Psoriasis: Type, treatment, advice of the doctor

Psoriasis is a chronic skin disease with an unknown cause, manifested by the appearance of red iron marks on the skin.

Treatment is performed by a dermatologist.Synonym - Scal lichen.Code MKB 10: L40.According to international classification, it refers to Papulloskvamous skin diseases.

Psoriasis as a disease has been studied for about 200 years.Prior to this stage, such patients are considered to be leprosy patients and treat them as movements.Differences: Leprosed (Lepra) - Infectious disease (pathogens - Mycobacterium leprae).Psoriasis is no infection.

Symptom

Main symptoms of psoriasis: The appearance of red pink spots on the skin, the surface is covered with silver scales of the keratinizing layer of the skin (epidermis).

1. Symptoms of "Stearin point".This is a pathology (that is, typical for a certain disease) a sign.Speech (level) of psoriasis spots.It is produced with a scalpel or boring object glass (not by nails !!).With a light sling, the surface of the point becomes white, as if covered with wax - this is a symptom of the Stearin Stearin point.
2. Symptoms of "psoriasis film."Another pathological symptom for psoriasis.With a further scrap, neatly removing the scale from a psoriasis plaque, a brilliant surface can be seen under the scale - the symptoms of psoriasis, or terminal.
3. Symptoms of "Dew Poltebnov" (Auspitz symptoms).Another pathological symptom for psoriasis.With further propaganda (Grottowing) of the arrays, that is, when removing the final membrane, the point bleeding is expressed, not consolidated with each other.This is a symptom of "blood fog".
4. Pilnov symptoms.Characteristic for the initial stage and progress.A round pink point without peeling, with clear boundaries.With the progression of the disease along the peripheral, spots (array) mark the rim of red skin, not covered by scales.
5. Symptoms of Kebner.Foci Psoriatic appears on the skin in wounded places - in scratches, scratches, in places of friction about clothes.
6. Symptoms of kartamyshev.When the fingers are checked (touched) on the scalp (HCH), a clear border of the arrays are perceived by fingers.Unlike seborrheic dermatitis, without a clear border between spots and healthy skin when touching.
7. Voronov symptoms are a symptom of regression points (pass).For a while, wrinkled skin remains along the peripheral of psoriasis spots, lighter and more vibrant than healthy skin.
8. Symptoms of thimble on nails are a sign of damage to nails.Nails are all in the cavities, like a thimble.
9. Symptoms of "oil spot" on nails: A yellow brown mark under the nail is also a sign of nail psoriasis.
10. OnichOGRIFosis - Deformation of nail sheet with psoriasis of nails.Nails have ugly forms, sometimes similar to a bird's claw.
11. The Bo-Rile line.The line passing through the entire nail is a sign of violating the nail.

Types of psoriasis and clinics

Psoriasis is famous for the overall overall psoriasis (L40.1) and Pustulose Palmar and Plantar (L40.3)

These two types of diseases only differ in the circulation rate of the process.The pathological mechanisms are the same.Pusture forms are found in 1% of patients with psoriasis.Vesicula (bubble) and pustules (pustules) appear on the skin, can be merged together, forming latex lakes.Surrounded by peeling skin.It may be disturbed by itchy skin.The skin around pustules is red, inflamed, hot when touched.

Improve body temperature.In the blood - the increase in leukocytes (leukocytes).These are the most rare and serious psoriasis.But they requested to immediately check the doctor and prescribe complex treatment.And the general Pustular psoriasis requires inpatient treatment.In very rare cases, when bacterial infections are connected, even cases of hemorrhage and death are described in the document.

One of the types of pustules is a form of ecstasy.At the same time, there is no abscess and bubbles on the skin, but there is a crying of affected skin, the formation of the skin and itching.

Acrodermat inflammation is persistent Allo

Code MKB 10: L40.2.

On the skin of the fingers and feet, change the pelvis (pustules (pustules) and peeling appears. The process is related to nail sheets. Deformed nails, exfoliating in places from nail beds, with spots.

A lighter form is psoriasis of nails without changing pimples, meaning that there is no abscess on the skin.

Psoriasis is a stone

Code MKB 10: L40.4

Survive, haloid spots with pink size with peeling appear on the skin.There may be light itchy skin.Inlandization: The whole body lies on the body, on the arm and on the legs.Rarely - on the face.

Often a decrease form appears after infectious diseases (tonsillitis, acute respiratory virus infection).

Psoriasis is an animal of legs

Code MKB 10: L40.5

Other names are psoriasis of joints, psoriasis joints, psoriasis.

It develops in 10% of patients with psoriasis.The joints and perpendicular fabrics are affected - ligaments, tendons, joints.

Inlandization - any joint, but the small joints of the fingers are mainly affected.However, there are cases, for example, psoriasis inflammation - Intervertebral, or Coxarthrosis psoriasis - psoriasis - hip joint damage.

Patient complaint: Pain, stiffness in the joints.Swelling and redness of the skin appear in joints.However, there are regular cases when patients do not care about anything, however, changes like Arthrose on joint surfaces are recorded on X -rays.

Joint pain and restriction of movement in joints lead to disability of the patient.Such patients should be directed to check itu to determine the disabled group.

Another psoriasis

Code MKB 10: L40.8

This type includes psoriasis on the back (inverse, Intertrigonic).

The localization - on the contrary - not on the stretchy surface, but on the bend.The bends of the elbow, Popliteal pit, armpit, groin fold, under the mammary glands.At the same time, there is no rash in the rest of the body.

It develops in obese and diabetes patients.
Manifestations: The red spots appear on the skin, almost no peeling, slightly floating above the surrounding skin.

Psoriasis is inappropriate

Code MKB 10: L40.9

All other species, by another or other, cannot be attributed to the above species, is attributed to this group.

Seasonal psoriasis forms

1. Winter form (sensitive psoriasis).The rash appears in the cold season.Well treated with ultraviolet radiation.
2. Summer form (Phototoxic psoriasis).The seriousness occurs in the summer.UFO-Prostation leads to a seriousness of disease.

Diagnose

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

• The presence of some symptoms of damage to the skin, nails, joints, etc. see above.
• In difficult cases - skin biopsy for verification (accurate diagnostic settings).At the same time, the penetration of lymphocytes, neutral leukocytes and macrophages, thickening skin capillaries, keratinocytes cells have not been found to be found at the thickness of the skin.
• General X -ray - The most ideal, all patients should be done.But most of it is made as directed - with the presence of complaints about joint pain.
• A common blood test is usually the most normal.Inflammatory changes are only detected in the serious process of the disease.
  Recently, people often diagnose blood tests under the microscope.This is not important to diagnose psoriasis!

Differentiate diagnosis of psoriasis is done with diseases:

• Red Flat Lichen 
• Cardinal Hong 
• Parapsorize,
• Allergic dermatitis
• Eczema
• Syphilis disease
• Dermatitis on the head
• Anemia
• Reuters' disease, rheumatoid arthritis, arthritis
• Dermatoses allergic drugs
• Hives

Treatment of psoriasis

Remember: Cannot cure psoriasis completely.You can only achieve long -term remission.

Local treatment

Note: If Pustules appears from ointment, the ointment should be canceled and consulted with your doctor for accurate treatment!

1. Ostoating and cream with vitamin D. For example, the drug contains vitamin D. synthetic substances
2. Corticosteroid ointment and cream.These drugs reduce the immune response in the skin, reducing the activity of inflammation.
3. The combination of a component of vitamin D and corticosteroid preparations.
4. Prepare based on naphthalan.Lubricating the affected area of the skin 2-3 times a day and 4 weeks.
5. Birch Tar and medicine based on it.Berritin, Tar Aries.Lubricate the affected areas and offer an excerpt for 15-30 minutes, then rinse with warm water and soap.
6. Ice cream and ointment based on solidol.You can use solidol, but you need to find the old Soviet solidol, and not Solidol is currently sold in car stores with different additives.Ice cream and ointment.Solidol and cream -based cream help in half of the case with psoriasis.Itching decreases on the 3rd day, peeling leaves and the main point decreases.
7. Eintment and Keratolytic cream (exfoliating).Use unstable!Only to eliminate excessive peeling.Usually - combined with corticosteroid preparations to reduce itching and inflammation.You cannot use it with psoriasis!Keratolytic acid kericylic acid.
8. Zinc.  Reduce skin irritation and redness, dry skin.It does not contain hormones.
   Note: Do not use Tar and Salicylic acid on "mission array"!The stimulation of the ON -Duty arrays can cause more spread of pathological rashes on the skin.

Tooling treatment method

Photo cabinet for ammunition therapy

We watch the video on how to implement Puva therapy:

• Eximer Laser.

Laser Eximer treatment of scalp psoriasis:

• PlasmapheSis, Hemosorption - Purification of plasma plasma on a special device.At the same time, toxic immune complexes from blood, leading to skin infection with lymphocytes, occurs.The effectiveness of the procedure is high, especially in the process of serious illness.But this process is very expensive and basically to eliminate the development mechanisms of the disease, not its cause.According to the patient, PlasmapheSis is adequately tolerated and effective from some procedures.

Diet with psoriasis

Elimination:

Citrus fruit, tomatoes, pineapple and fruits abroad, honey, sweets, sugar, biscuits, spices, wine, spicy and salty food, coffee, white bread, smoked meat, products with dyes and sugar, potatoes and semolina.

Do not eat too much!

Necessarily:

Porridge (buckwheat, oatmeal), vegetable oil (sunflower, olive), fruits and vegetables - apples, carrots, radish, cabbage, cucumbers, boiled meat, fish, a week a week (usually Saturday) - cards (or even hunger).On this day, only drink water or eat porridge filled with water.

Folk remedies

At home, you can use different folk remedies for psoriasis.But their influence is minimal or not.

Remember: Independent treatment at home in half of the cases leads to the progression of the disease and the transition process is more serious.

List of folk remedies from psoriasis used in patient reviews:

1. Solidol.
2. Mud therapy of saltwater lake.
3. Bathroom with sea salt.
4. Birch Tar.
5. Naphthalan oil.
6. A decoction of a string - compression (application) to the affected areas of the skin.
7. A decoction of Celandine herbs.
8. A decree of Nettles.
9. Aloe juice.
10. Dripidar shower.
11. Starve.
12. ASD 3.
13. Flaxseed oil.
14. Milk thistle.
15. Bades and Anthelmintic medicine.Ineffective or ineffective.In the best case, extracts of common grass are contained, or even regular starch with vitamins and trace elements.Very expensive and profitable for manufacturers and bricks of dietary supplements.They are not a drug, so you cannot expect the help from them in the treatment of psoriasis.
16. Ointments from psoriasis.In fact, the current remedy is Solidol.At the same time, there are more extracts of herbs, bee products that can cause allergic reactions and worsen the disease.
17. Chinese lotion.The drug contains acids that can lead to skin irritation and the progression of the disease.

Strange treatments

Therapy therapy.
In Mru Black there is a garage fish.They pinch the dead areas from human skin and contribute to skin rejuvenation.This effect is also used in the treatment of patients with psoriasis.

The effectiveness of Ichthy therapy is only positive with the technical observation and choice of the same fish.There are similar fish - fish - they extract with sharp teeth, thus damaging psoriasis pieces.The effect of the exposure of chin-chin fish is exactly the spread of arrays by the type of Kebner.

Failure to follow the hygiene in some spa channels can lead to the appearance of mushrooms or viruses on the skin (Mycosis, warts).

Registration prevention

• Eliminate risk factors!
• Observe the day, labor regime and rest regime
• Appropriate nutrition
• Timely treatment of infectious and endocrine diseases
• UFO and Puva treatment courses
• Complex vitamins
• Treatment for treatment prevention and treatment, swimming at sea
• A healthy lifestyle!

Is psoriasis

No, no conflict!This is an infection.