Psoriasis is a chronic non-communicable diseases, which is manifested mainly by skin lesions. In the majority of cases of psoriasis in the patient's body, is formed by the areas of chronic inflammation, which is covered by elements of the rash (depending on the type of disease in different parts of the body covered with dry papules, red spots or pustules).
General Information
Psoriasis is the most common chronic skin disease that can appear at any age. The majority of patients is the fair skin of people from 16 to 22 and 57 to 60 years.
According to recent studies, psoriasis refers to systemic autoimmune diseases, although the cause of the disease is not established.
The disease may occur in mild, moderate or severe form (severe form often accompanied by psoriatic arthritis, which can lead to disability).
Type
Psoriasis in the body depending on the type of rash can be:
- Vulgar (simple as a plaque or vulgaris). Is the most common way by which various parts of the body appear dry, slightly elevated above the skin surface small, dense, red and hot spots (papules). The papules in most of the cases occur in areas of skin that are exposed to friction (waist, stomach, etc.), mechanical injuries, burns or exposure to low temperatures (hands-on). With the development of the disease the papules coalesce into large, covered with dry silvery scales plaques and in severe disease platelets are formed by a set of plate ("paraffin lakes").
- Pustular. This severe form of the disease begins with the appearance in the body of small vesicles which contain clear, sterile fluid. The skin in the affected areas of red, thickened and swollen, and easily peels off. If the disease occurs in a limited form, the eruption appears especially on the legs and forearms, and in a generalized way of small pustules merge into larger and spread throughout the body.
- The point. In this form of the disease, the lesions spread throughout the body. Psoriasis on the back, hips, legs, neck and stomach is manifested in the form of numerous red or purple small dry spots, which resemble points or drops. This form first occurs in patients after myocardial infarction streptococcal infection.
- Inverse (psoriasis flexor surfaces). Elements of the eruption in this form of the disease are smooth red patches that flake, and hardly rising above the skin. Usually appears psoriasis in the priest (in the folds), in the groin, under the Breasts and under the armpits. The inverse psoriasis can be complicated by a fungal infection and streptococcal pyoderma due to sweating and friction to the affected area.
Reasons
The appearance of psoriatic rash on the body associated with an inflammatory process of the skin. The inflammation that causes the rapid reproduction of skin cells, overgrowth of the upper layer of the epidermis of the small capillaries and the withering away of the top layer of the skin.
The reasons for the development of the inflammatory process is not fully established, but it is known that psoriasis is caused by certain factors:
- stressful situations (mental or physical stress);
- dry skin;
- household chemicals, cosmetics and other irritating external;
- Tobacco, alcohol, excessive hygiene, mechanical trauma (factors that affect the condition of the skin);
- the use of certain medications (beta-blockers, anticonvulsants, etc.);
- climate change;
- and infectious diseases allergic.
Symptoms
Psoriasis can't be completely cured, but symptomatic treatment, which is carried out in the initial phase of the disease, you can prevent the spread of the inflammatory process.
It looks like psoriasis on the body in the initial phase of the disease depends on the disease:
- If (vulgar) psoriasis such as plaque in the body appear small pale pink papules that resemble an rash allergic. The skin around the papules becomes inflammation, itching, and papules gradually transformirovalsya in plates that are covered with cells (silvery scales).
- When pustular psoriasis on the body appear bright red patches of inflammation, which appear small, fluid-filled bubbles, gradually increasing in size (usually primary cells of pustular psoriasis appear on the buttocks and in the genital area).
- With a teardrop shape in any area of the body appear red spots (that I can remember drops), no bigger than a grain of lentils.
- The inverse psoriasis in the natural folds of the skin appear red spots with shiny smooth surface (characteristic of psoriasis is similar to plaque scales do not exist).
Elements of the eruption can be seen as points, blobs or round plates. Rashes you can use a single character (usually, these lesions are symmetric), or to form rings, arcs, and "maps" with uneven edges.
Under the influence of stimuli from the plate to acquire prominence and become cherry red, with a long psoriasis is observed cyanosis of the elements of the eruption and severe infiltration.
For psoriasis characterized by a course fluctuating – periods of the lesions, their growth and the intense peeling are replaced by stationary and regressing stages (new elements are not formed, and existing ones gradually disappear).
Diagnosis
The diagnosis is established on the basis of the psoriatic triad that occurs when the light poskablivanii the affected area. Observed phenomena:
- stearic points;
- terminal protectors;
- point of bleeding.
In cases doubtful, a biopsy is performed of the skin.
Treatment
Psoriasis in the body is treated with:
- Local prepared. In the initial phase it is also possible to use non-hormonal ointments (sulphuric, salicylic, etc.). Since psoriasis in the body effective based ointment of tar. In the absence of the effect of ointments that contain corticosteroids.
- Therapy systemic. Apply a retinoid, which reduces the rate of reproduction of the cells of the skin, immunosuppressants, which reduce immune activity, and cytotoxic agents, inhibiting the rapid growth of the skin cells.
To treat psoriasis on the body is at home with the help of various ointments, lotions, lotions, baths, decoctions and infusions.
A good effect of photochemotherapy (therapy PUVA). Also used magnetic therapy, poison of bee therapy and other physiotherapeutic methods.
15.08.2018