Psoriasis can manifest in various forms.Psoriasis options include vulgar (simple, ordinary) or, otherwise, plate psoriasis (vulgar psoriasis, plaque psoriasis), pustular psoriasis, psoriasis surfaces in the form of a fall or point, flexor psoriasis) (flexural 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).
Pelpa -shaped psoriasis, either Ordinary psoriasis, vulgar psoriasis, simple psoriasis (vulgar psoriasis) It is the most common form of psoriasis.It is observed in 80% - 90% of all patients with psoriasis.Vulgar pelpa psoriasis is manifested more frequently in the form of high typical areas on the surface of the healthy skin of inflamed, red skin, hot gray or white skin cover as silver, easily ex -founded, squamous, dry and thickened.Red skin under a gray or silver layer easily removed is easily injured and bleeding, since it contains a large number of small vessels.These areas of typical psoriatic damage are called psoriatic plates.Psoriatic plaques tend to increase in size, merge with neighboring plates, forming a whole plate ("paraffin lakes").
Psoriasis of flexion surfaces (flexural psoriasis), either "Inverse psoriasis". In general, it seems soft, not peeled or with red inflamed red spots that do not stand out particularly above the surface of the skin, located exclusively in the skin folds, in the absence or minimum injury of other areas of the skin.Most of the time, this form of psoriasis affects the folds in the external genital organs, in the groin, on the internal surface of the hips, axillary depressions, it folds under an obesity of the stomach (psoriatic pannus) and in the folds of the skin under the mamamarlet jokes in women.This form of psoriasis is especially susceptible to deterioration under the influence of friction, skin and sweat lesion, and is often accompanied or complicated by a secondary honor infection or streptococcal pyoderma.
Guttada psoriasis (guttated psoriasis) It is characterized by the presence of a large amount of small, high on the surface of the healthy, dry, red or purple skin (even purple color), similar to drops, tears or small points, circles of the elements of the lesion.These psoriatic elements generally strengthen large skin surfaces, hips more often, but can also be observed in legs, forearms, shoulders, head pyln, back, neck.Earth -shaped psoriasis often develops or exacerbia after streptococcal infection, in typical cases, after streptococcal tonsillitis or streptococcal pharyngitis.
Pustular psoriasis either Exudation psoriasis It is the most severe of the forms of psoriasis and looks like bubbles or ampoules on the surface of healthy skin, full of unfortunate and transparent inflammatory exudate (pustules).The skin under and above the surface of the pustules and around it is red, hot, edematous, inflamed and thickened, easily exfolia.The secondary infection of the pustules can be observed, in which case the exudate acquires a purulent character.Pustulous psoriasis can be limited, located, while its most frequent location are the distal extremities of the limbs (arms and legs), that is, the lower part of the leg and forearm, this is called Palmoplants (Palmoplantar pustulosis).In other more severe cases, pustular psoriasis can be generalized, with the generalized propagation of pustules over the entire surface of the body and the tendency to merge into larger pustules.
The causes of psoriasis
Deteriorated barrier function of the skin (in particular, mechanical trauma or irritation, friction and pressure on the skin, soap abuse and detergent, contact with solvents, domestic chemicals, solutions that contain alcohol, the presence of spotlights infected in the skin or skin allergy, excessive dry skin) also play a role in the development of the psoric.
Soriasis - This is in many ways an idiosynratic skin disease.The experience of most patients suggests that psoriasis can improve spontaneously or, on the contrary, aggravate without apparent reason.Studies of several factors associated with the appearance, development or exacerbation of psoriasis are based on the study of small hospital (non -outpatient), that is, obviously heavier, groups of patients with psoriasis.Therefore, these studies often suffer the insufficient representativeness of the sample and the inability to identify causal relationships in the presence of a large number of other factors (including even unknown or not configured) that can influence the nature of the course of psoriasis.Often, in different studies, contradictory findings are found.However, the first signs of psoriasis often appear after suffering stress (physical or mental), skin damage in places of the first appearance of psoriatic eruptions and/or streptococcal infection transferred.The conditions, according to a series of sources that can contribute to the exacerbation or worsening of the course of psoriasis, include acute and chronic infections, stress, climate change and the change of stations.Some medications, in particular, lithium carbonate, beta blockers, antidepressants, antipalúdico drugs, anticonvulsive, according to several sources, are associated with a deterioration of psoriasis or can even cause their primary occurrence.Excessive alcohol consumption, smoking, overweight or obesity, inappropriate nutrition can ponde the course of psoriasis or complicate its treatment, cause exacerbations.Hair varnish, some creams and handle for hand, cosmetics and perfumes, chemicals for the home can also cause an exacerbation of psoriasis in some patients.
Patients suffering from HIV infection or AIDS 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 treat psoriasis, and HIV infection or, in addition, AIDS is accompanied by a decrease in the number of T cells. However, over time, with the progression of HIV infection or AIDS, an increase in viral load and a decrease in the number of cells TCD4+ circulating, psoriasis in HIV -infected patients or AIDS patients get worse.In addition to this riddle, HIV infection is generally accompanied by a strong change in the cytokine profile towards TH2, while vulgar psoriasis in uninfected patients is characterized by a strong change in the cytquine profile towards TH1.According to the hypothesis currently adopted, a reduced amount and a pathologically altered activity of CD4+ lymphocytes in patients with HIV or AIDS infection cause hyperactivation of T CD8+ lymphocytes, which are responsible for the development or aggravation of psoriasis in HIV psoriasis or patients with help.However, it is important to know that most patients with psoriasis are healthy in relation to HIV transport, and HIV infection is responsible for less than 1 % of psoriasis cases.On the other hand, psoriasis in HIV -infected people occurs, according to several sources, with a frequency of 1 to 6 %, which is approximately 3 times greater than the frequency of psoriasis in the general population.Psoriasis in patients with HIV infection and especially AIDS often proceeds extremely difficult, and is misused or not at all susceptible to standard therapy methods.
Psoriasis develops more frequently in patients with initially dry skin, thin and sensitive than in patients with oily or mobile skin, and is much more common in women than in men.In the same patient, psoriasis often appears for the first time in areas of dry or thinner skin than in oily skin, and especially often appears in places of damage to the integrity of the skin, including hairstyles, abrasions, scratches, cuts, in places that are undergoing friction, pressure or contact with chemical products, detergents, detergents and aggressive aggressive detergents.(This is called Kebner phenomenon).It is assumed that this phenomenon of psoriasis lesoride is mainly with dry, thin or injured skin associated with the infection with the fact that the infectious body (probably more frequently streptococcus) easily penetrates the skin with a minimum secretion of skin fat (which, under other conditions, protects the skin of 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 fungal feet infection (the "athlete leg" called the SO) or the armpits, the inguinal region.For the development of fungal infections, the most favorable and humid skin,For psoriasis, on the contrary, dry. The infection that has penetrated dry skin causes chronic dry inflammation (not excess), which, in turn, causes characteristic symptoms of psoriasis, such as itching and the greatest proliferation of skin cells.This, in turn, leads to greater dry skin, both due to inflammation and the improved proliferation of keratinocytes, and due to the fact that the infected body consumes moisture, which would otherwise serve to moisturize the skin.To avoid excessive dry skin and reduce the symptoms of psoriasis, patients with psoriasis are not recommended to use towels and thickets, especially rigid, since they not only damage the skin, leaving microscopic scratches, but also discard the skin of the upper protective cornea and the skin, which protects the skin of the skin and the penetration of the germs.It is also recommended to use a talc or a baby buffing after washing or bathing to absorb excess moisture of the skin, which, otherwise, "will" 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 sebaceous glands.It is not recommended to abuse soap, detergents.You should try to avoid skin contact with solvents, household chemicals.
Psoriasis diagnosis
The diagnosis of psoriasis is usually simple and is based on a characteristic appearance of the skin.There are no specific blood diagnostic procedures or blood tests.However, with active and progressive psoriasis or its severe course, deviations in blood tests can be found, confirming the presence of an active, autoimmune and rheumatic inflammatory process (increasing the titles of the rheumatoid factor, acute phase proteins, leukocytosis, the increase in ESR, etc.), as well as endocrine and biochemical disorder.Sometimes, a biopsy of the skin is necessary to exclude other skin diseases and histological confirmation (verification) of the diagnosis of psoriasis.During Biopsy of the Patient with psoriasis, Clusters of the So-Called Tears of Retail, Thickening of A Layer of Keratinocytes, Their histological Immaturity, Massive Skin Infiltration with T-Lymphocytes, Macrophages and Dendritic Cells, Signs of IncredaseProliferation of keratinocytes and immunocompetent cells, accelerated angiogenesis in a skin of skin under the skin under a layer of skin under a layer of skin under a layer of skin under a layer of skin under a leather layer under a layer of skin under the plates.Another characteristic sign of psoriasis is specific hemorrhages and the ease of bleeding from the skin under the plaque during its enslavement, which is associated both with the acceleration of angiogenesis and with the permeability pathologically increased and brittle of the skin vessels in the lesion (Aushpitz symptom).
Alternative Psoriasis Treatment
For the symptomatic treatment of vulgar psoriasis, some of the countries of some of the countries use ichthiotherapy in some tourist centers with open thermal springs.The rough claw fish that lives there eats the skin on psoriatic plaques, without touching healthy areas.After this treatment, there is an improvement in the condition of patients in six months or more.A successful location in subtropics allows you to combine rest in comfortable hotel rooms with fish spa procedures and sea baths.At request, the hotel chef will prepare a special diet.Water in a bathroom with Garra Rufa fish passes a three -stage cleaning system (mechanical ultraviolet sterilization and biological purification).The sun, the sea, the fresh air, the special diet, all in the complex helps to achieve a positive effect of the bathrooms with miraculous fishing.Daily spounding with a mixture of powdered sugar and potato starch will help eliminate psoriatic plates.
Treatment of psoriasis with popular remedies
- To deal with psoriasis, Renounces fat, pork, smoking, chocolate, spices, alcohol, coffee and sweets.Enrique the diet with fermented dairy products, fresh herbs, baked apples, fish salads and ortiga.Eat many vegetable oils rich in indispensable fatty acids) and products containing lecithin.
- Eat food In boiled, boiled or stew (excluded fried and smoked) of the diet.
- Reject foods that increase acidity in the body- Give preference to the products that alk the body.Some people on the web have repeatedly testified that only a change in nutrition in the direction of alking contributed to the complete restoration of health, not only of psoriasis itself, but also of the old chronic diseases.
- Wash Only soap for children or tar, regularly taking baths with decoctions of Celandine, hops and three colored violets.
- Continue Surgery (Name of 1-2 days).