Psoriasis (lichen scaly) is a skin disease, a chronic disease that lasts for years, is characterized by an alternation of deterioration and improvement in the condition. This is a systemic disease of the body with the influence of a variety of factors, therefore, the causes of the onset of the disease in each case are given maximum attention, because the correctness of the chosen treatment tactics will depend on this. Why is the history of psoriasis endless? Because, in fact, the disease is incurable. It is possible to achieve a long-awaited and long-term remission, but this is not a treatment, but a period when the patient should pay increased attention to his health and try to avoid the putative risk factors.
Psoriasis is characterized by the presence of a rash in the form of nodules of various sizes, called papules. Papules are pink, light red, and covered with a kind of fluffy silvery-white scales that make the lesions appear whitish. There is no the same onset of the course of the disease for everyone. More often, there is a variant with a slow increase in the number of rashes. The first rashes can be overlooked, especially if they are located on the scalp. And only under the influence of provoking factors, the number of rashes increases.
It can be trauma, food excesses, pregnancy, etc. In other cases, the history of psoriasis begins with a sharp “sprinkling” of the epidermis with many elements of various forms. More often this happens after infectious diseases, nervous experiences, aggressive drug therapy. In the course of the disease, psoriatic spots can change their localization sites, heal completely and renew again. The rash affects any part of the body, including the hairy areas, but is more common on the extensor surfaces of the limbs (elbows, knees).
Types of psoriasis
Distinguish between progressive, stationary (stable) and regressive stages. By the symptoms of manifestations, the following types of psoriasis can be distinguished:
· Usual (general clinic);
· Psoriatic erythroderma.
So, exudative psoriasis is characterized by the formation of lamellar scales, yellowish crusts. If you remove them, you will find a weeping bloody wound.
Pustular generalized psoriasis occurs on the palms and soles of the feet. It is characterized by fever, malaise, and soreness in the area of plaques. Sometimes it is accompanied by damage to the joints, most often small (hands and feet), there are also large ones. The distal joints are more often affected. At first, these are isolated arthritis, usually asymmetric, on one of the arms, for example. In the future, dislocations, subluxations may appear, followed by deformation of the joints.
Psoriatic erythroderma is an acutely developing, general process. The patient’s temperature rises, there are pains in the joints, the general state of health becomes worse. The occurrence of erythroderma is likely due to the growth and fusion of plaques, as well as under the influence of provocative factors such as excess sun. In psoriasis, nail damage is sometimes observed, pinpoint depressions similar to a thimble, opacities or longitudinal and transverse grooves are visible. Also, the nail plates can be thickened, deformed, and have an uneven surface. In other cases, the nails are generally rejected.
Over the past century of the development of medical technologies, more than one theory of the onset of psoriasis has been derived. These are metabolic, immune, endocrine, neurogenic and genetic, intoxication, and other theories. Taken into account in scientific circles, each case history of psoriasis in each patient requires an individual approach and detailed study in order to prescribe those drugs that will bring the maximum effect and will not harm the general state of the body.
Finally, it has been proven that psoriasis is a multifactorial disease. The development of psoriasis is associated with hereditary predisposition, environmental and immunological factors. But the most defining examples are, if not cure, then long-term remission, as a result of properly selected, necessarily complex treatment.