How to understand that psoriasis is starting to go away. Can psoriasis be permanently cured Controversial treatments for psoriasis include

Psoriasis - from this diagnosis, many become uncomfortable. Everyone who has ever encountered this disease at least once in their life is either forced to spend a lot of money and effort on treatment, or gives up in impotence and resigns themselves. There are a lot of rumors about this disease that significantly worsen the patient's condition.

It is believed that the disease cannot be cured, and patients suffer all their lives. It's a delusion. It is really impossible to cure the disease completely, but it is possible to significantly improve the condition of psoriasis by preventing the development of relapses of the pathological process.

The period during which the patient does not have external manifestations of the disease is called remission. The goal of treatment is to prolong remission as much as possible. This will be the cure for the disease. However, the path to it is not so easy.

Treatment of psoriasis should be comprehensive. It is advisable to consult a doctor at the first manifestations of the skin, get recommendations for treatment and start treatment. A timely therapeutic course at the initial stage can reduce the activity of immune cells involved in the pathological process, and the progression of the disease will slow down.

Treatment is complicated by the fact that it is still not exactly established how psoriasis occurs. Only factors that can cause its manifestations and aggravate the course are known. However, this does not mean that you should not be treated. People who receive treatment in a timely and complete manner live better and do not suffer from complications.

Non-traditional methods are not a panacea

Manifestations of psoriasis are well eliminated in the treatment of non-traditional methods. Currently, there are many recipes, thanks to which the manifestations of the disease pass. However, relying only on alternative medicine is not worth it.

The fact that she is able to completely cure psoriasis is also a delusion. You need to radiate in a complex way, combining external treatment and taking various tinctures and decoctions with physiotherapy, antibiotic treatment and other methods of traditional medicine.

Universal treatment regimen for psoriasis

There is a misconception that doctors treat everyone with the same brush. In the case of many other diseases, therapy can indeed be carried out according to a universal scheme. But with psoriasis, the same treatment is not suitable. The thing is that the etiology of the disease has not yet been studied, and there is no single cause of its occurrence.

Both individual and combined factors can lead to the appearance of psoriasis - excessive allergization of the body, impaired immune activity. Depending on what caused the disease, the treatment is selected. Usually this is a complex therapy, consisting of a combination of different methods.

The selection of therapeutic methods is carried out on the basis of examination and thorough diagnosis. The doctor takes into account the state of immunity, the presence of deviations from the nervous and endocrine systems, the effect of other external and internal factors. The age of the patient, the presence of genetic abnormalities are also taken into account.

In the case when the treatment is ineffective and does not lead to a cure, it is necessary to change the regimen using a combination of new techniques. Only this approach will allow you to find an option in which psoriasis goes into long-term remission.

Psoriasis goes away on its own without treatment

This is yet another misconception. People who do not want to be treated or do not go to the doctor in time know that this approach brings nothing but problems. In the presence of such a disease, the patient needs competent and carefully planned medical treatment.

The delusion has its roots in those cases when the patient's condition improves for one reason or another. Sometimes any environmental factor can affect the manifestations of the disease. It is enough to go to the sea, change the diet, and the disease recedes for a while.

It seems to the patient that psoriasis went away on its own, but this is not so. It is enough to return to the previous way of life, and the disease will again make itself felt. So it is necessary to be treated in order to control the course of the disease and the duration of remission.

This approach is relevant in both adult and pediatric practice, because psoriasis is often inherited. The genetic factor in its development does not work one hundred percent. There is a formula by which the probability of developing psoriasis in a child is calculated.

If both parents suffer from psoriasis, then the probability of morbidity is fifty percent, if one - then twenty-five. To reduce the likelihood of morbidity, stress should be avoided during pregnancy.

When will psoriasis go away?

Getting rid of the disease, many are interested in when the psoriasis will finally go away. This question is the main one asked during visits to the doctor. The answer to it plunges many into shock. As already mentioned, this disease does not go away completely, it is possible to achieve only the development of remission, when there are no external manifestations of the disease.

But it should be borne in mind that, unlike other skin diseases, psoriasis is not contagious. It does not have an infectious nature, and the patient will not be able to infect one of his friends or relatives. So you can continue to lead your normal life.

Of course, the disease brings a lot of inconvenience during the peak, but they will have to put up with. The main thing is to find an effective treatment and adhere to a proven and effective scheme, try not to pay attention to itching and soreness, which, with proper treatment, quickly recede, and, most importantly, not to worry about your own inferiority.

Regrettably, but the psoriatic lesion really negatively affects a person's self-esteem. He suffers from an unaesthetic appearance, begins to worry, is more easily exposed to stress, which further worsens the course of the disease. Therefore, it is necessary to try not to be nervous, to be treated in a timely manner and not to start the disease.

Essence of psoriasis

To understand the essence of the disease, it is necessary to understand that it is of a chronic nature. Psoriatic damage is often referred to as chronic dermatosis, but not all rashes can be attributed to this disease.

When diagnosing, doctors rely on a combination of three manifestations:

the presence on the surface of the skin of a specific stearin stain, on which scaly pieces of skin are based;
a special transparent film that occurs after the treatment of rashes;
blood clots that appear on the surface of the growth, if the scales are torn off.

The remaining papules and other rashes that occur on the skin of the arms, legs, back, and even on the head may be caused by another disease. That is why a thorough diagnosis is necessary to clarify the diagnosis. It happens that the skin undergoes additional infection, so the person's condition worsens even more. In this case, additional treatment will be required.

To improve the condition, you need to know about the disease several fundamental factors:

And this is not all the features of treatment and rules of conduct for psoriasis. Official medicine has developed many recommendations for patients with psoriasis.

Important information for psoriasis

According to doctors, very often the disease occurs against the background of a violation of the nervous system. The starting point in its development is often severe stress. In the life of a modern person, there are plenty of such situations. Therefore, it is not surprising that the disease is so common today.

Any nervous shock, whether it be job loss, family troubles, severe trauma or other problem, can trigger the development of psoriasis. At the same time, rashes appear on the skin, but not always they can itch. In some cases, there is no burning, no itching, no discomfort, and this complicates the diagnosis.

Sometimes, instead of traditional peeling, small cracks and tiny pustules form on the skin. This clinical picture practically does not resemble the classical variant of the development of the disease. This is the so-called pustular type of rash. They can appear anywhere on the body.

If you do not treat it, and any other kind of disease, it can lead to the development of numerous complications. The most severe and threatening is psoriatic joint damage. Arthrosis that occurs against the background of chronic inflammation is very difficult to tolerate and practically untreatable.

Still sometimes psoriatic lesions can progress rapidly, and then the slightest trauma to the skin becomes a 100% guarantee of the appearance of new rashes in the injured area. In this case, the patient is taken out of this state without using damaging methods.

Severe pathology of integumentary tissues, in which the lesion is of a non-infectious chronic nature, is called psoriasis. At the initial stage of the development of the disease, the symptoms are similar to other skin diseases. Nevertheless, there are also a number of differences. Making the correct diagnosis in a timely manner is the key to a successful fight against unaesthetic defects that can seriously complicate a person’s life. Therefore, you should not self-medicate, it is better to consult a competent dermatologist.

In simple words about psoriasis

Specialists cannot definitively decide what is the main reason for the change in the structure of the skin - the formation of psoriatic plaques and spots. There are many theories put forward, but the version about the autoimmune reaction of the body prevails. Your own immune system fails: the cells of the epidermis are considered as a foreign object that needs to be destroyed. Against this background, foci of inflammation develop - the skin begins to redden, peel off, and itching appears.

A number of experts in the basis of psoriasis see a genetic predisposition. So, if the family already had cases of tissue damage with psoriatic spots, or the disease proceeded in a severe form - with deformity of the joints, changes in the internal organs, then the risk of such manifestations in subsequent generations is high. However, this does not mean that the symptoms of this disease - limited areas with a striated red surface and peeling - must appear without fail.

Symptoms and signs of psoriasis

on certain parts of the body, more often on the elbows, knees, head, foci appear - pink spots;
the surface of these foci is elevated above the surrounding tissues;
there are separate or common areas of peeling;
there is an almost irresistible desire to comb the stain;
sometimes the skin in this area cracks, a yellow liquid is released - crusts form.

At the time of remission of the disease, the skin can be completely cleared, but the “duty” plaque still remains.

Can psoriasis go away on its own?

There is no unequivocal answer to the question of whether psoriasis passed without any external intervention. The chances of a similar outcome are high if the pathology is mild, with rare exacerbations. For example, single rashes occurred at the time of hormonal fluctuations - in adolescents, pregnant women. After the hormone parameters return to normal, the integumentary tissues are cleared of spots and plaques.

Sometimes recovery is the result of self-healing of the human body.

His defenses themselves cope with a mild autoimmune disorder. So, moving to a region with a different climate or changing jobs can push for this - there are no quarrels and conflicts in the team. In other cases, complex therapy is indispensable.

Treatment Methods

From what stage of development the pathology is at, it directly depends on whether psoriasis can go away on its own. This is possible if the lesions are single, and their size is small. Specialists for people with a mild course of the disease recommend drug-free therapy:

diet correction;
being outdoors;
giving up negative habits;
normalization of sleep;
avoidance of stressful situations.

When the situation worsens - the occurrence of multiple psoriatic defects, a decrease in the quality of life with psoriasis - complex therapy is necessary.

In addition to the correction of nutrition and work regimen, the use of various subgroups of drugs will be required:

external preparations - ointments, gels, creams with antipsoriatic activity;
systemic medicines - tablets, capsules, injection solutions to suppress autoimmune reactions in the body, anti-inflammatory effects;
traditional medicine recipes - infusions and decoctions with medicinal plants can be used to accelerate the achievement of a positive result.

However, you need to know that the treatment of psoriasis can take from 8–10 months to 7–15 years. Sometimes pathology torments a person all his life.

Is it possible to get rid of the disease forever?

People have been suffering from unpleasant manifestations of skin disease for many hundreds and even thousands of years. At the same time, many myths have developed about the causes of psoriasis and the possibilities of getting rid of it. For example, psoriasis went away on its own, even in its severe form, no special efforts were needed.

In fact, most doctors are absolutely sure that in order to cure psoriasis, it takes time, patience, a complete revision of a person's lifestyle and appropriate therapeutic effects. It is with the help of a special diet, careful personal hygiene, as well as courses of medication that a long-term remission can be achieved. It is she who is most often referred to when talking about a cure for psoriasis.

You can get rid of a skin problem forever if you strive for it. You need to pay attention to the following points:

nutrition is the health and basis of all people's lives, so it should be given maximum attention;
timely treat internal pathologies, especially digestive structures;
organize your work in such a way as to avoid stressful situations;
ensure quality sleep - at least 8-10 hours a day;
walk more in the fresh air - ultraviolet rays saturate the skin with vitamin D, which is essential for getting rid of psoriatic plaques;
attend yoga sessions, relaxing massage, aromatherapy or use soothing decoctions, teas.

There are many methods of treatment and prevention of exacerbation of psoriasis. It is better to coordinate each of them with a dermatologist in advance in order to avoid severe complications and progression of the pathology.

Psoriasis is one of the intractable skin diseases. Tens of thousands of men and women (and in equal proportions) suffer from this disease. And how many accompanying problems it brings: love relationships do not go well, self-esteem of the individual falls, hands give up. People in public professions experience the disease especially dramatically: how to stand at the counter, give a lecture or lead a tour with scabs on your face, how to give a rough hand for a handshake? And yet, there is no need to despair. Larisa KOTOVA, a dermatovenereologist, candidate of medical sciences, an employee of the Center for Endosurgery and Lithotripsy, tells about the features of psoriasis and its treatment.

- LARISA Konstantinovna, what is psoriasis and can it be avoided?

Psoriasis is a dense scaly rash on the surface of the skin. Fortunately, it does not penetrate into the deeper skin layers. It often affects only the skin of the scalp, sometimes it can be small plaques scattered over the body, and sometimes the disease can capture huge surfaces of the body, up to the state of psoriatic erythroderma. On children's skin, psoriasis takes, as a rule, a drop-shaped form. Unfortunately, it is impossible to protect yourself from this scourge. And the question of the causes of the disease is still open. One thing is certain: the development of psoriasis is influenced by many factors, the main of which is a genetic predisposition. If you had people in your family who suffered from this disease, you have the right to expect that the same process will cover your skin at some point in your life.

- What will be the impetus for this?

For example, powerful stress. When people lose loved ones, get into all sorts of accidents, endure difficult operations, it is difficult to survive an unexpected dismissal from work, failures on the love front, etc. That is, this is not about some kind of sluggish depression or a banal resentment against a husband or boss, but about the sharp blows of fate. Although the disease can occur without a special reason. An important point: the more a person's immune system is weakened, the more area psoriasis will occupy on his body. I want to warn you: people who drink heavily are especially prone to this.

- Is psoriasis accompanied by itching, burning?

Not always. Psoriasis itches very rarely, unlike, for example, seborrheic dermatitis (dysfunction of the sebaceous glands on the scalp), which is similar in appearance to it. The disease can proceed absolutely painlessly, except for the forms of pustular psoriasis, when cracks and pustules appear on the skin. I must warn you that there is still a progressive stage of psoriasis, when any scratch, any injection can provoke a plaque in this place. In this case, even intramuscular injections are not prescribed.

- In what places of the body does psoriasis manifest itself most actively?

In addition to the scalp, these can be skin folds, elbow and knee folds, small joints on the fingers. Fear arthropathic psoriasis when joint pain occurs. It happens that psoriasis affects only the palms and soles. There is also isolated psoriasis on the genitals.

- Does the time of the year somehow affect the course of the disease?

Yes. There are summer and winter forms of psoriasis. In winter, the disease, as a rule, is activated, and in summer it proceeds more easily, not so pronounced. It happens that on vacation, sunbathing, a person notes the complete disappearance of these rashes.

- That is, psoriasis goes away on its own?

It does happen, but it's extremely rare. Much more often, both doctors and patients make a lot of moral and material efforts in order to achieve not so much a recovery as a state of clinical remission. This is the period between apparent recovery and a new relapse of the disease. It can last a week, or maybe 10 years. No doctor will give you any guarantees here.

- How is psoriasis treated?

First, the form, stage of the disease and the general condition of the patient are taken into account. Treatment is complex, but always under the supervision of a doctor. On his own, the patient can try to help himself with external means. Of the non-hormonal ointments, the most effective today is Daivonex (or calcipotriol) - it reduces the division of pathogenic epithelial cells, and the plaque gradually disappears. By the same principle, by the way, any hormonal drug works.

The only difference is in the duration of the drug: non-hormonal will have to be used longer - at least a month. But at the same time, we will not have any adaptation to the drug, dependence on it and other undesirable side effects. A good result is also given by the Skin-cap tool. It is available in the form of ointment, lotion, shampoo. The therapeutic series "Friderm" is also very good.

- A strong effect, I heard, can be expected from PUVA therapy ...

Yes, this is photochemotherapy. Before its use, the patient is carefully examined: does he have any pathological changes in the blood, how does the heart, liver and other organs function. PUVA therapy involves taking a photosensitizer - a substance that increases the skin's sensitivity to ultraviolet radiation. A person is sent to a special chamber like a solarium, and he sunbathes there for the required time. By the way, this therapy is perfectly combined with extracorporeal plasmapheresis. In this case, remission can be achieved up to a year, and sometimes more.

- Or maybe psoriatic patients should just be in the sun more often?

Of course, if you have exactly the form of psoriasis in which tanning helps, it is advisable to regularly travel to resorts, sunbathe, or at least sunbathe in a solarium. Physio- and balneotherapy is also shown: mud, mineral waters, spas, etc. Only these procedures should be carried out in the stationary stage of the disease - when there are no new rashes. By the way, it is not at all necessary to go to the Dead Sea - you can be treated very effectively in the Crimea or on the Black Sea coast of the Caucasus.

- And yet, is there any hope to recover from psoriasis forever?

There is always hope, but today we can only talk about achieving clinical remission. Our task is to extend it to the maximum possible period.

The combination of causes that provoke the occurrence of scaly lichen makes it a difficult, lengthy and painful diagnosis. In order for psoriasis to disappear, experts prescribe complex therapy for a long time with a prescription for strict adherence to it. Can psoriasis go away on its own?

How does psoriasis go?

Not all rashes and growths that occur on the skin are psoriasis. To diagnose such a disease, three characteristics are required:

The presence of a stearin stain on the surface of the crust, which acts as the “basis” for the imposition of scales;
Terminal transparent film, which appears after mechanical action on keratinized inflammation;
Drops of blood localized over the entire surface of the growth when tearing off excess skin.

In other cases, pale and bright pink papules, plaques and nodules that appear on the face, head, body and skin folds of the armpits and in the groin cannot be considered a manifestation of scaly lichen.

Does psoriasis go away if you do not injure painful tissues, ignoring severe itching and burning? The answer is negative. After all, chronic dermatosis is caused by a malfunction of the internal systems, insufficient control of the immune system and metabolic disorders.

“We have carried out a national Russian development that can get rid of the cause of psoriasis and destroy the disease itself in a few weeks. "

Only the restoration of the rhythmic and proper functioning of the body can heal you from the disease. Therefore, experts prescribe multifactorial therapy, consisting of diet, medication, physiotherapy and non-traditional methods.

Treatment regimen

Compliance with the regimen and restrictions imposed by the dermatologist will help you forget about psoriasis.

Can psoriasis itself pass - this is possible only if all medical prescriptions are met, including:

Regular visits to clinics and hospitals. In case of feeling unwell, pain and the first symptoms of viral or infectious diseases, treatment should be started immediately under the supervision of a specialist. Since new foci of inflammation are the impetus for the onset of the acute phase and the complication of the course of the disease.
Rejection of bad habits. Alcoholic drinks and smoking are harmful to the body even of an absolutely healthy person, so for a patient with scaly deprive they can be deadly. Alcohol and tobacco smoke irritate the internal environment and skin, aggravating the form of depriving and increasing its soreness.
Fasting days and diet. A day of starvation or a diet consisting only of kefir product helps to cleanse the body, as toxins, toxins and toxic substances that are produced during the breakdown of protein molecules are excreted. Compliance with the dietary menu reduces the content of allergens, unhealthy fats and complex carbohydrates in it, increasing the amount of fiber, vitamins and essential micro and macro elements.
It is recommended to add non-traditional methods from traditional medicine to traditional methods. With regular baths with vitriol, chaga or herbs, rubbing the affected areas with healing decoctions and infusions and applying ointments, you will notice how psoriasis has passed.
Drinking soothing teas, attending yoga sessions and relaxing massages will restore harmony in the psychological health of the patient. By studying Buddhist techniques, you will be able to resist overwork, stress and unrest, which provoke exacerbations of the disease.

Scaly lichen occurs under the influence of many factors, both external and internal environment. That is why its treatment requires the elimination of all possible causes and the improvement of your body systems. Hoping that psoriasis will go away on its own, you only aggravate its course and risk limb amputation or death.

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Reviews and comments

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How to identify psoriasis

Psoriasis is a chronic dermatological pathology, the causes of its occurrence are not fully understood. Stress, weakened immunity, a genetic factor, and an unbalanced diet can provoke the development of the disease. How does psoriasis manifest itself, how to determine the initial signs of the disease?

How to recognize at an early stage

Psoriasis is a skin disease, so it begins with rashes on various parts of the body, itching. This disease is non-infectious, it is impossible to catch it.

How do you know if you have psoriasis? The disease begins with the appearance of a plaque, which is colored pink or red. As the disease progresses, the spot increases in size, new plaques appear that merge together.

The doctor will be able to make an accurate diagnosis based on the examination and the results of clinical studies. But some symptoms will help determine the initial stage of psoriasis at home.

plaques are covered with specific scales that resemble stearin;
under the scales is a smooth, shiny film;
if you remove the dry crust, then dotted blood appears on the pink skin;
when the nails are damaged, the plate becomes uneven, small depressions appear on it, it becomes brown in color;
sometimes there is a slight increase in temperature.

If rashes appear, how to determine psoriasis or not? Most often, psoriatic papules appear in the folds of the knee and elbow joint, on the head, in the lower back, are located symmetrically.

How to identify psoriasis in a child

Psoriasis often occurs in children, the disease gives the child severe physical and psychological discomfort. Kids often comb plaques, severe inflammatory processes begin on the skin, ulcers appear.

Signs in children:

in infants, affected areas of a rich pink color appear on the skin, which have clear boundaries;
plaques are covered with thin skin scales;
itching appears;
in older children, a rash appears in the form of nodules, which are covered with gray scales;
microcracks form on inflamed areas;
an important sign is Koebner's syndrome, new plaques form on the wounds, which completely follow the contour of the scratch in shape.

How the disease is diagnosed

A doctor can diagnose psoriasis after an external examination - each form of the disease has its own characteristics, a clinical picture.

Vulgar - the most common type of pathology, which is characterized by the appearance of red spots. A distinctive feature is the presence of papules at the locations of the joints, a large affected area.
Psoriatic arthritis is the most severe form of the disease, which affects the joints, every movement is accompanied by severe pain. Pathology can cause the development of irreversible bone tissue processes.
Palmar-plantar form - rashes are localized on the palms and soles, cracks form in the places of rashes.
With the exudative form, the plaques are voluminous, there is a specific liquid inside.
Pustular psoriasis is an advanced form of the disease, plaques cover more than 75% of the skin.
The erythrodermic form is characterized by high fever, swelling, unbearable itching. Against the background of pathology, nails and hair begin to fall out.
The seborrheic variety is the most difficult to diagnose, since its manifestations are similar to other dermatological diseases. A distinctive feature - the scales are separated very easily. Your doctor may order additional tests to confirm the diagnosis.

Standard clinical diagnostics includes a general and biochemical analysis of the patient's blood, urine and feces.

It is impossible to determine psoriasis by a blood test - the study is carried out in order to choose the right drugs, reduce the likelihood of developing allergic reactions, and exclude anemia. When the form is running, the analysis will show signs of inflammation, so the doctor pays attention to the ESR, the number of leukocytes.

Urine analysis is carried out to assess the water-salt balance, fecal analysis allows to exclude helminthic invasions. Additional diagnostic methods - sowing on the microflora to exclude acute pharyngitis, a test with potassium oxide, which helps to detect fungal infections. Pregnant women are prescribed a prolactin test - this test allows you to determine what caused the rash.

Sometimes scrapings are made from the affected areas, sent for a biopsy - this is one of the most accurate methods for diagnosing skin diseases. With manifestations of psoriatic arthritis, it is necessary to take an x-ray of the joints to determine the degree of bone damage.

How to distinguish psoriasis from other dermatological diseases

Initial manifestations of psoriasis may be similar to other skin pathologies. You should not engage in self-diagnosis, only a dermatologist can make an accurate diagnosis.

Psoriasis or lichen - how to determine? Psoriasis is a type of lichen, but the diseases have significant differences.

Eczema or psoriasis - how to determine? These 2 diseases are very similar to each other. With eczema, itching and burning are more intense, and peeling is less pronounced, the spots have blurry contours, painted in a grayish-yellow color. Psoriatic plaques appear in the places of the fold; with eczema, the first rashes can be seen on the palms and face.

How to distinguish psoriasis from allergies? The initial stage of psoriasis is similar to allergic rashes, to clarify the diagnosis, it is necessary to do laboratory tests. Allergies often have a number of other symptoms - rhinitis, cough, increased lacrimation, upset stool. Allergic rashes are usually small, scales are absent.

How to distinguish a fungus from psoriasis? Fungal infections are transmitted from person to person, the disease begins with severe itching between the fingers. With a fungus, the plates become cloudy, their color and structure change, and an unpleasant odor appears.

How to understand that psoriasis is starting to go away

It is impossible to completely get rid of psoriasis, the disease is chronic, periods of exacerbation alternate with remission. The disease always goes through 3 stages.

How the disease progresses

Progressive stage - constantly new papules appear on the skin, the area of \u200b\u200baffected areas increases. The plaques do not peel along the edges, they have a bright red rim.
Stationary stage - plaque growth stops, new papules do not appear, but peeling intensifies. In place of the resolved rashes, the skin is lighter or darker.
Regressive stage - the rash disappears, the plaques are destroyed, healthy skin appears.

The task of the doctor and the patient is to make every effort to prolong the regressive stage. To do this, you need to follow a diet, strengthen your immune system, take vitamins, move, spend more time outdoors, take medicines for preventive purposes.

The first signs of psoriasis are easily confused with other dermatological diseases. Any rash on the body is a reason to see a doctor. Psoriasis cannot be completely cured, but diet, proper medication, and a healthy lifestyle will help prolong the remission stage.

Symptoms of psoriasis

Psoriasis is a non-infectious disease that affects the skin and its appendages: hair, nail plates. External manifestations are rashes and peeling of the skin, from where the second name of the pathology came from - scaly lichen. It is characterized by alternating periods of exacerbation with periods of relative stability, or remission. Since the onset of the disease is not caused by microorganisms, it is not infectious in nature and is not contagious. Medical statistics state that approximately 3-4% of the population suffers from this pathology. Psoriasis can manifest itself in people of any age, but "prefers" the young: in more than 70% of patients, it is found at the age of 12 years.

Why does psoriasis appear?

Psoriasis is an abnormal reaction of the body to external stimuli, which results in the rapid death of the upper layer of the skin in certain parts of the body. Normally, the duration of the cycle of division and subsequent maturation of cells is days, in the case of psoriasis, the period is reduced to 3-5 days.

Today, most experts tend to consider psoriasis as a multifactorial disease of hereditary etiology.

There are several theories about the origin of the disease. According to the first, there are two types of lichen:

the first is a consequence of the poor functioning of the immune system, affects the skin and is inherited, manifesting itself from a young age;
the second makes itself felt after 40 years, affects the joints, nails, is not genetically determined and is not associated with a malfunction of the immune defense.

Proponents of another theory argue that the only factor contributing to the development of psoriasis are immunity disorders, which are provoked by a wide variety of factors:

infectious diseases;
irrational nutrition;
cold climatic conditions;
alcohol abuse.

In accordance with this theory, lichen scaly is classified as a systemic disease and can spread to internal organs, joints, and other tissues. When the joints are affected, the so-called psoriatic arthritis develops, in which the small joints of the hands and feet suffer.

The following factors favor the appearance of the disease:

dry thin skin;
constant contact with irritating reagents: household chemicals, alcohol solutions, cosmetics;
excessive hygiene, leading to a violation of the natural protective barrier of the skin;
smoking, consumption of drugs or alcohol (contribute to the deterioration of blood supply and skin nutrition);
taking certain medications;
fungal and bacterial infections;
change of climatic region;
stress;
the use of spicy, sour foods, chocolate;
allergic conditions;
injury.

Disease classification

How psoriasis begins, how it manifests itself, what is its effect on the body - all these points are determined by a specific type of pathology.

Today there are several classifications of the disease. One of the most common divides psoriasis into two varieties:

The non-pustular (or simple) form is a chronic pathology characterized by a stable course. This group also includes erythrodermic psoriasis, the main symptom of which is the defeat of most of the skin.

The pustular variety includes:

annular pustulosis;
Barber's psoriasis;
von Zimbusch psoriasis;
psoriasis of the palms and soles.

drug-induced form;
seborrheic-like;
psoriasis Napkin;
"Reverse psoriasis" (develops on the flexion surfaces).

Depending on the localization of the pathological process and the characteristics of the manifestation of the first symptoms of psoriasis, there are:

Symptoms

Psoriasis is a systemic pathology that, in addition to spreading to the skin and nails, can affect the spine, joints, tendons, immune, endocrine, and nervous systems. Often there is damage to the liver, kidneys, thyroid gland.

general weakness;
feeling of chronic fatigue;
depressed state or depression.

Due to the complex impact of pathology on the body, experts are more likely to talk about psoriatic disease.

And yet the main clinic is associated with the defeat of certain areas of the skin. One of the first manifestations is the appearance of rounded papules of bright red or pink color covered with psoriatic plaques (scales). Their feature is a symmetrical arrangement on the scalp, flexion surfaces, lower back, less often on the genital mucosa. The size of papules in the early stages is a few millimeters and can later reach up to 10 cm or more. The feature of the rash becomes the basis for dividing the disease into the following types:

point, in which the elements are smaller than the pinhead;
drop-shaped - papules are shaped like a teardrop and correspond to the size of a lentil grain;
coin-shaped - plaques with rounded edges reach 5 mm in diameter.

Sometimes the rash is arched, in the form of rings or garlands, a geographical map with irregular edges.

The top layer of papules are easily removed scaly plaques formed by keratinized epidermis. Initially, scales form in the central part of the plaque, gradually spreading to the edges. The light, loose appearance is due to the presence of air-filled gaps in the keratinized cells. Sometimes a pink ring is formed around the elements, which is a zone of plaque growth and the spread of inflammation. The surrounding skin remains unchanged.

When plaque is removed, a shiny surface of bright red color is revealed, formed by capillaries with significantly thinned walls, covered with a very thin film on top. Capillaries are detected as a result of a violation of the normal structure of the upper layer of the skin and its significant thinning. A change in the structure of the skin occurs as a result of incomplete maturation of keratinocyte cells, leading to the impossibility of their normal differentiation.

Psoriasis of the scalp

The main symptom of psoriasis of the head is the appearance of psoriatic plaques that rise noticeably above the surrounding skin. They are abundantly covered with dandruff-like scales. At the same time, the hair itself is not involved in the pathological process. From the area under the hair, the rash can spread to smooth skin, the neck area, behind the ears. This process is due to the rapid division of keratinocytes in the affected area.

Symptoms of psoriasis of the hands and feet

This form of lichen provokes a significant thickening of the stratum corneum in these areas. The skin becomes rough and cracked. The reason is intensive cell division (their multiplication rate is up to 8 times higher than normal) and preservation on the surface. At an early stage, pustules form on the skin with contents that are initially transparent, but gradually become white. Over time, dark scars form. In most cases, the disease manifests itself simultaneously on the feet and palms, but sometimes plaques occur in only one area. When the process spreads to the back of the hands, we are talking about a different form of psoriasis (not about the palmar-plantar).

Symptoms of Nail Psoriasis

How does nail psoriasis manifest itself? This type of disease is characterized by a variety of symptoms. There are mainly two types of damage to the plates:

like a thimble, in which the nail is covered with small pits, resembling traces of needle pricks;
by the type of onychomycosis - the affected tissues resemble a nail fungus: the nails change color, noticeably thicken and begin to flake off. Through the plate, one can distinguish a psoriatic papule surrounded by a reddish rim, resembling an oil stain.

The dependence of symptoms on the stage of the disease

Manifestations of psoriasis vary depending on the specific season and stage. Many patients have a “winter” type of the disease, in which periods of exacerbation occur in late autumn or winter. In the warm season, due to the intensity of the ultraviolet, an improvement occurs. The “summer” type is quite rare.

During the pathology, three stages are distinguished:

Progressive, in which new elements constantly appear, the active growth of existing plaques is fixed, the presence of a pink zone around them, severe peeling, itching.
Stationary - the growth of papules stops, new rashes do not form, small folds are visible on the upper layer of the skin, around the plaques.
Regressive - there is no peeling, plaques begin to disappear, in the process of attenuation of the disease, areas with increased pigmentation remain in their place.

Symptoms of psoriasis in children

Symptoms of psoriasis in children have some differences, especially in infants. The first signs are not typical. A delimited area of redness appears in the skin folds, which is accompanied by maceration and gradual exfoliation of the stratum corneum (starts from the periphery). Outwardly, it resembles eczematitis, diaper rash or candidiasis. In young children, rashes continue to appear in places uncharacteristic of psoriasis (on the skin of the face, genital mucosa, in natural skin folds).

Very often, rashes first develop on the head, under the hair. Here accumulations of crusts are formed against the background of moderate infiltration. Other common areas of rash localization are areas of the skin subject to constant friction of clothing or exposure to aggressive drugs.

The papules that form on the body gradually merge into plaques with irregular outlines. Their sizes can vary from a lentil grain to a child's hand.

With a drop-shaped form, papular elements are small in size. They appear unexpectedly, quickly covering the body, face, neck, scalp and extensor areas of the arms and legs.

Psoriasis in children is characterized by a long and persistent course. The only exception is the drop-shaped type, which is characterized by a milder course with long periods of remission. As in the case of adults, three stages, or stages, are distinguished in the development of the disease.

On the progressive one, small itchy papules appear with a red rim of peripheral growth. A feature of the symptoms in infancy is the weak severity of pinpoint bleeding, terminal film and the phenomenon of stearin stain. In children, the lymph nodes enlarge and thicken, sometimes they become painful (especially with erythroderma and exudative psoriasis).
During the transition to the stationary stage, peripheral growth stops, the infiltrate flattens in the center of the plaque and desquamation decreases.
The regressive stage is characterized by the resorption of the elements of the rash. Sometimes around them you can see a characteristic depigmented rim. The areas of the former rash lose pigment or, conversely, undergo hyperpigmentation. Lymph nodes become soft and decrease in size.

Diffuse lesions are observed on the palms and soles of the child. There are also cracks and infiltration of the skin. In the case of common forms of dermatosis, nails are affected: point indentations or longitudinal grooves are formed on them. Severe psoriasis leads to nail deformity.

Pustular psoriasis is a rarity in children. It may occur in older adults. This disease is characterized by a severe course with a noticeable deterioration in the condition and an increase in temperature.

Arthropathic varieties in childhood are not found. In rare cases, small patients indicate the presence of joint pain.

Video about the symptoms of psoriasis

How the disease is diagnosed

If you suspect psoriasis, you should consult a dermatologist.

Diagnosis is based on an external examination, assessment of the condition of nails, skin, localization of lesions. As a rule, there is no need for special analyzes.
If there are difficulties with the diagnosis, a biopsy is performed. A skin sample is taken from the affected area.
In the presence of pain in the joints, x-rays are recommended. A blood test is done to rule out other types of arthritis.
If guttate psoriasis is suspected, sowing from the pharynx on the microflora is prescribed for differentiation with acute pharyngitis.
The potassium hydroxide test can rule out the presence of a fungal infection.

Treatment methods for psoriasis

The method of treatment for psoriasis is determined by the form of the disease, symptoms and sensitivity to medications.

First, local treatment is carried out with an effect on the affected areas. This avoids the occurrence of an adverse reaction.

There is a technique in accordance with which patients are prescribed soft drugs. In the absence of effect, they are replaced by more potent ones. Even with the effectiveness of the chosen remedy, it is periodically changed to avoid addiction.

A good result is given by taking systemic drugs. Their appointment is advisable for severe and moderate forms of pathology. The disadvantage of this treatment is the high likelihood of serious adverse reactions.

The main groups of drugs used:

Retinoids (Tigason, Neotigason) - eliminate the violation of the maturation of the surface layer of the skin.
Immunosuppressants (Cyclosporin A) - reduce the activity of immune defense and the activity of T-lymphocytes, which provoke intensive division of skin cells.
Cytostatics - drugs for the treatment of malignant tumors (Methotrexate) - stop the reproduction of atypical epidermal cells and their growth.

Physiotherapeutic methods are also used:

I have been suffering from psoriasis since 1986. I will tell you one experiment, its recipe was caught in folk recipes. In general, the essence is this: I burned a birch log and collected the ashes, bought birch tar in a pharmacy. I mixed tar with ashes, I don’t remember the proportion - 1:1 or 1:3. I smeared the affected area with the mixture (the lower leg between the foot and the knee measuring 20 by 10 cm), covered it with compressor paper on top and wrapped it with a bandage. The smell was vigorous, like Mazi Vishnevsky. I don’t remember holding the compress, like a day ... Having removed the compress, I saw that the site of the skin lesion had acquired a darkish color. For a certain time, the color of the skin was restored. In general, psoriasis in this place disappeared, and does not appear to this day. Although it is still present in other former places. No more experiments with treatment. I don't know if this information will be useful to anyone. But the effect of cleansing the skin from the rash is, believe me!

I have psoriasis from time to time. Elbows and knees are especially sensitive to it. During these periods I am smeared with Urelia 50, only on the affected areas. It relieves itching and discomfort, gradually the peeling in these places disappears, the skin becomes soft.

Anastasia, one cream is not enough for psoriasis. For example, when I was being treated, as prescribed by the doctor, I took Telfast, injections of sodium sulfate, saw undevit, smeared with locoid, then losterin, followed proper nutrition (they made me a diet). That's how much, and then it was treated for a month and a half. And you anointed yourself with one cream and immediately the itching and dryness disappeared. First time I meet this. Usually people struggle with psoria for more than one day.

Mom helps with psoriasis cream with aliexpress. It costs a penny, but the effect on the face.

Psoriasis is a chronic immune system disease affecting millions of people. It affects about one out of every 50 men. Psoriasis can affect the skin anywhere on the body, but it most commonly appears on the elbows, palms, soles of the feet, lower back, and head. The soft tissue in the mouth can also be affected, as can toenails.

Psoriasis is not contagious despite its sometimes disturbing appearance and has nothing to do with personal hygiene.

There are several types of this disease, but the most common is plaque psoriasis. Skin cells are usually renewed within 28 days, but in patients the process is faster and takes only four days. These new skin cells form thick, scaly, raised red patches called plaques. If the scales detach, the area bleeds in a characteristic punctate manner, known as the Auschpitz symptom.

Psoriasis usually appears on the knees, elbows or scalp. It itches and many sufferers complain of great discomfort. So-called "geographic plaques" can occur when small spots eventually coalesce into one or more large spots on the body.

How long does psoriasis last?

Psoriasis itself lasts a lifetime and there is no known cure, but the symptoms of the disease can come and go with varying lengths of time. In some cases, symptoms may disappear within a month or more, and even for many years.

These long periods are known as remissions.

Psoriasis can appear in cycles, appear and then go away, only to come back again. This cyclical nature can be caused by different triggers or even seasons (some people experience relief of symptoms during the summer and, for example, their worsening during the winter).

What causes psoriasis?

The exact reason is not fully understood. Psoriasis can begin at any age, although its incidence appears to peak between 20 and 30 years of age and then again between 50 and 60 years of age. There is also some evidence that it occurs more frequently in cold climates, Caucasians and African Americans.

Psoriasis is often caused by an infection (especially a streptococcal infection), skin damage, and certain medications. Psoriasis occurring in the area of injury is known as Koebner's phenomenon. Other triggers may also include stressful life events such as relationship problems, loss, or even a performance boost, such as before an important exam.

Severity of psoriasis

The severity of psoriasis varies, in some cases from quite mild, even without symptoms, and in others it becomes debilitating.

Mild psoriasis usually affects less than 2% of the body.
Moderate psoriasis can affect 3 to 10% of the body.
Severe psoriasis affects more than 10% of the body.

Impact of psoriasis on mental health

Severe skin conditions such as psoriasis can have a very negative impact on emotional health. The affected person may believe that appearance seems unattractive to others and withdraw from social contact as a result.

Some may turn to alcohol and smoking as a way to manage psoriasis. Unfortunately, all of these, especially smoking, can worsen the disease.

Treatment of psoriasis

There are several treatments for psoriasis. You can read more about them on the website https://1psoriaz.ru/ More common treatments include:

Moisturizing
Bath solutions (Epsom salts, oatmeal solutions, etc.)
Steroid ointments
coal tar
Salicylic acid
Antralin
Tazarotene
Synthetic Vitamin D3 (calcipotriene)

Here are some tips to help you manage psoriasis:

Wear light cotton clothing and avoid synthetic fabrics.
Moisturize your skin to prevent itching and irritation. You can try various ointments, gels, creams, soap substitutes and special shampoos.
Your doctor will prescribe topical forms of corticosteroids to reduce inflammation and itching. Be sure to use them properly.
Avoid stress.

Finally, there are many new injectables, known as biologics, that significantly improve psoriasis in most people. Because they require only intermittent use, biologics are usually more convenient than topical treatments, but their potential side effects are more serious.