What to do when exacerbation of psoriasis

Causes of exacerbation can be a variety of factors. Experts say that this can serve the same cause that gives rise to psoriasis. To demonstrate the connection between a particular factor and the development of the disease have not yet achieved. There are only hypotheses about the possible reasons:

The doctor
  • Emotional stress, psychological experiences, including positive.
  • The poor diet, the consumption of food allergens, alcohol, caffeine.
  • The hormonal surge in the body. Can cause pregnancy, diseases of the endocrine system.
  • The weakening of the immune system due to infectious diseases.
  • Negative impact on the skin of household chemicals, the trauma of the dermis.
  • Chronic or inappropriate medication. Cause of the exacerbation may be antibiotics, immunomodulators, antidepressants.
  • Change of climatic conditions, the seasonal transitions.

Often, the causes of exacerbation are unclear. The deterioration of the skin occurs when all the rules of prevention.

The symptoms of relapse

The first manifestations of exacerbation appear in different parts of the body in the form of red spots on a background skin. Plates occur on the head, elbows, feet, hands and other areas. Externally papules resemble a rash with clear boundaries around 1.5 – 2 cm in diameter. The first places are covered with white or gray scales, with time, increasing in size.

During the course of pathology the patches grow, the lesions may reach the size of a palm. Accompanied by redness and itching. Attempt to scrape off the scales leads to an increase in their number. This feature was the reason that psoriasis called scaly ringworm.

In medical practice to describe symptoms of a disease with such a thing as psoriatic triad:

  • Education in the skin stearic points. Skin because of the strong peeling resembles stearin, hence the name of the phenomenon.
  • When radius all the scales, exposure of the thin smooth surface, referred to as a terminal film. The film is easily damaged, often bleeding.
  • Bloody Rose is the appearance of blood if the film is damaged. The bleeding is often minor in nature.

The presence of the triad is the main symptom of the disease, which allows you to diagnose psoriasis, with a high probability.

The disease is not always typical. Sometimes diagnosed atypical forms of psoriasis. These include:

  • Pustular – is accompanied by inflammation and swelling of the skin in places of rash. Plates are covered with bubbles (pustules) filled with fluid.
  • Nail psoriasis – the defeat of the nail plate of a human being, in which the nails change color, shape. Pathology is often confused with the fungus, because it seems that the pathology is similar.
  • Intertriginous – appears in the folds of the body (armpits, groin, Breasts). A feature of this type is no peeling, derma and smooth, inflamed, painful.
  • Warty – occurs in the inner side of the wrist, the ankles. The Plates have a rounded character, often damaged, and bleeding. In advanced stages it develops the risk of injury to the body.
  • Keratosis, often localized on the scalp. The skin along the hairline is covered with a thick crust, spreading to ears, neck.
  • Psoriatic arthritis – joint damage, which changes its shape. The inflammatory process spreads to the bones and ligaments of the person.

The most dangerous type is psoriatic erythroderma. This is accompanied by the distribution of lesions in large areas of the body, severe itching, inflammation. In the absence of pathology there is a threat of death.

Exacerbation of psoriasis after delivery and during pregnancy

According to statistics, in many cases, women with psoriasis face a recurrence of the pathology at the time of carrying a child, it is very less likely. Often during pregnancy meet primary cases.

Treatment

The symptoms of exacerbation in women depend on the type and form of pathology. The most dangerous are psoriatic erythroderma and generalized pustular form of the disease. In the later stages of pregnancy can be diagnosed with a dangerous type of disease, such as impetigo herpetiformis.

The pustules appear in groups in the folds of the skin, sometimes, localized in a circle. Skin inflamed, swollen, hurts. Known cases in which the pathology extends to the mucosa of the human being. The consequence of this condition, often, to be a threatened abortion.

Causes of exacerbation in pregnant women there may be:

  • hormonal disorders;
  • stress;
  • the weakening of the immune system.

Women with psoriasis are advised to plan pregnancy, while respecting the preventive measures and proper nutrition before conception. This will help to prevent a relapse during the period sensitive after the birth of a child.

How to remove an exacerbation of psoriasis

When faced with the disease, patients interested in the question of how to quickly remove the aggravation of psoriasis at home? To deal with the disease is possible only through an integrated approach including the following methods:

  • Drug therapy.
  • Physiotherapy.
  • An adequate nutrition.
  • Folk remedies.

The method of treatment chosen by the doctor after examining the patient and the diagnosis of the disease. Self-medication is extremely dangerous for the health.

Treatment of relapse medicine

Drug treatment of psoriasis with exacerbation is the use of the funds for external application (ointments, creams, gels, lotions, shampoos) and preparations in the form of pills, injections. Tactics of treatment depends on the symptoms and the general health of the patient.

Application of ointments

Remove the exacerbation of psoriasis in the first signs of the disease by the use of ointments. Funds for the outer coating to penetrate into the dermis, providing a therapeutic effect. Ointments have anti-inflammatory, antiseptic, regenerating, exfoliating action. All drugs are divided into hormonal and non-hormonal medications.

Non-hormonal ointments have a less pronounced effect, its effect occurs within 3 to 7 days after the first application. On the positive side means that it includes the relative security, the lack of effect of the cancellation and addictive, minimal side-effects.

Non-hormonal ointments for psoriasis:

  • Tar preparations have powerful anti-inflammatory effect. The tar is widely used in modern medicine and cosmetology. Special effectiveness of different drugs, including sulfur, salicylic acid and tar.
  • Ointment on the basis solidol'. Widely used medical and fat in folk medicine.
  • Ointment based on zinc. Have in the patients, skin astringent, drying, antiseptic, regenerating effect. The active ingredient is zinc oxide. Sometimes, an allergic reaction to components of the product in patients.

Despite the apparent safety of medications, use of hormonal ointments recommended strictly by prescription.

Hormonal ointments of a more aggressive action, the therapeutic effect of its application is achieved already in the first days of therapy. The disadvantage of this type of drugs is considered a great number of side effects, the presence of the effect of habituation and withdrawal.

Drugs corticosteroids:

  • Ointment-based triamcinolone – quickly relieving inflammation, severe exacerbation of psoriasis, itching, redness, swelling. Among the side effects that indicate increased redness, irritation of the dermis.
  • Medications mometasone – are similar to the previous group of medications with side effects.
  • Drugs, including hydrocortisone quickly inhibit the development of psoriasis by slowing down cell mitosis, relieve redness and other symptoms.
  • Ointment budesonida, done safely to reduce inflammation, eliminate peeling, itching. Adverse effects include skin irritation, redness of the.
  • Drugs clobetasol. Provides duration of the effect of treatment, effectively eliminates the redness, swelling, itching sensation.
  • Ointment on the basis of betamethasone hormonal agents, including the synthetic steroid components have antiseptic, regenerating, drying effect.

Every one of the drugs used for a certain period of time, too much time causes a lot of side effects. Yourself to interrupt the treatment is not recommended, as there is an effect of the cancellation, in which the patient's condition is deteriorating. Hormonal drugs are used for patients with severe exacerbation of psoriasis, in cases in which the effect of the use of non-hormonal ointments lack.

The use of tablets

Traditional medicine

How to stop the exacerbation of psoriasis with medications? In order to facilitate the patient's condition and prevent serious complications use the following groups of drugs:

  • Antihistamines help itching, eliminate redness.
  • Medications – to reduce the burden of the liver, the restoration of their natural function.
  • Enzyme preparations used in the violation of organs digestive.
  • Chelators – excrete waste products, toxins.
  • Antibiotics are prescribed in the development of infection secondary, a strong inflammatory process.
  • Non-steroidal anti-inflammatory drugs - to quickly remove the inflammation, the swelling.
  • Immunosuppressants – suppress the cells of the immune system that sometimes it is necessary for psoriasis.
  • Biological – a new generation of drugs.
  • All of the funds are determined, taking into account the characteristics of the pathology of the patient and of his qualities, the individual.

    Physical therapy

    Methods of physiotherapeutic treatment are determined predominantly during the period of the phase stationary of the course of the disease. To do this, use the following methods:

    • Ultrasound treatment.
    • X-ray treatments.
    • PUVA-therapy.
    • Selective phototherapy.
    • UFO.
    • Magnetotherapy.
    • Electrosleep.
    • Electrophoresis.

    Type of treatment, number and duration of sessions is determined by a specialist, depending on the type and form of the disease.

    Rules diet

    Psoriasis

    The diet during the exacerbation of the psoriasis is in the treatment of diseases, not less. The diet will reduce the symptoms of the disease, to normalize the condition of the skin of the patient and his health in general.

    The principles of clinical nutrition:

    • the rejection of spicy, salty, fat, fried, smoked food;
    • the base of the food based on cereals, vegetables, fruits;
    • the exclusion of food allergens – nuts, chocolate, eggs, honey;
    • the abstinence of alcohol, the drinks containing caffeine, fizzy;
    • food it is recommended to cook steamed or baked;
    • drinks should prefer herbal teas, juices, clean water.

    Observe proper diet during the exacerbation of the psoriasis is necessary not only during relapse, but also during the remission.

    Prevention of recurrence

    Understand what to do during the exacerbation, there are several rules that help prevent relapse:

    • The adherence to a healthy lifestyle and nutrition.
    • A competent personal hygiene, using soft cosmetic.
    • Frequent walks in the open air.
    • Elimination of bad habits.
    • The refusal of a long stay in the open sun.
    • Avoidance of skin trauma.
    • An adequate assessment of situations of stress.
    • If the necessary recommendations for the prevention of disease and the proper treatment, the recurrence of the pathology, the prognosis for recovery is very favorable.

      01.09.2018