Psoriasis can be manifested in various forms.Psoriasis options include vulgar (simple, common) or otherwise, plaque psoriasis (psoriasis, plaque psoriasis), pustule psoriasis, titrated shape or dot psoriasis, flexor psoriasis) surface (flexor psoriasis).This section briefly describes various psoriasis and its codes according to the International Classification of Diseases (ICD-10).
Plush psoriasis, orCommon psoriasis, vulgar psoriasis, simple psoriasis (psoriasis,)It is the most common form of psoriasis.This is observed in 80% - 90% of all psoriasis patients.Plush-like vulgar psoriasis is most often manifested in the form of typical areas, on the surface of healthy skin, inflamed, red, hot skin is covered with grey or silver, easily penetrated, easily oozing, scales, scaly, dry, dry and thickened.The red skin under the easily removed grey or silver layer is susceptible to injury and bleeding because it contains a large number of small containers.These typical areas of psoriatic injury are called psoriatic plaques.Psoriatic plaques tend to increase size, merge with adjacent plaques to form whole plaques ("paraffin lake").
Psoriasis on the flexion surface (curved psoriasis), or"Reverse psoriasis".Generally, it looks like smooth, without peeling or minimal peeling, red inflamed spots do not protrude especially above the skin surface, and in the absence or minimal lesions in other areas of the skin, it is located only in the folds of the skin.Most commonly, this form of psoriasis affects external reproductive organs, groin, inner surface of buttocks, depression of axillary, folds of stomach obesity (psoriasis pannus), and folds under the breast gland of a woman.This form of psoriasis is particularly prone to worsen under the influence of friction, skin damage and sweat, and is often accompanied or complicated by fungal infections or thyroidococcal skin surgery.
Intestinal psoriasis (Intestinal psoriasis)It is characterized by the presence of a large number of small circles of lesions above the surface of healthy skin, above dry, red or purple (purple color), similar to drops, tears or small dots.These psoriatic elements usually enhance the large surface of the skin, most commonly the hips, but can also be observed on hairs in the legs, forearms, shoulders, head, back, and neck.After streptococcal infection (typically) after streptococcal tonsillitis or streptococcal pharyngitis, ground-shaped psoriasis often occurs or worsens.
Pustules psoriasisorExudate psoriasisIt is the most severe form of psoriasis in skin form, and looks like air or blisters raised above the surface of healthy skin, filled with unfortunately transparent inflammatory exudates (Pustules).The skin on the surface of the pustule and below the surrounding surface is red, hot, edema, inflammation and thickening, and is prone to exfoliation.Secondary infection of the pustules can be observed, in which case the exudate obtains purulent features.Pustula can be restricted, localized, and its most frequently positioned is the distal ends of the limbs (arms and legs), i.e. the lower leg and forearm, which is called Palmoplantar Pustulasis.In other cases, in more severe cases, pustule psoriasis can be promoted, and the pustules spread widely across the surface of the body and tend to merge into larger pustules.
Causes of psoriasis
Impaired barrier function of the skin (especially mechanical trauma or irritation, friction and pressure on the skin, abuse of soap and detergents, contact with solvents, household chemicals, alcohol-containing solutions, allergies to the skin or skin allergies, the presence of excessive dry skin) also plays a role in the development of Psoriasis).
psoriasis- This is a traitable skin disease in many ways.The experience of most patients shows that psoriasis can be spontaneously improved or vice versa, with no obvious reasons for exacerbation.Based on studies of small (usually hospitals) (not outpatients), studies on the emergence, development, or aggravation of psoriasis tend to, that is, obviously, the group of psoriasis patients.Therefore, these studies often suffer from underrepresentation of the sample and the inability to identify causal relationships in the presence of a large number of other factors that may affect the psoriatic process, including still unknown or unconfigured.Usually, contradictory findings are found in different studies.However, the first sign of psoriasis often occurs after stress (physical or mental), skin damage for the first time, and/or metastasized streptococci infection.Depending on many sources that may cause worsening or worsening of the psoriasis course, these conditions include acute and chronic infections, stress, climate change, and seasonal changes.According to many sources, some drugs, especially lithium carbonate, beta blockers, antidepressants, antimalarial drugs, anticonvulsants, anticonvulsants, and anticonvulsants are associated with worsening psoriasis and may even cause their main occurrence.Excessive drinking, smoking, overweight or obesity, improper nutrition can aggravate the course of psoriasis or complicate its treatment and cause it to become exacerbated.Hair varnish, some creams and handles, cosmetics and perfumes, household chemicals can also cause psoriasis to worsen in some patients.
Patients with HIV or AIDS often suffer from psoriasis.This seems paradoxical to researchers of psoriasis, as treatments designed to reduce the number of T cells or their activity often help treat psoriasis, HIV infection or AIDS with a decrease in T cell count.However, as HIV infection or AIDS develops, viral load increases and the number of circulating CD4+ T cells decreases, psoriasis worsens in patients with HIV or AIDS.In addition to this riddle, HIV infection is often accompanied by a strong transfer of cytokine profile to TH2, while vulgar psoriasis in uninfected patients is characterized by a strong transfer of cytokine profile to TH1.According to the assumption currently employed, in patients with HIV infection or AIDS, the amount of CD4+ T lymphocytes and the activity of pathological alterations have been reduced, resulting in overactivation of CD8+ T lymphocytes that lead to development or worsening of psoriasis patients in patients with HIV infection or AIDS.However, it is important to know that most psoriasis patients are associated with HIV carrying, and HIV infection causes less than 1% of psoriasis cases.On the other hand, psoriasis occurs in HIV-infected people at a frequency of 1-6%, 3 times more frequent than psoriasis in the general population.Psoriasis in HIV infection, especially those with AIDS, can often be very difficult and lend out or not suitable for standard treatment at all.
Psoriasis is initially more common in initially dry, thin, sensitive patients than in women than in men and more common in women than in men.In the same patient, psoriasis most often first appears in areas of dry or thinner skin than in oily skin, and especially often appear in places of damage to the integrity of the skin, including combining, abrasions, scratches, cuts, in places undergoing friction, pressure or contact with aggressive chemicals, detergents, detergents, and detergents, solvents, solvents, solvents.Assuming this lesoride phenomenon of psoriasis is primarily dry, thin or injured skin, and the skin associated with the infection with human infections (probably usually streptococci) can easily penetrate the skin to minimize skin fat secretion (in other cases, in other cases, protect the skin from infection or skin damage. Therefore, the most favorable condition for psoriasis development is contrary to the most favorable condition for fungal infections in the feet (SO is known as "athlete legs") or the axillary area. To develop fungal infections, the most favorable, wet skin, used for psoriasis, and in contrast, dryness. Infections that penetrate dry skin can cause dry (non-swelling) chronic inflammation, which lead to symptomatic features of psoriasis such as itching and increased proliferation of skin cells. This in turn leads to further increase in dryness in the skin, which is due to inflammation and hornsIncreased proliferation of plasmid-forming cells and due to the infected body consumes moisture, otherwise this will moisturize the skin. To avoid excessive dryness of the skin and relieve symptoms of psoriasis, towels and scrubs are not recommended for patients with psoriasis, especially for stiff patients, as they not only damage the skin, but also cause microscopic abrasions, which can also debris from the skin, which can also scrape the skin from permeability, thus protecting the skin from permeability. It is also recommended to use talc powder or infants to absorb excess moisture in the skin after washing or bathing, otherwise "obtaining" the infectious agent. In addition, it is recommended to use products that moisturize and feed the skin, as well as lotions that improve sebaceous gland function. Abusing soaps, detergents are not recommended. You should try to avoid contact with solvents, household chemicals.
Diagnosis of psoriasis
The diagnosis of psoriasis is usually simple and based on the characteristic appearance of the skin.There are no psoriasis-specific diagnostic procedures or blood tests.However, with positive, progressive psoriasis or severe courses, deviations in blood tests can be found, thereby confirming the presence of active inflammation, autoimmunity, rheumatoid processes (title of rheumatoid factor, acute phase protein, leukocytosis, leukocytosis, ESR, increased ESR, etc.), as well as Endocrine and Chemardosors and biioersorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsorsSometimes, a biopsy of the skin must be performed to rule out other skin diseases and histological confirmation (verification) of psoriasis diagnosis.During a biopsy of a patient suffering from psoriasis, the so-called retail tears, a layer of keratinocytes thickening, its histological immature skin infiltration, with T-lymphocytes, macrophages, macrophages and dendritic cells typical of cells proliferating under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer, under the skin layer,Another characteristic sign of psoriasis is point bleeding and bleeding under plaque scraping, which is associated with both the acceleration of angiogenesis and the pathologically increased permeability and the fragility of the skin blood vessels in the lesions (Aushpitz symptoms).
Alternative treatment of psoriasis
To treat vulgar psoriasis, some countries use fish-like therapy in some resorts with open thermal springs.Garra rufa fish that reside there ate their skin on psoriatic plaques without contact with healthy areas.After this treatment, improvement in the patient's condition for six months or more was observed.In the subtropical, successful location allows you to combine with a fish spa and a sea bathroom in a comfortable hotel room.At your request, the chef will prepare a special diet.Water in the bath with Garra rufa fish passes through a three-stage cleaning system (mechanical, UV sterilization and biopurification).Sun, ocean, fresh air, special diet – All diets in the complex help to achieve the positive effect of the bathroom through miracle fishing.Sprinkle a mixture of powdered sugar and potato starch every day to help remove psoriasis plaques.
Treatment of psoriasis with folk therapy
- Coping with psoriasis, give up fat, pork, smoking, chocolate, spices, alcohol, coffee and candies.Enrich your diet with fermented milk products, fresh herbs, roasted apples, fish and nettle salads.Eat a lot of vegetable oils and products containing lecithin that are rich in essential fatty acids.
- Eat foodBoil, boil or stew in diet (excluding frying and smoke).
- Reject foods that increase acidity in the body- Priority is given to products that alkalize the human body.Some people on the Internet have repeatedly testified that only nutritional changes in the direction of alkalization have led to a complete recovery of the health of psoriasis itself, and have also led to an old chronic disease.
- washOnly children or tar soap, often bathed with three colors of Ceylon, hops and violet soup.
- followSurgery (1-2 days of hunger).