Psoriasis can manifest in different forms.The psoriasis options include vulgar (simple, ordinary) or otherwise plaque psoriasis (psoriasis vulgaris, plaque psoriasis), pustular psoriasis, drop -shaped or point psoriasis, flexor psoriasis) surfaces (bending soriasis).This section contains a brief description of each variety of psoriasis together with its code according to the international classification of diseases (ICD-10).
Plush -changed psoriasis, or Ordinary psoriasis, vulgar psoriasis, simple psoriasis (psoriasis vulgaris) It is the most common form of psoriasis.It is observed in 80% - 90% of all patients with psoriasis.Plush -shaped vulgar psoriasis is most frequently manifested in the form of typical areas, which are covered on the surface of healthy skin of the areas of inflamed, red, hot skin with gray or silver -white, slightly peeled, scaly, dry and thickened skin.The red skin under a slightly distant gray or silver layer is slightly injured and bleeding because it contains a large number of small vessels.These areas of typical psoriatic damage are referred to as psoriasis plaques.Psoriasis plaques tend to increase the size, merge with neighboring plaques and form full plate plates ("paraffin lakes").
Psoriasis of the flexion surfaces (bending episoriasis), or "Reverse psoriasis". Usually it looks like smooth, not shabby or minimal peeling, red inflamed stains, which are not particularly above the skin surface in the absence or minimal lesion of other areas of the skin.In most cases, this form of psoriasis influences the wrinkles in the outer genital organs, in the groin, on the inner surface of the hips, axillary depression, folds under the obesity of the stomach (psoriatic pannus) and on the folds of the skin under the women's glands in women.This form of psoriasis is particularly susceptible to deterioration under the influence of friction, skin injury and sweat and is often accompanied or complicated by a secondary fungal infection or streptococcal pyoderma.
Guttal psoriasis (guttate psoriasis) It is characterized by the presence of a large amount of smaller, which is raised above the surface of healthy skin, dry, red or purple (up to the purple color).These psoriatic elements usually strengthen large surfaces of the skin, most hips, but can also be observed on legs, forearms, shoulders, the hair eggs of the head, back and neck.In typical cases, according to streptococcal infections, after streptococcal infection in typical cases -according to streptococcal tonsillitis or streptococcal pharyngitis often develops frequently or worsens frequently.
Pustelpsoriasis or Exudation psoriasis It is the most serious skin forms of psoriasis and looks like bubbles or bubbles above the surface of healthy skin, filled with unfortunate, transparent inflammatory exudate (pustules).The skin below and above the surface of the pustules and around them is red, hot, edema, inflamed and thickened, slightly a peeling.The secondary infection of the pustules can be observed, in this case the exudate acquires a purulent character.Pustual psoriasis can be limited and located, while the most common localization are the distal ends of the limbs (arms and legs), ie the lower leg and forearm, this is referred to as palmoplantar pustules (Palmoplantar -Pustulosis).In other serious cases, pustular psoriasis can be generalized, with the widespread spread of pustules over the entire surface of the body and the tendency to merge into larger pustules.
The causes of psoriasis
Impaired barrier function of the skin (in particular mechanical trauma or irritation, friction and pressure on the skin, the abuse of soap and cleaning agents, contact with solvents, household chemicals, alcoholic solutions, the presence of infected focus on the skin or skin allergy, excessive dry skin) also play a role in the development of the psorias.
psoriasis - This is an idiosyncratic skin disease in many ways.The experience of most patients suggests that psoriasis can spontaneously improve or worsen vice versa for no apparent reason.Studies on various factors associated with the development, development or exacerbation of psoriasis will be based on the study of small, normally hospital (not outpatient patients), which is obviously severe groups of patients with psoriasis.Therefore, these studies often suffer from the insufficient representativity of the sample and from the inability to identify causal relationships if a large number of other (including unknown or unknown or unknown) factors that can influence the type of psoriasis can influence.In various studies, contradictory finds are often found.Nevertheless, the first signs of psoriasis often occur after stress (physically or mentally), skin damage at places of the first occurrence of psoriasis inhabitants and/or streptococcal infections.The conditions correspond to a series of sources that can contribute to worsening or worsening the course of psoriasis, acute and chronic infections, stress, climate change and the change in the seasons.Some medications, especially lithium carbonate, beta blockers, antidepressants, antimaliaMedicaments, anticonvulsants, according to a number of sources are associated with deterioration in psoriasis or can even provoke its primary occurrence.Excessive alcohol consumption, smoking, obesity or obesity, improper nutrition can make the course of psoriasis or treatment more difficult and cause deterioration.Hair paint, some creams and handles for hand, cosmetics and perfumes, household chemicals can also cause deterioration in psoriasis in some patients.
Patients with HIV infections or AIDS often suffer from psoriasis.This seems to be paradoxical for researchers of psoriasis, since the treatment for reducing the number of T cells or their activity generally helps to treat psoriasis, and the HIV infection or also AIDS is associated with a decrease in the number of T cells.With the progress of the HIV infection or the AIDS, however, an increase in the viral load and a decrease in the number of circulating CD4+ T cells in HIV-infected patients or AIDS patients is deteriorated.In addition to this puzzle, the HIV infection is usually accompanied by a strong shift of the cytokin profile in the direction of TH2, while vulgar psoriasis in non-infected patients is marked by a strong shift of the cytokin profile towards TH1.According to the currently adopted hypothesis, a reduced amount and a pathological activity of CD4+ T lymphocytes in patients with HIV infection or AIDS lead to hyperactivation of CD8+ T lymphocytes, which are responsible for the development or deterioration of psoriasis in HIV-infected or patients with AIDS.However, it is important to know that most patients with psoriasis are healthy in terms of HIV transport and that HIV infection is responsible for less than 1 % of psoriasis cases.On the other hand, according to various sources of psoriasis in HIV-infected people with a frequency of 1 to 6 %, which is about three times higher than the frequency of psoriasis in the general population.Psoriasis in patients with HIV infection and especially with AIDS is often extremely difficult and is poorly suitable for standard therapy methods or not accessible at all.
Psoriasis most often develops in patients with initially dry, thin, thin, sensitive skin than in patients with oily or well -fashionable skin and is much more common in women than in men.Bei demselben Patienten tritt Psoriasis am häufigsten in Bereichen trockener oder dünnerer Haut als in fettiger Haut auf und tritt vor allem in Orten der Schädigung der Integrität der Haut auf, einschließlich Kämmen, Schrägungen, Kratzer, Schnitte, an Orten, die sich mit Reibung, Druckern oder Kontakt mit aggressiven Chemikalien, Reinigungsmitteln und Reinigungsmitteln und Reinigungsmitteln, Solubieren, Solubler, Solubler,Solubler, Solubler, Solubler, Solubler, Solubler, Solubler.(This is called Kebner's phenomenon).It is believed that this psoriasis readomen is mainly connected to dry, thin or injured skin associated with the infection with the fact that the body (probably most often streptococcal) infects into the skin (probably under different conditions that protect skin from infections) or in the case of skin damage of minimal secretion.The cheapest conditions for the development of psoriasis are therefore the cheapest conditions for the development of the fungal infection of the feet (the so -called "athlete bone") or the armpits, the groin region.For the development of fungal infections, the cheapest, moist skin, on the contrary, dry.The dry skin has penetrated, causes chronic inflammation with dry (not expess), which in turn causes symptoms that are characteristic of psoriasis such as itching and increased proliferation of skin cells.This in turn leads to further increased drought of the skin, both due to inflammation and improved proliferation of keratinocytes and the fact that the infected body consumes moisture, which would otherwise serve to moisten the skin.In order to avoid excessive dryness of the skin and reduce the symptoms of psoriasis, patients with psoriasis are not recommended to use wash flaps and peelings, in particular strictness, since they not only damage the skin, but also microscopic scratches, but also the skin out of the skin out of the skin and skin, which protect the skin from drying out and penetrating.It is also recommended to use a talc or baby after washing or bathing to absorb excess moisture from the skin, which otherwise "gets" an infected means.In addition, it is recommended to use products that moisten and feed the skin, and lotions that improve the function of the sebaceous glands.It is not recommended to abuse soap and detergent.You should try to avoid skin contact with solvents and household chemicals.
Diagnosis of psoriasis
The diagnosis of psoriasis is usually simple and is based on a characteristic appearance of the skin.There are no diagnostic processes or blood tests that are specific for psoriasis.Nevertheless, with active, progressive psoriasis or its difficult course, deviations in blood tests can be determined, which confirms the presence of an active inflammatory, autoimmune, rheumatic process (increase in rheumatoid factor, acute phase proteins, leukocytosis, the increased ESR, etc.) as well as endocrine and biochemical increase.Sometimes a biopsy of the skin is required to rule out other skin diseases and histological confirmation (review) of the diagnosis of psoriasis.During A Biopsy of the Patient with Psoriasis, Cluster of the So-Called Tears of Retail, Thicken of a Layer of Keratinocytes, Their Histological Immaturity, Massive Skin Infiltration With T-Lymphocytes, Macrophages and Dendritic Cells, Signs Of Increate Proliferation OfKeratinocytes and immunocompetent cells, accelerated angiogenesis in a layer of skin under the skin under a layer of skin under a layer of skin under a layer of skin under a layer of skin under a layer of skin under a skin layer under plow.Another characteristic sign of psoriasis is point bleeding and the lightness of the bleeding from the skin under the plaque during their scravation, which is connected to both the acceleration of angiogenesis as well as the pathologically increased permeability and a brittle skin vessel in the lesion (exhaust symptom).
Alternative treatment of psoriasis
For the symptomatic treatment of vulgar psoriasis, some countries in some countries use ichthyotherapy in some resorts with open heat springs.The Garra Rufa -Fisch, who lives there, eat the skin on psoriatic plaques without touching healthy areas.After such treatment, an improvement in the patient's condition is observed by six months or more.With a successful location in subtropics, you can combine peace in comfortable hotel rooms with fish -spa processes and seaside resorts.At your request, the Hotel Cook will prepare a special diet.The water in a bathroom with the Garra Rufa fish leads a three -stage cleaning system (mechanically, running ultraviolet sterilization and biological cleaning).The sun, the sea, the fresh air, the special nutrition everything in the complex helps to achieve a positive effect of bathrooms with miracle fish.Daily sprinkling with a mixture of sugar powder and potato strength helps to remove psoriasis plaques.
Treatment of psoriasis with folk remedies
- Handle with psoriasis, Give fat, pork, smoking, chocolate, spices, alcohol, coffee and sweets.Submit the diet with fermented dairy products, fresh herbs, baked apples, fish and nettle salads.Eat many vegetable oils that are rich in indispensable fatty acids) and products that contain lecithin.
- Eat food In cooked, cooked or steamed (excluded fried and smoked) from the diet.
- Refuse food to increase the acid in the body- Give products that alkalize the body.Some people on the web have repeatedly stated that only a change in diet in the direction of alkalization contributed to the full restoration of health, not only from psoriasis itself, but also from old chronic diseases.
- Wash Only children's or tea muff that regularly take baths with decocements of Celandine, hops and violets of three scratches.
- Follow Operation (1-2-day hunger).