- Causes of Psoriasis
- Types and forms of psoriasis
- Psoriasis Classification
- Nutrition for psoriasis
- Psoriasis treatment
Chronic non-contagious skin disease is psoriasis. This disease is recurrent in nature. Very rarely, psoriasis can affect joints, nails and mucous membranes. People of all ages are susceptible to psoriatic disease. According to statistics, there has been a tendency of growth in the development of the disease in childhood.
Psoriasis is absolutely not a contagious disease of a chronic nature. Most dermatologists tend to think that psoriasis is a systemic disease. In their opinion, the disease affects not only a specific area of the skin, but also draws almost all body systems (endocrine, immune, nervous) into the pathological process.
From the side it may seem that psoriasis is a disease with a mild course. But in reality this is far from the case. The disease is dangerous. In dermatology, there are cases of death. With late or incorrect treatment of psoriasis affects the entire body, which leads to serious complications. For example:
- psoriatic arthritis
- swollen lymph nodes
- mucosal lesion
- flattening and lesion of the nail plates
- spontaneous pain
- rarely - heart damage
As a rule, psoriasis does not violate the usual rhythm of life of a sick person. The only inconvenience is peeling and inflammation of the skin. Unfortunately, it is impossible to recover from this disease, but it is quite realistic to halt its development or prevent the occurrence of relapses. To do this, it is enough to perform all the doctor's prescriptions and undergo systematic treatment in the hospital.
Causes of Psoriasis
The specific cause of the disease is not. There are many factors that can lead to the development of psoriasis. An unequivocal opinion about one reason or another in dermatology does not exist. There are a lot of versions. Most dermatologists are of the opinion that the disease has a genetic predisposition. It is impossible to state or deny that heredity is the main reason. There are cases when the whole family was sick with psoriasis.
In other words, you can say this: if a mother suffers from psoriasis, then it is not necessary that her offspring clearly show signs of this disease. But it is also impossible to exclude genetic predisposition. For example, if the grandmother suffers from this disease, then it is possible that the grandchildren will never meet with the diagnosis of psoriasis. The question of the causes of the development of the disease at the level of genes remains open to this day.
The next factor that many dermatologists believe can cause psoriasis is the endocrine system. For example, adrenal dysfunction, diabetes, pituitary dysfunction. The percentage of signs of psoriatic disease among people with pathologies in the endocrine system is quite high. Therefore, the relationship between diseases exists and is proven by numerous examples.
In addition to the above reasons, there are a lot of endogenous factors. For example:
- Transferred diseases of infectious nature, for example, angina . According to statistics, 17% of patients surveyed believe that psoriasis is a consequence of a complication of angina.
- Chronic infectious pathological processes, such as laryngitis or tonsillitis , can also provoke psoriatic disease.
- Long-term use of certain drugs: interferons, NSAIDs, beta-blockers, and others.
- It is not strange sounded, but pregnancy can also lead to the development of psoriasis. In a woman's body, significant hormonal changes occur, which often trigger a dormant pathological process in the body.
- You can not exclude the negative impact on the human body excessive consumption of ultraviolet radiation, that is, a long stay under the scorching sun or frequent visits to the solarium.
Naturally, besides 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 significantly more common in HIV-infected people than in healthy people. It is important to note that women are more susceptible to psoriatic disease than the male population. Dry, thinned and sensitive skin is another predisposing factor.
You should know that if a person has a violation of the immune system, then quite often this pathology provokes psoriasis. Immunity disorders and psoriatic disease are closely interrelated.
The reasons leading to psoriasis are a huge number, but there is not a single specific one that would lead to the development of the disease. Every year, experts identify more and more factors that could trigger the pathological process, but the main reason has not yet been established.
Types and forms of psoriasis
Psoriasis is a multiforme disease. According to statistics, people usually simultaneously have only one form of psoriasis. But there are cases when a person had several forms of psoriasis at the same time. Quite often found in dermatological practice and such cases where one form of psoriasis is gradually transformed into another. Such a “rebirth”, as a rule, leads to an abrupt stop of the prescribed treatment.
In dermatology, there are two main groups of psoriasis: non-empty and pustular.
Pustular forms - psoriasis of Barbera, psoriasis of the soles and feet, psoriasis of Zumbush, annular 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 form on plaques with ordinary psoriasis.
As an example of an independent disease can be considered - akrodermmit Allopo. As a rule, this disease is characterized by lesions of the pustules and crusts of the distal phalanges of the fingers and toes. 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 are inclined to believe that the disease is a form of pustular bacteria.
Generalized pustular and psoriasis include:
- herpetiform impetigo,
- Psoriasis Tsumbusha,
- exanthema generalized psoriasis.
As a rule, men from 15 to 35 years old suffer from Tsumbush psoriasis. This disease is much less common in women.
Exanthem pustular psoriasis occurs abruptly (suddenly) and acute. In most cases there is a close relationship with other infectious diseases, such as - angina. The rash is localized mainly on the body. More often affected children, adolescents, at least - adults.
Impetigo herpetiformis is a serious disease that can lead to death. As a rule, this disease is characteristic of a pregnant woman, often in the second trimester. But in the dermatological practice, there were still extremely rare cases of occurrence of the disease in men, non-pregnant women and children.
Non-empty form of psoriasis . In other words, you can say - simple psoriasis. This form of the disease differs from other stable course. For the non-empty form of psoriasis, damage to almost the entire surface of the body is characteristic. This type includes:
- erythrodermic psoriasis
- vulgar psoriasis, or ordinary, or plaque.
Common psoriasis occurs quite often, up to 90% of patients with psoriasis are patients with the vulgar form of the disease.
Psoriatic erythroderma is a serious disease that often leads to a fatal outcome - the death of the patient. When the disease is marked dysfunction of thermoregulation, as well as reduced barrier function of the skin. These pathologies lead to pyoderma or sepsis.
There is no single classification of psoriasis generally accepted by dermatologists. There are still disputes over how this skin disease should be classified. Some sources have their own list of psoriasis forms. The most common classification of the disease:
- Guttate Psoriasis
- Pustular psoriasis
- Psoriatic onychia
- Psoriasis of the mucous membranes
- Exudative psoriasis
- Psoriasis of the soles and palms
- Arthropathic psoriasis
- Intertriginous psoriasis
- Psoriatic Erythroderma
- Seborrheic psoriasis
- Vulgar psoriasis
- Pustular bacteride
- Psoriasis Tsumbusha
Arthropathic psoriasis initially proceeds asymptomatically. Patients sometimes note only a slight pain in the joints. Over time, the pain increases, becomes sharp and sharp. The affected joints swell. If you do not treat the disease, the joints are deformed, and there is a limitation in their mobility. As a rule, arthropathic psoriasis is often accompanied by rheumatoid pain. In winter time, the disease worsens, that is, seasonality is characteristic of such psoriasis.
Pustular psoriasis . It occurs not often, only 1% of the total mass of patients with psoriasis accounts for this type of disease. In most cases, the rash is 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 difficult. In dermatology, frequent cases of death as a result of sepsis and severe intoxication of the body are known.
Psoriatic erythroderma . Severe psoriasis resulting from aggravating existing psoriasis. This disease can be both a consequence of the exacerbation of the underlying disease, and the first to occur. Secondary erythroderma psoriatic develops, as a rule, in 2% of people suffering from this ailment.
Quite often, this disease occurs spontaneously, but cases of psoriasis as a result of improper, irritating treatment of dermatosis in the acute period of the disease are not excluded. Patients noted an increase in pathological foci of desquamation, fever, detected dehydration. In dermatological practice, there have been cases of death in psoriatic erythroderma.
Guttate 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, which slightly rise above the surface of unaffected skin. The rash is in the form of a drop, a circle, or a tear. As a rule, the elements cover the whole body of a person, but are most “densely” located on the hips. In most cases, the appearance of guttate psoriasis provokes streptococcal infection. For example, streptococcal sore throat, streptococcal pharyngitis .
Psoriatic onychia . This disease is characterized by various changes in the appearance of the nail plate, both in the arms and legs alike. First of all, the color of the nail changes, sometimes the nail bed together. The nail turns gray, turns yellow or whitens. On the nails, and sometimes under the nail plate itself, dots or small spots appear. The nail plate thickens, striation and brittleness appear. Another clinical manifestation of the disease is a thickening of the skin around the nail bed. Severe outcome of psoriatic onychia - spontaneous loss of the nail.
Psoriasis of the mucous membranes - is a type of pustular or vulgar psoriasis. Most often, the mucous membrane of the cheeks, tongue and lips is affected, less frequently mucosa of the genital organs and eyes. In the pustular form of psoriasis, the rash is more extensive, a large portion of the mucous membrane is affected, and geographical glossitis is noted. With ordinary psoriasis on the mucous membranes appear flat white-grayish papules with clear boundaries, towering over the unaffected surface.
Psoriasis of the soles and palms . The disease is a form of pustular, localized psoriasis. As a rule, this form is chronic recurrent in nature. In dermatology, there are cases when Barbera's psoriasis was treated 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 medical therapy, the vesicles-pustules dry up. Then such dried elements form dense brownish crusts.
Intertrigic psoriasis . For this disease is characterized by the appearance of rash in the predominantly large folds of the skin. For example, interglacial, folds between the fingers, inguinal fold, axillary hollows and the area under the mammary gland. Intertrigic psoriasis is more common in patients with diabetes mellitus, IRR (vegetative-vascular dystonia), obesity, who do not follow simple hygienic rules.
In the folds are formed erythematous-papular swollen foci, erosive and moist. An important feature of the elements of this disease is that the corneal detachment is pronounced along the periphery. Intertrigic psoriasis is very similar to athlete's disease, candidiasis or rubromycosis. It is important to note that the clinical picture of candidiasis or ringworm is much brighter and sharper than that of psoriasis.
Seborrheic psoriasis . In its symptoms, seborrheic psoriasis is very similar to seborrheic eczema. As a rule, psoriatic rash has the same localization as the elements in seborrheic eczema. It can be:
- nasolabial folds
- chest area
- interscapular area
With seborrheic psoriasis, there appear areas on the head where there is a strong flaking of the skin. An important feature of this disease is the formation of a kind of psoriatic corona. The skin lesion occurs from the forehead and smoothly spreads to the scalp, the outlines of the crown appear in such a simple way. It should be noted that dandruff is an alarm signal that “speaks” about the development of seborrheic psoriasis.
As a rule, eczema of red color is formed behind the auricle, purulent crusts are often also layered. For rashes with localization on the chest and face, grayish-yellow scales are characteristic. Psoriatic rash always causes severe itching. It is important to note that seborrheic psoriasis is quite difficult to diagnose, so often it is confused with seborrhea.
Exudative psoriasis . This type of psoriasis is more common in children and the elderly. The risk of developing this disease is quite high in patients with impaired endocrine and immune systems. Often, exudative psoriasis affects the healthy skin of people with overweight or diabetes.
This disease is characterized by excessive accumulation of exudate in the papule, which gradually comes to its surface, forming yellowish crusts. If the crusts are removed, then a wet and bleeding surface is exposed. The scales eventually dry up and layered together, thus forming a fairly dense and massive conglomerate.
The main feature of exudative psoriasis is a clear localization of pathological foci. As a rule, lower limbs and large folds are most affected. Rashes bring a person to severe itching and burning. The clinical picture of this disease is sharp and acute.
Vulgar psoriasis . In different sources, it has different names. For example, plaque, ordinary, simple. This type of psoriasis ranks first in terms of prevalence - this species is observed in almost 90% of patients with psoriasis. The disease usually begins quite acutely. The first symptoms appear almost immediately.
Vulgar psoriasis is characterized by the appearance of typical elements that slightly rise above the unaffected areas of the skin. The rash is inflamed, red, hot to the touch. The elements are thickened, covered with a silvery-white, scaly, dry film (skin) that easily exfoliates.
You should know that gray crusts are easily removed, which leads to injury of the lower layer of the papule, which is equipped with numerous small vessels. As a rule, this leads to a slight undercuts. The lesions in dermatology are called psoriatic plaques.
Such plaques have the peculiarity of merging, which leads to their increase in size. Over time, plaque plates are formed, which have a peculiar name - “paraffin lakes”. Psoriatic eruptions in ordinary psoriasis are flaky. Treatment is long, requiring inpatient treatment.
Pustular bacteridum . According to statistics, this disease occurs mainly in people of young age (from 20 years) and medium (up to 50 years). The exact etiology of pustular bacteris is unknown. 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, sore throat or tonsillitis.
Psoriatic lesions affect the skin of the palms and soles. Pustular bacteridum is of chronic recurrent nature. The first foci appear, if on the palms, then in the very center, if on the sole, then on the arch. Primary psoriatic elements have small sizes, not exceeding in size the head of a pin. Over time, the pustules dry out and form a lamellar crust. Patients feel severe itching and soreness in the affected areas.
For the pustular bacterium, the attack of the disease is characteristic. At the same time, inflammation occurs in all areas affected by psoriasis. Gradually, psoriatic foci increase, and after a few weeks, almost the entire surface of the palms or soles is drawn into the pathological process. As a rule, the pustular bacteride proceeds for years and with constant relapses.
Nutrition for psoriasis
Patients with psoriasis are simply obliged to follow a diet and adhere to the basic principles of proper nutrition. The main task of the diet is to maintain normal acid-base balance. But it is important to note that the alkaline background of the body should prevail a little over the acidic one.
Naturally, the balance of the body depends on those products that consume daily patients with psoriasis. It is important to know to everyone who suffers from this ailment - 70% of the daily diet should account for the products that form the alkali in the body. On acid-forming - no more than 30%. It is easier to say this: products that produce alkali, you need to use 4 times more than acid-forming.
List of alkaline products in the body:
- Any vegetables, except rhubarb, pumpkin and Brussels sprouts. It is important to remember that potatoes, peppers, eggplants and tomatoes are strictly prohibited.
- Do not exclude fruit. The main thing is not to use prunes, cranberries, currants and blueberries. It is worth noting that bananas, melons and apples should not be consumed simultaneously with other products.
- Be sure to drink fresh vegetable juices from carrots, beets, parsley, celery and spinach.
- You can consume daily fruit juice from grapes, pineapple, pear, orange, papaya and grapefruit, mango, lemon and apricot. It is important to add lecithin and lemon juice to food.
The list of foods that can be consumed by patients with psoriasis is prohibited (form acid):
- It is necessary to eliminate completely or reduce to a minimum the consumption of products containing starch, fats, sugar and oils. As a rule, these include the following products: potatoes, beans, cream, cheese, grains, meat, dried peas. Unbalanced daily consumption of these products inevitably leads to the initiation of acid reactions in the blood. The result - a deterioration of health.
- It is important to balance the food properly. 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 should not combine sweets and starch.
- It is important to limit sugar intake. Preservatives, vinegar, dyes and various food additives should be included as little as possible in the diet.
- The main point - it is necessary to completely eliminate the consumption of alcohol and alcohol-containing beverages.
Every patient with psoriasis should remember that eating right is an important condition in the treatment of this disease. Be sure to replace the frying stewing or boiling. It is necessary to eat foods that are prone to gentle processing. About fried and fatty foods should be forgotten.
In addition to diets and specialized treatment, it is important to carefully monitor skin hygiene. For washing it is best to use tar soap, it is possible and children's. It should, as often as possible, take a bath with a decoction of celandine, tricolor violets or hops.
If there are no contraindications, you can try for the treatment of psoriasis and folk remedies. Do not experiment and self-medicate. Only a doctor has the right to advise what kind of folk remedy is useful and necessary in one or another period of the development of the disease.
The list of safe and effective ointments for the treatment of psoriasis:
- One pack of butter (not spread) butter should be placed in a saucepan with crushed propolis (10 g). Put on the fire and boil for 15 minutes after boiling. After - you need to thoroughly strain the mixture and let cool. Keep this medicine in the refrigerator only. Method of application - rub into the affected places several times a day.
- In clay dishes, you need to grind fresh flowers of Hypericum (20 g), celandine root, propolis, calendula flowers (10 g). Vegetable oil is added to the mixture. Store in a cool place, protected from sunlight. Method of application - 3 times a day, carefully lubricate psoriatic lesions.
- In one liter of white wine, for half an hour, boil the gallbladder and scales of sea fish, weighing more than three kilograms, on a fairly weak light. Cool, strain, then add one cup of olive oil. Method of application - thoroughly wash the affected areas with egg soap and wipe dry. After that, lubricate the elements of this mixture. The course of treatment - until the medication is over.
- Equal parts of the powder of celandine and petroleum jelly (by weight) are mixed thoroughly. Method of application - the ointment is laid out in a thin layer on the rash and left up to three days. After that, you need to take a short break, about 4 days. To be treated until the complete disappearance of psoriasis.
- In homemade whipped eggs (2 pieces) one tablespoon of vegetable oil is added. The mixture is whipped again, after which acetic acid (40 g) is added. Store ointment in a jar with a tight-fitting lid. Method of application - to treat psoriatic lesions once a day, preferably at night. It should be noted that this drug acts very effectively in the early stages of the disease. For the treatment of chronic psoriatic plaques requires prolonged use of the mixture.
- No less effective and common tool for the treatment of psoriasis is the mud of Lake Sivash. Dirt should be heated to 38 degrees and applied to the affected skin. Perform this procedure should be in the evening, preferably before bedtime. After 30 minutes, the dirt is removed with warm water. It is important to remember, after the dirt should be treated with all the rash saline. The body should dry and excess salt fall off. Without washing or moisturizing the skin, it is necessary to go to bed. And only in the morning psoriatic elements smear cream. The recommended course is 20 procedures (every other day).
Whatever the national method of treating psoriasis is chosen, it must be negotiated with the attending dermatologist.
- Psoriasis on the hands: symptoms and treatment
- Neurodermatitis: Symptoms and Treatment
- Psoriatic arthritis: symptoms and treatment