3 stages of cyclic development of psoriasis

Stage of psoriasis is certain time intervals, and the disease acquires the characteristics. Many patients mistakenly called a severe or mild form of the disease, but to medical term used in another sense.

What are psoriasis are stage

Psoriasis is recognized as the recurrent pathologies of the skin, the appearance of which is the fault of the genetics. According to estimates dermatologists that suffer from this disease at least 2% of the population, and, therefore, the problem is very relevant. Psoriasis, clearly different from 2 States:

1. Relapse. This term refers to the deterioration of the skin. In a relapse, the patient suffering from the itching, pain, burning, abundant of the skin, rashes, irritation and discomfort. The position of the victim is exacerbated by the insomnia, neurosis and anxiety.
2. Remission. This word is used to refer to improving the appearance of the skin. In remission, the skin becomes normal color, the redness disappears, and the area of psoriatic plaques is reduced.

Stages of psoriasis in part to do with the description referring and recurrences, so many dermatologists use these words as synonyms. In clinical practice, is described as 3 stages of psoriasis:

• progress stage;
• stationary;
• phase of regression.

Given that it is a cyclical process, the stages are sequentially flow into the other and form a continuous course of the disease.

Done! The most severe state of health is considered to be progress stage.

What is the progress of the psoriasis?

The stage of progress triggers a series of triggers, for example, in the season of cold or stress. In some cases, even an experienced dermatologist can not uniquely identify the trigger. During the advanced stage of the following happens:

1. Psoriatic nodules develop rapidly, that reaches the skin, are connected in the so-called plaques that flake and itching. Plate the point arbitrarily, usually round or oval, sometimes with an uneven edge.
2. Papules, that is to say, a few nodules psoriatic rash, are a seal to the skin. Edge of papules do not peel, and the Central part – flakes. As soon as you accumulate a lot of dead skin scales and plaques begin to rise above the surface of the skin. Even more convex and rough appearance gives the inflammation.
3. For this stage pathology characterized izomorfnaya reaction, which is the aggravation of the eruptions on the skin when the skin injuries, scratches, punctures, cuts, micro-injuries. This phenomenon bears the name Kobnera.

For advanced stages of psoriasis the characteristic slow response. In some cases, the eruptions on the skin appear after 9 days after exposure to the trigger (for example, food allergen). In a typical psoriatic eruption appears within a day after exposure to factors adverse.

Interesting! 95% of patients have one or another food intolerance, you can start a recurrence. In order to avoid complications of the need to keep a food diary and observe the reaction of different types of foods.

Fixed and stages recessive

The phase stationary is the so-called period of the psoriasis in which the victim's condition is relatively stabiliziruemost. When the phase is stationary:

• Psoriatic plaques have a contour smooth. The entire surface of the plate is covered with a thick layer of scales that are easily shed. Itching and discomfort in question in moderation. Around the papules head of bright red inflamed ring.
• Microtrauma of the skin is not observed phenomenon Kobnera, that is to say, to comb or cut out healthy skin does not turn into plaque.

Regressing or of the stage is characterized by a mass lesion in psoriasis. First around the papules that can be noticed pseudoatrophic edge, and then the patients notice immediate cessation of the exfoliation of the skin and the formation at the site of plaques of hyperpigmentation.

The severity of the pathology

Additional diagnostic criterion is the estimation of the area of psoriatic lesions. For the description of the use of the term "gravity". Dermatologists distinguish 3 severity of the skin disease:

1. Easy. Psoriatic plaques take from 1 to 3% of the total surface area of the body. The small size of the affected areas does not mean that the patient feels well. Psoriasis of the head or the face, even a couple of plates will be sufficient to cause a person discomfort and suffering.
2. Average. Of the total body volume of the psoriatic lesions is 3 to 10%. This affects the back, chest, and outer surfaces of the joints, the scalp, the hands and the feet. This prevalence leads to serious poisoning and severe syndrome. The patient can, fully or partially, loses health, the deterioration of the mental pathology, and the nervous system.
3. Heavy. The disease covers more than 10-15 % of the surface of the skin. It is estimated that if the psoriasis is more than a quarter of the total surface area of the body, greatly increases the likelihood of hepatic or renal failure. Decompensated damage to internal organs may cause death of the patient.

In order to evaluate globally the severity of psoriasis uses a scale special called PASI. The scale takes into account:

• the percentage of healthy and diseased skin;
• phase pathology;
• response of patients to drug therapy;
• individual tolerability of psoriasis (mental status, complications of the nervous system and psyche);
• the objective laboratory analysis data on the dynamics (for example, the amount of uric acid in the blood).

In the diagnosis takes into account all the symptoms that affect the condition of the person with psoriasis. In the medical record reflects intensity:

• itching in the processes of the skin;
• redness;
• swelling;
• redness;
• the thickening of the skin;
• exfoliation;
• the flow of blood;
• swelling;
• the infection;
• the pain syndrome.

On a scale PASI amount of skin lesions describes the digits from 0 to 72, where 0 is the absence of skin symptoms, and 72 is large, the maximum possible, the spread of the disease.

Attention! For the patient in the first place it is important to know and control the signs of impairment. With the appearance of unfavorable symptoms should immediately visit a dermatologist, because psoriasis is not always included in the phase stationary. A relapse can last for decades.

Treatment of psoriasis depends on the scenario

For each phase of the disease developed its own complex therapeutic interventions, so that the first thing the dermatologist determines that progresses psoriasis, stabilized or regressed.

That the remission ends, each affected by psoriasis guess at their feelings. If the itching increases, the skin looks even worse, and psoriasis obviously, distributed on the surface of the body – the necessity of starting the treatment. Therapy for the advanced stage has the following characteristics:

• The patient is prevention of further deterioration, strictly adheres to the diet, refrain from the triggers of the pathological process (stress, tobacco, alcohol).
• With a strong itching you can use antihistamine drugs, other advantages of this class of drugs is to relieve the inflammation of psoriatic plaques.
• The dermatologist refers to a wide range of local remedies in the healing, softening and thinning of the skin. The decision of the doctor selected creams, ointments or aerosols. The positive dynamics gives tar soap and solidolovye compressed. You can also apply compresses or apply cosmetics with Dead sea mud.

The main task in this stage is to stop the escalation before the disease enters into a long relapse. According to the testimony of the doctor includes injections of corticosteroids or ointments.

Attention! Corticosteroids need to use a short and intense course under the supervision of a dermatologist. You can do injections or to smear an antihistamine ointment.

Therapy stationary and regressing stages

In addition to the action of a dermatologist depend on the body responds to the treatment chosen. The following scenarios are possible:

1. The drugs have a positive effect. Within 1-2 weeks of the psoriasis is the phase stationary, regresses and begins remission.
2. Medicines have any effect. If after 2-4 weeks from the date of appointment of the course of medication results are not yet visible, it is a reason to change the list of drugs, or the attending physician.
3. Drugs cause impairment. These dynamics are also possible, especially if the doses or frequency rate of reception, is not enough. A relapse is delayed, psoriatic plaques cover a large area of the body, the person needs hospitalization.

In the conditions of medical institutions to use more powerful tools of therapy, for example, hardware purification of the blood. Under the reaction in favour of the psoriasis included in the phase is stationary, which can last from several days up to several months.

Interesting! More than 80% of patients notice the seasonality of exacerbations. This means that the disease is predictable and allows you to prepare for the beginning of a relapse.

List of drugs in stationary and regressing stages is exactly the same, but the dose and the frequency of the rate of reception is lower than that in a very advanced stage.

Remission length in 10-15 years

Competent dermatologist puts before itself the following task – to collect this type of medicine and physiotherapeutic means, which will give the patient much more improvement. In this case, the patient has to contribute strongly to the treatment, avoiding the triggers and taking medication. If the Alliance of the patient and the doctor was a success, the duration of remission is unlimited. Stable good health can last 15 years or more.