Psoriasis ordinary treatment. Types of psoriasis, description and forms of the disease

Psoriasis is a well-known chronic skin disease that is accompanied by the appearance of raised red patches with silvery-white scales. According to statistics, about 3 percent of the total population of the planet suffers from the disease.

The main symptoms of psoriasis are characterized by the appearance of a monomorphic rash on the skin: bright pink nodules covered with silvery scales. Elements of the rash can merge into various configurations, reminiscent of a geographical map. Accompanied by moderate skin itching.

As a rule, the disease affects skin areas on the head, elbow and knee joints, and in the lower back. Psoriasis of the nails, external genitalia and joints is also known, however, these forms are much less common compared to skin lesions.

The disease can develop at any age, but psoriasis most often affects young people. In this material we will tell you everything about psoriasis - symptoms, treatment, diet and folk remedies that will help treat the disease at home.

Causes of psoriasis

The cause of psoriasis is unknown, but the disease can be triggered by immunological changes in the body (autoimmune aggression), neurological disorders, and metabolic disorders. Heredity, decreased immunity after illness, and stress contribute to the occurrence of psoriasis.

One of the main theories of the occurrence of psoriasis is the hypothesis of the so-called genetic factor. As a rule, psoriasis in children under 10 years of age is a hereditary form of the disease - in a child’s family you can almost always find a relative suffering from a similar disease. But if psoriasis manifests itself at a more mature age, doctors assume that the disease has a different nature of origin - bacterial or viral.

Factors that contribute to the development psoriasis:

  • hereditary predisposition;
  • thin dry skin;
  • external irritating factors;
  • excessive hygiene;
  • bad habits;
  • taking certain medications can trigger the disease (beta blockers, antidepressants, anticonvulsants and antimalarials);
  • infections (fungi and staphylococcus);
  • stress.

World Psoriasis Day is celebrated annually on October 29 under the patronage of the International Federation of Psoriasis Associations (IFPA). This day was first celebrated in 2004.

Is psoriasis contagious?

Numerous studies have confirmed that psoriasis is not contagious. The presence of several family members with psoriasis is explained by the possible hereditary (genetic) transmission of the disease.

Stages of development

There are three stages of development of psoriasis:

  1. Progressive– new rashes appear, the patient is bothered by intense itching.
  2. Stationary – the appearance of new rashes stops, existing ones begin to heal.
  3. Regressive - pseudoatrophic rims form around the lesions, areas of healthy skin are visible in the center of large plaques; However, hyperpigmentation reminds of the disease - at the site of the affected areas, the skin has a darker color than healthy color.

Psoriasis is also usually classified by severity as mild (involving less than 3 percent of the skin surface), moderate (involving 3 to 10 percent of the skin surface), and severe (involving more than 10 percent of the skin surface). Joint damage is regarded as a severe form of psoriasis, regardless of the area of ​​skin damage.

First signs

  1. Red raised spots (plaques) covered with dry white or silvery scales. The spots most often appear on the elbows and knees, but rashes can appear on any part of the body: scalp, hands, nails and face. In some cases, the spots are itchy;
  2. Deformed, peeling nails;
  3. Severe exfoliation of dead skin cells (reminiscent of dandruff);
  4. Blisters on the palms and soles, painful cracks in the skin.

Symptoms of psoriasis

Psoriasis is a systemic disease that affects not only the skin and nails. It affects the joints, tendons and spine, the immune, nervous and endocrine systems. The kidneys, liver, and thyroid gland are often affected. The patient feels severe weakness, suffers from chronic fatigue and depression. Due to such a complex effect on the body, the disease in recent years has been called psoriatic disease.

Psoriasis and its symptoms are characterized by the presence of a homogeneous rash in the form of plaques with a diameter of 1-3 mm to 2-3 cm, pink-red in color, covered with loose silver-white scales. As a result of marginal growth, the elements can merge into plaques of various sizes and shapes, sometimes occupying large areas of the skin. Plaques are usually located on the skin of the extensor surface of the extremities, especially in the area of ​​the elbow and knee joints, torso and scalp.

  1. Plaque psoriasis, or ordinary psoriasis, vulgar psoriasis, simple psoriasis (psoriasis vulgaris) (L40.0) is the most common form of psoriasis. It is observed in 80% - 90% of all patients with psoriasis. Plaque psoriasis vulgaris most often manifests itself in the form of typical areas of inflamed, red, hot skin raised above the surface of healthy skin, covered with gray or silvery-white, easily flaking, scaly, dry and thickened skin. Red skin under an easily removable gray or silver layer is easily injured and bleeds, as it contains a large number of small vessels. These areas of typical psoriatic lesions are called psoriatic plaques. Psoriatic plaques tend to increase in size and merge with neighboring plaques, forming entire plates of plaques (“paraffin lakes”).
  2. Psoriasis of the flexor surfaces(flexural psoriasis), or “inverse psoriasis” (L40.83-4) usually looks like smooth, non-flaky or with minimal flaking, red inflamed spots that do not particularly protrude above the surface of the skin, located exclusively in the folds of the skin, with absence or minimal damage to other areas of the skin. Most often, this form of psoriasis affects the folds in the external genital area, in the groin, on the inner thighs, armpits, folds under an enlarged abdomen due to obesity (psoriatic pannus), and in the folds of skin under the mammary glands in women. This form of psoriasis is particularly susceptible to worsening by friction, skin trauma and sweat, and is often accompanied or complicated by a secondary fungal infection or streptococcal pyoderma.
  3. Guttate psoriasis(guttate psoriasis) (L40.4) is characterized by the presence of a large number of small, raised above the surface of healthy skin, dry, red or purple (even violet), similar in shape to drops, tears or small dots, circles of lesions. These psoriatic elements usually cover large surfaces of the skin, most often the thighs, but can also be observed on the legs, forearms, shoulders, scalp, back, and neck. Guttate psoriasis often first develops or worsens after a streptococcal infection, in typical cases after streptococcal sore throat or streptococcal pharyngitis.
  4. Pustular psoriasis(L40.1-3, L40.82) or exudative psoriasis is the most severe of the skin forms of psoriasis and looks like vesicles or blisters raised above the surface of healthy skin, filled with uninfected, transparent inflammatory exudate (pustules). The skin under and above the surface of the pustules and around them is red, hot, swollen, inflamed and thickened, and peels off easily. Secondary infection of pustules may occur, in which case the exudate becomes purulent. Pustular psoriasis can be limited, localized, with its most common localization being the distal ends of the limbs (arms and legs), that is, the lower legs and forearms, this is called palmoplantar pustulosis. In other, more severe cases, pustular psoriasis can be generalized, with a wide distribution of pustules over the entire surface of the body and a tendency for them to merge into larger pustules.
  5. Nail psoriasis, or psoriatic onychodystrophy (L40.86) leads to a variety of changes in the appearance of the fingernails or toenails. These changes may include any combination of changes in the color of the nails and nail bed (yellowing, whitening, or greying), dots, blemishes on or under the nails, streaking of the nails with lines, thickening of the skin under the nails and around the nail bed, splitting, and thickening of the nail. , complete loss of nails (onycholysis) or the development of increased brittleness of nails.
  6. Psoriatic arthritis(L40.5), or psoriatic arthropathy, arthropathic psoriasis is accompanied by inflammation of the joints and connective tissue. Psoriatic arthritis can affect any joint, but most commonly affects the small joints of the distal phalanges of the fingers and/or toes. This typically causes a sausage-shaped swelling of the fingers and toes, known as psoriatic dactylitis. Psoriatic arthritis can also affect the hip, knee, shoulder, and vertebral joints (psoriatic spondylitis). Sometimes psoriatic arthritis of the knee or hip joints, and especially psoriatic spondylitis, is so severe that it leads to severe disability of the patient, inability to move without special devices and even bedriddenness. Mortality in these most severe forms of psoriatic arthritis increases, since immobilization of the patient in bed contributes to the occurrence of bedsores and pneumonia. Approximately 10 to 15 percent of people with psoriasis also have psoriatic arthritis.
  7. Psoriatic erythroderma(L40.85), or erythrodermic psoriasis, is manifested by widespread, often generalized inflammation and peeling, skin detachment over all or a large part of the skin surface. Psoriatic erythroderma can be accompanied by intense skin itching, swelling of the skin and subcutaneous tissue, and skin pain. Psoriatic erythroderma is often the result of an exacerbation of vulgar psoriasis with its unstable course, especially with a sudden abrupt withdrawal of systemic treatment or local glucocorticoids. It can also be observed as a result of provocation by alcohol, neuropsychic stress, intercurrent infections (in particular colds). This form of psoriasis can be fatal because extreme inflammation and peeling or sloughing of the skin impair the body's ability to regulate body temperature and the skin's barrier function, which can be complicated by generalized pyoderma or sepsis. However, limited, localized psoriatic erythroderma may even be the first symptom of psoriasis, subsequently transforming into vulgar plaque psoriasis.

Psoriasis symptoms vary depending on the specific season and stage. Many patients experience a “winter” version of the disease, in which periods of exacerbation occur in late autumn or winter.

Psoriasis photo

What psoriasis looks like in the initial and other stages in the photo:

Click to view

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Course of the disease

Psoriasis is a chronic disease, usually characterized by an undulating course, with periods of spontaneous or caused by certain therapeutic effects of remission or improvement and periods of spontaneous or provoked by adverse external influences (alcohol consumption, intercurrent infections, stress) relapses or exacerbations.

  • The severity of the disease can vary in different patients and even in the same patient during periods of remission and exacerbation within a very wide range, from small local lesions to complete coverage of the entire body with psoriatic plaques.

There is often a tendency for the disease to progress over time (especially in the absence of treatment), for worsening and more frequent exacerbations, an increase in the area of ​​​​the lesion and the involvement of new areas of the skin. Some patients experience a continuous course of the disease without spontaneous remissions, or even continuous progression. The fingernails and/or toenails are often also affected (psoriatic onychodystrophy). Nail lesions may be isolated and observed in the absence of skin lesions.

Psoriasis can also cause inflammatory joint disease called psoriatic arthropathy or psoriatic arthritis. About 10 to 15% of patients with psoriasis also suffer from psoriatic arthritis.

Treatment of psoriasis

For successful treatment, it is necessary to take into account what stage the disease is currently in - the intensity of therapy changes depending on this. In addition, the treatment of psoriasis always consists of a whole range of remedies: external ointments, physiotherapeutic procedures, and a general regimen. It is also necessary to take into account other existing diseases, age, gender, the influence of occupational factors and the general state of human health.

In the case of psoriasis, emollients, keratoplasty preparations, local preparations (ointments, lotions, creams) containing glucocorticoids (,), preparations containing zinc pyrithioneate, ointments containing analogues of vitamin D3, tar, naphthalan, hydroxyanthrones are used for treatment.

In severe forms of psoriasis, ineffectiveness of external therapy or damage to more than 20% of the skin surface, systemic drug therapy is prescribed, which includes cytostatics (methotrexate), synthetic retinoids (retinol acetate, retinol palmitate, tretinoin), glucocorticoids.

How to treat psoriasis without the use of medications - the essence is to use cryotherapy, plasmapheresis, and also prescribe systemic photochemotherapy:

  1. Photochemotherapy- this is the combined use of ultraviolet radiation (wavelength from 320 to 420 nm) with the ingestion of drugs that increase sensitivity to light. The use of photosensitizers is based on their ability to increase skin sensitivity to ultraviolet rays and stimulate the formation of skin pigment - melanin. The dose of drugs is selected individually, taking into account the patient’s weight. Procedures are carried out 3-4 times a week, 20-25 sessions are prescribed per course. PUVA therapy is contraindicated in acute infectious diseases, exacerbation of chronic diseases, cardiovascular decompensation, oncology, severe diabetes, severe liver and kidney damage.

Modern medicine is not able to give a clear answer to the question of how to treat psoriasis, therefore, in addition to traditional treatment, patients with psoriasis are recommended to adhere to a special diet, as well as try folk remedies for treating psoriasis.

Ointment for psoriasis

In mild forms of psoriasis, external treatment of psoriasis with the help of ointments is sometimes sufficient. There are many medications used in the external treatment of psoriasis, here are some of them:

  1. helps to soften the horny scales of the skin and their speedy removal, which helps other medications to be better absorbed. 0.5-5% salicylic ointment is applied in a thin layer to the affected areas of the skin (the more inflammation of the skin, the less ointment is applied) 1-2 times a day. Salicylic acid is also contained in ointments for psoriasis Diprosalik, Akriderm SK, etc.
  2. Naftalan ointment used in the stationary and regressing stage of psoriasis (never during exacerbation, progression of psoriasis). Naftalan ointment reduces skin inflammation and itching. In the treatment of psoriasis, 5-10% naphthalan ointment is used.
  3. Sulfur-tar ointment 5-10% helps reduce skin inflammation, but is contraindicated in the exudative form of psoriasis (with weeping scales and crusts). Sulfur-tar ointment should not be applied to the skin of the face. For psoriasis of the scalp, shampoos containing tar are used (Friderm tar, etc.)
  4. Anthralin is an ointment that inhibits the division of cells in the surface layers of the skin and reduces peeling. Anthralin is applied to the skin for 1 hour and then washed off.
  5. Ointments for psoriasis with vitamin D (Calcipotriol) have an anti-inflammatory effect and help improve the course of psoriasis. Calcipotriol is applied to inflamed areas of the skin 2 times a day.
  6. – these are creams, aerosols and shampoos that are used in the treatment of scalp psoriasis. Shampoos are used for psoriasis of the scalp three times a week, aerosols and creams are applied to the surface of the skin 2 times a day.

If the treatment does not produce the expected effect, hormonal ointments are prescribed. Treatment begins with lighter drugs that have minimal side effects. If improvement cannot be achieved, then stronger ointments with glucocorticosteroids are prescribed.

  1. Flumethasone ointment. It has anti-inflammatory, antiallergic, anti-edematous, antipruritic effects. Suitable for patients with exudative forms of psoriasis, reduces bleeding. Apply a thin layer to limited areas 2-3 times a day. Treatment lasts 10-14 days.
  2. Triamcinolone acetonide ointment. Local anti-inflammatory, antipruritic and antiallergic agent. Reduces skin wetting. Apply to the affected area 2-3 times a day for up to two weeks. Used during periods of exacerbation.
  3. Hydrocortisone. Suppresses the increased activity of leukocytes, prevents their movement into the skin, eliminates the feeling of tightness and itching.

Which sanatoriums offer rest?

For the rehabilitation of patients with psoriasis at resorts they use: mud therapy, mineral waters, treatment with fish, light fractions of oil and physiotherapeutic procedures. Sea water and warm climate also have a powerful influence.

Russian resorts that specialize in treating patients with psoriasis: Sochi, Anapa, Gelendzhik. The mild subtropical climate, plenty of sun and long sea baths have a beneficial effect on the condition of the skin, nails and joints. The Elton sanatorium near Volgograd (mud therapy) and the Assy sanatorium near Ufa offer a range of physiotherapeutic procedures and clean air.

What can you do at home?

It is important to understand that the success of therapy largely depends on the actions of the patient himself. That is why people suffering from psoriasis are recommended to completely change their lifestyle and make every effort to create conditions favorable for recovery.

  • observe the rest and work regime;
  • avoid emotional and physical stress;
  • resort to the use of folk remedies (in consultation with a dermatologist);
  • follow a hypoallergenic diet.

How to treat psoriasis with folk remedies

At home, you can use many traditional medicine recipes that will help treat psoriasis. Let's look at some of them.

  1. In a clay bowl you need to grind fresh St. John's wort flowers (20 g), celandine root, propolis, calendula flowers (10 g). Vegetable oil is added to the resulting mixture. Store in a cool place, protected from sunlight. Directions for use: thoroughly lubricate psoriatic rashes 3 times a day.
  2. Tar is applied to the affected areas with a cotton swab. In the first days, start with 10 minutes, then wash off the tar with tar soap. And gradually increase the time to 30-40 minutes (this can be done in 10-12 days). The procedure is done once a day, preferably in the evening, because the smell of tar remains even after prolonged rinsing. Overnight, the smell usually goes away completely.
  3. Celandine is pulled out by the roots, ground, squeezed out the juice and liberally smeared on every spot. Do it all season. If necessary, repeat next summer.
  4. In the early stages of the disease, you can use an ointment that can be obtained from a mixture of two eggs and one tbsp. spoons of vegetable oil. You need to beat all this, and then add half a tbsp. spoons of acetic acid. The container with this product should be kept tightly closed and in a place where light does not reach. Apply by spreading on spots at night.
  5. Traditional treatment for psoriasis includes the use of certain medicinal herbs. Agrimony infusion copes well with the disease. In particular, this folk method should be tried by those who suffer not only from psoriasis, but also from diseases of the gastrointestinal tract, liver or gall bladder. The infusion helps normalize the functioning of the affected areas and improve metabolism. One tablespoon of dry agrimony should be poured into an enamel bowl with a glass of boiling water, cover with a lid and leave for an hour, then strain, squeeze out, bring the amount of liquid with boiling water to the original volume and drink a quarter glass four times a day before meals.

Psoriasis cannot be cured. Modern medicine does not offer a single drug that can cure psoriasis once and for all. However, if you treat it with medications and other methods, you can achieve a rather unstable remission.

Diet for psoriasis

It is difficult to say unequivocally which diet for psoriasis will be the most effective. The fact is that in addition to foods that are undesirable or beneficial for consumption, individual tolerance to the same food products is correlated in different patients.

In this regard, specific recommendations are given for each person suffering from psoriasis. The generally recommended form of nutrition involves avoiding certain foods, but provides a balanced diet that supplies the human body with all the necessary substances.

What people with psoriasis should not eat:

  • spices;
  • nuts;
  • spicy, smoked and salty foods;
  • citrus zest;
  • fat meat;
  • alcohol;
  • blue cheese;

Diet for psoriasis should be rich in fatty acids, which are found in abundance in fish. The essence of the disease is this: a malfunction in the immune system provokes the body to produce more and more new skin cells, without having time to get rid of the old ones. As a result, skin cells layer and stick together, causing itching, irritation, and peeling.

Why the immune system behaves this way is unknown. Doctors say one thing - psoriasis is incurable, so you have to fight not with the disease itself, but with its manifestations.

Quality of life of patients

It has been shown that psoriasis can impair the quality of life of patients to the same extent as other severe chronic diseases: depression, previous myocardial infarction, hypertension, heart failure or type 2 diabetes mellitus. Depending on the severity and location of psoriatic lesions, patients with psoriasis may experience significant physical and/or psychological discomfort, difficulties with social and professional adaptation, and even require disability.

In a 2008 National Psoriasis Foundation of America survey of 426 psoriasis patients, 71% of patients reported that the disease was a major problem in their daily lives. More than half of the patients noted a significant fixation on their appearance (63%), fear of looking bad or being rejected by others due to the presence of psoriasis, a feeling of awkwardness, shame or embarrassment when communicating (58%). More than one third of patients reported that with the onset or progression of the disease, they began to avoid social activities and communication with people or limited their search for partners and intimate relationships due to the disease.

Severe skin itching or pain can interfere with basic life functions such as self-care, walking, and sleeping. Psoriatic plaques on exposed parts of the arms or legs may prevent the patient from working certain jobs, playing certain sports, or caring for family members, pets, or the home. Psoriatic plaques on the scalp often pose a special psychological problem for patients and give rise to significant stress and even social phobia, since pale plaques on the scalp can be mistaken by others for dandruff or the result of lice.

An even greater psychological problem is caused by the presence of psoriatic rashes on the skin of the face and earlobes. Treatment of psoriasis can be expensive and take a lot of time and effort from the patient, interfering with work, study, socialization of the patient, and personal life.

Forecast

The prognosis for life with psoriasis is conditionally unfavorable, the disease is chronic, slowly progressive, timely and adequate treatment only improves the quality of life, but does not eliminate the disease itself.

During periods of exacerbation, loss of ability to work is observed. In the absence of adequate medical care, it can lead to disability.

Psoriasis is an autoimmune disease. The types and symptoms of psoriasis bring not only physical but also psychological discomfort to people who suffer from psoriasis. It is known that it is not possible to cure such a disease at this stage of medical development. But there is a lot of useful information and generally accepted knowledge about psoriasis that will help you avoid flare-ups and make it more effective. How many types of psoriasis are there? And how to determine the type of psoriasis?
There are about 99 species of this disease. To better understand the symptoms of the disease and the localization of psoriatic lesions, you need to learn more about the types of psoriasis. To better diagnose the disease, experts in the field of this disease have identified the types and symptoms of psoriasis that are inherent in them. Using this method of division, one can characterize the possible development of the disease and select the most effective and safe method of treating the disease. This article will tell you about the most famous types of psoriasis, its clinical forms and symptoms from which it is easy to understand how to determine the type of psoriasis.


There are a number of factors and characteristics that underlie the classification of the disease and distinguish the types of psoriasis from one another:

  • size, shape and extent of psoriatic lesions
  • clinical manifestations of the disease
  • localization of damage
  • stage of development and severity
  • seasonality of exacerbations

Using the above criteria, clinical types of psoriasis can be distinguished. They will help more accurately diagnose the disease and select individual therapy to eliminate its symptoms. These characteristics will also indicate how many types of psoriasis can be life-threatening.

There are the following types of psoriasis (types of psoriasis):

  • vulgar or ordinary psoriasis
  • inverse (atypical) psoriasis
  • pustular or exudative psoriasis
  • guttate psoriasis
  • erythrodermic psoriasis (psoriatic erythroderma)
  • arthropathic psoriasis (psoriatic arthritis)
  • nail psoriasis (psoriatic onychodystrophy)
  • psoriasis of the scalp (scalp)

According to the stage of development of the disease, three forms of psoriasis are distinguished:

  • progressive form
  • stationary form
  • regressive form

Depending on the seasonality of exacerbations, there are the following types of psoriasis:

  • winter type of psoriasis - manifests itself in the autumn-winter period
  • summer type of psoriasis - symptoms worsen in spring and summer
  • mixed type of psoriasis or all-season - symptoms of the disease appear to a greater or lesser extent regardless of the time of year.

Vulgar psoriasis

Despite how many types of psoriasis there are, this type is the most common. It is often called classic, common or plaque psoriasis. According to statistics, vulgar psoriasis occurs in almost 90% of cases. The usual form of psoriasis is characterized by inflamed scarlet spots that rise above the skin level. They are covered with several layers of white-gray scales that peel off very easily. If injured, the affected areas of the skin may bleed slightly. The skin lesions described above are typical of classic psoriasis; they are called psoriatic plaques.
The causes of the development of vulgar psoriasis are of a diverse nature. To this day, doctors and specialists in the field of psoriasis cannot say with certainty what factors triggered the disease. However, there are a number of theories that can be considered the causes of ordinary psoriasis, namely: genetic predisposition, disorders of the endocrine system, pathological changes in metabolism and psycho-emotional stress.
As a rule, psoriasis vulgaris develops gradually. Sometimes an acute manifestation of the disease can be observed. First, pinkish-red foci of inflammation form, which become coarser and become covered with silvery scales. These psoriatic plaques are usually round in shape, but their size may vary. Basically, such lesions are concentrated in one place on the body. This could be: arms, legs, elbows and knees, scalp, back, etc.
Depending on the extent of the damaged skin, the degree of the inflammatory process and the general condition of the patient, ordinary psoriasis can manifest itself in three degrees of severity:
- mild course of the disease
- average severity
- serious disease
The severity of psoriasis is determined using the Psoriasis Severity Index (PASI)
Treatment of plaque psoriasis is a complex and lengthy process. If therapeutic methods were not selected correctly, progression of the disease can be observed. In the event of a sudden stop in the treatment process, especially if the treatment was carried out with hormonal drugs, an exacerbation may occur. Very rarely, such complications can cause sepsis, which is very life-threatening. Therefore, it is better to carry out treatment under the supervision of a doctor.

Inverse (atypical) psoriasis

Atypical varieties of psoriasis are one of its most complex forms. It includes the following types of psoriasis: intertriginous psoriasis (armpits, groin area and others), as well as psoriasis affecting the genital organs. Inverse psoriasis can occur at any age. It does not depend on the gender of the person, so it occurs in both women and men. It is characterized by a chronic course, where exacerbation is followed by remission. The most frequent relapses are observed in autumn and winter. The extent of damage ranges from minor rashes to large affected areas. The location of this disease will answer the question of how to determine the type of psoriasis.

Psoriasis of intimate areas- signs of this type of psoriasis are rashes on the genitals. They appear as pinkish and red spots, without the characteristic peeling of the disease. Therefore, diagnosing intimate psoriasis is often not so easy. However, the disease brings a person a lot of unpleasant sensations and psychological discomfort. The factors that cause this type of psoriasis can be completely different, in particular, problems of a psychological nature (stress, nervous tension, psycho-emotional trauma), heredity, disorders of the immune system, pathologies of the functionality of the pelvic organs and others. It should be noted that psoriasis is not contagious and is therefore not sexually transmitted.

Intertriginous psoriasis(psoriasis in places of skin bends and folds) - similar to psoriasis of the intimate areas, with this type of disease there is also no peeling of the skin. Diagnosing intertriginous psoriasis is difficult because the symptoms are similar to other diseases, such as mycosis. Skin lesions have borders, a red-pink color and a smooth surface. The treatment process for this atypical psoriasis is very difficult. Areas of skin damage are extremely sensitive. This type of psoriasis often has a weeping stage and the lesions can become infected, causing pain and significant discomfort for the patient. In addition, plaques can be easily injured by underwear or clothing. In this case, complex treatment is a prerequisite, since local therapy will be ineffective. With proper therapy, long-term remission can be achieved.

Pustular or exudative types of psoriasis

These types of psoriasis manifest themselves as the most severe pathological changes. The characteristic signs of the disease are purulent lesions of the skin.
Pustular psoriasis can be caused by infections, hormonal abnormalities, or improper treatment of regular psoriasis. With this disease, high temperature, fever, and an increase in white blood cells are often observed. Lesions on the skin form purulent lakes, which are accompanied by burning and pain. Patients with exudative psoriasis during exacerbation require hospitalization. The treatment process for this form of the disease is very complex, lengthy and requires special attention. However, the cyclical nature of the disease implies the possibility of remission.
There are two forms of pustular psoriasis: generalized and localized.

Generalized form Pustular psoriasis is life-threatening. Characteristic of this form of psoriasis is the rapid development of symptoms. First, you can notice inflamed areas in the form of purple spots on the skin. Over time, they transform into purulent lesions and merge into large-scale skin lesions. If these lesions are injured, wounds and ulcers appear. This form of the disease is accompanied by severe itching, burning and fever. An exacerbation of the disease can last almost 2 months. As a result, the skin exhibits symptoms characteristic of normal psoriasis. Locations: elbow and knee bends, skin folds, intimate places, sometimes the head and nails.

Localized form— one of its most common manifestations is palmoplantar psoriasis. This form of psoriasis is characterized by localization on the bottom of the feet and palms. The first signs of this type of psoriasis are red spots on which pustules with purulent filling form. Often the skin around the affected areas becomes rough and cracks appear. Treatment of a localized form can be carried out with the help of local drugs: ointments, creams, etc. Taking vitamins, antihistamines and immunomodulators will also be useful.

Guttate psoriasis

It most often occurs in children and young adults, but can occur in people of any age. In most cases, the cause of the teardrop form of psoriasis can be a previous infectious disease. This type of psoriasis may appear 15 to 20 days after illness. Localization locations cannot be predicted. Papules can appear anywhere except on the face. This could be the arms, legs, back or chest. Characteristic of lesions in the form of red drops on the skin is the suddenness and severity of the manifestation. You can get rid of such symptoms of the disease, but since psoriasis is a chronic disease, relapses are possible. If treatment is not carried out in time, the papules caused by the disease increase in size, affecting healthy areas of the skin. Thus, the disease takes a severe form.

Psoriatic erythroderma

This form of the disease is the most dangerous; it is extremely rare and occurs as a result of exacerbation of psoriasis. Erythrodermic psoriasis is more often observed in men and manifests itself in the autumn-winter period. There are primary erythroderma, which occurs in a healthy person, and secondary erythroderma, which is a consequence of a skin disease (in this case, psoriasis). Based on the symptoms of the disease, generalized and hyperergic forms of psoriasis are distinguished. The first one occurs due to the long-term development of psoriatic lesions. Regarding the hyperergic form, its characteristic features are rapid development and a sharp deterioration in the patient’s general condition. In the second form, you can see swelling and redness of the skin, which is accompanied by peeling, burning, itching, pain and even hair loss. According to the nature of the course, the following types of erythrodermic psoriasis are distinguished: acute, subacute and chronic. The latter may be accompanied by other skin diseases (mycosis, leukemia, reticulosis).
Since psoriatic erythroderma, in addition to symptoms on the skin, causes dehydration, fever and metabolic disorders of the body, it is necessary to hospitalize the patient as quickly as possible. Treatment can only be carried out by a doctor; inpatient therapy in a hospital is indicated.

Psoriatic arthritis

Everyone knows how many types of psoriasis appear on the skin. But this form of psoriasis is characterized by inflammatory processes in the joints. Psoriatic arthritis is also autoimmune in nature, as it is a consequence of psoriasis. In rare cases, it may manifest itself on its own. Arthropathic psoriasis occurs several years after the first signs of the disease appear. Middle-aged people and young people are most affected by the disease; it is extremely rare in children. Out of 100 people suffering from different types of psoriasis, about 38 people have psoriatic arthritis.
Arthropathic psoriasis manifests itself as joint damage. The interphalangeal, knee and ankle joints are mainly affected. This is a very serious disease. If the necessary treatment is not applied, it can lead to disability of the patient. Therapy for this form of psoriasis consists of a proper diet, medication and physical therapy. In case of severe joint deformities, the affected areas must be removed promptly.

Psoriatic onychodystrophy

This form of the disease involves. It occurs quite often. It can occur together with skin lesions or independently. The main symptoms are discoloration of the nail plate, thickening, splitting, brittleness of the nails and separation of the nail from the nail bed. The first signs of psoriatic onychodystophy are shallow dotted formations, then transverse and longitudinal grooved lines appear. If left untreated, nail psoriasis can lead to permanent loss of the nail plate. Factors that can provoke this form of the disease may be an imbalance of the immune system, hormonal imbalances, metabolic disorders, stress, as well as diseases of an infectious nature.
To treat nail psoriasis, complex therapy should be used. This is a long process, but in this way you can maintain the integrity of your nails, restore their appearance and get rid of discomfort.

Scalp psoriasis

There is no more common type of psoriasis than. The main signs of the disease are red, inflamed spots on the scalp, covered with silvery crusts with severe itching and flaking. Like all types of psoriasis, this disease is chronic in nature and occurs in waves. Exacerbations are replaced by remissions. To know how to determine the type of psoriasis and not confuse it with other diseases of the scalp, you need to consult a doctor.
The causes of the disease can be heredity, previous infections, dysfunction of the digestive system, psycho-emotional stress, exposure to very low temperatures on the scalp, as well as various injuries to the scalp, lack of a healthy diet and bad habits.
Psoriasis on the scalp requires an integrated approach to treatment under the supervision of a doctor. Since only a specialist can determine the stage and severity of the disease and prescribe appropriate therapy. Unsystematic treatment or self-medication using folk remedies and medications can be dangerous to your health and even lead to an exacerbation of the disease.

Psoriasis is a common skin disease of the group of dermatoses (another name is scaly lichen). The disease can be recognized by characteristic rashes on the face, scalp and body - convex, inflamed red spots, the surface of which is covered with silver-white scales. Such rashes do not hurt, but they itch terribly and look unsightly - psoriatic manifestations cause patients not only physical, but also moral discomfort.

Main classification of psoriasis

Depending on the clinical picture, degree of prevalence and nature of the rash, experts distinguish these types of psoriasis: :

  • Plaque-like (ordinary). Diagnosed in 90% of patients. The main symptom is pronounced papules covered with flaky scales. The rash may be light pink, white, or silver in color. Over time, single papules increase in size, merge with other eruptive elements, forming monolithic foci of psoriasis.
  • . One of the most severe forms of the disease. It makes itself known by numerous bubbles filled with exudate (clear liquid). These blisters can become inflamed (due to infection) and fester. Mostly, such blisters are found on the hands, but sometimes they cover other parts of the body.
  • Acrodermatitis. The main symptom is pustules (pustules of different sizes), which mainly appear on the fingers and toes, causing detachment of the nail plates.
  • (affects palms and soles). This type of disease is symptomatic of the appearance of pustular elements of different sizes, which over time cover large areas of the skin of the feet and palms. Treatment of such psoriasis is complicated by the fact that such formations are constantly susceptible to mechanical stress.
  • . It begins with the appearance of small purple dots that strew the legs, shoulders, forearms, back and neck. The triggers for the development of the disease are usually streptococcal tonsillitis or pharyngitis.
  • Psoriatic arthritis. It is diagnosed in 10% of patients who seek help from a dermatologist. The main feature of this type of psoriasis is that it affects the joints and connective tissues. Lack of treatment first leads to a decrease in motor activity, and then to disability.
  • Inverse psoriasis. Inflamed spots with a smooth surface are found on the patient's skin; the eruptive elements practically do not peel off and are localized in the folds of the skin or on the flexor surfaces of the limbs. Treating this type of psoriasis is problematic due to the constant friction of the affected areas, as well as due to increased sweating in these areas. Inverse psoriasis is often accompanied by a fungal infection.
  • There are also so-called unspecified types of psoriasis - dermatologists classify all forms of the disease with an atypical clinical picture as this group of diseases.

Other typologies of the disease

How else is psoriasis classified? The identification of types of psoriasis is carried out, among other things, on the basis of such criteria as the localization of rashes. Foci of spread of the disease can be:

  • Soles and palms;
  • Joints;
  • Nails;
  • Mucous membranes;
  • Scalp();
  • Body surface (erythroderma).

Based on the totality of external symptoms of the disease, the following types of psoriasis are distinguished:

  • Vulgar (ordinary);
  • Pustular;
  • Arthropathic;
  • Occurs in the form of erythroderma (covers the entire body).

Types of psoriasis and their treatment are distinguished, including, depending on the stage of development of the pathology:

  • Progressive psoriasis. At this stage, numerous inflamed rash elements appear on the skin en masse. Typical symptoms: the formation of smooth pink papules, intense itching, severe inflammation, primary peeling of individual rash elements.
  • Stationary stage. New psoriatic plaques do not form, but existing rashes on the skin do not disappear. This stage of psoriasis development is characterized by moderate peeling.
  • Regressive phase. The rash elements gradually disappear, and in their place depigmented (lightened) areas of the skin are noticeable. Such residual effects do not cause physical discomfort, but are aesthetically unattractive.

Varieties of psoriasis are distinguished based on the existence of such a characteristic feature of the course of the disease as seasonality.

So, seasonal types of psoriasis and their treatment:

  • Summer form of the disease (the cause of exacerbation is direct prolonged exposure to sunlight on the skin);
  • Winter psoriasis is the result of low temperatures;
  • Non-seasonal psoriasis. This type of psoriasis is characterized by the absence of periods of remission (relief). The symptoms are similar to the summer form of the disease.

Types of psoriasis based on the area of ​​skin affected:

  • Limited (rash elements cover no more than 20% of the skin);
  • Widespread (more than 20% of the body is covered with psoriatic plaques);
  • Universal – rashes are found almost everywhere.

Other types of psoriasis:

  • If the rash covers less than 2% of the skin area on the body, the disease is considered to be mild;
  • When psoriatic plaques “strew” 2%-10% of the dermis – in the middle;
  • Severe psoriasis is considered if more than 10% of the skin on the face, body or scalp suffers from its external symptoms.

How to fight a disease without drugs

Types of psoriasis and their treatment are determined by a dermatologist. Regardless of the form of the skin disease, competent therapy should solve several medical problems at once:

  • Achieve quick symptomatic results (relieve the inflammatory process on the skin, reduce the intensity of itching and flaking, cope with other unpleasant symptoms of psoriasis);
  • Check how effective a particular treatment method is for a particular patient;
  • Transfer psoriasis from the acute stage to the remission stage.

Regardless of what type of disease was diagnosed in the patient, two main methods are used to combat it:

  • Non-medicinal;
  • Drug.

In the first case, the following simple factors help to get rid of the symptoms of psoriasis:

  • Maintaining a daily routine (healthy sleep, a nutritious diet and regular meals, no overwork and stress);
  • Wearing clothes and using bed linen exclusively from natural fabrics;
  • Quitting alcohol and smoking;
  • Replacing washing powder with regular laundry soap;
  • It is recommended to cut your nails very short;
  • The bathhouse, sauna, and swimming pool are replaced with the usual shower.

A low-protein diet helps to cope with the manifestations of psoriasis during an exacerbation. Its main components are freshly squeezed fruit and vegetable juices, lean fish and meats, and flour products made with the addition of rye flour.

The following should be excluded from the diet of patients with psoriasis:

  • Fried, fatty, very salty, spicy and smoked foods;
  • Confectionery;
  • Tea coffee;
  • Fatty dairy products.

Not the least place in the non-drug fight against psoriasis is occupied by spa therapy (includes water procedures, therapeutic nutrition, exposure of the affected skin to soft sunlight, fresh air). Its goal is to prevent relapse.

To treat various types of this skin disease, certain physiotherapeutic techniques are used. The main ones:

  • Ultraviolet irradiation of psoriatic lesions;
  • Selective (selective) photo-, laser-, x-ray therapy;
  • Electrosleep;
  • Phonophoresis.

Using these methods, you can achieve a good aesthetic effect - plaques become significantly smaller in size, natural mechanisms for renewing healthy skin cells are launched.

Drug treatment of the disease

Drug treatment for psoriasis is aimed at minimizing the symptoms of the disease and preventing remission. In the structure of drug treatment of the disease, three successive stages are distinguished:

  • Emergency therapy. Aimed at relieving acute manifestations of psoriasis (itching, peeling, inflammation of affected skin lesions). The main drugs are immunosuppressants (suppress the functions of the body's defenses) and steroids (reduce inflammation).
  • Transitional stage of treatment. It involves the use of mild medications, which the patient will then take in courses to prevent exacerbations.
  • Current maintenance drug therapy.

One of the important components of drug treatment for psoriasis is the use of external agents. These can be various sprays, gels, shampoos, ointments, foams and creams.

It is noteworthy that the maximum clinical effect in the treatment of psoriasis can be achieved only by combining medicinal and non-medicinal methods of combating the symptoms of the disease.

For example, consider the standard treatment regimen for ordinary psoriasis:

  • Preparations for internal use: systemic retinoids (medicines that regulate the functioning of the sebaceous glands), steroids (anti-inflammatory compounds), immunosuppressants (suppress the immune system), medications that contain vitamin D.
  • External means. Local retinoids, hormonal or non-steroidal ointments, mixtures with the addition of tar, zinc, salicylic acid, sulfur, etc.
  • Physiotherapy: ultraviolet radiation, PUVA method, electrosleep, etc.
  • Diet therapy (correction of diet and diet).
  • Using proven traditional medicine recipes (homemade formulations prepared from medicinal plants).

Unfortunately, no matter what methods of combating psoriasis are used, it will not be possible to completely get rid of this disease. This skin disease today still remains on the list of incurable pathologies.

Despite this, if you detect the first signs of psoriasis (the appearance of inflamed, convex red spots covered with scales), you must immediately seek help from a specialist - timely, properly selected treatment will help prevent further spread of the rash throughout the body and prevent an exacerbation of the disease.

Types of psoriasis, in which areas of inflamed skin are formed, covered with silvery scales, are classified as a non-contagious disease of a chronic type.

There are two main groups of dermatosis of this nature - pustular and non-pustular.

  • Pustular - (Tsumbusch psoriasis, acrodermatic lesions of Allopo, empetigo herpetiphomorphic, palmoplantar form, ring-shaped psoriasis).
  • Non-pustular implies the usual and erythodermic forms.
  • Seborrhea-like forms, exudative and induced forms, Napkin's disease, and atypical psoriasis are considered separately.

The main places where psoriasis appears


Types of psoriasis, photos of which are numerous in different sources, are divided according to degree into severe and mild forms. Severe forms occur with damage to large areas of the skin and systemic manifestations (erythoderma, pustular arthropathic variant and exudative variety).

⚫ Pustular psoriasis
Generalized pustular psoriasis is the most dangerous type of the disease. It almost always begins with a sharp change in a large area of ​​skin and manifests itself in the massive appearance of pustules, which, merging, cover large areas of skin on the flexor surfaces near large joints or in large folds. These changes are accompanied by migraines, low-grade fever and weakness.

⚫ Exudative psoriasis
The form is characterized by the appearance of a dirty yellow leukocyte crust on the inflamed surface, which begins to become wet when combed. This psoriasis occurs in patients with diabetes or obesity.

⚫ Psoriatic arthritis
Manifestations of arthritis can accompany any type of disease. It manifests itself in 7 - 8 cases out of a hundred (more often in people under 35 years of age with the corresponding heredity) and significantly aggravates the well-being of the sick person, read

⚫ Erytoderma psoriatic
The appearance of redness in this form is accompanied by an increase in the temperature of the damaged areas and the general temperature. The lesions merge, accompanied by peeling, itching, damage to the lymphatic system and internal organs in severe cases.

⚫ Plaque psoriasis
This is the most common form (80% of all cases). It is most easily recognized by characteristic scales in typical areas under the hair on the head and joints; you can read more about this type of psoriasis

⚫ teardrop variety
It occurs with changes in a large surface of the skin, the characteristic site of manifestations is the thighs, the rash resembles the shape of red-purple drops.

⚫ Atypical psoriasis
Plaques are located on the inner parts of the joints and in the folds of the skin.

Types of psoriasis on the face

Types of psoriasis on the face appear externally as inflamed red areas, slightly raised above the surface. These manifestations are flaky. Their occurrence is accompanied by itching. The altered areas are located around the eyes, on the eyelids, in the eyebrows, in the nasolabial folds, along the border of the lips; in 3% of patients, the mucous membranes of the mouth and tongue are affected.

The types of psoriasis, photos and treatment of which you have repeatedly seen, including psoriasis on the face, cannot be cured without the participation of a doctor, as this will aggravate the severity of the disease. Proper persistent therapy leads to remission that lasts for years.

Treatment of psoriatic manifestations on the face

Types of psoriasis and their treatment, in particular the treatment of facial psoriasis, requires compliance with the basic rules:

  • Sick patients with psoriasis on the face should not use cosmetics. Since the usual rapid healing in this case does not occur with access to light and air;
  • Careful facial skin care with cosmetics for sensitive skin is necessary;
  • You cannot use a towel.

Complex therapy is selected individually and includes local and general therapy, regardless of what types of psoriasis there are. It provides:

  • Application of ointments and creams;
  • Compliance with the selected diet;
  • Physiotherapy and photochemotherapy;
  • Vitamin therapy.

No matter how many types of psoriasis have been tried to cure, scientists have become convinced that it is currently impossible to get rid of it completely, but you can count on fairly long periods of calm. According to surveys of patients, grease-based ointments, diet, and climate change are particularly effective in treatment.

Ointment, diet, climate change

The type of psoriasis during recovery has no external manifestations. It is important for patients to remember that, like all autoimmune diseases, it is incurable. A huge consolation is the evidence of long remissions, which are the fruit of the joint efforts of patients and doctors.

Psoriasis vulgaris (vulgar) is a chronic skin disease, which is characterized by the appearance of characteristic changes on the skin, a sharp decrease in the quality of life due to the appearance of itching and burning of the skin, but does not pose an immediate threat to life, persisting in most cases throughout its entire duration.

The first signs of psoriasis in most cases are detected in childhood or adolescence; 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 figure exceeds 6%, but many cases of mild illness are simply not recorded.

Causes

Ordinary widespread psoriasis is a polyetiological disease, that is, it does not arise under the influence of a specific cause, but due to the influence of a large number of factors. This was believed for a long time, until scientists discovered that in fact the development of the disease is based on a genetic anomaly.

Disturbances in the short arm of the fifth chromosome cause changes in immune tolerance and, under the influence of a number of factors, this change can manifest itself in the form of psoriasis. In other words, a genetic abnormality creates a predisposition to the disease, but does not yet guarantee its occurrence.

Factors that may contribute to the occurrence of psoriasis include:

  • Stress;
  • Alcohol and smoking;
  • Infectious diseases and foci of chronic infection;
  • Endocrine disorders, primarily diabetes mellitus;
  • Violations of immune tolerance under the influence of various external factors, including poor ecology.

Symptoms and first signs

Psoriasis vulgaris is the most common form of the disease; it is believed that 90% of all cases of psoriasis are vulgar non-pustular psoriasis.


It may occur, but often manifestations are observed on the skin. The first changes appear on the skin of the extensor surface of the elbow and knee joints. They can then spread from the primary lesions along the extensor surface of the forearm and to the shoulder, chest and back.

The features of the rash are as follows:

  • The spot is clearly defined;
  • There is a white coating on the surface (similar to a waxy coating);
  • The crusts are removed, but not easily;
  • After removing the crusts, bloody discharge appears on the surface of the rash, since removing the crusts injures the blood vessels.

Psoriasis rashes are always accompanied by severe itching, sometimes so severe that it disrupts night sleep, which leads to pronounced negative emotions and disruption of work and rest patterns. Labor opportunities are significantly reduced, and therefore psoriasis without treatment can cause disability.

Common psoriasis in children

In some cases, ordinary psoriasis in children can manifest itself at a very early age, in which case characteristic clinical manifestations appear, and standard treatment is difficult due to the negative effect of drugs on other organs and systems.

Psoriasis in children photo initial stage

However, ordinary or any other psoriasis practically does not develop in early childhood; in most cases, the disease develops in adolescence, and in earlier years it can be imitated by the much more common psoriasis. However, if changes appear on the skin, it is still necessary to consult a doctor as soon as possible for an examination and an accurate diagnosis.

Diagnostic measures

In most cases, diagnosing ordinary psoriasis does not cause great difficulties. Characteristic clinical signs make it possible to suspect the presence of the disease; a positive Auspitz symptom confirms the assumptions, but to make a final diagnosis, a biopsy of the skin area covered with rashes is used, where histological changes in the dermis characteristic of the disease are found.

What can it be confused with?

Despite the presence of a characteristic clinical picture, it is not always possible to make a diagnosis only upon examination; in some cases it is necessary to differentiate the disease from:

  • Seborrheic eczema;
  • Neurodermatitis;
  • Parapsoriasis.

The most effective method of differential diagnosis is to perform a biopsy of a skin area. Detection of changes in the skin characteristic of psoriasis makes it possible to verify the diagnosis.

Psoriasis treatment

If there was a single scheme for the effective treatment of psoriasis, then, probably, all patients could easily get rid of the manifestations of the disease and significantly improve the quality of life, but in the treatment of this disease there are a number of problems, among them the following should be mentioned:

  • Patients refusing treatment for mild to moderate cases;
  • Difficulty coping with the situation during severe illness;
  • High cost of effective treatment methods;
  • The need for individual selection of therapy in order to achieve the desired result.

Therapy for psoriasis should include not only treatment with systemic and local drugs, but also the use of physiotherapeutic techniques (PUVA therapy demonstrates good results), as well as diet and lifestyle changes (giving up bad habits, limiting psychological stress).

Among systemic and local drugs, the most widely used are:

  1. Cytostatics;
  2. Monoclonal antibodies;
  3. Inhibitors of T-cell immunity;
  4. Glucocorticoids;
  5. Anti-inflammatory ointments based on salicylic acid.

The selection of specific drugs, determination of their compatibility and possibility of use (depending on the presence of concomitant pathology) is determined exclusively by the doctor after a comprehensive examination. In no case can recommendations be given in absentia to improve the effectiveness of treatment.

How to treat psoriasis at home

Immune factors are involved in the development of psoriasis; impaired tolerance due to a genetic abnormality leads to the development of those changes in the skin that cause the appearance of the corresponding symptoms.

It is not at all surprising that traditional medicine involves the use of various recipes based on herbs, leaves and roots of plants that have immunomodulatory properties. It is believed that the immunomodulatory effect may reduce the severity of manifestations.

But many of the herbs that are recommended to be used (calendula, chamomile, and so on) have rather immunostimulating properties. Activation of the immune system in psoriasis can cause the disease to worsen and only increase the severity of symptoms.

That is why in no case should you resort to self-medication with herbs and other folk remedies for psoriasis, and if some methods can be used, then only in addition to the main therapy and only under the strict supervision of a doctor after a comprehensive examination.

If during treatment you notice the appearance of new rashes, increased severity of symptoms, worsening burning and itching, then such therapy should be stopped immediately, as it may pose an immediate danger to your health.

Do they take you into the army with psoriasis?

Psoriasis is a disease in which a temporary deferment from military service is given or a conscript is declared unfit for military service. In severe forms of the disease, when large areas of the skin are affected, there is damage to the joints, and the general condition suffers significantly - they are not taken into the army.

If we talk about limited and easily treatable forms, then they can be given a temporary deferment from military service; after treatment, a medical commission meets again, which recognizes the conscript as fit for service or exempts him from serving.

It is believed that psoriasis is a contraindication for service, but in some cases the medical commission may make a different decision, so the final answer to this question is given by the medical commission after assessing the general condition, severity of the disease and other factors. The actions of doctors are regulated by appropriate instructions, according to which the conscript must be assigned to one of the categories (from A to D), in accordance with which he is given temporary or permanent exemption from service.

Prevention of psoriasis development

Is it possible to effectively prevent the development of psoriasis? A rhetorical question to which there is no clear answer. The fact is that all the factors contributing to the development of the disease can lead to the appearance of psoriasis, as is today believed, only in the presence of a genetic abnormality that cannot be influenced.

Naturally, in most cases, prevention is not carried out, since neither the patient himself nor anyone else knows about the presence of a predisposition. The only exceptions are cases when parents suffer from psoriasis, and this fact can be assessed as a high risk of developing the disease in the patient himself.

Measures to prevent the development of the disease include:

  • Maximum limitation of all stressors and psychological stress, this is not always possible to do, but it is recommended to limit psycho-emotional stress;
  • Carrying out timely and complete treatment of infectious foci and sanitation of foci of chronic infection (recommended not only to prevent psoriasis, but also other, including autoimmune, diseases);
  • Refusal of bad habits, adherence to work and rest regime, proper nutrition;
  • Correct treatment of concomitant diseases, primarily endocrine pathology;
  • Protection from ultraviolet rays (limit exposure to direct sunlight, use sunscreen).

Measures for the prevention of ordinary psoriasis are not strictly specific, and the main difficulty of their practical use is that it is virtually impossible to carry out primary prevention due to ignorance of the potential risk; secondary prevention is important in terms of preventing the progression of the disease, but does not help eliminate existing changes.

Prognosis for life and recovery

With psoriasis, the prognosis for life is favorable, but for recovery it is unfavorable. This disease does not lead to the development of life-threatening complications and is not the cause of death of patients, but it significantly reduces the quality of life.

The use of any treatment approaches and methods does not make it possible to completely get rid of the disease, so the prognosis for recovery is unfavorable. Therapy should be aimed at reducing the severity of symptoms and prolonging the period of remission. With proper treatment, it is possible to achieve almost complete disappearance of rashes and significantly reduce the frequency of exacerbations.

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Synonyms: psoriasis ordinary, psoriasis vulgaris, lichen planus, psoriasis vulgaris, chronic psoriasis