Description psoriasis
Psoriasis is the most common skin disease affecting 1-3% of the population. Usually not dangerous, but it can be annoying sometimes. Its origin is not yet fully known, it is envisaged autoimmune disease or a disorder of metabolism of keratinocytes (skin cells forming).
Her first symptoms begin to manifest itself in 15-25 years asscales, blisters or red, inflamed bearings.
May have an acute course, that after treatment to subside, or occurs more frequently in the form of a chronic, when alternating phase activity with phases quiet skin.
It occurs in various places outside of those that are exposed to the pressure on the elbows andknees, also has a predilection sites in the scalp and cross country. Affects the skin on the feet, nail beds and so can affect the small joints of the hands.
Risk factors and prevention of psoriasis
Risk factors for the disease are mainly genetic predisposition which results in a disease in 60% of patients.
One possible triggers of psoriasis may be a foreign organism (bacterium or virus), which activates the immune system with subsequent migration of white blood cells into the dermis.
The disease can also be activated in a stressed or hormonal changes (puberty, pregnancy, menopause, hormonal imbalance).
Antidandruff So unfortunately there is no prevention.
Signs and symptoms of psoriasis
There are several types of psoriasis, which may differ in their localization, symptoms and their course.
After the sudden febrile disease (angina or a mild viral infection) can psoriasis especially inyounger patients manifest as acute dense planting flat red buds, located on the trunk andextremities. Buds are whitish flakes after peeling occurs tečkovitému leakage of blood.
For chronic psoriasis are characteristic of inflammation with firmly adhering scales interspersed at various locations of the body. Hands and feet can create deep scratches or small cavities filled with pus.
In skin folds, that is in places long steamy body parts forms districts inflamed skin, which can result in scaling, and these districts are also susceptible to fungal diseases.
In the vicinity of the nails, especially beneath the nail bed psoriasis is a manifestation of yellowish stain, plus nail is distorted, dull.
A certain type of psoriasis locates example, only on the palms and soles of the feet (psoriasis Pustular Barber).
About one-tenth of patients with psoriasis has affected joints (psoriatic arthropathica).
A fewer still have symptoms of the disease throughout the body – a form of generalized psoriasis Pustular psoriasis called Zumbusch, which can be very serious, especially if the result in the so-called. Erythroderma, which is inflammation of the skin around the body.
examination of psoriasis
Psoriasis is usually diagnosed glance, histological sampling or scraping the surface of the skin scales. It’s nothing dramatic, certainly no need to worry about this performance.
It is necessary to determine the form of psoriasis and sometimes distinguish it from other diseases (from seborrheic dermatitis, pityriasy and second stages of syphilis, which can be very similar psoriasis).
treatment of psoriasis
Treatment of psoriasis depends on the extent of disability and his character.
Local symptoms are treated with ointments containing corticosteroids, tar (pix lithantracis, cignolín) or salicylate.
Cytostatics (methotrexate) and retinoids (vitamin A derivatives) are used for whole-bodydisability.
The most effective therapy was effected by means of UVA / UVB and psoralens. These are substances with a photodynamic effect, to be applied either topically on the skin or internally to the body and increased skin sensitivity to irradiation with UVA rays that followed (altogether calledPUVA therapy). This treatment can be combined with treatment tar preparations and mountain sun, which actually mimics the environment of the sea.
Stay at sea for patients with psoriasis is appropriate because the sun helps them (ie.Heliotherapy). Some forms of psoriasis in summer improve, while in winter there are more active stage.
In some countries (Turkey, Croatia and other) at the spa to treat psoriasis utilize fish species Garra rufa and Cyprinion macrostomus. These fish clinging to the scales and the affected sites and basically feed them so beautifully smooth the skin. Do not worry, that it would somehow distinctly uncomfortable, it certainly does not hurt, it just may be a little tickle.
Very good results for some patients reach treatment course at the Dead Sea, various forms of psoriasis are in fact differently sensitive to climate change. A kind of poor substitute mineral salts and other products from the sea, which offers a range of cosmetic companies.
In acute forms, which come suddenly, but fortunately they are referred to as “disposable”, dermatologist prescribes antibiotics because it usually precedes any infection, as well as calcium,sedatives, and antihistamines, which help mainly itching.
Overall, the treatment of chronic psoriasis disease itself actually never cure, but mitigates or eliminates the symptoms, must therefore be long-term.
Other names: psoriasis, psoriasis vulgaris, psoriasis general, psoriasis