Ecoric (vulgar) psoriasis is a chronic skin disease, which is characterized by the appearance of characteristic changes in the skin, a strong decrease in the quality of life due to the appearance of itching and ardor of the skin, but at the same time it does not propose a direct threat to life, while it is maintained in most cases throughout the length.
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.About two percent of the population suffers from this disease, although according to other data, the figure exceeds 6%, but many cases of the disease of the disease simply are not 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.Therefore, it was considered for a long time, until scientists discovered that genetic anomaly is based on the development of the disease.
Violations on the short shoulder of the fifth chromosome are the cause of a change in immune tolerance and under the influence of several factors that this change may appear in the form of psoriasis.In other words, a genetic anomaly creates a predisposition to the disease, but still does not guarantee its occurrence.
The factors that can contribute to psoriasis should be called:
- Stress;
- Alcohol and smoking;
- Infectious diseases and chronic infection spotlights;
- Endocrine disorders, mainly diabetes;
- Violations of immune tolerance under the influence of several external factors, including poor ecology.
Symptoms and first signs
Occupational psoriasis is the most common form of the disease, it is believed that 90% of all cases of psoriasis fall into vulgar psoriasis.
The psoriasis of the scalp can take place, but often manifestations are observed precisely in the skin.The first changes appear on the skin of the extensor surface of the elbow and the knee joints.They can then spread from the primary foci on the extensor surface of the forearm and on the shoulder, chest and back.
The characteristics of eruptions are as follows:
- Black point;
- There is a white plaque on the surface (it looks like a wax plate);
- The scabs are eliminated, but they are not easy;
- After removing the scabs on the surface of the eruption, a bloody discharge appears, since the elimination of the crusts damage to the blood vessels.
Psoriasis eruptions are always accompanied by severe itching, sometimes so pronounced that, because of that, night dream is disturbed, which leads to pronounced negative emotions and deteriorated regime and rest.Labor capacities are significantly reduced, in relation to which psoriasis without treatment can cause disability.
Ordinary psoriasis in children
In some cases, ordinary psoriasis in children can manifest at the very early age, in this case characteristic clinical manifestations appear, and standard treatment is difficult due to the negative effect of medications in other organs and systems.
However, ordinary or any other psoriasis in early childhood is practically not developed, in most cases the disease develops in adolescence, and in previous years it can imitate much more common atopic dermatitis.However, when skin changes appear, it is still necessary to consult a doctor as soon as possible to examine and form an accurate diagnosis.
Diagnostic measures
In most cases, the diagnosis of ordinary psoriasis does not cause great difficulties.The characteristic clinical signs allow to suspect the presence of the disease, a positive symptom confirms the assumptions, but to make a final diagnosis, it is used to perform a biopsy of the area of the skin covered with eruptions, where the disease detects histological changes in the dermis.
What can you confuse?
Despite the presence of a characteristic clinical image, it is not always possible to make a diagnosis only during the exam, in some cases it is necessary to differentiate the disease with:
- Seborrheic Eczema;
- Licen red plane;
- Neurodermatitis;
- Atopic dermatitis.
The most effective method to perform a differential diagnosis is a biopsy of the skin area.The detection of characteristic changes of psoriasis in the skin allows to verify the diagnosis.
Psoriasis treatment
If there were only one effective treatment scheme of psoriasis, then, probably, all patients could easily get rid of the manifestations of the disease and significantly improve the quality of life, but there are a number of problems in the therapy of this disease, among them it should be called:
- Rejection of patients with treatment with mild and moderate course;
- The difficulty of dealing with the situation in a severe course of the disease;
- High cost of effective treatment methods;
- The need for an individual selection of therapy to achieve the desired result.
Psoriasis therapy should include not only treatment with systemic and local medications, but also the use of physiotherapeutic techniques (a good performance demonstrates a power therapy), as well as the fulfillment of a diet and a change in lifestyle (rejection of bad habits, limiting psychological stress).
Between the local system and drugs they are used more widely:
- Cycostatic;
- Monoclonal antibodies;
- Immunity T cell;
- Glucocorticoids;
- Anti -inflammatory ointments based on salicylic acid.
The selection of specific medications, the determination of their compatibility and the possibility of use (depending on the presence of concomitant pathology) is determined exclusively by the doctor after an integral exam.In no case, in no case may correspondence recommendations to increase the effectiveness of 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 skin changes, which are the cause of the appearance of the corresponding symptoms.
It is not surprising that traditional medicine implies the use of several recipes based on herbs, leaves and roots of plants that have immunomodulatory properties.It is believed that the immunomodulatory effect can reduce the severity of manifestations.
But many herbs that are recommended to use (calendula, chamomile, etc.) have rather immunostimulant properties.The activation of immunity in psoriasis can cause aggravation of the disease and only an increase in the severity of symptoms.
That is why in no case should it be used to self -medication with herbs and other popular remedies for psoriasis, and if some methods can be used, only in addition to the main therapy and only under the strict control of the doctor after a comprehensive exam.
If during the treatment the appearance of new eruptions, the greatest severity of the symptoms, the aggravation of burning and itching is noted, then such therapy must stop immediately, since it can represent a direct danger to your health.
Do they take the army with psoriasis?
Psoriasis is the disease in which a temporary delay of military service is provided or a recruit is recognized as useless for military service.In severe forms of the disease, when large areas of the skin are affected, there is damage to the joints, the general condition suffers significantly: they are not found in the army.
If we talk about limited and easy -to -treat forms, then a temporary delay of the service in the army can be given, after treatment, a medical commission is to restart, which recognizes the appropriate recruit for the service or exempts from it.
It is believed that psoriasis is a contraindication to serve, however, in some cases, a medical commission can be taken by another decision, therefore, the final answer to this question gives 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 according to which the recruitment must be attributed to one of the categories (from A D) according to which a temporary or constant exemption of the service is given.
Psoriasis development prevention
Is it possible to perform effective prevention of psoriasis?The rhetorical issue, which is not unequivocal.The fact is that all the factors that contribute to the development of the disease can lead to psoriasis, as considered today, only in the presence of a genetic anomaly that cannot be influenced.
Naturally, prevention in most cases is not carried out, since neither the patient himself nor anyone else knows 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 itself.
Measures to prevent disease development should include:
- The maximum restriction of all stressful influences and psychological stress is not always able to do this, but it is recommended to limit the psycho -emotional load;
- Perform the timely and complete treatment of infectious foci and the sanitation of chronic infection focuses (recommended not only with the aim of preventing psoriasis, but also of others, including autoimmune diseases);
- Rejection of bad habits, compliance with the work and rest regime, adequate nutrition;
- Proper treatment of concomitant diseases, mainly endocrine pathology;
- Protection against ultraviolet rays (stay restriction under direct sunlight, the use of sun protection creams).
The measures for the prevention of ordinary psoriasis are not strictly specific, and the main difficulty of its practical use is that it is practically impossible to carry out primary prevention due to the ignorance of potential risk, secondary prevention is important in terms of preventing the progression of the disease, but does not help eliminate existing changes.
Forecast for life and recovery
With psoriasis, the prognosis for life is favorable, but for recovery, unfavorable.This disease does not lead to the development of complications that threaten life and is not the cause of patients' death, but significantly reduces the quality of life.
The use of any approach and treatment method does not allow the disease to be completely undone, so the forecast for recovery is unfavorable.The therapy must be aimed at reducing the severity of the symptoms and prolonging the referral period.With the proper treatment, it is possible to achieve the almost complete disappearance of the rashes and significantly reduce the frequency of exacerbations.