Ecorical (vulgar) psoriasis is a chronic skin disease, characterized by the appearance of characteristic skin changes, a strong decrease in quality of life due to the appearance of itching and burnt skin, but at the same time does not represent a direct threat to life, keeping in most cases throughout its length.
The first signs of psoriasis in most cases are found in childhood or youth, after thirty years the disease, as a rule, does not manifest itself.About two percent of the population suffers from this disease, although, according to some other data, the number exceeds 6%, but many cases of lightweight course course are simply not recorded.
Causes
Common psoriasis is a versatile disease, that is, it does not occur under the influence of a certain cause, but due to the influence of a large number of factors.Therefore, it was considered for a long time, until scientists found that genetic anomaly is based on disease development.
Violations in the short shoulder of the fifth chromosome are the cause of a change in immune tolerance and under the influence of several factors that this change may appear in the form of psoriasis.In other words, a genetic anomaly creates a predisposition to the disease, but it does not yet guarantee its occurrence.
Factors that can contribute to psoriasis should be called:
- Stress;
- Alcohol and smoke;
- Infectious diseases and chronic infection focuses;
- Endocrine disorders, especially diabetes;
- Violations of immune tolerance under the influence of several external factors, including a bad ecology.
Symptoms and first signs
Occupational psoriasis is the most common form of the disease, it is believed that 90% of all cases of psoriasis falls into vulgar psoriasis.
Scalp psoriasis can occur, but often the manifestations are accurately observed in the skin.The first changes appear on the skin of the extensor surface of the elbow and knee joints.Then they can spread from primary outbreaks on the extensor surface of the forearm and shoulder, chest and back.
The characteristics of the rashes are as follows:
- Black spot;
- There is a white plate on the surface (it looks like a wax plate);
- Crusts are removed but not easy;
- After removing the crusts on the surface of the rash, the bloody discharge appears, since the removal of crusts harms the blood vessels.
Rose rashes for psoriasis are always accompanied by severe itching, sometimes so pronounced that, because of this, night sleep is disturbed, which leads to pronounced negative emotions and impaired regime and rest.Work capabilities are significantly reduced, in connection with which unreeded psoriasis can cause disability.
Common psoriasis in children
In some cases, common psoriasis in children may manifest itself at an early age, in which case characteristic clinical manifestations appear and standard treatment is difficult due to the negative effect of drugs in other organs and systems.
However, common or any other early childhood psoriasis is hardly developing, in most cases the disease develops in adolescence and, in previous years, may imitate much more common atopic dermatitis.However, when changes appear on the skin, it is still necessary to consult a doctor as soon as possible to examine and form a precise diagnosis.
Diagnostic measures
In most cases, the diagnosis of common psoriasis does not cause major difficulties.The characteristic clinical signs make it possible to suspect the presence of the disease, a positive symptom confirms the assumptions, but to make a final diagnosis, is used to perform a biopsy of skin area covered with rash, where histological changes in the dermis are detected by the disease.
What can you confuse?
Despite the presence of a characteristic clinical picture, it is not always possible to make a diagnosis only during the exam, in some cases it is necessary to differentiate the disease with:
- Seborrheic eczema;
- Plan Red Lichen;
- Neurodermatitis;
- Atopic dermatitis.
The most effective method of conducting a differential diagnosis is a skin area biopsy.The detection of character characteristics of psoriasis on the skin makes it possible to verify the diagnosis.
Treatment of psoriasis
If there was a single effective psoriasis treatment scheme, probably all patients could easily get rid of disease manifestations and significantly improve quality of life, but there are several problems in therapy of this disease, among them should be called:
- Refusal of patients with light and moderate treatment;
- The difficulty of dealing with the situation in a serious course of the disease;
- High cost of effective treatment methods;
- The need for individual therapy selection to achieve the desired result.
Psoriasis therapy should not only include treatment with systemic and local medicines, but also the use of physiotherapeutic techniques (good performance demonstrates a power therapy) as well as compliance with a diet and a change in lifestyle (rejection of bad habits, limiting psychological stress).
Between the system and the local medicines are more widely used:
- Cytostatic;
- Monoclonal antibodies;
- T cell of immunity;
- Glucocorticoids;
- Anti -inflammatory ointments based on salicylic acid.
The selection of specific medicines, determining their compatibility and the possibility of use (depending on the presence of concomitant pathology) is determined exclusively by the doctor after a comprehensive examination.In no case, in no case can it receive correspondence recommendations to increase the effectiveness of treatment.
How to treat psoriasis at home
Psoriasis development is based on immune factors, a violation of tolerance due to genetic anomaly leads to the development of these changes in the skin, which are the cause of the appearance of corresponding symptoms.
It is not surprising that traditional medicine involves the use of various recipes based on herbs, leaves and plant roots that have immunomodulatory properties.It is believed that the immunomodulatory effect can reduce the severity of manifestations.
But many recommended herbs to use (calêndula, chamomile and so on) have immunostimulating properties.Activation of immunity in psoriasis can cause the disease to worsen and only an increase in the severity of symptoms.
This is why, in no case, should you resort to self -medication with herbs and other folkloric remedies for psoriasis, and if some methods can be used, only beyond the main therapy and only under the strict control of the doctor after a comprehensive examination.
If during treatment the appearance of new rashes, increased gravity of symptoms, aggravation of burning and itching is noted, this therapy should be interrupted immediately, as it may pose a direct danger to your health.
Do they take the army with psoriasis?
Psoriasis is the disease in which a temporary delay of military service is provided or a recruit is recognized as useless for military service.In severe forms of the disease, when large areas of the skin are affected, there are joint damage, the general condition suffers significantly - they do not bring to the army.
If we talk about limited and easy -to -treat ways, a temporary delay of army service can be given with them after treatment, a medical committee is being renowned, which recognizes the proper recruit for its service or exempt.
Psoriasis is believed to be a against -Indication to serve, however, in some cases, a medical committee may be made by another decision;Therefore, the final answer to this question provides a medical committee after evaluating the general condition, the degree of severity of the disease and other factors.The actions of the doctors are regulated by the relevant instructions, according to which the recruit must be attributed to one of the categories (from A to D) according to which it receives temporary or constant exemption from the service.
Prevention of psoriasis development
Is it possible to perform effective prevention of psoriasis?The rhetorical question, which is not unambiguous.The fact is that all factors that contribute to the development of the disease can lead to psoriasis, as considered today, only in the presence of a genetic anomaly that cannot be influenced.
Of course, prevention in most cases is not performed, as neither the patient himself nor anyone knows the presence of predisposition.Exceptions are only cases where parents suffer from psoriasis, and this can be evaluated as a high risk of developing the disease in the patient himself.
Measures to avoid the development of the disease should include:
- The maximum restriction of all stressful influences and psychological stress is not always able to do this, but it is recommended to limit the psycho -emotional burden;
- Perform timely and complete treatment of infectious outbreaks and sanitation of chronic infection outbreaks (recommended not only to prevent psoriasis but also from others, including autoimmune diseases);
- Rejection of bad habits, compliance with the work and rest regime, adequate nutrition;
- Proper treatment of concomitant diseases, mainly - endocrine pathology;
- Protection against ultraviolet rays (restriction of permanence under direct sunlight, use of sunscreen creams).
The measures for preventing common psoriasis are not strictly specific, and the main difficulty of its practical use is that it is virtually impossible to perform primary prevention due to the ignorance of potential risk, secondary prevention is important in terms of disease progression prevention, but does not help eliminate existing changes.
Forecast for life and recovery
With psoriasis, the forecast for life is favorable but for recovery - unfavorable.This disease does not lead to the development of complications that threaten life and is not the cause of patients' death, but significantly reduces quality of life.
The use of any approaches and treatment methods does not allow to completely get rid of the disease;Therefore, the prognosis for recovery is unfavorable.Therapy should aim to reduce the severity of symptoms and prolong the period of remissions.With proper treatment, it is possible to obtain almost complete disappearance of rashes and significantly reduce the frequency of exacerbations.