- Causes of psoriasis
- Types and forms of psoriasis
- Classification of psoriasis
- Nutrition for psoriasis
- Treatment of psoriasis
Chronic non-contagious skin disease is psoriasis. This disease is recurrent. Very rarely, psoriasis can affect joints, nails and mucous membranes. People suffering from psoriatic disease of all ages are affected. According to statistical data, there is a tendency of growth of the development of the disease in childhood.
Psoriasis is absolutely not contagious disease of a chronic nature. Most dermatologists tend to believe that psoriasis is a systemic disease. In their opinion, the disease affects not only a specific area of the skin, but also draws into the pathological process almost all the body systems (endocrine, immune, nervous).
From the side it may seem that psoriasis is a disease with a mild course. But in fact, this is far from the case. Disease is dangerous. Cases of lethal outcome are known in dermatology. With untimely or incorrect treatment, psoriasis affects the entire body, which leads to severe complications. For example:
- psoriatic arthritis
- enlarged lymph nodes
- defeat of mucous membranes
- flattening and nail plate damage
- spontaneous pain
- rarely - defeat of the heart
As a rule, psoriasis does not break the habitual rhythm of the life of a sick person. The only inconvenience is peeling and inflammation on the skin. Unfortunately, it is impossible to recover from this ailment, but to stop its development or prevent the occurrence of relapses is quite realistic. To do this, it is sufficient to fulfill all the prescriptions of a doctor and undergo systematic treatment in a hospital.
Causes of psoriasis
The specific cause of the disease - no. There are many factors that can lead to the development of psoriasis. There is no unequivocal opinion about this or that reason in dermatology. There are many versions. Most dermatologists hold the view that the disease has a genetic predisposition. It is impossible to unequivocally assert or deny that heredity is the main reason. There are cases when psoriasis was affected by the whole family.
In other words, you can say this: if your mother has psoriasis, then her offspring should definitely have signs of the disease. But you can not exclude genetic predisposition. For example, if a grandmother suffers from this ailment, it is possible that grandchildren will never meet with a diagnosis of psoriasis. The cause of the development of the disease at the gene level remains open to this day.
The next factor, which, according to many dermatologists, can provoke the appearance of psoriasis, is a disease of the endocrine system. For example, a violation of the functions of the adrenal glands, diabetes mellitus, dysfunction of the pituitary gland. The percentage of signs of psoriatic disease in patients with pathologies in the endocrine system of people is high enough. Therefore, the link between diseases exists and is proved by numerous examples.
In addition to the above reasons, there is a mass of endogenous factors. For example:
- Postponed diseases of an infectious nature, for example, angina . According to statistics, 17% of the patients surveyed believe that psoriasis is a consequence of the complication of angina.
- Chronic infectious pathological processes, such as: laryngitis or tonsillitis , can also provoke psoriatic disease.
- Long-term use of certain medications: interferons, NSAIDs, beta-blockers and others.
- It's not strange sound, but pregnancy can also lead to the development of psoriasis. In the body of a woman there are significant hormonal changes, which often trigger, dormant in the body, a pathological process.
- You can not exclude the negative impact on the human body of excessive consumption of ultraviolet radiation, that is, a prolonged exposure to the scorching sun or frequent visits to the solarium.
Naturally, in addition to endogenous factors, there are a number of exogenous causes. For example, skin diseases (dermatitis, mycosis, pyoderma), mechanical damage to the integrity of the skin, allergic dermatitis.
Interesting fact. Psoriasis is much more common in HIV-infected people than in healthy people. It is important to note that women are more prone to psoriatic disease than the male population. Dry, thinned and sensitive skin is another predisposing factor.
It should be known that if a person has disorders from the immune system, then often this pathology provokes psoriasis. Immunity disorders and psoriatic disease are closely interrelated.
The reasons leading to psoriasis, a huge number, but there is no specific, which would completely lead to the development of the disease. Every year, experts identify more and more factors that could trigger a pathological process, but the main reason has not yet been established.
Types and forms of psoriasis
Psoriasis is a multiform disease. According to statistical data, people usually suffer only one form of psoriasis at one time. But there are cases when a person has several forms of psoriasis at the same time. Quite often in dermatological practice, there are cases when one form of psoriasis smoothly passed into another. To such "degeneration", as a rule, a sharp stop of the appointed treatment results.
In dermatology, two main groups of psoriasis types are distinguished: non-pustular and pustular.
Pustular forms - psoriasis of Barbera, psoriasis of soles and palms, Psumbias of Tsumbush, annulary pustulosis. This form of psoriasis is conditionally divided into generalized and localized. The last pustular psoriasis can occur on absolutely any part of the skin. There are cases when pustules are formed on plaques with ordinary psoriasis.
As an example of an independent disease can be considered - acupuncture Allopo. As a rule, this disease is characterized by the defeat of pustules and crusts of distal phalanges of fingers and feet. Another example of an independent disease of a localized form of psoriasis is pustular psoriasis of the soles and palms. It is important to note that some dermatologists tend to believe that this disease is a form of a pustular bacterium.
The generalized pustuloznomi psoriasis include:
- herpetiform impetigo,
- psomiasis Tsumbusha,
- exanthemal generalized psoriasis.
As a rule, men from 15 to 35 years old suffer from tsumbusha psoriasis. This disease is much less common in females.
Exanthemal pustular psoriasis arises abruptly (suddenly) and acutely. In most cases there is a close relationship with other infectious diseases, such as angina. Eruptions are localized mainly on the trunk. Children, adolescents, and adults are more often affected by the disease.
Herpetiform impetigo is a serious illness that can lead to death. As a rule, this disease is peculiar to a pregnant woman, more often in the second trimester. But in dermatological practice, extremely rare cases of the disease in men, non-pregnant women and children were still encountered.
Non-pustular form of psoriasis . In other words, you can say - simple psoriasis. This form of the disease differs from others in a stable course. For the non-pustular form of psoriasis, the lesion of almost the entire surface of the body is characteristic. This type includes:
- psoriasis erythrodermic
- vulgar psoriasis, or ordinary, or plaque-like.
Ordinary psoriasis occurs quite often, up to 90% of patients with psoriasis are patients with a vulgar form of the disease.
Psoriatic erythroderma is a serious disease that often leads to a fatal outcome - the death of a patient. When the disease is noted, a violation of the function of thermoregulation, as well as a decrease in the barrier function of the skin. These pathologies lead to pyoderma or sepsis.
Classification of psoriasis
A single common dermatology classification of psoriasis does not exist. There are still disputes over how it is still worthwhile to classify this skin disease. In those or other sources there is a list of forms of psoriasis. The most common classification of the disease:
- Teardrop psoriasis
- Pustular psoriasis
- Psoriatic onyxia
- Psoriasis of mucous membranes
- Exudative psoriasis
- Psoriasis of soles and palms
- Arthropathic psoriasis
- Intertriginous psoriasis
- Psoriatic Erythroderma
- Seborrheic Psoriasis
- Vulgar psoriasis
- Pustular bacterium
- Psumbias Zumbush
Arthropathic psoriasis initially proceeds almost asymptomatically. Patients sometimes note only a minor soreness in the joints. Over time, the pain intensifies, acquires a sharp and sharp character. Affected joints swell. If the disease is not treated, the joints are deformed, and their mobility becomes limited. As a rule, arthropathic psoriasis is often accompanied by pains of a rheumatoid type. In winter, there is a worsening of the disease, that is, for this psoriasis is characterized by seasonality.
Pustular psoriasis . It is not common, only 1% of the total mass of patients with psoriasis falls on this type of disease. In most cases, the rashes are symmetrical and localized on the soles and palms. Pustular psoriasis can be: generalized and localized. The latter form is more common than the previous one. Generalized pustular psoriasis is severe. In dermatology, frequent deaths are known as a result of sepsis and severe intoxication of the body.
Psoriatic erythroderma . Severe form of psoriasis, resulting from exacerbation of pre-existing psoriasis. This disease can be as a consequence of the aggravation of the underlying disease, and the first to arise. Secondary erythroderma psoriasis develops, as a rule, in 2% of patients suffering from this ailment.
Quite often this disease arises spontaneously, but cases of psoriasis as a result of improper, irritating treatment of dermatosis in the acute period of the course of the disease are not ruled out. Patients noted an increase in pathological foci of peeling, an increase in temperature, and dehydration was detected. In dermatological practice, there were deaths in psoriatic erythroderma.
Teardrop psoriasis is the second most common disease among all forms of psoriasis, children and adolescents are more likely to suffer. It is characterized by the appearance on the skin of a large number of dry, purple and small elements that slightly rise above the surface of the unaffected skin. The rash has the form of a drop, a circle or a teardrop. As a rule, the elements cover the entire body of a person, but most "densely" are localized on the hips. In most cases, the appearance of a drop-shaped psoriasis provokes streptococcal infection. For example, streptococcal angina, streptococcal pharyngitis .
Psoriatic onyxia . This disease is characterized by various changes in the appearance of the nail plate, both on the hands and feet equally. First of all, the color of the nail, sometimes the nail bed, changes together. The nail is gray, yellow or white. On the nails, and sometimes under the nail plate, there are dots or small spots. The nail plate thickens, striation and fragility appear. Another clinical manifestation of the disease is the thickening of the skin around the nail bed. A severe outcome of psoriatic onychia is the spontaneous loss of the nail.
Psoriasis of the mucous membranes - is a kind of pustular psoriasis or vulgar. Most often affects the mucous cheeks, tongue and lips, rarely - the mucous of the genital organs and eyes. With the pustular form of psoriasis, rashes are more extensive, a large area of the mucosa is affected, geographic glossitis is noted. With ordinary psoriasis on the mucous appear flat white-gray papules with clear boundaries, towering above the unaffected surface.
Psoriasis of soles and palms . This disease is a form of pustular localized psoriasis. As a rule, this form has a chronic recurrent character. In dermatology, there are cases when psoriasis of Barbera was taking place with plaque psoriasis at the same time. Pustules appear on the inner surface of the hands and / or feet. With time and under the influence of therapeutic therapy, vesicles-pustules wither. Then, such dried elements form dense crusts of a brownish color.
Intertrigious psoriasis . This disease is characterized by the appearance of rashes in the predominantly large folds of the skin. For example, interannual, folds between the fingers, inguinal fold, axillary hollows and the area under the mammary gland. Intertrigious psoriasis is more common in patients with diabetes mellitus, VSD (vegetative-vascular dystonia), obesity, which do not observe simple hygienic rules.
In the folds are formed erythematous-papular edematous foci, erosive and wetting. An important feature of the elements of this disease - on the periphery of the pronounced stratum cornea. Intertrigious psoriasis is very similar to epidermophytia, candidiasis or rubromycosis. It is important to note that the clinical picture of candidiasis or dermatomycosis is much brighter and sharper than in psoriasis.
Seborrheic psoriasis . Symptomatic of seborrhoeic psoriasis is very similar to seborrheic eczema. As a rule, the psoriatic rash has the same localization as the elements with seborrheic eczema. It can be:
- nasolabial folds
- chest area
- interblade area
With seborrhoeic psoriasis on the head there are areas on which there is a strong peeling of the skin. An important feature of this disease is the formation of a peculiar psoriatic corona. The defeat of the skin occurs from the forehead and gradually spreads to the scalp, so in a simple way appear the shape of the crown. It should be noted that dandruff is an alarm signal that "speaks" about the development of seborrheic psoriasis.
Behind the auricle, as a rule, eczemas of red color are formed, often also layers of purulent crusts. Rashes with localization on the chest and face are characterized by grayish-yellow scales. Psoriatic rashes always cause severe itching. It is important to note that seborrhoeic psoriasis is difficult to diagnose, so it is often confused with seborrhea.
Exudative psoriasis . This type of psoriasis is more common in children and elderly people. A sufficiently high risk of developing this disease in patients with disorders in the endocrine and immune systems. Often exudative psoriasis affects the healthy skin of people with overweight or suffering from diabetes.
This disease is characterized by excessive accumulation of exudate in the papule, which gradually comes to its surface, forming crusts of yellowish color. If the crust is removed, then a wetting and bleeding surface is exposed. Scales with time dry up and overlay on each other, thus forming a fairly dense and massive conglomerate.
The main feature of exudative psoriasis is a clear localization of pathological foci. As a rule, the lower extremities and large folds suffer the most. Eruptions bring to the person the strongest itch and burning sensation. The clinical picture of this disease is sharp and sharp.
Vulgar psoriasis . In different sources it has different names. For example, plaque-like, ordinary, simple. This type of psoriasis ranks first in prevalence - almost in 90% of patients with psoriasis is observed this particular species. The disease, as a rule, begins quite sharply. The first symptoms appear almost immediately.
Typical for vulgar psoriasis is the appearance of typical elements, which slightly rise above uninfected areas of the skin. The rashes are inflamed, red, hot to the touch. Elements are thickened, covered with silvery-white, scaly, dry film (skin), which easily flakes.
You should be aware that the gray crust is easily removed, which leads to injury to the lower layer of the papule, which is provided with numerous small suctions. Typically, this leads to a slight podkravlivaniyu. Affected foci in dermatology are called psoriatic plaques.
These plaques have a singularity of merging, which leads to their increase in size. Over time, plaque plates are formed, which have a peculiar name - "paraffin lakes". Psoriatic rashes with ordinary psoriasis are strongly flaky. Treatment is long, requiring in-patient treatment.
Pustular bacterium . According to statistical data, this disease occurs mainly in young people (from 20 years) and middle (up to 50 years). The exact etiology of the pustular bacterial is unidentified. There is an assumption that the disease develops against the background of a strong and prolonged allergy associated with infectious foci. For example, carious teeth, tonsillitis or tonsillitis.
Psoriatic rashes affect the skin of the palms and soles. Пустулезный бактерид носит хронический рецидивирующий характер. Первые очаги появляются, если на ладонях, то в самом центре, если на подошве, то на своде. Первичные псориатические элементы имеют небольшие размеры, не превосходящие по размеру головку булавки. Со временем пустулы подсыхают и образуют пластинчатые корочки. Больные ощущают сильный зуд и болезненность на пораженных участках.
Для пустулезного бактерида свойственно приступообразное течение болезни. Единовременно на всех участках, пораженных псориазом, происходит воспаление. Постепенно псориатические очаги увеличиваются, а по истечению нескольких недель в патологический процесс втягивается почти вся поверхность ладоней или подошв. Как правило, пустулезный бактерид протекает годами и с постоянными рецидивами.
Питание при псориазе
Больные псориазом просто обязаны соблюдать диету и придерживаться основным принципам правильного питания. Главная задача диеты – поддержание в норме кислотно-щелочного баланса. Но важно подметить, что щелочной фон организма должен немного преобладать над кислотным.
Естественно, баланс организма зависит от тех продуктов, которые потребляют ежедневно больные псориазом. Важно знать каждому человеку, страдающему данным недугом, — 70% дневного рациона должно приходиться на продукты, образующие в организме щелочь. На кислотообразующие — не более 30%. Проще сказать можно так: продукты, вырабатывающие щелочь, необходимо употреблять в 4 раза больше, чем кислотообразующих.
Список продуктов образующих щелочь в организме:
- Любые овощи, за исключением ревеня, тыквы и брюссельской капусты. Важно помнить, что картофель, перец, баклажаны и томаты – категорически запрещены.
- Не стоит исключать фрукты. Главное не употреблять чернослив, клюкву, смородину и чернику. Стоит заметить, что бананы, дыню и яблоки нельзя употреблять одновременно с другими продуктами.
- Обязательно нужно пить свежие овощные соки из моркови, свеклы, петрушки, сельдерея и шпината.
- Можно ежедневно употреблять фруктовые соки из винограда, ананаса, груши, апельсина, папайи и грейпфрута, манго, лимона и абрикоса. Важно добавлять в пищу лецитин и сок лимона.
Список продуктов, которые употреблять в пищу больным псориазом запрещено (образуют кислоту):
- Следует исключить полностью или сократить до минимума потребление продуктов, содержащих крахмал, жиры, сахар и масла. Как правило, к ним относятся следующие продукты: картофель, бобы, сливки, сыр, зерновые, мясо, сушеный горох. Несбалансированное ежедневное потребление данных продуктов неизбежно приводит к инициации кислотных реакций в крови. Результат – ухудшение самочувствия.
- It is important to properly balance the food. There are a number of products, the use of which is simultaneously prohibited. For example, meat products with products that contain a large amount of sugars, and also do not combine sweets and starch.
- It is important to limit the consumption of sugar. Preservatives, vinegar, dyes and various food additives - should be included as little as possible in the diet.
- The main point is to completely eliminate the consumption of alcohol and alcohol-containing beverages.
Every patient with psoriasis should remember that eating correctly is an important condition in the treatment of this ailment. It is necessary to replace the frying by stewing or boiling. It is necessary to eat foods that are prone to gentle treatment. About fried and fatty foods should be forgotten.
Treatment of psoriasis
In addition to diets and specialized treatment, it is important to carefully monitor the skin's hygiene. To wash it is best to use tar soap, you can and baby. It should, as often as possible, take a bath with a decoction of celandine, violet tri-color or hops.
If there are no contraindications, you can try to treat psoriasis and folk remedies. Do not experiment and do self-medication. Only the doctor has the right to advise what kind of folk remedy is useful and necessary in this or that period of the disease development.
A list of safe and effective ointments for the treatment of psoriasis:
- One packet of creamy (just not spread) oil should be placed in a pan with ground propolis (10 gr). Put on the fire and cook after boiling for 15 minutes. After - you must carefully strain the mixture and allow to cool. Keep this medicine only in the refrigerator. Method of application - rub into the affected area several times a day.
- In dishes made of clay, you need to grind fresh St. John's wort flowers (20 g), root celandine, propolis, flowers of calendula (10 g). In the resulting mixture is added vegetable oil. Store in a cool place, protected from sunlight. Method of application - 3 times a day carefully lubricate psoriatic rashes.
- In one liter of white wine for half an hour to cook on a fairly weak fire gall bladder and scales sea fish, the weight of which exceeds three kilograms. Cool, strain, then add one glass of olive oil. Directions for use - Wash affected areas thoroughly with egg soap and wipe dry. After that, grease the elements with this mixture. The course of treatment - until the drug is over.
- Equal parts of celandine powder and Vaseline (by weight) mix thoroughly. Method of application - ointment is laid out a thin layer on the rashes and left up to three days. After that, you need to take a short break, about 4 days. To be treated until the disappearance of psoriasis.
- In the beaten home eggs (2 pieces) one tablespoon vegetable oil is added. The mixture is again whipped, after which acetic acid (40 g) is introduced. Store the ointment in the jar, with a tightly closed lid. The way of application is to treat psoriatic rashes once a day, best at night. It should be noted that this drug works very effectively at the first stages of the disease. For the treatment of chronic psoriatic plaques, a long-term use of the mixture is required.
- No less effective and common treatment for psoriasis is the mud of Lake Sivash. Dirt must be heated to 38 degrees and applied to the affected skin. Perform this procedure should be in the evening, preferably at bedtime. After 30 minutes, the dirt is removed with warm water. It is important to remember, after the mud should be treated all the rashes with saline. The body must dry out, and excess salt will fall off. Do not flush or moisturize the skin, it is necessary to go to bed. And only in the morning the psoriatic elements should be lubricated with cream. The recommended course is 20 procedures (every other day).
Whichever method of treatment of psoriasis is chosen, it must be agreed with the attending physician-dermatologist.
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