Treatment of dermatitis on the legs

Dr. Hooman-Khorasani
Posted in Uncategorized

Dermatitis on the legs occurs as often as on the hands, and more often than in other parts of the body. Rashes on the legs most often appear with contact and atopic dermatitis, somewhat less often with allergic. With seborrheic dermatitis, the rash is localized under the knees and in the groin area. There is also such a specific form of the disease as venous (congestive) dermatitis, characterized by dilated veins (often with blood clots), red dry spots in the shins, cracks and ulcers.

Allergic and contact dermatitis on the legs is characterized by reddening of the skin and the appearance of a small rash, fluid-filled blisters and itching may appear. The atopic form is accompanied by severe itching and the appearance of inflamed scaly areas.

Usually, dermatitis on the legs affects first of all the most delicate areas – the inside of the knees and thighs. If treatment is not started on time, inflammation can take up a large area. In addition, dermatitis can also affect the feet.

Causes of dermatitis on the legs
At the beginning of therapy, a dermatologist determines the causes of the disease. It most often manifests itself as a reaction to a food allergen, antibiotics, cleaning chemicals, washing powder, wearing synthetic clothing (trousers, leggings, nylon tights) and ill-fitting shoes. Therefore, people who suffer from flat feet, valgus or with the so-called bone on the foot often complain about dermatitis on their feet.

It is worth noting that a rash in the area of ​​​​the heels and toes often appears in patients with diabetes mellitus and other endocrine diseases, as well as when infected with a fungus.

The course of inflammation on the legs is also aggravated by sweating of the skin, for example, in the gym or in summer, and the feet often sweat in closed shoes. You can’t use foot deodorants during an illness: an aggressive composition will cause even more itching and irritation. To reduce sweating, it is better to use hypoallergenic baby powder, wear and change socks made of natural fabrics several times a day, and in the hot season, give preference to light clothes made of linen and cotton.

In addition, it is necessary to exclude contact with the allergen: refuse products that provoke a reaction, wash clothes with a hypoallergenic powder, and avoid skin contact with a cleaning agent when cleaning.

Drug therapy for dermatitis on the legs
Then the doctor prescribes drug therapy: antihistamine or antifungal drugs, as well as antifungal or hormonal ointments of the glucocorticosteroid group. This treatment will relieve the acute symptoms of the disease, reduce the intensity of itching, reduce skin inflammation, and slow down cell division. When an infection is attached, the necessary antibiotics are prescribed.

After the removal of the acute condition, external agents are prescribed. If dermatitis on the legs is characterized by weeping rashes, anti-exudative gels and creams are needed. They contain tar, zinc, sulfur and naftalan. Otherwise, the skin needs to be moisturized through creams and ointments with vegetable fats, panthenol and vitamins. Extracts of burdock root, plantain leaves, thyme, chamomile flowers, oak bark, if used systematically, can accelerate the regeneration process. Herbal remedies are applied from several weeks to several months. In the case of dermatitis of the feet, baths or lotions are used.

Losterin cream for the treatment of dermatitis on the legs
During the course of the disease, soap should be discarded, as surface-active substances (surfactants) irritate and dry damaged skin. Improper care slows down healing. For the hygiene of the skin of the legs, it is better to use plain boiled water, herbal decoctions or products intended for the care of inflamed skin. Among such products is Losterin shower gel. It does not contain alkali, so it does not provoke drying and cracking of the skin. Deresined naftalan and Japanese Sophora extract provide an antipruritic effect, and thanks to a complex of vegetable oils, peeling disappears and the regeneration process takes place faster. Cream “Losterin” contains more active substances and is used to relieve symptoms of skin diseases, supportive treatment and prevention.

Also, balneotherapy can affect the inflammatory processes of the skin of the legs. Good results are noted by patients who have completed a course of hydrogen sulfide, coniferous and radon baths.

Light therapy for psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a chronic disease that affects the skin, and in cases of complications, nails and hair. Its manifestations on the skin can be quite diverse: often these are dry red spots with lesions in the form of scaly pustules. The cyclic nature of this dermatological disease is characterized by periods of exacerbation and temporary improvement (remission).

The causes of psoriasis are still controversial, and largely depend on genetic predisposition. However, psoriasis is not an infectious disease, it has nothing to do with microorganisms, and it is impossible to catch it from another person.

Therapy of psoriasis is always complex, it is prescribed by a dermatologist. Usually, treatment includes medicines for internal and external use, as well as physiotherapy of a different nature.

It is known that phototherapy is often used as part of an integrated approach, so a natural question arises: is it possible to treat psoriasis with a solarium?


The therapeutic properties of ultraviolet radiation are based on its ability to influence the processes of immunoregulation , as well as the effect of slowing down the growth of skin cells, which has a positive effect on the weakening of psoriasis. In clinical practice, the following phototherapy techniques are used:

  • PUVA therapy – combined exposure to waves of a certain light spectrum and frequency and medications that increase skin sensitivity to ultraviolet radiation;
  • UVB-311 nm – narrow-band phototherapy that does not require the use of photosensitizers
  • laser therapy – focused light beams for individual localizations of psoriasis;
  • selective light therapy – the use of medium and long-wave radiation simultaneously for a combination effect on the surface and deep layers of the skin.

All types of phototherapy should be correctly selected by the doctor based on the results of complex diagnostics: assessment of skin phototype and photosensitivity, clarification of the state of internal organs, etc.

artificial sun

Doctors do not give an unequivocal answer to the question of whether it is possible to sunbathe and go to the solarium with psoriasis. However, a number of contraindications are precisely known:

  • severe psoriasis;
  • increased sensitivity to light;
  • increased dryness of the skin, etc.

Skin care with Losterin

The use of products from the Losterin series has a positive effect in the treatment of psoriasis and has a beneficial effect on the skin at any stage of the disease. Phototherapy dries out the skin, which can cause irritation. Shower gel and shampoo ” Losterin ” with pronounced anti-inflammatory, exfoliating and antifungal properties will help your skin regain balance, increase the regenerative functions of the skin. Natural ingredients in the composition will eliminate the need for additional moisturizers and the appearance of allergies.

Remedies for psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is not a sentence , dermatologists are sure. With the development of medicine and the study of the problem of skin diseases, more and more new remedies for psoriasis are being developed, which are prescribed depending on the form of the disease. Since there are at least ten varieties of pathology and the patient himself will not be able to accurately determine them, any drugs should be prescribed by a doctor.

Therapy is prescribed in order to achieve long-term remission , since the disease cannot be cured. The main method of treatment is the use of topical preparations. Psoriasis remedies can be both hormonal and non-hormonal, like the Losterin line of products .

The purpose of using external remedies for psoriasis is to relieve the patient of the main symptoms of the disease: burning and itching, pain, discomfort. For this, ointments and creams, powders and lotions, talkers and compresses are used.

Most often, especially in the acute period, ointments are prescribed – fatty-based preparations. Applied to the skin, the ointment reduces heat transfer, softens the epidermis (or crusts), making it more susceptible to the action of the therapeutic substance. Compresses are also made with ointment. A properly applied bandage prevents air from reaching the affected area, which ensures deep penetration of the active elements of the product. Vegetable oils, purified pork or bear fat, lanolin, petroleum jelly, greases, naftalan are used as an ointment base . As a therapeutic substance, boric or salicylic acid, plant extracts, sulfur, tar, ichthyol, resorcinol, and steroid hormones are added to the ointment.

Gels are suitable as a remedy for psoriasis for use in open areas. They have a cooling and protective effect, and thanks to the structure, it is easy to apply and quickly absorbed. Most often, gels are prescribed for psoriasis of the scalp, nails and pustular form of psoriasis. For chronic skin care, it is recommended to use sprays . The sprayer provides an accurate dosage of the product, economical consumption, and also makes it convenient to care for the scalp.

Glucocorticosteroid topical preparations

Hormonal drugs used in the treatment of psoriasis contain glucocorticosteroids , which are produced by the adrenal cortex, or synthetic analogues of these hormones. These psoriasis drugs are available in the form of creams, ointments, and sprays. Their choice is dictated by the power of exposure, penetration depth, localization and severity of the lesion, ease of use for a particular patient, etc. Thus, ointments are recommended for the treatment of psoriatic plaques on the body, and creams that are easily distributed are preferred for the treatment of the scalp. on the skin.

A number of therapeutic effects make glucocorticosteroid drugs the method of choice for exacerbation of psoriasis. They have anti-inflammatory, antihistamine, antipruritic and epidermostatic effects.

Treatment with glucocorticosteroid external agents begins with mild or moderate drugs – hydrocortisone, prednisolone, alkomethasone . In the chronic course of the disease, skin lichenification , severe lesions, strong and very strong hormonal agents are prescribed with fluocinolone , flumethasone , dexamethasone, mometasone , budesonide , halomethasone , chalcinonide , clobetasol .

Due to the powerful action that depresses the immune system, strong side effects and addiction, there are rules for using hormonal drugs:

  • they can be used as a remedy for psoriasis only during an exacerbation;
  • the duration of use is determined by the doctor, and the cancellation occurs gradually by reducing the dose or switching to a weaker drug;
  • they are used, as a rule, no more than 1-2 times a day;
  • applied in a thin layer.

It should be noted that there are 4 generations of glucocorticosteroid drugs. First generation drugs have fewer side effects and less effectiveness, while second and third generation drugs are more effective, but at the same time more dangerous. In psoriasis, fourth-generation drugs are recommended for use , combining both high efficiency and safety. Examples: mometasone furoate , methylprednisolone aceponate , hydrocortisone butyrate.

High efficiency is provided by a combination of glucocorticosteroid drugs and salicylic acid, which has a keratolytic and antimicrobial effect.

Prolonged uncontrolled use of glucocorticosteroid drugs is fraught with the development of disorders of the hypothalamic-pituitary-adrenal system and skin diseases – pyoderma, atrophy, hypertrichosis, rosacea , etc.

External Therapy

In addition to hormonal ointments, other external preparations are also used for psoriasis. Their use can be prescribed in both acute and chronic periods.

Keratolytic , antiseptic and local irritant effect is created by preparations with salicylic (1-2%) and boric acids (2%). With their help, other active ingredients quickly and deeply penetrate the skin.

Zinc ointments and pastes have an anti-inflammatory effect . In combination with sulfur, boron and naftalan , they become even more effective. Zinc preparations, in addition to relieving inflammation, have a resolving effect, slow down the pathological growth of skin cells, reduce infiltration and flaking.

Due to the good anti-inflammatory, irritating, epidermostatic action, preparations containing birch, juniper, pine and coal tar are widely used. Tar is a product of the dry distillation of wood. It contains organic acids and resins, phenol, xylene, toluene, benzene and many (over 10,000) other substances. Tar ointments have different concentrations – from 0.5 to 20%, their use depends on the severity of the skin lesion. Tar baths may also be recommended.

Since tar becomes dangerous under the influence of sunlight (there is an increased likelihood of burns, the development of a cancerous tumor, skin diseases), it is not recommended to use it on open areas of the skin, and direct sunlight should be avoided during treatment. Preparations containing tar are contraindicated in patients with pustular skin lesions, diseases of the urinary system and in the exudative form of psoriasis.

Naftalan oil produced in the area of the Azerbaijani resort of the same name has high efficiency and multidirectional action . Naftalan has been used in dermatology for more than a hundred years. Currently, it is introduced into the composition of ointments, creams, naftalan is added to therapeutic baths, combined with ichthyol, grease, and sulfur. The composition of Naftalan oil is a mixture of hydrocarbons, cyclopentanoic acids and resins. Naftalan has antipruritic , disinfecting, anti-inflammatory, analgesic and keratolytic effects. Back in 1965, dermatologist N. G. Tereshina noted the powerful effect of naftalan baths: 85% of patients had a long remission – from 7 to 12 months.

Preparations containing Naftalan oil also have contraindications. So, they can not be used in the acute stage of psoriasis, since itching and redness of the skin may increase, the affected areas increase and new lesions appear. With caution , naftalan -containing products should be used on large areas of the body, with hemorrhagic syndrome, kidney diseases, and anemia.

Widely used external preparations with a synthetic analogue of vitamin D3 – calcipotriol . Vitamin has the ability to normalize metabolic processes in the skin, slows down cell division, and has anti-inflammatory properties. External preparations with calcipotriol have a very high efficiency, comparable to glucocorticosteroid drugs, but unlike the latter, they have a long period of use (from 1 month to 1 year). Among the side effects of the use of drugs with D3 are dermatitis, exacerbation of psoriasis, hypercalcemia.

Preparations for internal use

Internal therapy for psoriasis is supportive, but not the main treatment. There are 2 groups of drugs – psoralens and retinoids . Psoralens are tablets or injections designed to increase the body’s sensitivity to ultraviolet radiation. Under the influence of psoralens and sunlight (PUVA therapy), the division of epidermal cells slows down.

Retinoids – analogues of vitamin A – also have an epidermostatic effect, and drugs are indicated for use in extensive plaque lesions of the skin. However, retinoids have a long list of side effects and a low rate of excretion from the body (up to 1.5 years). In view of this, vitamin A is not prescribed to pregnant women or women planning pregnancy.

Herbal preparations

After removing the acute condition, it is preferable to use non-hormonal psoriasis remedies, for example, Losterin , salicylic and zinc ointments, products based on birch tar, grease, naftalan , etc.

Losterin line of specialized products , developed by dermatologists, is intended for daily care of dry, sensitive, irritated skin with chronic skin diseases.

(in combination with Losterin cream )

Positive dynamics in the form of a decrease in hyperemia and itching in psoriasis was noted already on the 9th day of application of Losterin cream . The patient continued to apply the cream further.

Shampoo Losterin in the treatment of psoriasis

Positive dynamics in the form of a decrease in flaking, hyperemia and infiltration in psoriasis was noted 10 days after the start of daily use of Losterin shampoo . The maximum effect was achieved after 20-28 days

The active ingredients that make up the preparations of the Losterin line effectively relieve inflammation, itching and flaking of the skin, moisturize the skin, help restore the affected skin, and have an antibacterial effect.

Shampoo ” Losterin ” is intended for daily care of dry, sensitive, irritated scalp and hair in diseases such as seborrhea (dandruff), seborrheic dermatitis, psoriasis, furunculosis, various types of mycoses (fungal infections of the scalp).

Losterin shower gel and cream are recommended for people suffering from various forms of dermatitis / dermatosis with severe dry skin: psoriasis, eczema, atopic dermatitis, seborrheic dermatitis, contact dermatitis, lichen planus, ichthyosis, xerosis, as well as for the prevention of exacerbations of chronic dermatosis and prolongation of remission.

In addition to Losterin , ointments, creams, lotions, therapeutic baths and lotions with extracts of celandine, string, sage, valerian, eleutherococcus, wild rose, arborvitae, viburnum fruits, Japanese Sophora, bark of sea buckthorn buckthorn , barley, celery, leaves are widely used for the treatment of psoriasis . and cherry fruits.

Vegetable oils are widely used in the treatment of psoriasis . So, olive oil has powerful moisturizing and keratolytic properties, sea buckthorn oil reduces irritation and inflammation, linseed oil stimulates the regenerative processes of the epidermis. With psoriasis of the scalp, it is recommended to use burdock oil, which, among other things, helps to restore health to the hair.

Unlike hormonal drugs, products based on natural ingredients do not cause addiction, withdrawal syndrome and can be used for long courses.

Differences between psoriasis and nail fungus

Dr. Hooman-Khorasani
Posted in Uncategorized

Often a person suffering from psoriatic skin rashes confuses this disease with a fungus. So, is psoriasis a fungus or not, and what are their differences?

Scientific studies of tissues affected by psoriasis clearly prove that this disease is not fungal. Psoriasis is a non-infectious skin disease, it is not contagious and occurs due to stress, chronic fatigue, genetic predisposition, and not at all due to exposure to bacteria and other microorganisms.

Nail psoriasis and fungus

Psoriasis is not a fungal disease, although the symptoms of damage to the nail plate are similar. The first sign of both diseases is changes in the nail, for example, expressed in the presence of whitish dots, which are replaced by depressions. When postponing a visit to a dermatologist, the symptoms of psoriasis worsen, when pressure is applied to the nail plate, pain appears, the plate is deformed, and reddish spots form under it. In the advanced stage, the nail begins to deform.

Some confuse psoriasis with a fungus also due to the fact that when the nail is damaged by the first disease, the second one often joins it. Therefore, it is important to consult a dermatologist immediately after detecting the initial symptoms. This doctor will be able to both distinguish nail psoriasis from nail fungus and prescribe the right treatment.

It is impossible to independently select drugs and methods for eliminating the symptoms of psoriasis. Pharmacology offers a variety of means, hormonal and not, external and internal. Preparations are selected based on the form of the disease, its severity and the physiological characteristics of the patient. It will not be possible to evaluate all these factors on your own; only a dermatologist can do this.

External and internal preparations for the treatment of psoriasis of the nail plate

After examination and diagnostic procedures, the dermatologist makes a diagnosis and prescribes treatment, which usually includes external and internal preparations. Means help to eliminate the symptoms of the disease, they are used in combination and course.

External remedies help relieve itching, irritation, and reduce visible symptoms. They are hormonal and non-hormonal. The choice of the type of remedy is made by a dermatologist. Under the supervision of the same doctor is undergoing treatment. In the process of carrying out procedures and taking drugs, it is possible to replace them with others. This is due to the effectiveness of the measures taken and the change in the course of the disease. Only a dermatologist has the right to prescribe the necessary drugs. Treatment can cause side effects, so you should not buy funds, guided by the advice of pharmacologists or acquaintances.

Preparations brand ” Losterin “

The products of this brand belong to the external non-hormonal. The line of products includes shampoos, gels, body and foot creams. These funds are prescribed by a dermatologist and help reduce the visible manifestations of psoriasis, itching, burning and pain. Losterin brand products are successful because of:

  • high efficiency and safety. This has been confirmed by numerous clinical trials. Means ” Losterin ” do not contain harmful substances and are certified. There are no dyes and fragrances in the products;
  • ease of use. The funds are allowed to be used daily, they do not cause addiction and withdrawal syndrome, they are easy to use, as they resemble conventional cosmetic preparations. Using the Losterin line , a person does not have to worry about leaving visible traces of ointments or creams on clothes or hands.

If a dermatologist has prescribed one of the Losterin products for you, you can order it through our website. We work in many cities of Russia, supplying original brand products to pharmacies.

About dermatitis

Dr. Hooman-Khorasani
Posted in Uncategorized

In a broad sense, dermatitis is an inflammation of the skin, most often due to exposure to chemical, biological or physical factors. The disease is characterized by the appearance of redness, inflammation, itching, burning, blisters, fever of the affected area. The intensity of the symptoms depends on the severity and type of the disease.

Varieties of dermatitis

For successful treatment, it is necessary to determine the type of disease. There are 4 types:

Seborrheic dermatitis most often appears on oily skin and is a rash with an oily sheen and jagged edges. Usually rashes are localized in the scalp.

Causes of dermatitis

First of all, it should be said that dermatitis is not a life-threatening disease and is not transmitted from person to person. Factors of the appearance of pathology can be divided into exogenous (external) and endogenous (internal).

Exogenous factors include:

  • mechanical: friction and pressure;
  • physical: exposure to temperatures, sunlight, x-rays and radioactive radiation;
  • biological: contact with plants, bacteria, viruses, fungi;
  • chemical: acids, alkalis, salts of alkali metals and mineral acids.

Endogenous factors are:

  • metabolic disorders, hypo – and beriberi;
  • diseases of the endocrine system;
  • reaction to medications;
  • reaction to food;
  • autointoxication.

Regardless of the cause, all varieties of dermatitis are characterized by a clear outline of the skin lesion.

Symptoms of dermatitis

Symptoms of the disease have 3 stages. The first (acute) stage is characterized by itching and inflammation of the skin, the appearance of blisters filled with liquid. The second (subacute) stage occurs if no assistance has been provided previously. It is characterized by the formation of crusts and flaking of skin scales. In the third (chronic) stage , the skin thickens and the affected areas become dark pink in color.

The affected areas can become both very sensitive and lose sensitivity.

In some cases of toxic dermatitis, there is a general deterioration in well-being, headaches, loss of strength, but most often the disease is limited to skin manifestations.

Diagnosis of dermatitis

Diagnosis of dermatitis usually includes:

  • visual examination of the skin;
  • scraping from the affected area of the skin and subsequent histological or bacteriological analysis;
  • urine and blood tests;
  • an immunological study that detects an allergen;
  • if necessary, a skin biopsy may be ordered.

The diagnosis is made by a dermatologist or an allergist.

Treatment of dermatitis

Treatment of dermatitis is a conservative therapy. In the acute stage , glucocorticosteroid ointments may be prescribed . In the second and third stages , moisturizing and regenerating ointments, soothing gels and other products containing components of natural origin are used to get rid of symptoms.

antibiotic or antifungal treatment (taking pills, using ointments) is prescribed under the supervision of a doctor .

With allergic dermatitis , a special diet is prescribed , excluding possible allergens. It should be maintained throughout life.

In the fight against atopic dermatitis (neurodermatitis), self-control is important in order to overcome the desire to comb the affected area. A patient with this diagnosis may benefit from psychotherapy sessions .

Prevention of dermatitis

Prevention of psoriasis involves several factors, depending on the type of disease. Methods may include following a diet, wearing gloves while doing housework, sun protection, wearing clothing made from natural fabrics, regularly moisturizing the skin and taking vitamins, etc.

Psoriasis of the nails on the hands and feet – treatment, causes, symptoms

Dr. Hooman-Khorasani
Posted in Uncategorized

What happens and what does nail psoriasis look like. Why does the disease appear and what symptoms does it have at different stages of the course. How is nail psoriasis treated and what medications are prescribed to patients. A list of preventive measures that will relieve symptoms and help prolong remission.

Nail psoriasis is a chronic dermatological disease of the type that is difficult to treat. The second name is psoriatic onychodystrophy . The disease can affect only the nail plate or nails along with the skin of the hands and other areas of the skin. The second option is more common. The skin becomes inflamed and covered with a rash, and the nail plate is deformed and loses its strength.

Causes of Nail Psoriasis
The reasons are still not fully understood. Experts tend to believe that the main reason is malfunctions in the activity of the immune system and problems in metabolic processes. In psoriasis, there is a rapid division of skin cells and the development of a strong inflammatory reaction in the skin.

According to the second popular hypothesis, psoriasis is caused by hereditary factors. Every third patient has relatives suffering from this disease. Experts believe that there are certain genes that provoke abnormal cell division.

Pathology can overtake a person of any gender and age. The following factors can provoke it:

dry or cold climate;
severe stress, regular experiences, constant psychological stress;
neglected or untreated infection (usually bacterial);
inflammatory processes in the body;
trauma to the skin surface (mechanical or chemical);
a long course of potent medications (especially anti-inflammatory drugs and antibiotics, beta-blockers);
weakened immune system (for example, due to poor nutrition);
bad habits like addiction to alcohol or cigarettes;
Also, the disease can provoke a sharp change in the climatic zone. Next – a photo of psoriasis of the nails on the hands, treatment and preventive measures.

Symptoms of Nail Psoriasis
The damage to the nails with psoriasis will be better demonstrated by the photo. However, it is worth familiarizing yourself with the symptoms.

Key manifestations by which the disease can be recognized:

small indentations resembling needle pricks;
the formation of yellowish marks under the nail plate;
exfoliation of the nail plate;
noticeable thickening of the nail and deformation of its contour;
small hemorrhages in the area of diseased nails.
If you do not pay attention to the symptoms in time and start the disease, complications are possible. Including infection with harmful bacteria and the development of a fungal infection. By the way, the network has a lot of photos on how to distinguish nail psoriasis or a fungus.

If you engage in treatment and properly care for your nails, it is possible to achieve a long-term remission.

Psoriasis of the nails on the hands
Psoriasis of the nails on the hands includes several subspecies:

Thimble . Or thimble syndrome. Small depressions and grooves are formed on the plate, due to which the surface of the nail resembles a thimble. This subtype of the disease is the most common.
Onycholysis . The nail plate gradually moves away from the nail bed at the free edge of the nail. The process is painless.
Paronychia is an inflammation of the skin surrounding the nail plate. The periungual ridges acquire a bright red hue, the skin becomes edematous.
Subungual hyperkeratosis. The plate becomes denser, layers are formed under the nail. The nail is severely crumbled, destroyed
Hemorrhages. Small hemorrhages are observed under the nail plate. This manifests itself in the form of dark brown spots or vertical stripes on the plate. This form of nail psoriasis photo will demonstrate better descriptions, especially on the hands.
The listed types of nail psoriasis can replace each other or be combined at the same time.

Psoriasis of the toenails
Toenail psoriasis has the same varieties as on the hands, the photo and description of the symptoms clearly demonstrate this.

For greater clarity, you can see the photo of psoriasis of the toenails.

Nail psoriasis treatment
With nail psoriasis, treatment should combine several directions at once. In therapy, there are not only medicines, but also cosmetics and psychotherapy.

Typically, patients are prescribed the following drugs:

Anti-inflammatory ointments and creams. Most often belong to the group of hormonal drugs ( glucocorticosteroids ). They fight inflammation and remove the main symptoms of the disease. Usually, with psoriasis of the nails, treatment with drugs of this type forms the basis of therapy. Especially at first.
Preparations with vitamin D3. For external application – gels, creams, ointments or capsules. Vitamin contributes to the normalization of the rate of division of skin cells and prevent psoriasis from progressing.
Systemic drugs. In the form of tablets or capsules. They are used in cases where local medicines do not help or when nail psoriasis is combined with joint damage.
Calming creams. Used additionally. Moisturize and soothe the skin.
How to treat nail psoriasis, only the doctor decides. It determines the type of disease, its degree of development, as well as the characteristics of the patient’s body.

Treatment of nail psoriasis with folk remedies
Home methods are practically ineffective. It is worth noting that most natural substances are strong allergens and irritants. They can make things worse. Therefore, before using any of the means, a consultation with a doctor is required. In the case of nail psoriasis, treatment reviews may contain recommendations for the use of certain folk methods. You should not completely rely on them, since each case is individual.

In matters of how to treat nail psoriasis, reviews are not the best way to find out reliable information. They can only serve as a guide.

Prevention of nail psoriasis
These rules must be observed throughout life. They will speed up recovery and help prolong the period of remission:

Treatment in a sanatorium. During an exacerbation or for the purpose of prevention. Mud baths and mineral waters strengthen the body and calm the nervous system.
Regular intake of vitamins. Especially in spring and autumn. It is better if they are prescribed by the attending physician.
Rejection of bad habits. Smoking, alcohol and nocturnal lifestyle are contraindicated.
No stress. Lack of sleep, overwork, conflicts – all this can provoke a rash.
Diet. It is also important to follow it constantly. It is worth giving up fatty and smoked foods, too spicy and salty, as well as foods and dishes with a high content of carbohydrates.
Compliance with medical prescriptions. In no case should you resort to self-medication. This will only make the situation worse. The forum and advice from the Internet can also harm the nail psoriasis, treatment should be determined strictly individually. It is important to regularly see a doctor and monitor the condition of the body.
Nail psoriasis is a serious disease. If you do not pay attention to it, severe and almost irreversible consequences are possible. For this reason, it is important to recognize specific symptoms early and make an appointment with a dermatologist right away.

Forms of psoriasis and their treatment

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a common skin disease. In various forms, it occurs in a fairly large number of people, most often middle-aged. The disease is autoimmune in nature, not infectious. The risk group for psoriasis, manifesting itself in one form or another, includes:

Individuals with a genetic predisposition to skin diseases. It is worth noting that it is not at all necessary to have parents suffering from psoriasis. The disease can be transmitted through several generations, for example, from grandfather to grandson.

Persons suffering from diseases of the nervous system. If a person is often under stress, experiences panic attacks, is prone to depression, then psoriasis may well appear against this background.

The disease is chronic: in other words, having faced negative manifestations once, you will never be able to get rid of them completely. But there is also a positive point: psoriasis proceeds in waves, it is characterized by both outbreaks and remissions, and quite long ones, lasting up to several years.

Forms of psoriasis: how does the disease manifest itself?

For psoriasis of any severity, the appearance of reddish plaques covered with silvery scales is characteristic. These elements are quite easily injured: they are damaged even by contact with ordinary clothing.

mild form of psoriasis

Symptoms are not too pronounced and are removed quite simply. Relief for the patient brings the use of special products designed to care for dry skin (for example, Losterin cream ). They are available in the form of creams, shampoos and shower gels. You can apply them as often as needed.

Severe psoriasis

In some patients, the disease is widespread. Rashes can occupy large surfaces – the entire abdomen, back , etc. , be accompanied by abundant peeling and even disturb the general condition (feeling tired, chills). Sometimes the surface of the plaques can be wet – this course of the disease is called the exudative form of psoriasis by dermatologists.

Severe forms of psoriasis also include the so-called. pustular psoriasis and psoriatic erythroderma. It is not uncommon for people suffering from severe psoriasis to have nervous breakdowns caused by concerns about their appearance and quality of life in general.

For the treatment of severe psoriasis, systemic drugs are used that block the development of the inflammatory process in the skin, reducing the rate of cell keratinization . Such therapy is carried out only in a hospital under the supervision of dermatologists. In parallel with systemic therapy , local treatment, physiotherapy are prescribed .

Seasonal psoriasis is a special kind of disease.

Another type of disease is psoriasis in seasonal – winter or summer – form. The first is characterized by the subsidence of symptoms in the warm season and their exacerbation with the onset of cold weather. Excessively dry air and strong temperature changes can provoke inflammation. The second is manifested under the influence of sunlight and profuse sweating caused by heat.

Seasonal psoriasis can be mild or severe, but with a competent and responsible approach, it can be treated. This is evidenced by photos that demonstrate different forms of psoriasis before the fight against it and after the course of therapy.

Palmar-plantar psoriasis – treatment, causes, symptoms, prevention

Dr. Hooman-Khorasani
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What is palmoplantar psoriasis and what are its causes. Varieties of the disease and their symptoms. What methods and drugs are used to treat palmoplantar psoriasis, as well as a list of basic preventive measures that will help speed up treatment and prevent the appearance of a rash.

Palmar-plantar psoriasis is a form of psoriasis in which the rash affects limited areas of the hands and feet. It proceeds cyclically – with periods of exacerbations and remissions. The disease can occur in isolation, without affecting other areas of the skin, or combined with more common forms.

The palmar-plantar form of psoriasis can be resistant to ongoing therapy, so it is very important to carry out treatment under the supervision of a dermatologist. The course of therapy not only prolongs remission, but also completely eliminates pain, restores skin functions and prevents the development of complications. The sooner the patient goes to the hospital, the sooner the symptoms of the disease will go away.

Causes of palmoplantar psoriasis

In most cases, the palmoplantar form appears due to congenital or acquired features of the immune system or is transmitted genetically. A combination of both factors is possible.

Without provocative factors, the disease may not manifest itself at all. Here are the main reasons that can give impetus to the appearance of a rash:

transferred infections (viral and bacterial);

the presence of inflammatory processes in the body;

a course of drugs (based on arsenic, beta-blockers, oral contraceptives, etc.);

drugs, smoking and alcohol abuse;

overweight, metabolic disorders;

pathology of the heart and blood vessels;

disruption of the endocrine system;

severe or prolonged stress.

In psoriasis, the immune system too actively produces protective substances, the aggression of which is directed to their own tissues and cells. As a rule, these are T-lymphocytes. Their activity provokes inflammation and excessive cell division. This is what causes the symptoms. The risk group includes people from 30 to 50 years old.

There are different degrees of pathology, which is especially manifested in the hands. Therefore, in the case of psoriasis on the palms, the photos of the initial stage may differ.

Symptoms of palmoplantar psoriasis

Standard clinical manifestations:

inflamed areas of pink or red color with clearly defined borders;

severe peeling over the rash (clearly visible in the photo of psoriasis on the palms of the hands);

painful cracks in areas with rashes (there are not always);

pustules (a rash with purulent contents, characteristic of some types of psoriasis);

intense itching and burning (do not appear in all patients).

The disease has different forms. Therefore, some symptoms may differ.

Having found suspicious symptoms, you need to contact a specialist dermatologist as soon as possible. You should not self-diagnose yourself by examining a photo of palmar-plantar psoriasis.

Types of palmoplantar psoriasis

There are two main types of palmoplantar psoriasis: vulgaris and pustular (Barber type).

Ordinary psoriasis manifests itself as follows:

in the area of the palms (often closer to the thumb and little finger) or soles (heel, lateral surface of the foot and the area of the metatarsophalangeal joints), clearly defined, inflamed reddish-yellow skin areas are formed. With a pronounced exacerbation of the disease, the rash can occupy the area of \u200b\u200bthe entire palm or sole.

in some cases, a large number of coarse scales accumulate on the surface of the rash, forming deep and painful cracks

Pustular palmoplantar psoriasis (Barber’s psoriasis) is additionally characterized by the presence of pustules – intradermal accumulations of whitish-yellow pus. Purulent rashes can form on top of plaques and on clean skin.

The pustular subtype develops rapidly, recurs frequently, and is difficult to treat. The treatment of Barber’s psoriasis differs significantly from that of other subtypes.

Methods of treatment of palmoplantar psoriasis

Palmar and plantar psoriasis provides for complex treatment using systemic drugs, external agents and physiotherapy techniques. Since psoriasis cannot be completely eliminated, therapy aims to reduce symptoms and prolong remission.

Systemic treatment involves the use of active anti-inflammatory drugs from the group of immunosuppressants (methotrexate, cyclosporine, etc.) or retinoids ( acitretin ).

For psoriasis on the palms and on the back of the hands, external treatment includes:

glucocorticosteroids (hormonal creams and ointments) – this group of drugs most effectively copes with the inflammatory process in the skin and requires mandatory medical supervision during the treatment period.

vitamin D and its analogues;

non-hormonal external preparations – products containing naftalan , salicylic acid, urea, tar are suitable for use both during an exacerbation of the disease and during remission. This group of drugs rarely causes side effects and can be used by patients on their own.

emollient creams;

In addition to drugs, physiotherapy is actively used. It usually includes the following procedures:

exposure to UV rays (natural or hardware);

PUVA therapy;

excimer laser treatment;

Treatment methods are selected by a dermatologist, guided by the severity of the disease and the characteristics of the patient’s body. The key difficulty in the selection of drugs is their compatibility and contraindications. In addition, for the effectiveness of therapy, drugs must alternate in terms of their level of anti-inflammatory activity. Therefore, you cannot self-medicate.

Treatment of palmar-plantar psoriasis with folk remedies

As an additional measure, you can turn to folk recipes. However, their effectiveness has not been proven. In addition, many natural ingredients are strong allergens and can additionally irritate the skin, which will only aggravate the situation.

Before using this or that prescription, it is highly recommended to consult a doctor. Especially if the disease is severe.

Basic preventive measures:

Daily baths with natural esters, sea salt or mild baby soap without any additives. Instead of baths, you can do 20-minute foot and hand baths.

Use of moisturizers. Especially after a shower or bath. The agent is applied once a day. In advanced cases – twice a day.

Use of soft towels. At the same time, the skin is not rubbed, but “ dipped ”, carefully applying a towel to it.

Walks in the open air. It is important for people with psoriasis to get enough sunlight. However, measure is important here. Too much sun will only make matters worse. Therefore, it is worth consulting a doctor about this issue.

Rejection of bad habits. Cigarettes, alcohol and lack of daily routine.

Infection protection. It is important to monitor immunity and avoid contact with sick people.

No stress. Or work on changing the perception of negative situations.

These rules must be observed throughout life. Then the manifestations of the disease will be minimal, and the periods of remission will be longer.

Psoriasis on the elbows: causes, treatment, symptoms

Dr. Hooman-Khorasani
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Why does psoriasis appear on the elbows and how to recognize it. The main strategies for the treatment of elbow psoriasis and drugs that are prescribed most often. How to speed up recovery and prolong the period of remission with the help of preventive measures.

Psoriasis on the elbows is an inflammatory skin disease that is non-infectious in nature and difficult to treat. Also called scaly lichen. The disease manifests itself as a red rash in the form of raised papules and plaques covered with white scales. As the disease progresses, the plaques may coalesce to form larger lesions. The rash can appear anywhere on the skin. In most cases, psoriasis of the elbows occurs in people over 35 years of age.

Further on how psoriasis on the elbows appears and develops, photo pathology at various stages and key principles of treatment.

Causes of psoriasis on the elbows

The main causes of psoriasis on the elbows:

genetic predisposition. Psoriasis can be passed down through several generations. So even if one of the distant relatives suffered from it, the probability of finding it in oneself is still high.

Congenital or acquired disorders of the immune system are considered one of the key causes of psoriasis.

endocrine disorders. The impetus for the onset of psoriasis can be obesity, diabetes, thyroid disease, hormonal imbalance and other diseases.

Stress. Prolonged exposure to stress or a serious emotional upheaval greatly affects the functioning of the immune system and the nervous system.

Also, the onset of the disease can be provoked by adverse climatic conditions or bad habits such as smoking and alcohol abuse.

Symptoms of psoriasis on the elbows

The onset of the pathology is indicated by reddening of the skin and the appearance of rounded spots.

In general, the symptoms of elbow psoriasis are as follows:

On the skin, single and isolated from each other rashes are formed – papules or plaques. As the disease progresses, there are more of them. Also, over time, the elements of the rash increase in size and begin to combine into larger foci. Visually demonstrate the signs of psoriasis on the elbows of the initial stage of the photo.

On top of the rash, silvery scales are clearly visible. They are very easy to remove. However, after that, the skin begins to bleed. And the peeling will soon appear again.

Under the peeling is the so-called “terminal film”. It is a smooth skin surface of red color. If it is removed, small spotting (blood dew) will appear on the skin.

The rash can affect both very small areas and quite large areas, extending beyond the elbows.

Formations tend to spread along the periphery. With psoriasis on the elbows of the initial stage, the spots are arranged randomly. If you go to the hospital in a timely manner, their growth and spread can be prevented, preventing the disease from moving into the second stage.

The course of psoriasis is cyclical. Periods of exacerbations are replaced by periods of remission, in which all symptoms of the disease completely disappear. Remission can last from several weeks to several years. Its duration depends on the literacy of the treatment, its timeliness, as well as on the patient’s lifestyle.

Treatment of psoriasis on the elbows

It is impossible to completely cure the disease. From time to time it will still make itself felt. In the form of a rash. Therefore, the key goal of therapy is to delay its onset by extending the period of remission for as long as possible. And also – to ease the symptoms and reduce all stages of the pathology to a minimum.

How to treat psoriasis on the elbows, the dermatologist decides. He analyzes the symptoms, features of the course of the disease and the patient’s condition. Based on these data, an individual therapy program is compiled. In the case of the location of psoriasis on the elbows, as a rule, only external therapy is prescribed.

It includes:

moisturizing preparations containing salicylic acid and urea. These products will not only cope with peeling, but also make the skin smooth and pleasant to the touch.

non-hormonal anti-inflammatory drugs containing naftalan , tar, D- panthenol , zinc, vitamin D3 analogues. The advantage of this group of drugs is the possibility of long-term use of drugs with virtually no risk of side effects. They are designed to reduce inflammation and maintain a period of remission.

hormonal anti-inflammatory drugs ( glucocorticosteroids ). Allow to cope with the symptoms of the disease in the shortest possible time. They are most often used in short courses of 14-21 days under the supervision of a dermatologist. With longer use, they can lead to undesirable local and side effects.

The patient should be prepared from the very beginning for the fact that the course of treatment will be long. If you do not carry out treatment, the disease will go into an old form. In such cases, therapy becomes even more difficult. Medicines for psoriasis on the elbows should be selected only by a doctor. Otherwise, therapy may be ineffective.

Treatment of psoriasis on the elbows with folk remedies

With psoriasis on the elbows, home treatment can only be an additional measure. It is impossible to replace them with drug therapy. Not only will this not help get rid of the rash, but it can also make the situation worse.

The effectiveness of folk methods has not been proven. They are believed to relieve minor symptoms such as itching and redness. However, they will not completely eliminate the manifestations of the disease. Moreover, many natural ingredients, on the contrary, are strong allergens and additionally irritate the skin. Therefore, before using home remedies, you should consult with your treating dermatologist.

Prevention of psoriasis on the elbows

Prevention is a whole range of methods that help relieve symptoms, speed up treatment and increase the duration of remission. These measures should be observed throughout life: both during periods of exacerbations and during asymptomatic times.

You must adhere to the following rules:

Avoid stress. Even a slight emotional or physical overstrain can provoke a disease. To make it easier to cope with stressful situations, you can work out with a psychologist or psychotherapist. Also, treatment in the resort and sanatorium conditions will benefit. It has a beneficial effect on the state of the nervous system and the health of the body as a whole.

Stick to a diet. It is exclusive. Potential provocateurs and junk food (sweet and pastries, salty and spicy, smoked meats, fried and too fatty) are removed from the menu. Food must be regular. Food is taken 4-5 times a day in small portions and at the same time.

Drink vitamins. Vitamin complexes improve the state of immunity. Preferably they should be prescribed by a doctor.

Give up smoking and alcohol. This is bad for all body systems.

Sleep at least 8 hours a day. At the same time, it is advisable to go to bed before 12 o’clock at night.

Avoid any skin damage. Wounds, scratches, bruises – all this can provoke a rash.

Wear loose clothing. It shouldn’t irritate the skin too much. It is also desirable that things be made from natural materials. For example, linen, cotton or silk.

Moisturize the skin. Moisturizers and emollients must be applied every day.

It is also important to regularly be examined by a doctor and follow all his recommendations. Then the presence of the disease in life will be minimal.

Classification of forms and types of psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a non-communicable chronic disease. Often there are relapses of this disease, periods of calm between which range from several weeks to several years. Doctors distinguish several varieties of skin psoriasis, each of which has distinctive features.

Types of psoriasis

In accordance with the International Classification of the Disease (ICD-10), psoriasis is divided into:

ordinary ( vulgar, plaque );

generalized pustular (palmar-plantar psoriasis is also a variant of this form of psoriasis);


arthropathic ;

another (more rare forms – inverse, seborrheic, exudative, psoriatic erythroderma).

Only a dermatologist can determine the exact type, shape, severity and other parameters of the disease. This specialist is consulted for an accurate diagnosis.

Making a diagnosis and prescribing a course of treatment

By itself, psoriasis does not go away, this is proved by numerous scientific studies. Therefore, when the first symptoms of the disease appear, you should immediately consult a doctor. It is impossible to independently make a correct diagnosis, prescribe a course of treatment and choose methods for eliminating symptoms.

With an untimely visit to a dermatologist, the patient’s condition worsens, the symptoms become more pronounced. The rashes become more widespread, merge with each other and become covered with pronounced crusts. By postponing a visit to a dermatologist, the patient risks delaying treatment for a long time.

Preparations and means for the treatment of psoriasis

Dermatologists often prescribe complex treatment, which simultaneously uses external and internal agents, vitamin complexes, sedatives, and much more.

External agents are almost always prescribed. They help to quickly get rid of symptoms such as itching, burning, redness, rash. Modern non-hormonal creams and ointments are safe and effective, which is why dermatologists often prescribe them.