Ecorical (vulgar) psoriasis is a chronic skin disease that is characterized by the appearance of characteristic skin changes, a sharp decrease in quality of life due to itching and burning skin, but at the same time does not pose a direct threat to life, while maintaining in most cases along its entire length.
The first signs of psoriasis in most cases are found in childhood or young people, after thirty years the disease is generally not manifested.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 course of the disease are simply not registered.
Reasons
Ordinary ordinary psoriasis is a universal disease, that is, it is not found under the influence of a certain cause, but due to the influence of a large number of factors.So it was considered for a long time until scientists understand that the genetic anomaly is actually based on the development of the disease.
Disorders in the short arm of the fifth chromosome are the cause of a change in immune tolerance and under the influence of a number of factors, this change can occur in the form of psoriasis.In other words, the genetic anomaly creates a predisposition to the disease, but still does not guarantee its occurrence.
Should be called factors that can contribute to psoriasis:
- Stress;
- Alcohol and smoking;
- Infectious diseases and outbreaks of chronic infection;
- Endocrine disorders, mainly diabetes;
- Immune tolerance disorders under the influence of various external factors, including poor ecology.
Symptoms and first signs
Professional psoriasis is the most common form of the disease, it is believed that 90% of all cases of psoriasis fall into vulgar psoriasis.
Scalp psoriasis may be performed, but they are often observed precisely on the skin.The first changes appear on the skin on the surface of the extension of the elbow and knee joints.Then they can spread from the main foci to the surface of the extension of the forearm and on the shoulder, chest and back.
The rash characteristics are as follows:
- Black spot;
- There is a white plaque on the surface (it looks like a wax plaque);
- The bark is removed, but not easily;
- After removing the crusts on the surface of the rash, a bloody discharge occurs as the removal of the crust injures the blood vessels.
Psoriasis lining is always accompanied by severe itching, sometimes so pronounced that because of it, nightly sleep is disturbed, leading to pronounced negative emotions and disturbed regimen and rest.Work opportunities are significantly reduced in which psoriasis without treatment can cause damage.
Ordinary psoriasis in children
In some cases, ordinary psoriasis in children may manifest itself at the early age, in which case characteristic clinical manifestations occur and standard treatment is difficult due to the negative effect of drugs on other organs and systems.
However, ordinary or other psoriasis in early childhood practically does not develop, in most cases the disease develops in adolescence and in the earlier years it can imitate a much more common atopic dermatitis.However, when skin changes occur, it is still necessary to consult a doctor as soon as possible to examine and form an accurate diagnosis.
Diagnostic measures
In most cases, the diagnosis of ordinary psoriasis does not create great difficulties.Characteristic clinical signs allow to suspect the presence of the disease, the positive symptom confirms the assumptions, but in order to make a definitive diagnosis, it is used to conduct a biopsy of the skin area covered with rashes where histological changes in the dermis are detected by the disease.
What can you confuse?
Despite the presence of a characteristic clinical picture, it is not always possible to diagnose only during examination, in some cases it is necessary to distinguish the disease with:
- Seborrheic eczema;
- Red flat lichen;
- Neurodermatitis;
- Atopic dermatitis.
The most effective method of performing a differential diagnosis is a biopsy of the skin area.The detection of changes characteristic of psoriasis in the skin makes it possible to check the diagnosis.
Psoriasis
If there was a single scheme for the effective treatment of psoriasis, then probably all patients could easily get rid of the disease and significantly improve the quality of life, but there are a number of problems in therapy for this disease, among them should be called:
- Refusal of patients with treatment with a mild and moderate course;
- The difficulty of dealing with the situation in a severe course of the disease;
- High cost of effective treatments;
- The need for individual selection of therapy to achieve the desired result.
Psoriasis therapy should include not only treatment with systemic and topical drugs, but also the use of physiotherapy techniques (good performance demonstrates power therapy), as well as compliance with diet and lifestyle change (rejection of bad habits, limiting psychological stress).
Among the system and local medicines are the most widely used:
- Cytostatics;
- Monoclonal antibodies;
- T-cells of immunity;
- Glucocorticoids;
- Salicylic acid -based anti -inflammatory ointments.
The choice of specific drugs, determining their compatibility and the ability to use (depending on the presence of concomitant pathology) is determined exclusively by the doctor after a comprehensive examination.In no case can in any case make recommendations for correspondence to increase the effectiveness of treatment.
How to treat psoriasis at home
The development of psoriasis is based on immune factors, impaired tolerance due to a genetic abnormality leads to the development of these changes in the skin, which cause the respective symptoms.
Not surprisingly, 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 can reduce the severity of the manifestations.
But many herbs that are recommended to use (calendula, chamomile, etc.), have more disabilities.Activation of immunity in psoriasis can cause a worsening of the disease and only an increase in the severity of the symptoms.
Therefore, you should in no case resort to self -self -self -adequate psoriasis medicines and if some methods can be used, then only in addition to the basic therapy and only under the strict control of the doctor after a thorough examination.
If during treatment the onset of new rashes, increased severity of the symptoms, there is a worsening of burning and itching, then such therapy should be stopped immediately as it may be a direct danger to your health.
Do they take the army with psoriasis?
Psoriasis is a disease that is temporarily delayed by military service or the recruitment is recognized as useless for military service.In severe forms of the disease, when large areas of the skin are affected, there is damage to the joints, the general condition suffers significantly - they do not enter the army.
If we are talking about limited and easy to treat forms, then they can be given a temporary delay from service in the army, after treatment, a medical committee is redirected, which admits that the recruitment is suitable for the service or releases from it.
Psoriasis is believed to be a contraindication to service, but in some cases a medical committee may be taken by another decision, therefore the final answer to this question gives a medical committee after an assessment of the general condition, the severity of the disease and other factors.The actions of the doctors are governed by the relevant instructions according to which the recruitment must be attributed to one of the category (from A to D) in accordance with which he receives a temporary or permanent release from the service.
Prevention of psoriasis development
Is it possible to have an effective prevention of psoriasis?The rhetorical question that is not unambiguous.It is a fact that all factors contributing to the development of the disease can lead to psoriasis, as is considered today, only in the presence of a genetic anomaly that cannot be influenced.
Naturally, prevention in most cases does not take place, since neither the patient nor anyone else knows about the presence of predisposition.Exceptions are only cases where parents suffer from psoriasis and this fact can be evaluated as a high risk of developing the disease in the patient himself.
Measures to prevent the development of the disease should include:
- The maximum limitation of all stressful influences and psychological stress is not always able to do this, but it is recommended to limit psychomational workload;
- Conducting timely and complete treatment of infectious outbreaks and rehabilitation of foci of chronic infection (recommended not only to prevent psoriasis but also for others, including autoimmune diseases);
- Rejection of bad habits, adherence to work and resting regimen, proper nutrition;
- Proper treatment of concomitant diseases, mainly - endocrine pathology;
- Protection against ultraviolet rays (limiting stay in direct sunlight, use of sunscreen creams).
Measures to prevent ordinary psoriasis are not strictly specific and the main difficulty of their practical use is that it is virtually impossible to perform primary prevention due to the ignorance of potential risk, secondary prophylaxis is important in the prevention of the progression of the disease, but this does not help to eliminate existing changes.
Life and Recovery Forecast
With psoriasis, life prognosis is favorable, but for recovery - unfavorable.This disease does not lead to the development of complications that threaten life and is not the cause of patients' death, but significantly reduces the quality of life.
The use of any approaches and methods of treatment does not allow you 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 remission period.With proper treatment, it is possible to achieve almost complete disappearance of rashes and significantly reduce the frequency of exacerbation.