Ecorical (vulgar) psoriasis is a chronic skin disease, which is characterized by the appearance of characteristic skin changes, a sharp decrease in the quality of life due to the appearance of itching and burning of the skin, but at the same time does not pose a direct threat to life, maintaining in most cases all its length.
The first signs of psoriasis in most cases are found in childhood or youth, after thirty years the disease, as a rule, does not manifest.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 recorded.
Causes
Common common psoriasis is a comprehensive disease, that is, it does not occur 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, while scientists discovered that genetic abnormality is actually based on the development of the disease.
Violations on the short shoulder 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, a genetic abnormality creates a predisposition to the disease, but still does not guarantee its appearance.
Factors that can contribute to psoriasis should be called:
- Stress;
- Alcohol and smoking;
- Infectious diseases and focuses of chronic infection;
- Endocrine disorders, mainly diabetes;
- Violations of immune tolerance under the influence of various external factors, including poor ecology.
The first symptoms and 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.
Psoriasis of the head can occur, but often manifestations are observed exactly on the skin.The first changes appear on the skin of the extensor surface of the elbow and knee joints.Then they can be spread by the main focus on the surface of the forearm extensor and on the shoulder, chest and back.
The features of the rash are as follows:
- Black dot;
- Has a white tile on the surface (looks like a wax plate);
- Crusts are removed, but not light;
- After removing the crusts on the redness surface, bloody discharge appears, as removal of crusts damages blood vessels.
Psoriasis rashes are always associated with severe itching, sometimes pronounced so much because of its own, night sleep is disturbed, which leads to significant negative emotions and damaged regimen and rest.Work skills have been significantly reduced, in relation to which psoriasis without treatment can cause disability.
Common psoriasis in children
In some cases, common psoriasis in children can manifest at an early age, in this case characteristic clinical manifestations appear, and standard treatment is difficult due to the negative effect of medicines on other organs and systems.
However, common or any other psoriasis in early childhood practically does not develop, in most cases the disease develops in adolescence, and in previous years it can imitate much more common atopic dermatitis.However, when changes in the skin appear, it is still necessary to consult a physician as soon as possible to examine and form an accurate diagnosis.
Diagnostic measures
In most cases, the diagnosis of common psoriasis does not cause major difficulties.Characteristic clinical signs make it possible to doubt the presence of the disease, a positive symptom confirms assumptions, but to make a final diagnosis, it is used to perform a biopsy of the skin area covered with redness, where histological changes in dermis are detected by the disease.
What can you confuse?
Despite the presence of a characteristic clinical appearance, it is not always possible to make a diagnosis only during examination, in some cases it is necessary to distinguish the disease with:
- Seborrheic eczema;
- Red flat liqueur;
- Neurodermatitis;
- Atopic dermatitis.
The most effective method of making a differential diagnosis is a biopsy of the skin area.Detecting characteristic changes for psoriasis in the skin makes it possible to verify the diagnosis.
Treatment of psoriasis
If there were a single scheme of effective treatment of psoriasis, then, surely, all patients can easily escape the manifestations of the disease and significantly improve the quality of life, but there are a number of problems in the therapy of this disease, among them it should be called:
- Rejection of patients with mild and moderate course treatment;
- The difficulty of coping with the situation in a serious course of the disease;
- High cost of effective treatment methods;
- Need for individual selection of therapy to achieve the desired result.
Psoriasis therapy should include not only the treatment with systemic and local medicines, but also the use of physiotherapeutic techniques (good performance demonstrates an energy therapy), as well as compliance with a diet and a change in lifestyle (refusing bad habits, restriction of psychological stress).
Local system and medicines are used more broadly:
- Cytostatics;
- Monoclonal antibodies;
- T-cell of immunity;
- Glucocorticoids;
- Anti -inflammatory ointments based on salicylic acid.
The selection of specific medicines, the determination of their compliance and the possibility of use (depending on the presence of simultaneous pathology) is determined exclusively by the physician after a comprehensive examination.In no case, in no case can recommendations for correspondence be given to increase the effectiveness of treatment.
How to treat psoriasis at home
The development of psoriasis is based on immune factors, a violation of tolerance due to genetic abnormality leads to the development of those skin changes, which are the cause of the appearance of the relevant symptoms.
It is not surprising that traditional medicine involves the use of various recipes based on herb, 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 be used (calendula, chamomile, etc.) have immunostimulating properties in the country.Activation of immunity in psoriasis can cause worsening of the disease and only an increase in the severity of the symptoms.
This is why in no case should you be referred to -herbaceous and other popular means for psoriasis, and if some methods can be used, then only except the main therapy and only under the strict control of the physician after a comprehensive examination.
If during treatment the appearance of new rashes, increased severity of symptoms, deterioration of combustion and itching is observed, then such therapy should be stopped immediately, as it can pose a direct risk to your health.
Do they take the army with psoriasis?
Psoriasis is the disease in which a temporary delay is given by military service or a recruit is recognized as invalid for military service.In severe forms of the disease, when large areas of the skin are affected, there is common damage, the general condition suffers significantly - they do not get in the military.
If we talk about limited and easy forms to treat, then a temporary delay from service to military can be given with them, after treatment, a medical commission is re -recognized, which recognizes appropriate recruitment for the service or excludes it.
It is believed that psoriasis is a contraindication to serve, however, in some cases, a medical commission can be taken with another decision, therefore, the final answer to this question gives a medical commission after assessing the general condition, the degree of severity of the disease and other factors.The actions of the doctors shall be regulated by the relevant instructions under which recruitment must be attributed to one of the category (from a in d) in accordance with which a temporary or continuous exception is given.
Preventing the development of psoriasis
Is it possible to perform effective prevention of psoriasis?The rhetorical question, which is not unclear.The fact is that all the factors that contribute to the development of the disease can lead to psoriasis, as it is considered today, only in the presence of a genetic abnormality that cannot be affected.
Of course, prevention in most cases is not performed, as neither the patient himself and no one else knows about the presence of predisposition.Exceptions are just cases where parents suffer from psoriasis, and this fact can be regarded as a high risk of developing the disease in the patient itself.
Measures to prevent the development of the disease should include:
- The maximum restriction of all stressful impacts and psychological stress is not always able to do so, but it is recommended to limit the psycho -emotional load;
- Performing timely and complete treatment of infectious focus and sewer sewage of chronic infection (recommended not only with the purpose of preventing psoriasis but also of others, including autoimmune diseases);
- Rejecting bad habits, compliance with work and rest regime, proper nutrition;
- Proper treatment of associated diseases, mainly - endocrine pathology;
- Protection against ultraviolet rays (restriction of staying under direct sunlight, use of sun creams).
Measures to prevent common psoriasis are not strictly specific, and the main difficulty of their practical use is that it is practically impossible to perform primary prevention due to the ignorance of potential risk, secondary prevention is important in terms of preventing the disease, but does not help eliminate existing changes.
Forecasting for life and recovery
With psoriasis, the prediction of life is favorable, but for healing - unfavorable.This disease does not lead to the development of life -threatening complications 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 make it possible to completely remove the disease, so the prognosis for recovery is unfavorable.Therapy should be aimed at reducing the severity of the symptoms and extending the remake period.With proper treatment, it is possible to achieve almost complete disappearance of redness and significantly reduce the frequency of irritation.