Psoriasis is one of the most common chronic skin pathology in the world, and the problem of treatment is still urgent.According to statistics, for 2017. year, 130 ml of cases were registered in the world: every twenty-duty resident of the planet suffers from diseases.Usually, the debut debuts fall from 16 to 20 and from 40 to 60 years.In 65% of the sick, it was observed in a mild form, and the skin surface was a little influenced by the plaque (up to 3%).The average degree of psoriasis suffers 25% (up to 10% of the skin surface) and heavy, in which more than 10% of the area is affected - 8%.
The exact cause of the disease has not yet been studied.It is assumed that parasitic infection, allergic predisposition, hormonal imbalance, metabolic disorders and heritage can cause psoracy plaque.
The tendency for the development of psoriasis in childhood, if one of the parents is ill, is 25%.When probability increases at 50%.According to statistics, out of 100 children in the world, 4 are psoriasis and cases of diseases in boys, less frequent than girls by 25%.
The list of harmful factors also includes subject to infectious diseases, neuropsychic injuries and a negative effect of low temperatures.
As a result of the interactions of several external and internal causes, there is a blood circulation with a paper layer of Dermis, from which youth and insufficiently mature epidermal stations appear to do so quickly that they do not have a silver white scales in the form of plate or shape.
The disease progresses so much to connect over time and turn into big spots.
Psoriasis takes all life and cases of self-determined single.The periods of remission alternate with deterioration, which is more often observed in autumn-winter weather.But there are cases of indefinite (consess season) and photosensitive (summer) type.
Phase
In the pathological process in Psoriasis, several periods, and the course in the shape of a wave takes place with the amendment of the deterioration and remission cycle.For a specialist, the diagnosis of the disease is not difficult: There are special, special symptoms and characteristic skin type in different stages of pathology development.
Home Phase
Initially, when the disease is just beginning to appear, a rash (papules) is appearing no more than the pins. In psorijalis are grouped to the skin of the bend of limbs and initially not progressing and not changing.These so-thecalated guards (long) plaques.
Classic clinical manifestations in the initial phase form Psoriasis Triad:
- Wax.Papules are covered with a white plate with a grayish shade of plaque, loose and weakly fixed.It can be easily scratched with a spatula.External scales outside resemble the smallest chips of aging - a substance to make candles.
- Terminal film.Smooth, shiny, juicy hyperenetr area is visible under loose raids.This is the last layer of cells that can leave.
- Bloody Rosa is the final sign of Triad.It is formed when the terminal film is damaged and externally manifested in the form of condensate from small drops of blood, which do not join each other.
Psoriasis is a chronic disease and it is impossible to recover completely from it.The main task of treatment is to achieve persistent, extended remission.From inadequate worsening therapy, each two to three months are respected.The treatment in the initial phase of Psoriasis is gentle, and it starts using keratolytic external products in the form of fat and cream based on salicyl and lactic acid.
Medications eliminate discomfort, suppress excessive cell creation, relieve inflammation and peeling.Psoriasis is over time become resistant (stable) to the action of certain medications.Therefore, the medical program is reviewed after a certain period of time.This approach is called rotation - a periodic change in a circuit that goes.
Progressive phase
The second phase of the disease is the actual top of deterioration.
The first sign - peeling is located only in the central part of the papule, and the pink shot remains along the edges.This is a growth symptom, when an individual rash increase and merge.Another sign of advancement becomes a symptom of skin reaction: 10-14 days after injury (scratches, scratches) The new typical panel appears.Progressive psoriasis gives another symptom that is not observed in other phases - it is itchy with different intensity.Treatment of the progressive phase of psoriasis is done in the hospital and includes:
- Drug medications: Antihistamines, not -steroidal anti -infalmalmic drugs, immunostimulants, vitamins.
- Physiotherapy: Gorge, UFO, application with paraffin, sulfide and radron baths.
After patients, the treatment of the Sanatorium-Resort is recommended.In particularly severe cases, corticosteroid and cytostatic agents are prescribed.Psoriasis affects nail plates.Become fragile, boring, get up above the bed.Usually this condition with disease occurs even from minor damage.
Stationary phase
After the advancement, the healing of the papule occurs by the end of the fourth week.It starts from the center to the periphery, and the plaques gain a characteristic form of the ring.Their color becomes less intense, no new formations appear.The stationary phase of psoriasis does not give special discomfort.The patient is not painful, there is no itch.The therapeutic program remains the same.There can only be minor adjustments that follow one goal: to provide an opportunity to enter the final phase and not converting in the progressive phase of psoriasis.
Fading phase
After complex and intensive care, the solution comes, and the disease is included in the hidden phase.In the last stage, swing psoriasis disappears, plaques procure a pale shade.Gradually resolve and merge with skin.Exception - thus -kalated "frozen" dads remain on elbows, knees, stomachs and buttocks.The period of remission is an individual, and can last from three months to several years.Patient with psoriasis should be accompanied by himself and in the first signs of deterioration to visit the doctor and undergo during treatment.Despite the chronic disease prone to relapses, subject to all recommendations, psoriasis enables the living ordinary and rich life.