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
Posted in Uncategorized

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
Posted in Uncategorized

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.

Psoriasis on the face – photo, treatment, description of the initial stage

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a chronic skin disease with bright pink rashes covered with silvery scales. The disease is not contagious, can manifest itself at any age, usually localized on the limbs and trunk. However, in some cases, the process extends to the skin of the face, bringing tremendous discomfort to the patient.

Causes of psoriasis on the face

Psoriasis on the face is rarely isolated, usually on the skin of the upper and / or lower extremities, torso there are similar rashes.

It has been statistically proven that facial skin lesions in people diagnosed with psoriasis occur in 42% of patients. Such indicators indicate a fairly widespread change. Before they began to closely study the problem, it was believed that psoriasis on the face is inherent in the Caucasian race, as it manifests itself several times more often. This assumption is explained by the weak exposure to sunlight and cold, in contrast to the population of African countries, the South American continent, the Eskimos and the Japanese.

How and from what psoriasis on the face begins is not precisely established, we can talk about several combined causes or one associated with a malfunction of the immune system, a change in a chromosome region, and so on. Reasons for the development of psoriatic rashes:

Hereditary and genetic predisposition. It has been established that the likelihood of developing a skin disease is higher in persons whose immediate relatives suffer from psoriasis. Several genes have also been identified that are responsible for the formation of a predisposition to the development of psoriasis (PSORS 1-13). Changes in the functioning of these genes lead to the development of an inflammatory reaction, disruption of the cell cycle, defects in the barrier function of the skin, etc.

Disruption of the immune system. In psoriasis, there is also a failure in the work of a number of immune cells (T-lymphocytes, antigen -presenting cells, and others) and signaling molecules (in particular, interleukins and interferons) involved in the development of the inflammatory process.

Prolonged exposure to a stressor or severe nervous shock.

Severe and moderate course of infectious diseases.

Injuries of the skin, especially professional ones affecting the same area of the body ( Koebner phenomenon ).

Taking a number of medications.

Tobacco and drug abuse, unhealthy diet.

There are different classifications of psoriasis, a number of researchers divide the disease into 2 types depending on the age when the rash first appeared:

Patients under 40 years of age, the peak of detection is 16-22 years. Characterized by the rapid spread of the rash, generalized nature, difficult to control course and frequent relapses.

Patients older than 40 years, peak – 57-60 years. There are mild symptoms, a sluggish process, easily amenable to pathogenetic therapy.

Psoriasis on the face in the initial stage may look like a simple dermatitis, for comparison, just look at the photo on the medical website. In order to get acquainted with what classic psoriasis looks like on the face, it is recommended to get acquainted with the photo.

Symptoms of psoriasis on the face

of manifestation of skin symptoms on the face differs from how and at what age psoriasis begins. At a young age, rashes are typical, they are difficult to confuse with other types of dermatitis, unlike older patients.

Psoriatic rashes are flat papules or plaques that rise above the skin, have clear outlines and a rounded shape. Rashes are usually painted in a bright pink color, prone to merging. On the surface of the elements, numerous dotted with white scales are determined, which easily fall off when rubbed and scraped.

The rash may spontaneously regress, leaving a slight pigmentation on the skin.

Rashes can be located on any part of the face, the most typical areas are the border with the scalp, the skin of the eyelids, nasolabial folds, the beard and mustache area.

The formation of plaques occurs in several stages, first new elements of pink color appear, which are partially covered with scales. The plaques unite and white-silvery scales are observed over the entire surface, which is typical for stopping the growth of rashes. Regression of rashes is accompanied by a decrease in local redness, infiltration, and peeling.

In dermatological practice, there are specific clinically significant symptoms characteristic only of psoriasis. Psoriatic triad:

Symptom of a stearin stain: peeling intensifies when a glass slide is scraped over the rash.

The appearance of the terminal film: when the scales are removed, the skin is bright red, even, shiny.

Auspitz symptom (blood dew): Scraping of the terminal film leads to pinpoint bleeding due to closely spaced capillaries.

Treatment of psoriasis on the face

Before starting to treat psoriasis on the face, a complete history of the life and disease of the patient, the performance of laboratory and instrumental diagnostic procedures will be required, it is important to establish the degree of activity, type and presence of complications for individual selection of therapy.

Treatment of psoriasis on the face with oral and parenteral drugs is prescribed in the case of a generalized, long -term or advanced form. For such treatment, cytostatics and immunosuppressants are mainly used ,

Topical remedies for psoriasis on the face are divided into hormonal and non-hormonal. It is important to note that hormonal liniment preparations have a quick, but not always lasting effect. In addition, prolonged application of active and highly active corticosteroids can cause skin atrophy and decreased visual acuity in psoriasis on the eyelids.

Corticosteroid ointments and creams are prescribed in a short course in combination with a vitamin D3 analogue or salicylic acid, which enhances the therapeutic effect.

Non-hormonal ointments and creams for the treatment of psoriasis on the face:

Salicylic ointment in a low concentration (2-5%) relieves inflammation and flaking.

Tar preparations help reduce inflammation and itching, affect the rate of cell division.

Kartalin has an antiphlogistic effect, regulates the division and maturation of epidermal cells.

Preparations containing grease in their composition also have similar effects.

Prevention of psoriasis on the face

Preventive measures are aimed at preventing the development of the disease or the transition of psoriasis from remission to the stage of exacerbation. They imply adherence to the regime of the day and rest, proper and balanced nutrition, the rejection of bad habits, the elimination of stress factors.

The main criteria for the care of delicate facial skin:

wash only with special moisturizers;

water at a comfortable temperature (30-36°C);

the remaining moisture is soaked with a soft towel;

the use of creams that protect against cold and ultraviolet rays;

wearing clothes (outerwear with a hood, a scarf) and accessories for the season (use an umbrella in rain and wind);

Men are advised to use an electric shaver.

Compliance with preventive measures and timely therapy prescribed by a profiling specialist will reduce the risk of spread and recurrence of the disease.

Facts about psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a disease that negatively affects both the health and appearance of a person.

Because of the specific skin lesions associated with psoriasis, many people mistakenly believe that the disease is contagious. But it’s not. Below are the main facts about psoriasis, which will be useful for both people suffering from this disease, and those who were lucky enough to avoid this disease.

Facts about psoriasis:

  1. Psoriasis can be inherited.
    When both parents are sick, the chance of passing on psoriasis to their child is 60-65%. If only one parent suffers from the disease, then the probability is about 20%. There is always a 5% risk that a child will inherit psoriasis if one of the next of kin is sick.
  2. Psoriasis is not contagious.
    The disease is not infectious, but hereditary-chronic . When a healthy person comes into contact with a patient with psoriasis, there can be no infection. Not through touch, much less through airborne droplets.
  3. Psoriasis is under control.
    Unfortunately, no remedy has yet been found to cure the disease forever. But there are many ways and medicines to maintain the health of a patient with psoriasis. The goal of treatment is to achieve long-term remission .
  4. Psoriasis can affect people of all ages.
    This disease occurs in a person regardless of age, whether it is a newborn child or a 90-year-old man.
  5. The occurrence of psoriasis may be due to a sharp change in climate.
    If a person has lived for several years in places with a cold climate, and then visited a country with opposite climatic conditions, this can cause psoriasis.
  6. Psoriasis can occur from skin lesions.
    Small cuts, burns, frostbite can cause illness.
  7. Everyone has an “individual” psoriasis.
    Different people have different causes of psoriasis , as well as the severity of the disease. Therefore, it is important to consult with a dermatologist to prescribe the treatment that is right for you. You do not need to be treated on the advice of other people.
  8. Psoriasis can appear anywhere on the skin.
    The disease manifests itself on the elbows, chest, head and knees, on the feet, on the nails and on the genitals.
  9. The best climate for psoriasis patients is hot and humid weather.
    Dry and cold climates should be avoided. If it is not possible to change the place of residence, then it is necessary to use daily moisturizing and nourishing creams and lotions, for example, Losterin .
  10. You can not remove dead scales from the body.
    The sores should go away on their own, when the scales are removed, the course of psoriasis may worsen. Try not to scratch the areas affected by psoriasis.

How to eat right with psoriasis?

Dr. Hooman-Khorasani
Posted in Uncategorized

There is no specific diet for psoriasis, since skin lesions do not appear from the ingestion of one or another food substance (as with allergic and atopic dermatitis and some types of eczema), but due to metabolic disorders. However, the diet helps, especially in the acute period, to reduce the intensity of the manifestations of psoriasis, speed up recovery and restore metabolism.

With eczema in some cases, for example, with abundant exudate, the patient is recommended a therapeutic 1-2-day fast under the strict supervision of a physician. In the case of psoriasis, the situation is reversed. In no case should you starve – this practice often has an effect opposite to the expected one. But unloading days are possible. A good effect is demonstrated by apple, kefir-curd and vegetable fasting days.

We should not forget that the body of a person with psoriasis is very sensitive to external factors, including allergens. Therefore, in the daily diet, allergenic foods should be minimized, and during an exacerbation it will be safer to exclude them from the menu for a while.

Potentially dangerous foods for psoriasis include citrus fruits, chocolate, eggs, whole milk, vegetables and fruits containing red pigment, fatty, salty, canned, spicy foods, and alcohol. It is important to know that the most preferred cooking methods are boiling, stewing, steaming, grilling. Vegetables can also be eaten raw.

It normalizes the digestive system, which means it has a positive effect on metabolism, a fractional diet. Food is taken 5-6 times a day in small portions.

Polyunsaturated fatty acids, which are found in seafood, sea fish and vegetable oils, have a positive effect on the condition of the skin. They contribute to the formation of prostaglandins in the body – hormones that regulate life processes, strengthen the walls of blood vessels, restore skin cells, and also regulate fat metabolism in the liver.

Fiber also affects the functioning of the liver. It also supports bowel function. Dietary fiber normalizes metabolism and maintains a balance of minerals. Vegetables and grains are rich in fiber.

Calcium and zinc are essential minerals for psoriasis. They have anti-inflammatory, anti-allergic and skin regenerating effects. Zinc also slows down cell division. Fermented milk products, leafy vegetables, nuts, seeds and soy are rich in calcium. Sources of zinc are liver, cheese, pine nuts and peanuts, red meat, beans and peas, buckwheat, oats.

It is important to maintain a balance of vitamins A, B (especially B6, B11 and B12) C, E. Thanks to their antioxidant activity, they maintain healthy skin and nails, neutralize inflammation, play a role in the synthesis of collagen and elastin, and participate in cellular processes.

Effects of psoriasis on pregnancy and lactation

Dr. Hooman-Khorasani
Posted in Uncategorized

If you become pregnant, but you have psoriasis, then several options for the behavior of your disease are possible:

  1. The disease will begin to develop more strongly.
  2. Psoriasis will remain unchanged, both good and bad.
  3. There will be a significant reduction in symptoms.
  4. Psoriasis will disappear completely.

The same options are possible after childbirth. Therefore, during and after pregnancy, the expectant mother should be very attentive to her health and the health of the unborn child.

Having become pregnant, every woman worries whether the disease will be transmitted to the child. It should be noted that the disease itself will not be transmitted to the baby, but there is a risk that the child will be predisposed to this disease. If one of the parents has psoriasis, then the risk is about 15%, and if both are sick, then the probability of transmitting the disease is close to 60%.

Psoriasis is not a contagious disease, so there is no need to be afraid that the child may become infected while breastfeeding.

It is worth giving up breastfeeding only if the mother takes potent drugs or ointments on large areas of the skin. Then the absorbed substances have a bad effect on the health of the child. Here, a woman can make a decision: stop treatment and continue breastfeeding her baby, or not stop treatment and transfer the baby to artificial feeding.

Psoriasis does not affect the conception and development of the fetus. However, drugs used to treat the expectant mother can lead to undesirable consequences. Therefore, during pregnancy , all medicines that can somehow harm the baby should be excluded.

It is necessary to visit a dermatologist and report the pregnancy. An experienced doctor will help you choose the safest methods of treatment.

relieve the symptoms of psoriasis (itching, redness, peeling, spots) in the following ways:

  1. Take soothing herbal teas (motherwort, oregano, chamomile, mint, thyme, valerian, linden, peony, etc.);
  2. Do yoga or meditation ;
  3. Arrange long walks;
  4. Go to psychotherapy sessions;
  5. Get more rest and sleep:
  6. Use lotions and creams based on natural ingredients, such as Losterin .
  7. Try to use decorative cosmetics.

After giving birth, do not stop using the above methods of dealing with the symptoms of psoriasis, but use them in conjunction with the prescribed therapy.

“Nervous” psoriasis. How to avoid stress?

Dr. Hooman-Khorasani
Posted in Uncategorized

One of the most common causes of psoriasis is stress.

With nervous disorders, the disease may begin to progress more strongly , which is an undesirable factor in treatment. Below we will consider the effect of stress on psoriasis and ways to eliminate nervous experiences.

The effect of stress on the course of psoriasis:

  1. Sleep disturbance.
    When a person experiences nervous tension, sleep is disturbed, which is bad for the disease.
  2. Diet break.
    When stressed, a person begins to “seize” problems or, on the contrary, refuses to eat. Hence, the digestive system suffers and psoriasis is aggravated.
  3. Decreased immunity.
    The level of the hormone cortisol is significantly increased during stress, which is responsible for increasing blood pressure and body activity. With an excess of this hormone, immunity decreases, which leads to an increase in the areas of skin affected by psoriasis.
  4. There is an increase in cravings for alcohol or smoking.
    If a patient with psoriasis has previously abandoned bad habits in favor of treatment, then with excessive nervousness there is a risk of resuming these habits. Smoking and alcohol influence the development of the disease.
  5. Increased acidity in the body.
    There is an opinion among scientists that stress affects the acid-base balance of the human body. Such violations lead to exacerbation of psoriasis.

When a person suffers from psoriasis, they are often nervous because of the unpleasant symptoms. In turn, nervousness is badly reflected in the course of the disease and can serve as a cause of its exacerbation.

How to get out of the vicious circle? Below are some tips for avoiding stress:

  1. Take medication prescribed by your doctor.
    If you can not cope with stress yourself, you need to visit a specialist for the appointment of antidepressants.
  2. Drink soothing herbal teas (valerian, peony, motherwort, mint, chamomile, etc.)
  3. Do physical exercise.
    Sports help to distract from negative thoughts and increase the level of endorphins in the body.
  4. Meditate and do yoga.
  5. Find a hobby to your liking to divert attention from problems.
  6. Communicate more often with family and friends.
    With nervous disorders, the support of loved ones is very important.
  7. Do breathing exercises.
    Breathing exercises have a beneficial effect on the nervous system.
  8. Go for massage sessions.
    A soothing massage will help you relax and forget about stress.
  9. Visit a psychotherapist.
    Psychological consultations will help you understand yourself and help you overcome neuropsychic overstrain.
  10. Try acupuncture.
    With acupuncture, there is an impact on such points that are responsible for certain reactions of the body, including nervous tension.