Psoriasis is a chronic skin disease characterized by inflammation and other diverse manifestations. Psoriasis affects both men and women, regardless of their gender, age, status.
PREDISPOSING FACTORS
Skin injury, regular mechanical irritation, contamination with chemicals, dust, cement and so on.
Infections – Streptococcus, Staphylococcus aureus, fungal infections.
Prolonged mental stress, stressful states.
Severe endocrine disorders – diabetes mellitus, metabolic disorders, hypothyroidism, hyperthyroidism, obesity.
Long-term use of any medications, especially hormonal, interferons.
Bad habits – alcohol and excessive alcohol consumption.
SYMPTOMS OF PSORIASIS
With the development of psoriasis, a rash appears on the patient’s body in the form of small red-pink plaques. The plaques are covered with seborrheic light scales. Over time, the plaques merge, forming large affected areas of the skin. A favorite localization is the extensor surface of the skin – elbow bends, knee joints, as well as on the entire trunk and scalp. When previously healthy skin is injured, when combing, new plaques appear in the place of action on the skin. If psoriatic plaques are scraped off, the peeling of the affected skin increases, when the scales are removed, shiny wet skin is exposed, blood drops appear when scraping. Hair is usually not affected.
There are several types of psoriasis – exudative, psoriatic erythroderma, pustular psoriasis, normal, atropathic.
Common psoriasis (vulgar) is a rash of plaques that do not rise above the surface of the skin (flat) pink and red, covered with whitish scales. In the exudative form, the scales on the plaques are gray-yellow due to effusion (exudate). With the development of psoriatic rashes in the folds, wetness develops. Other forms of psoriasis are considered the most severe.
With arthropathic psoriasis, not only the skin is affected, but also small joints of the arms and legs, but larger joints may also be affected. With psoriatic psoriasis, a total lesion of the skin occurs, symptoms of intoxication appear, the pain torments the patient and does not give rest.
For all types of psoriasis, a characteristic symptom is nail damage, the appearance of spot depressions on the surface of the nail plates and the appearance of reddish spots in the thickness of the nail plate.
diagnostics
Laboratory tests – general blood analysis, biochemical blood analysis, general urine analysis.
Examination by a dermatologist-venereologist, taking skin scraping, the contents of vesicles and pustules to determine the pathogen, determining sensitivity to antibacterial drugs.
TREATMENT OF PSORIASIS
The main goal in the treatment of psoriasis is the suppression of inflammatory processes in the affected areas of the skin. Therapy is determined by the form of psoriasis, the severity of the patient’s condition. In the acute period, intravenous drip Hemodesis is prescribed up to 3 times a week, a 30% solution of sodium thiosulfate, calcium gluconate, etc. with minor lesions, the use of salicylic ointment, tar naphthalane preparations is sufficient.
With progressive psoriasis, tar and Naphthalan preparations are externally prohibited, physiotherapy is prescribed only in the subacute period. One of the most effective and common methods of treating psoriasis is PUVA therapy (photochemotherapy).
Photochemotherapy is a method that combines ultraviolet irradiation with ingestion of drugs that increase photosensitivity. Thus, the production of skin pigment – melanin is stimulated.
