Although the unknown cause of psoriasis and stimulating factors, its development stages are thoroughly studied.The classification of psoriasis at the stage facilitates the process of the process of the disease, helps determine the sensitivity to a certain treatment and determines the patient's tactics.
The stages of psoriasis are classified depending on the nature of the seriousness (or the activity of the inflammatory process) and the severity.
The stages of psoriasis depend on the seriousness
Psoriasis is a 3 -stage disease:
- progress;
- stand still;
- Backward;
- remission.
Symptoms of progress
This stage is characterized by obvious signs of serious.Many rashes appear on the skin, in the form of red spots (papules, tubers) with oval or circular shapes.They merged and formed the focus of a large area, their surface was actively peeling, the patient also experienced serious skin itching and sometimes a burning sensation.Itching can be tired and disturb the patient, not only throughout the normal life, but even in a dream, itching to enhance when communicating with clothes.After the delay of the scales, the surface may be wet and turn into a nutritional environment to propagate bacteria.
The main manifestations of the progressive phase are:
- the appearance of the chart on the stretchy surface of the limb and on the body;
- The union of the corporation ("array"), is white;
- peeling the surface of the corporations;
- There is no scale in the area of the sides of the array, but there is a rim of hypertension;
- The edges of the plates are compressed;
- The presence of a Kebner phenomenon: When mechanical damage (cut, scratch) appears on unexpected skin, a new psoriasis plaque is formed in its position.
The more intense in the progression, redness of the skin, the more inflammatory process is active.The most dangerous consequence of psoriasis is psoriasis arthritis, while severe joint pain occurs, so the joints are deformed.
Symptoms of the standing stage
With the beginning of the standing stage, the gradual decline of the serious process occurs.At the same time, the papules turn light, they turn from red to pink, new rash during this period does not appear.The surface of the knots has the form of patches, it is dense, covered by a shell, indicated by many dry skin scales.The nature of the healing of the chart starts from the center to the periphery.The presence of a piano stage of psoriasis confirms the effectiveness of treatment.
The main manifestations of this period are:
- Lack of rash of new papers;
- The current array prevents their development;
- The surface of the arrays are covered with scales;
- Red Rim disappears around peeling patches;
- The phenomenon of Kebner disappears.
Symptoms of regression period
In the regression period, this process is the result.The Viking plaque is resolved, forming areas of skin decline.Itching skin gradually disappears, signs of flaking.
Signs of psoriasis regression:
- There is a voronov rim around the patches (visible folds are placed around psoriasis patches);
- decrease and gradually disappear of peeling;
- At the location of the arrays, areas of decline (white or dark) are formed.
In the regression stage, the arrays completely disappear, the rest of the arrays are possible in the area: knees, elbows, abdomen, buttocks.
Relief
The remission is a clear recovery period.In the process of remission, psoriasis is in the sleeping state of Muslims, but does not disappear from the body.The remission of psoriasis is prolonged until the next serious (progressive stage).
It should be noted that in the process of aggravating psoriasis, the general condition of a person has not changed, he goes to work, is participating in familiar family problems.Psoriasis only brings a cosmetic and cosmetic defect for a person: the skin of the patient scratches a lot, a person cannot wear open clothes, if a serious person is observed in the summer, a person cannot go to the pool, go to massage, cosmetic procedures, etc.
The stages of psoriasis depend on the area of the lesion
The severity of psoriasis also depends on the area of skin damage.Therefore, in a mild stage, only 3%of the skin surface is affected, with an average - from 3 to 10%and with one weighing more than 10%.Psoriasis, causing damage to joints, belongs to a severity, in that case, the area of skin lesions is not taken into account.You can measure the damage area yourself.For this purpose, the rule of the open palm is used (the skin area corresponds to the area of the human palm is 1% of the entire surface of the body).
Pasi index
The general system to assess the severity of psoriasis is assessed by using the PASI index, including evaluation of circulation ratio and severity, as well as the severity of the disease's manifestation.This index is estimated from 0 to 72. At the same time, the level of light psoriasis has an index below 10, average - from 10 to 20, weighing more than 20. Using the PASI index, the clinical effect of treatment is also calculated.
In addition to different stages, psoriasis can have different types: sebum, production, plants, alternating, old, rupioid, stop, psoriasis of nails and mucous membranes.Unable to completely cure psoriasis, but you can achieve long -term remission.That is this goal pursued by modern treatments.