The symptoms of psoriasis
In addition psoriasis on the skin disease is able to hit the nail plate on hands and feet. In contrast, eczematous rash that most often appears on the inside of the surfaces of the knee and elbow joints and on the surface on the outside of the joints.
The reasons for the development of the disease
The causes of psoriasis is not fully understood. Medicine and patients ' experience confirm the impossibility of the transmission of disease by contact. The disease most often appears in the period from 18 to 25 years.
Causes of psoriasis:
- diseases of the endocrine system;
- the weakening of the immune system;
- genetic predisposition;
- causes of psoriasis can be to develop viral infections; parasitic invasion;
- common factors of the disease include stressful situations and emotional turmoil of nerves;
- deficiency in minerals and vitamins.
Note, however, that the factors in the development of the disease can be quite varied, as medicine finds new reasons provoking negative symptoms of the disease.
The symptoms of psoriasis stages
The disease can occur in 4 stages:
- the initial (early);
The severity of the disease depends on the particular symptoms of psoriasis in the patient.
The symptoms of psoriasis initial (first) stage. The primary symptoms of the disease in the early stages occur with the occurrence of epidermal papular rash. After 2-3 days on it formed of silver-white scales that are easily removed . Initial symptoms were classified as the development of the "point" of psoriasis.
Stage of progression. This stage is characterized by active growth and the subsequent merger of the rash. The primary signs of progression are manifested the characteristic flaking present on the Central part of the element without affecting the peripheral rim.
Secondary signs of progression characterized by the presence of symptom kebnera . In case of injury in the region of the papules in 6-8 days (in accordance with the form of injuries) there is an element of psoriasis. In addition, koebner's phenomenon may occur if any element of psoriatic trigger severe scratching on the hands, elbows, legs, face.
Progressive stage is accompanied by painful itching, which is not typical for other stages. Generally, the progression can last 2-3 weeks and up to 3 (or more) months. During the stage of progression is recommended prophylactic administration of hormonal therapy and external means.
Stage stationary. This stage replaces the progressive and has no specific time boundaries. It is able to flow smoothly into the regression, the final form of the illness, but able to progress further. To characteristic symptoms of the stationary phase of psoriasis is the suspension of growth of plaques and preventing the occurrence of a new rash on the face, hands, elbows, etc.
Stage regression. This stage completes the process of inflammation with a characteristic decrease flaking, and thickening of the Central part of psoriasis with further resolution . Elements of psoriasis can be different shapes (rings, trapeze, arc, etc.) and are classified as "geographical psoriasis."
There is another option for the stage of regression of the disease, when the resolution begins with the peripheral part of the papules without forming scar tissue, and in the absence of atrophic processes. In that part of the body where there are papules may appearance of hyperpigmentation. Note that this separation of the disease on the options is conditional. Most often, the stage of ingress is determined by observing symptoms of the patient.
Currently, there are many forms of psoriasis that differ from each other in external signs and the severity of symptoms.
The most common forms of psoriasis:
- seborrheic psoriasis scalp;
- rheumatoid psoriatic arthritis
Common forms of the disease are plaques and psoriasis vulgaris. Be aware that any kind of disease there is redness and itching.
PATCHY PSORIASIS. This kind of disease develops rapidly, sometimes in the nervous system and occurs with acute symptoms. Disease begins with the appearance of a small amount of scaly papules that are clearly limited and protrude slightly above the surface . In the future, papules may join together, forming plaque.
VULGAR FORM OF PSORIASIS. This type of psoriasis is accompanied by active papules and peeling of the scalp, back, hands, elbows, feet. Rash covered with silvery-white scales loose and has a clear bright red (pink) border .
Rashes appear in the local areas (elbows, scalp, etc.) in 1-2 weeks. This rash is called "guard" or "duty". For some patients the papules are converted into erythroderma. Very rarely vulgar form appears on the face and in the genital area.
SEBORRHEIC PSORIASIS. This disease is localized on the scalp and is characterized by severe flaking of the head, ears and forehead. In the future, the crust cracked and sore areas of the skin (especially in children) much itching and scratching that gives great discomfort to the patient. As a rule, the disease has a seasonal development, it is sometimes possible its appearance in connection with increased nervous excitability of the patient. In violation of the immune system, you may experience fungal infection, what aggravates the disease.
The disease diagnosis is difficult because seborrheic psoriasis like seborrheic dermatitis its symptoms, however, seborrhea psoriasis no hair loss. By palpation (feeling) of seborrheic psoriasis defines clear borders of plaques, and seborrheic dermatitis has these boundaries.
EXUDATIVE FORM. This disease develops in patients with disorders of the endocrine system (diabetes, obesity). Exudative psoriasis often seen in the elderly, possible adverse symptoms in a child.
The main characteristic of this form of psoriasis is the absence of white scaly deposits on the papules. Instead, the rash can be covered in a yellow-brown crust, triggered by an excessive secretion of exudate (inflammatory liquid). It coats the scales of the rash. When removing the crusts exposed moist erosive surface. Typical papules of psoriasis are not available, and appears inflamed area of the body with edema and blurred boundaries.
Most commonly lesions are located in the skin folds (genitals, armpits, under Breasts) hands and feet. If the patient has varicose veins, symptoms of exudative psoriasis of the lower extremities are enhanced.
THE NAIL PSORIASIS. This type of psoriasis is characterized by lesions of the nail plates in the form of point depressions. The nail becomes dull, the outer edge of the infected nail appears inflamed rim. While there is a fragility around the nail shaft and the destruction of the structure of the nail. It should be noted that similar symptoms were observed with the development of onychomycosis', so requires careful diagnosis.
THE CHRONIC FORM OF THE DISEASE. The disease occurs with long-term existence of the rash of psoriasis in the buttocks, hips and waist. Signs of chronic psoriasis is characterized by inflamed lesions that triggers warts and papillomas. With the growth of layers of plaques can develop opioidnye psoriasis (the combination of chronic manifestations of papules on the skin). This disease can not be cured completely, it is dangerous to the possible degeneration of cutaneous manifestations in malignancy.
PSORIATIC RHEUMATOID ARTHRITIS. Rheumatoid arthritis develops in 7-10% of patients with psoriasis. As a rule, the disease most commonly affects the age group from 20 to 50 years, but there have been cases of development of rheumatoid arthritis in young children. Sometimes this type of psoriasis occurs in women in the nervous system.
In 70% of cases arthritis occurs in patients suffering from psoriasis more than 10 years. In some cases, this form is noted at the initial symptoms and sometimes the syndrome can precede the patho logical disease of the skin. Usually, psoriatic arthritis develops unnoticed, with the gradual increase in symptoms. In rare cases, the disease can develop acute.
TEARDROP PSORIASIS. Guttate psoriasis often develops in childhood and adolescence patients. As a rule, development of teardrop psoriasis is triggered by streptococci. The primary cases can occur after suffering angina and suppurative otitis media, so a big role in preventing this kind of psoriasis plays a readjustment of foci of chronic infections (caries, etc.).
Guttate psoriasis may gradually become chronic with periodic remissions and exacerbations. As they grow up guttate psoriasis can disappear on their own, but most often it is converted to other forms of adult eczema (exudative, vulgar, etc.).
PUSTULAR PSORIASIS. This disease occurs in 1-2 % of patients, manifesting generators lysed rash or restricted areas on the palms and soles of the feet. For this psoriasis is characterized by the occurrence of pustular pustules, which are filled with a sterile content, and superficial lesions a pinkish-red color.
PSORIATIC ERYTHRODERMA. This disease is one of the most severe forms of psoriasis, which is most frequently observed among men and develops seasonal (autumn-winter).
Symptoms in children
First symptoms of psoriasis in a child (especially infants) are slightly different from the symptoms of the disease in adult patients. Typically, the primary symptoms and typical.
In skin folds is hyperemic limited region, where there is maceration. In addition, since the periphery of the slow detachment of the stratum corneum, resembling eczematid ,candidiasis . The kids may spread the rash in unusual places (face, genitals). Diffuse lesions may occur on the inner parts of the palms and soles of the feet of the child. In addition, possible infiltration and cracking of affected skin.
In infants quite often, the rash occurs on the head (the hairy part) in the form of accumulations of crusts, resulting in moderate infiltration. In addition, children's psoriasis can be observed in those places where parts of the body are exposed to direct interaction with clothes. Possible increase in symptoms under the influence of some drugs. Formed papules slowly merge into a single plaque, the size of which can reach the palm of the child.
Baby psoriasis occurs in 3 stages:
- Progressive — the child appears melkopomolotyj scabiosus rash. Papules surrounded by a red rim. In children the disease is accompanied by enlargement and hardening of the lymph nodes, painful on palpation. In infants, this symptom is not very pronounced.
- the stationary phase of psoriasis papular growth slows, and infiltrates the Central part of the plaque becomes flat. In addition, significantly reduced the peeling.
- Regression is accompanied by a decrease in rashes. Often in areas where there was skin, there is increased pigmentation or, conversely, a complete lack of pigment. The lymph nodes soften and decrease in size.
Pustular psoriasis the child develops very rarely. Children's psoriasis occurs is much more difficult than in adults.
Methods of treatment of the disease
Psoriasis treatment is determined by the forms of the disease, symptoms and susceptibility to pharmacological drugs.
It is recommended that treatments with drugs acting directly on the affected psoriasis areas of the body. This treatment helps to prevent possible adverse events.
There is a special procedure which involves the treatment of patients with psoriasis first, more mild and gentle drugs, and stronger drugs are appointed in the absence of the desired result. However, it is important to note that even when positive effects of the selected drug, it must be replaced by another, to avoid tolerance.
The positive effects observed in the use of systemic therapy in severe and middle stages of the disease. But despite the positive aspects, such therapy can lead to several undesirable consequences.
Modern medicine claims that completely cure psoriasis cannot, however, be in compliance with all medical recommendations, and strict adherence to prescribed procedures, it is possible to keep this disease under control, which contributes to long-term remission.