctors and prescribing complex treatment.And generalized psoriasis pustula requires hospital treatment.In very rare cases, when the bacterial infection is joined, even cases of sepsis and death are described in the literature.

One of the varieties of pustular psoriasis is an exceptional shape.At the same time, there is no abscess and bubble on the skin, but there is crying skin, forming the crust and itching skin.

Acrodermatitis is a permanent Alopo

MKB code 10: L40.2.

On the skin of your fingers and legs, pustular (pustular) psorate changes and peels appear.The process includes nail plates.The nails are deformed, they swing in places from nail beds, have a dent.

The lighter is a nail psoriasis without changing pustules, ie without abscesses on the skin.

Psoriasis is rocky

MKB code 10: L40.4

The skin on the skin appears survival points with the size of the pink with pink.There may be a light rain.Localization: The whole body is on the body, on your hands and on your feet.Rarely - on the face.

The form for decline form after infectious diseases (Tonsilitis, acute respiratory viral infections) occurs.

Psoriasis is an arthropathic

MKB code 10: L40.5

Other names are psoriasis joints, psoracy arthropathy, psoriatic arthritis.

It develops in 10% of patients with psoriasis.The internal surfaces and periarticular fabrics are affected - ligaments, tendons, bags of bags.

Localization - any joints, but mainly influenced by small interethnic fingertips.However, there are cases, for example, psoriatic spondylitis - damage to intervertebral joints or psoriotic coke cartrodes - damage to the hip joint.

Patient complaints: pain, stiffness in the joints.Swelling and redness of the skin appear in the joints.There are common cases when patients do not mind at all, however, changes similar to common areas on the radiographs are intended.

Community pain and confinement limit in the joints lead to patients disability.Such patients should be focused on ITU examination to determine a group for people with disabilities.

Another psoriasis

MKB code 10: L40.8

This species includes psoriasis in reverse (vice versa, intertrigonic).

Localization - On the contrary - not on the surfaces of the extensor, but on flexion.The elbow folds, on the abyssal cavities, anxillary cavities, inguinal folds, under milk glands.There is no rash in the rest of the body at the same time.

It develops in patients with obesity and diabetes.
Events: Red spots appear on the skin, almost without scrub, slightly raised above the surrounding skin.

Psoriasis is inappropriate

MKB code 10: L40.9

All other types that, one or other, cannot be attributed to the above species, are credited with this group.

Seasonal forms of psoriasis

1. Winter form (photosensitive psoriasis).Rashes appear in the cold season.Well treated with ultraviolet radiation.
2. Summer shape (phototoxic psoriasis).Deteriorating appear in the summer.The UFO expansion leads to deterioration of the disease.

Diagnostics

The diagnosis is performed on the basis of clinical symptoms and patient complaints.

• The presence of certain symptoms of skin damage, nails, joints, etc.- Look up.
• In severe cases - the biopsy of the skin for verification (installation of accurate diagnosis).At the same time, infiltration of lymphocytes, neutrophils and macrophages, thickening of the skin, immature keratinocytes are in the skin thickness.
• Joint radiography - ideally, all patients should be made.But most often performed in accordance with the indications - in the presence of complaints on joint pain.
• The general blood test is most commonly normal.Inflammation changes are revealed only in the severe course of the disease.
  Recently, it is common to diagnose blood test under a microscope.This is not important diagnosis of psoriasis!

Differential diagnosis of psoriasis is done with diseases:

• Red flat lichens 
• Pink Lichen 
• Parasorate,
• Atopic dermatitis
• Eczema
• Papular Syphilide
• Seborrean dermatitis on the head
• Dermatophytis on the head
• Disease reuters, rheumatoid arthritis, arthrosis
• Healing allergic dermatosis
• Hives

Treatment of psoriasis

Remember: It is impossible to curse with psoriasis completely.You can only achieve long-term remission.

Local treatment

ATTENTION: If the pubs appeared out of fat, then the ointment should cancel and address your doctor to correct the treatment!

1. Fats and creams with Vitamin D. For example, medications containing substances synthesize vitamin D.
2. Corticosteroid fats and creams.These drugs reduce the immune response in the skin, reduce inflammation activity.
3. Combinations in one composition of vitamin D and corticosteroid.
4. Naphthalan - preparations.Lubricate the affected area of the skin 2-3 times a day-4 week.
5. Birch tar and drug based on him.Beritin, Breza Tar.Lubricate the affected areas and give the exhibition for 15-30 minutes, then washed with warm water and soap.
6. Sololistol based creams and fats.You can use Sololol, but you need to find old Soviet solidol, not a solidol that is now sold in stores with different additives.Creams and fats.Sololol and cream based on her help in half cases with psoriasis.Laughter shrinks 3. Day, peeling leaves and place itself gradually decreases.
7. Keratolitic (peeling) fats and creams.Used unstable!Only to remove excessive scrub.Often - in combination with corticosteroid preparations to reduce itching and inflammation.You can't use with explosive psoriasis!Ceratolitical agent salicylic acid.
8. Zinc drugs.  Reduces irritation and redness of the skin, dries the skin.It does not contain hormones.
   Attention: Do not use tar and salicylic acid on "Duty Plaques"!Solation on plaque Nakuti can cause the spread of pathological rashes on the skin.

Instrumental methods of treatment

Photo cabinet for bullet therapy

We are watching the video made by the therapy of the PUVA:

• Eximer Laser.

Treatment Eximer Laser Psoriasis Scalp:

• Plasmapheresis, hemosorption - Purification of blood plasma on a separate apparatus.At the same time, the toxic immune complexes appear from the blood, leading to infiltration of leather with lymphocytes.The efficiency of the procedure is high, especially in the difficult course of the disease.But the procedure is set and essentially focused on removing the disease development mechanisms, not its causes.According to patients, plasmapheresis is tolerated satisfactorily, the effect appears from several actions.

Diet with psoriasis

Exceptionally:

Citrus Fruit, tomato, pinant and other foreign fruits, sweets, sugar, cookies, spices, alcohol, spicy and salty dishes, coffee, white bread, smoked meat, products and sugar.

Don't overhey!

Need:

Kasha (buckwheat, oatmeal), vegetable oils (sunflower, olive), fruits and vegetables - apples, carrots, cucumbers, cooked meat, fish, one day on Saturday) - post (or even starvation).On this day, drink only water or eat a buckwheat porridge flooded with water.

National medications

You can use different folk medications for psoriasis at home.But the effect of them is minimal or zero.

Remember: Independent treatment at home in half of cases leads to a disease and transition in severe form.

List of folk drugs from psoriasis used in patient reviews:

1. Sololol.
2. The therapeutic mud of salty lakes.
3. Baths with sea salt.
4. Birch Tar.
5. Naphthalic oil.
6. Series Decociation - compresses (applications) on the affected areas of the skin.
7. Decociation of Celand Plants.
8. Decociation Network.
9. Aloe juice.
10. Dripidar baths.
11. Starvation.
12. ASD Fraction 3.
13. Line oil.
14. Milk velcro.
15. Bades and anthelmintic medications.Ineffective or with zero efficiency.At best, extracts of ordinary grasses are contained, or even ordinary starch with vitamins and trace elements.Very expensive and bring good profit to manufacturers and dashes diet supplements.They are not a cure, so you can't expect help from them in the treatment of psoriasis.
16. Ointment from psoriasis.In fact, the current drug is Sololicol.At the same time, there are many more plants extracts, bee products that can cause an allergic reaction and deterioration of the disease.
17. Chinese lotion.The medicine contains acids that can lead to skin irritation and disease advancement.

Exotic types of treatment

Ichthyotherapy.
There is a garage ruf fish in Montenegro.Include dead surfaces from human skin and contribute to "rejuvenating the skin.This effect is also used in patient treatment with psoriasis.

The effect of ichthyotherapy is positive only with thorough respect for the technique and choice of exactly the same fish.There are similar fish fish - they descend the scales with sharp teeth, thus injuring the psorian plate.The effect of exposure of the fish chin with a beard is exactly the opposite - spreading plenty according to the type of chepner phenomenon.

Failure to comply with hygiene in some spa canalons can lead to a fungal or viral lesions on the skin (mycosa, nipples).

Registration prevention

• Turn off the risk factors!
• Follow the day mode, mode and rest mode
• Proper nutrition
• Timely treatment of infectious and endocrine diseases
• NLO courses and puff therapies
• Complex vitamins
• Treatment Sanatorium-Resort, Swimming at sea
• Healthy way of life!

Is psoriasis

No, not contradictory!This is an ineffective disease.