Psoriasis can be manifested in various forms.Psoriasis options include vulgar (simple, normal) or otherwise plaque psoriasis (psoriasis vulgaris, plaque psoriasis), pustular psoriasis, drop -shaped or accurate psoriasis, flexor psoriasis).This section briefly describes the variety of psoriasis and the code of the International Diseases (ICD-10).
Plush -shaped psoriasis, or Ordinary psoriasis, vulgar psoriasis, simple psoriasis (psoriasis vulgaris) This is the most common form of psoriasis.80% -90% of all patients with psoriasis can be observed.Plush -shaped vulgar psoriasis is most often manifested in the form of typical areas, which rise on the surface of the inflamed, red, hot skin, gray or silver white, easily exfushed, scaly, dry and thick skin.The red skin is easily removed under the gray or silver layer and bleeding as a large number of small containers.These typical psoriatic damage is called psoriatic plaques.Psoriatic plaques tend to increase its size, merge with adjacent plaques, as a whole plate plate ("paraffin -lakes").
The bending surfaces are psoriasis (bending psoriasis), or "Reverse psoriasis". Usually it looks like smooth, non -peeling or minimal peeling, red inflamed spots that are not particularly above the skin surface, are only located in the folds of the skin, in the absence or minimal injury of other areas of the skin.Most often, this form of psoriasis is affected by external genitals, groin, inner surface of the hip, axillary depression, obesity of the stomach (psoriasis), and in the folds of the skin under the mammics, wrinkles in women.This form of psoriasis is particularly sensitive to friction, skin injury and sweat, and is often accompanied or complicated by a secondary fungal infection or streptococcus pyoderma.
Guttate Psoriasis (Guttate Psoriasis) This is characterized by the fact that large amounts of small amounts of healthy skin rise above the surface of a healthy skin, dry, red or purple (to purple), shape as drops, tears or small dots, circles of lesion elements.These psoriatic elements generally strengthen the large surfaces of the skin, most often on the hips, but can also be observed on the legs, forearms, shoulders, head, back, neck.Soil -shaped psoriasis is often developed or aggravated after the streptocococcal infection, in typical cases, after streptococcal tonsillitis or streptococcus pharynx inflammation.
Pustular psoriasis or Exuding psoriasis This is most severe for psoriasis skin forms and looks like bubbles or blisters that are erected above the surface of a healthy skin, which are filled with unfortunate, transparent inflammatory secretions (pustulars).The skin and the skin above them are red, hot, edema, inflamed and thickened, easy to dry.There is a secondary infection of the pustulas, in which case the secretion obtains a messy character.Pustular psoriasis can be limited and localized, while the most common localization is the distal ends of the limbs (arms and legs), ie the lower leg and forearm, this is called palmoplantar pustulars (palmoplantar pustulosis).In other, more severe cases, pustular psoriasis is generalized, and with the widespread spread of pustules, the tendency to merge through the whole surface of the body and to larger pustules.
Causes of psoriasis
Damaged barrier function of the skin (especially mechanical trauma or irritation, friction and pressure on the skin, soap and detergent abuse, contact with solvents, household chemicals, alcoholic solutions, skin or skin allergy presence, excessive dry skin).
Psoriasis - This is an idiosinratic skin disease in many ways.Most patients' experience suggests that psoriasis can be spontaneously improved or vice versa for no obvious reason.Studying various factors related to the development, development or aggravation of psoriasis is prone to studying small, generally hospital (non -outpatient), that is, obviously more difficult groups of patients with psoriasis.Therefore, these studies often suffer from inadequate representativeness of the sample and the inability to identify the causal, in the presence of a large number of factors (still unknown or not configured) that can affect the process of psoriasis.Often there are contradictory finds in various studies.Nevertheless, the first signs of psoriasis were often occurred after stress (physical or mental), skin damage, after the first appearance of psoriasis rashes and/or the surrender of the streptococcal infection.The conditions, which, according to many sources can contribute to the worsening or deterioration of the process of psoriasis, include acute and chronic infections, stress, climate change and seasons.Some drugs, especially lithium carbonate, beta-blockers, antidepressants, anti-malaria drugs, anticonvulsants, are associated with psoriasis deterioration or even provoking primary occurrence.Excessive alcohol consumption, smoking, overweight or obesity, inadequate nutrition can weight the course of psoriasis or complicate its treatment or aggravation.Hair arms, some creams and handles, cosmetics and perfumes, and household chemicals can exacerbate psoriasis in some patients.
Patients with HIV infection or AIDS often suffer from psoriasis.This seems to be paradoxical for psoriasis researchers, as treatment to reduce the number or activity of T -cells generally promotes the treatment of psoriasis and HIV infection, or is also accompanied by a reduction in AIDS.Over time, however, it deteriorates with HIV infection or AIDS progress, increasing virus load and decreasing the number of circulating CD4+ T cells, psoriasis in patients with HIV or AIDS.Apart from this puzzle, HIV infection is usually accompanied by a strong displacement of cytokin profile towards TH2, while non-infected patients have vulgar psoriasis of the cytokin profile to th1.According to the currently accepted hypothesis, the reduced amount of CD4+ T-lymphocytes and the pathological activity of the pathologically changed in patients with HIV infection or AIDS causes hyperactivation of CD8+ T lymphocytes, which are responsible for the development or aggravation of psoriasis.However, it is important to know that the majority of patients with psoriasis are healthy compared to the HIV car and is responsible for less than 1 % of HIV infection.On the other hand, the psoriasis of HIV-infected people has a 1-6 %frequency, which is about three times higher than the frequency of psoriasis in the general population.Psoriasis patients with HIV infections and especially AIDS are extremely difficult and cannot be used at all or not at all for standard therapeutic methods.
Psoriasis is most often developed in patients with originally dry, thin, sensitive skin than in oily or well -moistured skin and is much more common in women than in men.In the same patient, psoriasis first appears first in dry or thinner skin than in oily skin, and especially on skin integrity damage, including combing, wear, scratching, cutting, friction, pressure or aggressive chemicals.in contact.(This is called the phenomenon of kebner).It is assumed that this psoriasis phenomenon is primarily associated with dry, thin or injured skin, which is related to the infection, with the fact that the body (probably most often streptococcus) is the minimum secretion of the skin fat (which, in other circumstances, protects the skin from infections).Thus, the most favorable conditions for the development of psoriasis are contrary to the fungal infection of the legs (so -called "athlete leg") or the underexual conditions for the formation of the armpit, the inguinal region.For fungal infections, the most favorable, wet skin, psoriasis, on the contrary, is dry.Infection causes dry (non -expess) chronic inflammation, which in turn causes symptoms of psoriasis, such as itching and increased proliferation of skin cells.This, in turn, leads to further increased dehydration of the skin, due to both inflammation and increased proliferation of keratinocytes, and due to the fact that the infected body consumes moisture, which otherwise serves to hydrate the skin.Patients with psoriasis are not recommended to use sinks and scrubs to avoid excessive skin dehydration and reduce the symptoms of psoriasis, especially stiffs, as they not only damage the skin, leave microscopic scratches, but also the skin from the skin.We also recommend using a talc or baby after washing or bathing to absorb excess moisture from the skin, which otherwise "obtains" an infected agent.In addition, it is recommended to use products that moisturize and nourish the skin and creams that improve the function of the sebaceous glands.Soap, abuse of detergents is not recommended.You should try to avoid skin contact with solvents and household chemicals.
Diagnosis of psoriasis
Diagnosis of psoriasis is usually simple and is based on the characteristic appearance of the skin.There are no diagnostic procedures or blood tests for psoriasis.Nevertheless, active, progressive psoriasis or severe paths can be found in blood tests, reinforcing the presence of an active inflammatory, autoimmune, rheumatic process (increasing rheumatoid factor, acute phase proteins, leukocytosis, increased ESR, etc.).for histological reinforcement (verification) of diagnosis of psoriasis.In the biopsy of the patient with psoriasis, the so-called retail tears, keratinocytes, histological immaturity, t-lymphocytes, macrophages and dendritic cells, keratinocytes and immunocompletic cells, signs of increased prolifeSigns of increased proliferation, the skin under a layer of skin under a layer of skin under the skin under the skin under a layer of skin under a skin under a skin.Another typical sign of psoriasis is light bleeding from the skin and skin under the plaque, which is accompanied by acceleration of angiogenesis and pathologically increased permeability and fragile in the lesion (aushpitz symptom).
Alternative treatment of psoriasis
For symptomatic treatment of vulgar psoriasis, some countries in some countries use ichtiotherapy in some resorts in open thermal springs.The Garra Rufa Fishes living there eat the skin on plaques without touching healthy areas.After such treatment, the improvement of patients is observed at least six months.Successful location of the subtropies allows you to relax in comfortable hotel rooms with fish baths and sea baths.At your request, Hotel Cook makes a special diet.The water in the bath passes a three -step cleaning system (mechanical, ultraviolet sterilization and biological cleaning) with Garra Rufa fish.The sun, the sea, the fresh air, the special diet in the complex promotes the positive effects of miraculous spas.Daily sprinking with powdered sugar and potato starch helps to remove psoriatic plaques.
Treatment of psoriasis with folk medicine
- To cope with psoriasis, Give up fat, pork, smoking, chocolate, spices, alcohol, coffee and sweets.Enrich your diet with fermented dairy products, fresh herbs, fried apples, fish and nettle salads.Eat a lot of vegetable oils that are essential for essential fatty acids) and products containing lecithin.
- Eat food Cooked, cooked or steamed (excluded fried and smoked) from the diet.
- Refuse foods that increase the acidity of the body- Enter the products that lour your body.Some have repeatedly been shown on the Internet that only changes in nutrition in the direction of alkalization contributed to the complete restoration of health, not only for psoriasis itself, but also from old chronic diseases.
- Washing Only children's or tar soap, bathed regularly with Celandine's decoction, Komló and Ibolya Three Cabinos.
- Follow Surgery (1-2 days of starvation).