In this article, we consider the initial stage of psoriasis, its causes and the mechanism of formation of lesions. By following our recommendations, you will be able to recognize the symptoms of psoriasis at an early stage and eliminate them.
Early signs of psoriasis
The initial symptoms of psoriasis in patients may be different. The disease is characterized by an acute onset, rashes occur in a short time. The primary rash is also called duty or sentinel.
The initial stage lasts several weeks. The duration of this stage of the disease depends on the general condition of the body and its protective ability.
The rash consists of small, pale pink to red papules (pimples) that rise above the skin. They are tight to the touch.
After a while, you will find silver whitish coins that are easy to remove. The skin of the affected areas becomes inflamed, swollen and red.
Experts identify three features that distinguish psoriasis from other diseases:
|Stearin stain||This is a plaque, the crumbs of which are accompanied by the appearance of small scales.|
|Psoriatic film||The last layer that can be removed from the skin after the scales. This layer looks like a polyethylene film.|
|Blood dew or Auspitz phenomenon.||Appearance of blood droplets that disrupt the integrity of the psoriatic film.|
There are different forms of rashes: dotted, drip, coin-shaped, annular, diffuse.
In addition to the rash, the patient is concerned about peeling, redness, itching of varying intensity.
Psoriasis on the elbows
The plaque form of psoriasis is characteristic of the elbow area. At first, only red papules appear. Then the skin begins to peel and thicken.
Psoriasis on the legs
Early signs: a small rash, inflammation and swelling of the skin. Typical localization: knees and feet. Over time, the skin peels off and the disease begins to progress.
Psoriasis on the hands
The first papules are found in the extensor part of the joints (fingers and elbows). Rash often occurs with the defeat of the feet. Sometimes psoriatic arthritis occurs. Affects joints of different sizesIt is characterized by swelling, redness and deformity of the joint, painful sensations can be disturbing.
Psoriasis on the nails
The appearance of the disease on the nail plate looks like a fungal infection. Initially, longitudinal grooves and depressions appear on the edge of the nail. The process eventually approaches the root zone of the nail. The nail fades and thickens. As the disease progresses, the nail peels off.
Psoriasis on the head
Localization of rashes: frontal part, behind the ears and neck. Papular rashes are accompanied by peeling and itching. Damaged areas often get wet and crack. A characteristic symptom is "psoriatic crown". The rash occurs when the hair extends beyond the growth.
Psoriasis on the face
The disease rarely affects the front of the head. Localization of the rash: eyelids, nasolabial folds, around the eyes, in the area of the eyebrows, in the form of a thin mesh on the cheeks.
Features of the initial stage of psoriasis in children
To determine the presence of psoriasis in a child, first of all it is necessary to see small pimples (papules) between the folds of skin, redness and friction with clothing and irritation. The child is worried about itching and burning.
Must know! Without proper examination, the early stage of psoriasis in infants can be mistaken for allergic manifestations, diathesis, prickly heat, diaper dermatitis. A distinctive feature of psoriasis is that it has a clear border.
It should be noted that congenital psoriasis in children is characterized by more pronounced clinical manifestations from the moment of birth.
The risk zone for psoriasis includes children with weakened immunity after a severe infection. Special attention should be paid to children whose parents have psoriasis.
The mechanism of formation of psoriatic plaques
Psoriasis patches are areas where an inflammatory reaction and overproduction of keratinocytes (epithelial cells) occur. In this case, an excessive number of capillaries are formed in the dermis. Infiltration of damaged skin with lymphocytes and macrophages (impregnation) causes its thickening and swelling. The result is pale gray spots that look like hardened wax.
It is important! Normally, the epidermis is renewed every 30 days. With psoriasis, the duration of this process is significantly reduced. In this disease, division, maturation and cell death occur in just 5 days. Due to the pathological speed, the connection between the cells is broken.
Experts identify several motivating factors:
- hereditary predisposition. It is thought to be a genetic failure that causes an increase in keratinization in the human body.
- Impaired immune system leading to increased production of lymphocytes (T-class cells) and inflammation. An autoimmune reaction is not ruled out - it is damaged as a result of being perceived as foreign to its own cells and tissues.
- Endocrine pathology, disorders of metabolic processes.
- Diseases of the nervous system.
- Excessive psycho-emotional load, stress. This factor is a provocateur of the disease, but also contributes to its exacerbation. During a stressful situation in the body, hormones are released and a number of biochemical reactions take place, which leads to the appearance of rashes and scales.
- Alcohol, drug use, smoking.
Must know! Children whose parents have psoriasis have an increased risk of developing the disease.
Diagnosis of the disease
If you suspect you have psoriasis, consult a dermatologist. As a rule, the diagnosis is made after an external examination and assessment of the condition of the damaged areas of the skin. In rare cases, if there are doubts and difficulties in the diagnosis, the doctor prescribes additional research methods. These include:
- Skin biopsy is a procedure to take a sample of damaged skin. Helps identify changes at the cellular level.
- Blood test. Helps determine the presence of inflammation and rule out other diseases.
- X-ray of the joints. It is used only for joint pain to exclude the development of psoriatic arthritis.
- Bacteriological culture of the pharynx. It is prescribed to confirm the tearful form of psoriasis and to rule out acute pharyngitis.
- Potassium hydroxide test. Helps eliminate fungal infections
Treatment of the disease
Unfortunately, there is currently no cure for the disease. Therefore, the main goal of therapy is to eliminate the symptoms and eliminate relapses with an increase in remission time (time for the symptoms to weaken and disappear). Therefore, treatment should be comprehensive and long-term.
After diagnosing and determining the stage and severity of the disease, the dermatologist selects the necessary treatment. The patient's diet and lifestyle are adjusted before starting therapy. Undoubtedly, all possible factors that lead to the exacerbation of the disease are excluded.
At the initial stage, the doctor may prescribe the following:
|Drug group||Expected effects and features of treatment|
|Keratolytic agents||Improve exfoliation|
|Vitamins. Derivatives of vitamin D3 or A.||Improve the overall condition of the body and skin|
|Non-hormonal topical drugs with anti-inflammatory effect||Eliminate inflammation, redness, swelling|
|Tar-based ointments||Improve treatment|
|Solids containing solids||Has a positive effect on treatment, eliminates itching|
|Ointments based on salicylic acid||Accelerate healing and encourage peeling|
Aggressive drugs should not be used in the initial stage. Medications should be for external use, the doctor prescribes means for oral administration in severe forms of the disease.
In addition to medication, specialists prescribe physiotherapy procedures:
- UV (ultraviolet radiation).
- Baths: paraffin, radon, sulfide.
It is possible to use folk recipes for treatment at home. It should be taken only in conjunction with the main treatment prescribed by a dermatologist and only after consulting a doctor.
There are many recipes aimed at improving the general condition of the body, as well as topical agents to eliminate the external manifestations of the disease. Sussessia, flaxseed oil, celandine, calendula ointment have a good effect.
Review the most popular recipes for folk remedies:
Ointment for psoriasis
- St. John's wort - 20 q.
- Celandine (root grass) - 20 g.
- propolis - 20 q.
- Calendula - 10 q.
- vegetable oil - 10 g.
How to cook: Chop all the herbs until smooth. Then add the vegetable oil and mix thoroughly. Store in a dark, cool place.
How to use: Lubricate damaged areas of skin 2-3 times a day.
Conclusion: An ointment based on herbal ingredients will help eliminate inflammation.
- Chicken eggs - 2 pieces.
- sunflower oil - 1 tbsp. l.
- acetic acid - 40 g.
How to cook: Beat eggs and butter. Then add acetic acid to the resulting mass and mix well.
How to use: Lubricate the affected skin once a day at night.
The result: an effective remedy eliminates the initial symptoms of psoriasis - reduces swelling, redness and helps to eliminate rashes.
- oak - 10 g.
- Tansy flowers - 10 g.
- Chamomile flowers - 15 g.
- vodka - 50 q.
- sea buckthorn oil - 10 g.
- Water - 1 cup.
How to cook: Chop all the herbs. Then pour boiling water and boil for 5 minutes. After that, leave the broth to infuse for 40 minutes. Then strain it, add vodka, sea buckthorn oil and mix well.
How to use: Take the decoction once a day. To do this, dilute the product - 0, 3 drops in 3 cups of warm boiled water. Diluted decoction - 1 tbsp. l Rub the damaged areas of the skin once a day for the same amount of water.
The result: the decoction eliminates rashes and inflammation, has a general strengthening effect on the body when taken orally.
Proper nutrition is the key to your health. Properly chosen diet will help prevent the development of psoriasis. An individual diet is prepared for each patient.
Be sure to exclude from your diet:
- Alcohol and tobacco products.
- Smoked meat and spicy dishes.
- Preservatives and carbonated drinks.
In addition, limit the use of flour products, sweets.
Your diet should be complete and meet your energy needs. Dietitians recommend including the following foods in your diet:
- Dairy products.
- Vegetable oils.
- Fresh vegetables and fruits.
Question and answer
Which solid is used for psoriasis?
For this purpose, you need medical oil sold in pharmacies. The product is most effective in pure form without any additives.
Can Psoriasis Be Treated With Traditional Medicine?
This is possible only with traditional methods and after consulting a doctor. Salt baths (sea salt is used) have a good effect. Help relieve inflammation of the bath on the basis of chamomile or string. Itching will help eliminate juniper infusion. Rubbing with oatmeal in the early stages helps to remove the crust.
Is Psoriasis Infectious?
The answer is no: psoriasis is not contagious. The infectious origin of the disease has been completely refuted.
Hair Loss With Psoriasis?
This does not happen unless psoriasis is combined with other diseases that cause hair loss. Hair loss is not observed in most patients.
What makes psoriasis worse?
There are periods of improvement and exacerbation of the disease. Knowing the factors that aggravate the situation, you will increase its manifestations for a period of time that will not bother you. There are several possible causes of deterioration, so they need to be considered and remembered:
- Skin damage and scratches. A very common symptom of psoriasis is itching and burning. By scanning the damaged areas, you aggravate the situation.
- Sunshine. The sun's rays have a moderate effect on the skin. But at the same time, sunburn can lead to the development of psoriasis.
- Stress. Some patients show worsening of psoriasis after nervous tension.
- various infections. They disrupt the body's defense system and weaken it.
- Diet. A healthy and proper diet is needed to treat the disease. However, when disturbed, patients report a worsening of their condition. Especially if you drink alcohol and smoke an unlimited amount.
Is it possible to remove the scales arbitrarily?
By no means! You cannot remove the scales yourself. This can lead to deterioration and cause discomfort.
What you need to remember
- Psoriasis is a chronic disease with periods of improvement and exacerbation.
- At present, it is impossible to fully recover from the disease. Treatment consists of relieving symptoms and increasing remission periods (when no signs of psoriasis appear).
- The initial stage of the disease is best treated, so if the first symptoms appear, consult a dermatologist.
- Children whose parents have psoriasis have a higher risk of developing the disease.