One of the most common diseases is psoriasis - what it is, its causes, stages and treatment

Remission of psoriasis turns into a relapse

Psoriasis- a common chronic skin disease of non-infectious nature, occurring in waves - with a smooth transition from remission to relapse and vice versa. It is the second namepsoriasis- This may mistakenly form the idea of infection, but this is not the case - contact with a sick person can never be dangerous, because the causes of its occurrence are not due to the infectious nature, but to the genetic characteristics of the person. , its immune and endocrine systems.

Today, more than 120 million people suffer from this scourge, which is more than 4% of the total population.

In psoriasis, the body is coveredsilver-coated red, inflamed patches, itching and swelling. Plaques can be located throughout the body, but at the onset of the disease, as a rule, are grouped in the most traumatic protruding areas of the body -elbows, knees, scalp, feet.

A characteristic feature is the symmetry of the appearance of spots - both on the right and on the left.

Simply put, it is psoriasismisbehavior of the bodyWhen exposed to environmental stimuli, for some reason, the upper layers of the skin in isolated, diseased areas die suddenly more quickly than in healthy ones. Normally, this process of division and maturation of skin cells should take 3-5 weeks, while in psoriasis this period is reduced to 4-5 days.

According to one of the classifications, psoriasis is divided into 2 types:

  1. The so-calledpsoriasis type 1occurs due to hereditary failures of the immune system. This type is observed in 65-70% of patients, and about 70% of them become ill before the age of 20.
  2. Psoriasis type 2People over the age of 40 get sick. This type is not genetically inherited and, unlike type 1 psoriasis, where the rash is more localized on the skin, type 2 psoriasis is characterized by damage to the nails and joints.

Reasons

Scientists do not have accurate information about the causes of the disease. However, the results of scientific research give hope not only to find the causes of the disease, but also to create a radical remedy against it.

Psoriasis todaysystemic multifactorial disease, mainly hereditary, based on many reasons, not one. These can be for a variety of reasons,immunodeficiency, endocrine complications, neurological disorders, metabolic disorders, abuse of bad habits, exposure to aggressive environmental factors. You can be a carrier of a defective gene full of "psoriatic bomb", but never get sick with it, or without genetic disorders, but fall into the risk group due to other dangerous factors.

  • It often occurs before the appearance of psoriatic plaquesa long-lasting inflammatory processon the skin of bacterial or fungal nature.
  • It can be an internal provocateur of the diseasestreptococcus, infection with parasitesdisturbing the health of the whole organism.
  • The trigger of this disease can also last a long timerespiratory tract infection.
  • An example of an increased risk in such conditions of the body has been identified as the production of the hormone estrogen increases -pregnancy, puberty, menopause- This confirms the sad role of hormonal imbalances in the development of psoriasis.
  • Spectral blood tests of patients with psoriasis were foundlack of siliconein the body, it indicates a possible cause of deficiency of the trace element.
  • To a large extent, the appearance of psoriasis is also provoked by somemedications, smoking, alcohol and stress.

Symptoms

There are several forms of psoriasis and each form of psoriasis looks different:

  1. The most typical -plaquewell-defined red spots that bleed when trying to remove them affect the extensor surfaces, head, lower back; and not localized on the face, heels, and palms.
  2. tear formmainly after a streptococcal infection, manifests itself suddenly at a young age with numerous spots.
  3. Pustular shape, in the form of painful vesicles, localized on the soles and palms.
  4. The most severe formgeneralized pustulesaccompanied by increased pain and fever.
  5. intertriginous, or psoriasis of the skin folds - with it there are rashes on the large folds of the body: in the groin area, under the mammary glands.
  6. erythroderma- Fever, a severe form of psoriasis accompanied by redness of the whole body.

The symptoms of this disease are similar to another disease - pink lichen. Therefore, it is very important to consult a specialist before starting to treat yourself.

Stages of psoriasis

In the diagnosis, it is important to determine the stage of psoriasis, especially in chronic pathology, sensitivity to treatment and the choice of management tactics.

Progressive stage of psoriasis

Psoriasis is characterized by a wavy course consisting of 3 stages:

  1. Stageprogressive (or primary)The disease begins to worsen with the following clinical symptoms:

    • New characteristic papules appear mainly symmetrically in the protruding areas of the body.
    • The spots combine with each other to form silver plaques.
    • On the surface of the boards appear small scales of peeling.
    • AvailabilityKoebner phenomenon, any damage to healthy areas of the skin turns into psoriatic plaques.


    The main sign of the development of psoriasis is the presence of plaque-free edges of the plaques, called hyperemic ring, because the new scales do not keep pace with the spread of inflammation.

  2. Inpatient stage of psoriasis

  3. Stagestationaryis established by reducing inflammation of the skin, which indicates the correctness of treatment. At this stage, the appearance of new papules does not stabilize, the existing conglomerates of spots do not increase in size, the scales cover the entire surface of the spot and there are no edges.



  4. Regressive stage of psoriasis
  5. Stageregressive- The most pleasant "wave" during psoriasis, when the exacerbation is defeated and treatment is aimed at preventing new manifestations.

    Signs of regression of psoriasis:

    • Radial skin lines and small folds appear around the boards - so-calledpseudoatrophic edge.
    • Peeling disappears intensively.
    • The plaques turn into light or dark spots on the skin.

Treatment

Treatment of psoriasis requires a highly qualified and individualized approach.

Everything is taken into account: age, general clinical indicators of health, occupation, personal characteristics, habits, psychological condition, as well as the localization of the disease.

Depending on the course of the disease,systematic,localor treatmentinstrumental methods.

Systemic treatment

Psoriasis is severe

Systemic therapy is prescribed for severe psoriasis or ineffectiveness of local treatment. Medications include:cytostatics, glucocorticoids, antihistamines, hepatoprotectors, monoclonal antibodies.




Local treatment

Local treatment is acceptable in all cases of psoriasis and in addition to other treatments. It can be with the use of hormonal or non-hormonal agents. This treatment is localglucocorticoids,cytostaticsin the form of ointments, herbal remedies,moisturizersandkeratolytics. In addition, folk remedies for psoriasis are widespread.

Instrumental methods of treatment

Instrumental methodsis prescribed in cases where a differentiated and strictly individualized approach is required. The doctor prescribes various procedures -Ultraviolet radiation of inflamed skin, laser therapy, selective and photochemotherapy, blood purification methods.

Everyone should remember that the sooner the symptoms are detected and the sooner the psoriasis is diagnosed by a doctor, the more successfully you will be able to calm a severe attack.