Go Psoriasis on the hands: a photo of the initial stage, treatment. How to treat psoriasis on the hands, fingers
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Psoriasis on the hands


Psoriasis is a chronic dermatosis that has an autoimmune nature. At the heart of the disease, modern specialists see two pathological processes: dysfunction of the epidermis (increased synthesis of keratinocytes) and the production of antibodies to its own skin cells.

The etiology of psoriasis is not fully understood. It is noticed that the disease is often inherited from close relatives, and the psycho-emotional state of a person strongly influences the course of the chronic process. Dermatosis escalates mainly in the autumn-winter period. There are several forms of psoriasis. But their symptoms are similar.

Psoriasis on the hands: possible forms of the disease

Psoriasis on the hands of the photo Psoriasis on the hands - the most common variant of the localization of the rash. Foci of inflammation can be located both on the hands, and above, up to the shoulders, smoothly moving to the chest and neck. In patients who have signs of dermatosis on their hands, the following forms of psoriasis are most often diagnosed:

  • plaque (psoriasis vulgaris);
  • drop shaped;
  • nail psoriasis;
  • pustular (exudative).

In 80% of people, common psoriasis is detected (plaque, vulgar). On the surface of the inflamed skin in such patients, elevated areas of inflammation covered with silvery scales are noticeable. The skin in the period of exacerbation of the disease look swollen, thickened. They are easily injured and bleed. Psoriatic plaques often merge with each other, and without effective treatment and preventive measures, the area of ​​inflammation increases, and disease relapses occur more and more often.

Drop-shaped psoriasis is characterized by the appearance on the shoulders, forearms, thighs and scalp of dry elements of the rash, resembling a drop shape. Psoriatic lesions in this form usually cover large areas of the body. Drop-shaped psoriasis is exacerbated mainly after streptococcal infection ( tonsillitis , tonsillitis , ARVI).

Pustular psoriasis (exudative) appears on the forearms. This form is difficult, with multiple blisters filled with transparent contents. When the bubbles burst, the exudate flows out and the risk of a secondary infection increases several times. In this case, a purulent process develops, and psoriatic lesions can spread beyond the upper limbs.

With psoriasis of the nails, transverse lines, gray and white markings may appear on the nail plates. The skin around the affected area thickens. Nails are stratified, quickly break and lose their attractiveness. If the disease is not treated, psoriasis on the hands may be complicated by psoriatic arthritis, plaques begin to spread smoothly to other parts of the body, localizing around the joints, on the skin of the legs, head, back, abdomen and chest.

Why does psoriasis appear on the hands?

Despite the fact that the exact reasons for the development of psoriatic plaques are not fully determined, experts identify several factors that provoke an exacerbation of psoriasis on the hands:

  • allergic reactions;
  • skin contact with aggressive agents, household chemicals, building mixtures;
  • alcohol intake;
  • work associated with rubbing the skin of hands on coarse objects and materials (bricklayers, builders, carpenters);
  • stress, nervous strain;
  • overwork;
  • hymenoptera bites (wasps, bees, mosquitoes);
  • long-term drug treatment;
  • skin injuries on the hands;
  • the use of poor-quality cosmetics.

Most often, psoriasis on the hands develops in people who are prone to occupational hazards, work closely with poisons, chemicals, household chemicals, hold their hands in water for a long time or injure them during their professional activities. As a result of the negative effect of aggressive components, against the background of damage, immunological disorders, there may be irregularities in cell renewal and the work of the epidermis.

Stages of psoriasis on the hands

Psoriasis on the hands of the photo of the initial stage

Psoriasis photo initial stage

There are several stages of psoriasis: progressive, stationary, regressive. First, a clear pink or red papule appears on the skin, which is covered with moist, friable silvery scales. The site of inflammation has its boundaries, hyperemia, looks edematous, itching is observed. Most often, psoriatic lesions are located on the flexor surface of the elbows, between the fingers, on the hands and shoulders.

An important diagnostic sign of psoriasis is considered to be a triad of characteristic clinical manifestations: the presence of a stearin spot, the detection of a terminal film and the appearance of pinpoint bruising when trying to remove scales in the focus of inflammation. At the initial stage of the rash is not so much, there is a rapid growth of papules, which merge, acquire bizarre outlines. In the center of them are silvery scales, and the edge remains free. Papules grow from the center to the periphery.

In the stationary stage, the new plaques no longer appear, the process seems to freeze at the same level. Itching is reduced or completely absent. Peeling scales cover the entire surface of the plaque, the skin near which looks thinner, lighter. In this state, patients can be long months. And only in the stage of regression, the disease begins to decline: papules turn pale, the integuments are cleansed, but dark spots persist on the body for some time.

After each new recurrence of the disease may increase. Psoriasis on the hands can lead to a gradual coarsening and thickening of the stratum corneum on the elbows, hands, in the area of ​​the nail plates.

Psoriasis diagnosis

Diagnosis and treatment of psoriasis is the responsibility of dermatologists. Psoriasis is easy enough to distinguish from other dermatoses by external signs. But in order to eliminate the likelihood of progression of a fungal disease, experts study tissue fragments from the focus of inflammation under a microscope.

Triad of symptoms in psoriasis:

  • the phenomenon of stearic stains: after trying to scrape the plaque, its surface begins to resemble a drop of stearin, peeling noticeably increases;
  • terminal film phenomenon: when removing flakes under them, very thin and shiny skin remains;
  • bloody dew symptom: when scraping plaque after the phenomenon of stearin stain and terminal film, dotted blood drops appear on the shiny red surface.

When a triad of these symptoms is found, it is highly likely that psoriasis can be diagnosed. But in addition, specialists will certainly carry out a comprehensive survey, which allows to determine the causes of the development of the disease, assess the degree of skin cell damage, make a prediction and assess the risks of complications.

The quality of life of a person suffering from psoriasis

Psoriasis is a disease that can significantly reduce the quality of human life. Psoriatic plaques can be located on open areas of the body, pushing their unattractive appearance of others. Itching during the exacerbation of dermatosis deprives one of peace and sleep, knocks a person out of the usual rhythm of life.

People who have psoriasis on their hands, it is difficult to find a job. Often, these patients are forced to abandon the opportunity to do what they love. It is unlikely that the owner of a hairdressing salon, cafeteria, cafe or beauty salon will hire an employee with psoriasis in his arms. Not to mention that not all people know about the non-communicableness of this dermatosis. Because of this ignorance, unpleasant and even conflict situations often arise. The unstable state of mind, obsession with appearance, lack of self-confidence, conscious loneliness and refusal to communicate in confidence with others - all this only aggravates the course of the disease. Moreover, it is depression that is often the cause of exacerbation of psoriasis.

But the level of modern medicine allows you to fully control any form of psoriasis, translating the disease into a long remission stage. The power of specialists to make exacerbations of dermatosis rare and short-lived. But for this, both the patients themselves and their doctors will have to make some efforts. Timely treatment of psoriasis on the hands helps to improve the patient's health, reduce the duration of the inflammatory process and the prevalence of the lesion.

Psoriasis treatment on the hands

Patients with psoriasis need an integrated medical approach. Treatment is carried out on an outpatient basis. It is very important not to waste time contacting competent specialists who are familiar with the nature of psoriasis and can provide expert help. Patients with psoriasis often need psycho-emotional correction and counseling by psychologists. To relieve tension, sedatives are prescribed, agents with a slight hypnotic effect.

Locally prescribed medications that relieve itching, soothe the skin, have anti-inflammatory effect. Also used retinoids, corticosteroids. But hormonal drugs are prescribed with extreme caution, only with pronounced symptoms of psoriasis on the hands. A special place is occupied by ointments acting on keratinocytes. They directly affect the cause of the disease, allowing you to significantly improve the prognosis.

During the exacerbation recommended hypoallergenic diet. Try not to overwork, eat properly, spend more time in the circle of close people, in the fresh air, away from problems and disturbing thoughts. Patients with psoriasis are forbidden to abuse alcohol.

During the recurrence of the disease can not be any alcohol. It is noticed that alcohol often provokes exacerbation of psoriasis on the hands, may complicate the course of the disease, several times reduce the effectiveness of the treatment. Avoid physical and mental overstrain. Sunbathing is recommended for patients with dermatoses. Ultraviolet irradiation in moderate amounts has a beneficial effect on the skin. There are cases when patients with psoriasis who moved to permanent residence in the southern regions of the country, managed to translate dermatosis into a long remission stage.

With exudative psoriasis, diuretics can be prescribed on the hands in order to reduce swelling and reduce the area of ​​spread of the inflammatory focus. If the disease is complicated by damage to the joints, nonsteroidal anti-inflammatory drugs are used, in severe cases intra-articular injections are made, punctures are performed.

Physiotherapy for psoriasis

Psoriasis on the hands Physiotherapy treatment is used for all forms of psoriasis. Physiotherapy can reduce the period of exacerbation of dermatosis, alleviate the symptoms of the disease, prevent the development of complications and improve the patient's well-being.

Most commonly used:

  • UV irradiation;
  • cryotherapy;
  • hirudotherapy;
  • paraffin baths and applications;
  • electric;
  • sulphide, radon baths;
  • laser therapy.

Laser treatment for psoriasis

The laser beam has unique properties. It reduces inflammation, promotes regeneration, cleansing the skin. Laser therapy takes place under the supervision of specialists, and the doctor completely controls the depth of penetration of the laser. The risk of complications is minimal, and the effectiveness is excellent even in advanced stages of psoriasis.

When laser irradiation of blood can activate the human immune system, improve metabolism and start the body's self-healing processes. The local effect of the laser on the psoriatic focus promotes its rapid cleansing.

PUVA therapy for psoriasis

PUVA-therapy - photochemotherapeutic treatment of psoriasis. The method is based on the use of ultraviolet radiation and photosensitizers, which increase skin sensitivity to UV radiation. For complete cleansing of the skin from psoriatic plaques up to 20-25 treatment sessions are required.

PUVA therapy is used most often for the eukssudativnaya, vulgar forms of psoriasis, including the localization of inflammation in the palms. The method is effective at 85-90%.

Cryotherapy for psoriasis

Short-term exposure to low temperatures on psoriatic plaques is used to increase the duration of remission and reduce the number of lesions on the body. During treatment with cold apply liquid nitrogen. Cryotherapy is indicated for patients suffering from prolonged psoriasis, which often recurs and is poorly amenable to medical treatment.

Useful recommendations for psoriasis patients

With psoriasis, one must learn to live, feeling like an absolutely complete person. If you can keep your emotions under control, avoiding panic, depression and depression, you will gradually notice that relapses have begun to torment you less and less.

All patients with psoriasis on their hands should avoid skin contact with aggressive chemical compounds, detergents, and building mixtures. Housework must be done with gloves. Do not allow your skin to crack and dry. Discard tough scourers, substandard cosmetic preparations containing dyes and fragrances.

| 3 April 2015 | | 3,819 | Skin diseases
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