Psoriasis initial stage – treatment, causes, symptoms and prevention

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a chronic skin disease characterized by an undulating course. Most often, psoriasis is manifested by a specific skin lesion, which can be located on any part of the skin.

Initial psoriasis is not always immediately recognizable. However, this is possible if you pay attention to the characteristic symptoms in a timely manner. If you turn to a dermatologist in time, the development of a rash can be slowed down and stopped. Therefore, it is important to know what signs indicate the presence of pathology.

Causes of psoriasis. initial stage

There are no reliable facts about this. Psoriasis is not a fully understood disease. However, there are factors that can contribute to its occurrence:

  • genetic predisposition (refers to the most common factors);
  • disorders of the immune system (also often provokes the onset of psoriasis);
  • endocrine problems;
  • recent streptococcal infection (angina)
  • the presence of chronic diseases (especially inflammatory);
  • bad habits like addiction to alcohol and cigarettes;
  • frequent stress.

Psoriasis can be found in a person of any gender and age. However, more often it affects people older than 25-30 years.

Symptoms of the initial stage

With psoriasis of the initial stage, the symptoms are mild. However, you can notice them.

To understand how psoriasis begins, you should pay attention to the following typical symptoms:

  • Increased dryness and flaking of the skin A person feels tightness of the skin. in the elbows, knees, lower back, scalp. However, these areas may differ in different cases.
  • The presence of specific rashes. Typical for psoriasis are small papules of a pinkish-red color (flat, elements of a rash slightly rising above the level of the skin) with clear boundaries, gradually merging with each other.
  • Scales on the surface of the rash. They are silver or whitish in color. Easily removed from rashes, however, this can lead to the formation of cracks or the appearance of unpleasant subjective sensations.

With some varieties of psoriasis (“pustular”), the rash may not be in the form of spots, but in the form of small convex formations with purulent content inside. In the photo of the initial form of psoriasis, you can see how different types of psoriasis and their signs appear.

With nail psoriasis, the rash primarily affects the plate. In this case, the initial signs are as follows:

  • the formation of small depressions on the nails (symptom of “thimble”)
  • change in the structure of the nail plate – the nail thickens, becomes brittle
  • discoloration of the nail plate – the nail may acquire a yellow tint, orange -red spots appear under the nail
  • thickening of the skin under the nail;
  • looseness of the plate and its peeling (not always);
  • small dark longitudinal lines under the nail plate (non-specific symptom, is a consequence of hemorrhage under the nail plate)
  • redness of the nail hole.

A photo of the symptoms of the initial stage of psoriasis will help you better navigate.

The first symptoms are rather vague and do not manifest themselves clearly. In addition, they are similar to the symptoms of some other dermatological diseases, which can lead to difficulties in diagnosis. For this reason, it is extremely important to immediately make an appointment with the hospital – for a more accurate diagnosis.

All stages of psoriasis

In total, there are three key stages in the development of the disease:

  • Initial or progressive stage. Numerous rashes appear on the skin in the form of small papules. A distinctive feature of this stage of the disease is the appearance of rashes in places of recent skin injury, what psoriasis looks like in the initial stages can be seen in the photo.
  • Stationary. Rashes become larger in size and begin to merge with each other, forming large plaques with fuzzy outlines. New elements of the rash do not appear, but a large number of scales form on the surface of the rash.
  • Regressive or final. The rash begins to decrease and gradually goes away on its own. It may leave behind a light pigmentation that will disappear on its own over time, or an area of a lighter color compared to the surrounding healthy skin.

Often the question arises – “Does psoriasis itch in the initial and final stages”? For psoriasis, itching is an uncharacteristic symptom, it may not be.

With each exacerbation, the disease goes through all three stages in order. However, if you start treatment at the very beginning of the first stage, the progression of the rash can be prevented.

For most people, symptoms are cyclical. Usually during the next outbreak, they persist for several weeks, and then gradually weaken and disappear. The shape of the beginning psoriasis determines how the photos and real symptoms look

Treatment of the initial stage of psoriasis

If you find the first suspicious signs, you need to contact a dermatologist.

Psoriasis of the initial stage involves minimal treatment with medications. Mostly – outdoor.

Typically used:

  • Non-hormonal ointments and creams. They form the basis of therapy, since they can be used at any stage of the disease, including during remission. They act gently and often have no side effects. They relieve peeling, redness, subjective sensations and slow down inflammatory processes.
  • Hormonal ointments and creams. At the initial stage of the disease, they are used, as a rule, with severe inflammation or a special type of psoriasis (exudative). These drugs are able to quickly cope with inflammation in the affected skin area. However, hormonal ointments and creams are not suitable for permanent use, as they can cause side effects with prolonged use. The degree of how psoriasis begins, the photos will demonstrate best – both in adults and in children.
  • Moisturizing gels and creams. Soothe and soften the skin. Can be used as an additional care.
  • Vitamin complexes. An additional measure to support the strength of the body and its resistance to disease. First of all, vitamin A is used in psoriasis, since it affects the cell division of skin cells and the formation of scales. In the progressive stage of the disease, multivitamin complexes, as a rule, are not prescribed.
  • Physiotherapy procedures. They are especially effective in the early stages. More often, phototherapy (UVB or PUVA) is prescribed, as well as excimer exposure to UV rays and a laser.

In most cases, medications are prescribed by a doctor. Several drugs can be used at once in the complex. If the signs of the disease are mild, you can do without oral medications and use only external non-hormonal formulations.

Losterin is a line of dermatological agents widely used for various skin diseases, including psoriasis. The composition contains a complex of active ingredients ( naftalan deresined , urea, D – panthenol , etc. ), which effectively affect the foci of inflammation and help to alleviate the symptoms of the disease. Losterin is considered one of the basic care products for skin diseases. It can be used at all stages of the development of the disease, but in the early stages it is most effective. What psoriasis looks like at the initial stage can be seen well in the photo.

Since psoriasis is a chronic disease and will periodically remind of itself throughout life, treatment should be carried out regularly. Each time you can use the Losterin line . Its components are not addictive.

Prevention of the initial stage of psoriasis

Preventive measures help to delay the manifestations of the disease and thereby prolong the period of remission. If you follow the rules of prevention directly during an attack, they will help ease the symptoms and speed up recovery.

Key prevention measures are as follows:

  • Exclusion of stress. Or minimizing it. Stress greatly disrupts the work of the nervous system, which seriously affects the general condition of the body. To better cope with your emotional mood, you can sign up for a course of psychotherapy. Lessons can be individual or group.
  • Diet. Nutrition should be healthy, balanced and contain hypoallergenic foods. The basis of the menu is proteins, raw vegetables and dairy products. Junk food like sweets and pastries should be avoided. Also, fried and smoked dishes, spicy and too salty, canned foods are not welcome. On the network you can find photos of psoriasis at the beginning of the disease and after establishing a diet.
  • Plentiful drink. It is usually recommended to drink from 1.5-2 liters of purified water per day. However, it is important to focus on your feelings, and not blindly follow the recommendations.
  • Vitamin complexes. It is desirable that the vitamins were prescribed by a doctor – after the tests.
  • Mode. Eating, waking up and going to bed should be on schedule. This makes it easier for the body to maintain proper activity. It is advisable to get up and go to bed early.
  • Fresh air. It is important to take a walk in the fresh air every day. It reduces stress and is generally good for the body.
  • Skin care. You should regularly use emollients and moisturizers. Especially after water procedures.
  • Comfortable clothes and shoes. Made from natural soft materials. Shoes should be true to size, and clothing should be loose-fitting.
  • Regular consultations with a doctor. And surveys. This will help monitor the condition of your body and increase the likelihood of preventing psoriasis.

Thus, photos of the symptoms of skin psoriasis of the initial and subsequent stages clearly show all the trouble of this disease. Therefore, prevention is worth taking care of.

It is important to remember that in the vast majority of cases, psoriasis manifests itself as a result of severe stress. Therefore, first of all, it is important to take care of a harmonious state of mind and daily routine.

Prevention of psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Since psoriasis is a chronic and in most cases autoimmune disease, it cannot be cured. Treatment should be aimed at achieving, and prevention – at maintaining remission.


Psoriasis is a disease that depends on the psycho-emotional state. Stress, anxiety and worries can become triggers for exacerbation of the disease. Therefore, patients with psoriasis are advised to take a course with a psychotherapist who will teach you ways to relax and calm down. Healthy sleep is also necessary for prevention, which can be provided by walking in the fresh air, taking relaxing baths and using herbal remedies with a sedative effect.


There is no special diet for psoriasis patients, but it is worth remembering that metabolism depends on food. Canned, pickled, salty, smoked foods, food with synthetic dyes, allergen foods (citrus fruits, honey, chocolate, nuts, mushrooms, etc.) can provoke the appearance of psoriatic plaques. The diet of a patient with psoriasis should consist of fresh vegetables, non- allergenic fruits, sea fish, boiled meat, vegetable oil.


Wear natural, well-ventilated clothing. In synthetic clothing, the skin begins to sweat, creating an ideal environment for bacteria to thrive.


Soaps, shower gels and shampoos containing surfactants (including alkalis) dry out the skin and disturb its water-lipid balance. However, with psoriasis, it is very important not to overdry , so use products specifically designed for sensitive skin. In the Losterin line of preparations , they are represented by shower gel and shampoo containing deresined naftalan , a complex of vegetable oils, extracts of burdock root and Japanese Sophora.

Skin care

Skin irritation and exacerbation of the disease can be caused even by caring cosmetics – creams, lotions, etc. Even in a cream designed to moisturize the skin, there may be allergens. For prevention , use products recommended for problem skin care , they are hypoallergenic and do not contain fragrances. The composition of the cream ” Losterin ” includes valuable components with a pronounced antiprosiatic activity: naftalan deresined , urea, salicylic acid, D – panthenol and almond oil. Regular use of the cream normalizes the metabolic processes of the skin, moisturizes, provides exfoliation of dead cells and the growth of new epidermal cells.

Be careful with medicines

Many drugs, especially antibiotics, can trigger an outbreak. The intake of any medication must be agreed with the doctor.

Bad habits

Adhere to a healthy lifestyle , give up bad habits. Smoking and drinking alcohol leads to intoxication of the body, which in turn affects the condition of the skin. In addition, to maintain a normal metabolism, it is recommended to play sports 2-3 times a week.

Spa treatment

In order to prevent the recurrence of psoriasis, many patients are advised to visit dermatological balneological resorts. It helps to improve the condition of the skin, improve the functioning of the immune system, metabolic processes. Air, solar, sea and mineral baths are useful. It is also useful to use mud and mineral applications, physiotherapy procedures and drinking treatment with mineral waters.

Without periodic medical supervision and untimely treatment, psoriasis can become severe and provoke psoriatic arthritis, which affects the joints of the hands and feet. Lack of medical care can even lead to disability, but with proper care, regular treatment and maintaining a period of remission, the patient can live without experiencing serious problems. The scientific literature describes the remission of psoriasis for 20 years with the observance of preventive measures, the constant supervision of a doctor, the exclusion of self-treatment.

Treatment of psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Since there are many varieties of psoriasis, as well as the reasons for its development, in most cases only a doctor should determine how to treat psoriasis. The main therapy is the treatment with topical drugs. These funds include:

  • hormonal ointments containing glucocorticosteroids that affect autoimmune processes;
  • therapeutic creams and ointments based on tar, naftalan , grease, zinc, vitamins and other components that moisturize, soften the skin, reduce itching, inflammation, and accelerate the recovery processes in the skin.

Hormonal drugs prescribed for the treatment of psoriasis have a strong effect and are recommended for use only during an exacerbation. These include ointments with the addition of the hormones mometasone , betamethasone , clobetasol , methylprednisolone , etc. Used in the acute period, ointments have antipruritic , vasoconstrictive, decongestant, desensitizing, analgesic and anti-inflammatory effects. The positive effect occurs within 10-30 minutes after application. However, despite the powerful therapeutic effect, it is usually not recommended to use glucocorticosteroid ointments for longer than 2 weeks. Improper use is fraught with negative consequences, including skin atrophy, the development of eczema, adrenal insufficiency, depression, psychosis, pancreatitis and other diseases of the endocrine, reproductive, musculoskeletal, digestive, nervous and cardiovascular systems.

In an acute period, it is useful to use an ointment, cream or lotion with natural vitamin D3 or its equivalent. Treatment of psoriasis with these drugs is combined with glucocorticosteroid ointments, but also have a limited time of use. Their main action is to reduce the rate of cell division.

Hormonal ointments and preparations with vitamin D3 must be prescribed by a doctor.

In the stationary and regressive periods, psoriasis is preferably treated with preparations based on naftalan oil, urea and salicylic acid, which have anti-inflammatory, antipruritic , exfoliating and moisturizing effects, prolong remission, help cleanse and restore the skin. These include ” Losterin ” , which includes deresined naftalan , urea, salicylic acid, Japanese Sophora extract, almond oil and D- panthenol .

Salicylic acid and urea are necessary for keratolytic therapy – the removal of crusts. D – panthenol and almond oil nourish the skin and help its recovery. Sophora extract and naftalan perform one of the most important points of skin restoration – they normalize metabolism in the dermis, restore thermoregulation, and disinfect the skin surface.

IMPORTANT: Losterin cream for psoriasis can and should be used only after the acute period of the disease has passed!

Additionally, vitamins (A, E, D, vitamins of group B) can be used, which correct metabolism and affect the nutrition and regeneration of the skin, and antihistamines that reduce itching and inflammation. A diet that normalizes metabolism can also be prescribed : with the exception of preservatives, marinades, salty foods. It is recommended to introduce dairy products, fresh vegetables and sea fish into the diet. In addition to correcting metabolism, this food has a positive effect on the immune system.

Psoriasis is a disease that can greatly shake the psychological state of the patient. In some cases psychotherapy sessions are recommended . Calmness and positive emotions are an important factor in the treatment of psoriasis.

Physiotherapeutic methods can also be prescribed to help restore immunity, normalize metabolism and reduce rash and swelling. Among these ways:

  • cryotherapy – exposure of the skin to cold air (-130 ° C), which helps to relieve inflammation;
  • ichthyotherapy – a type of treatment in which the affected area of \u200b\u200bthe skin is immersed in a pond with fish that eat dead skin particles;
  • hirudotherapy , or plasmapheresis , – treatment with leeches; used to improve blood circulation and normalize immune responses;
  • PUVA therapy – phototherapy combined with drug treatment, consists in exposing the skin to ultraviolet radiation along with medicinal substances of plant origin. The procedure is characterized by a high level of effectiveness: patients note the rapid onset of long-term remission and skin cleansing.

Psoriasis on the hands – causes, symptoms, treatment

Dr. Hooman-Khorasani
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Psoriasis on the hands is a chronic inflammatory disease, manifested by a specific lesion of the skin and nail plates. The disease has an undulating course, in which the exacerbation of the disease is independently replaced by a decrease in the severity of symptoms (remission).

Causes of psoriasis on the hands

The exact causes of the disease are not known for certain. However, studies show that some disturbances in the functioning of the body can become the impetus for its appearance and development. Among them:

  • disruption of the immune system, supporting the inflammatory process in the skin
  • genetic predisposition, the disease can be inherited);
  • disturbances in the work of the nervous system (including severe or prolonged stress).
  • transferred infectious diseases (tonsillitis);
  • disorders in the endocrine system (obesity, diabetes, etc.)

The course of psoriasis on the hands can be influenced by an unhealthy lifestyle. For example, the abuse of alcohol and cigarettes often lead to an exacerbation of the disease.

On the network you can find and study photos with the first symptoms. However, with psoriasis, a photo of the initial stage on the hands of the cause of the disease does not reflect.

With psoriasis, specific rashes appear on the hands:

  • separate pinkish-red spots of a rounded shape (clearly visible already with psoriasis on the hands of the initial stage), merging over time into larger rashes
  • silvery scales appear on the surface of the rashes;
  • itching or burning.

Most often, psoriasis on the hands is located on the extensor surfaces of the elbow joints, the outer surface of the forearms and in the palms.

Psoriasis on the palms has some features. The disease is manifested by persistent redness of the palmar surface of the hands, the appearance of areas of pronounced thickening of the skin and deep, painful cracks in the area under the thumb and little finger.

In about half of patients, psoriasis additionally affects the nail plates. The characteristic manifestations of psoriasis of the nail plates include: the appearance of small depressions in the form of dots, the size of a needle prick (they are clearly visible in the photo of the symptoms on the hands, as psoriasis begins);

  • thickening of the nail plate and its partial separation from the nail bed;
  • increased fragility of nails, their fragility;
  • nail plates become whitish, yellowish or red-orange;
  • an inflammatory process may develop around the nail;

Sometimes inflammation can affect the nail plate itself or the skin underneath. With this type of psoriasis, photos of symptoms on the hands are less common.

Stages of psoriasis on the hands

Psoriasis develops in stages. There are three stages in total:

  • Initial or progressive. Small spots up to 6 mm each are found on the hands. There are only a few of them. The color of the formations is pink or red. The patient may experience slight itching or burning. In the case of psoriasis, photos of the initial stage on the hands will demonstrate the problem better than the description.
  • Stationary. The spots are getting bigger. They increase in size and sometimes merge with each other, forming larger plaques. On top of the rash, peeling and silvery scales are visible, which are easily removed.
  • Regressive. The rash decreases and gradually goes away on its own. May leave a patch of red or a lighter color compared to the surrounding skin.

If left untreated, plaques can significantly increase in area and affect not only the hands, but other parts of the body.

The manifestations of psoriasis on the hands of children and adults are practically the same.

Psoriatic rashes in adults can affect any area of the hands. As mentioned above, in 50% of cases, the disease affects the nails, which is much more common than in children.

As a rule, in adult patients, the disease lasts longer. External symptoms may be more pronounced. With psoriasis on the hands, photos will better demonstrate the situation, especially the initial stages.

Treatment of psoriasis on the hands

With psoriasis on the hands, treatment is complex.

Therapy may include:

  • Hormonal preparations. The most commonly used local (external) forms. These funds are highly effective and fast effect. Given the chronic nature of the disease, the use of hormonal drugs should be limited in time and be under the supervision of a physician to prevent the development of side effects.
  • Non-hormonal drugs. External preparations are used in the form of ointments and creams. The main active substances from this group include salicylic acid, Naftalan oil, birch tar, urea, D – panthenol and others. These drugs are safe for long-term use and are used for any form and severity of the disease. Means soothe the skin, moisturize and eliminate peeling
  • Physiotherapy. Phototherapy (UVB, PUVA) and excimer laser are widely used. Often, physiotherapy is combined with external and drug treatment and enhance its effect.

In severe psoriasis on the hands and the ineffectiveness of the treatment, more active therapy is prescribed. You can see a photo of what psoriasis looks like on the hands in severe cases. Such cases require the appointment of immunosuppressive therapy (methotrexate, apremilast , ustekinumab , cyclosporine) or systemic retinoids ( acitretin ).

For clarity, you can study the photo of psoriasis on the hands, symptoms and treatment are often interrelated.

Treatment of psoriasis of the nails on the hands is often carried out only with local preparations.

Treatment of psoriasis on the hands of folk remedies

The effectiveness of folk remedies has not been proven. It is worth remembering that many natural remedies are strong allergens. This can greatly aggravate the situation. Therefore, homemade recipes should be approached with caution. And before treating psoriasis on the hands with their help, be sure to consult a doctor.

Complex therapy of psoriasis on the hands using the line of funds ” Losterin “

Losterin is a line of non-hormonal drugs used in the complex therapy of various skin diseases. Widely used in all stages of psoriasis. It has eight external forms of release: classic naftalan cream , thick emulsion, shampoo, shower gel, paste, foot cream, lotion, hand cream-soap. All products have a balanced composition and gently act on the affected skin, weakening and relieving symptoms.

  • As a result of using the Losterin line : inflammation, redness, itching and flaking are significantly reduced;

It is also worth noting that Losterin is a non-hormonal agent and is not addictive. There are no fragrances and dyes in the composition.

best result can be achieved using the Losterin line in complex therapy as prescribed by a doctor.

Preventive measures for psoriasis on the hands

Prevention measures should concern not only psoriasis of the skin of the hands, but also nails. The rash may spread to them.

Basic rules to follow:

  • Regular skin hydration. For this, special creams are used. Without dyes and fragrances. Preferably on a natural basis. An example is Losterin cream . Its composition is based on naftalan deresined , D- panthenol , salicylic acid, almond oil and urea The components of the cream soften the epidermis and have high nutritional properties.
  • Care of the nail plate. Nutrition and hydration. You can use pure esters of lemon, orange and lavender. They prevent splitting.
  • Exclusion of irritating factors. Especially during an exacerbation. The use of decorative cosmetics should be limited. Reduce contact with household chemicals, and wear gloves during household chores. In cold weather, you need to protect your hands from wind and frost with woolen and leather gloves.

If you follow these rules and consult a doctor in time, the likelihood of a relapse is markedly reduced.

Psoriasis on the legs and feet – treatment, causes

Dr. Hooman-Khorasani
Posted in Uncategorized

The appearance of psoriasis on the legs causes discomfort to the patient, the quality of life decreases, and the emotional background worsens. The presence of lesions prone to dryness and the appearance of deep cracks hinders movement and brings pain. To start pathogenetic therapy, it is recommended to know what psoriasis looks like on the legs in order to distinguish it from other skin diseases.

Causes of psoriasis on the legs

Psoriasis is a non-infectious disease with lesions of the skin and the appearance of bright pink rashes. The elements of the rash are most often represented by separate rashes – papules, which can sometimes merge and form plaques. Statistically, psoriasis accounts for 2% of all skin diseases. Most often localized on the lower and upper limbs.

The exact cause of the development of the disease is difficult to trace, experts identify a number of etiological factors that become a trigger:

Often there is a combination of several causes, which complicates the diagnosis and prescription of etiotropic treatment for targeted action on the trigger.

To get an idea of what psoriasis looks like on the legs, you can look at photos of rashes on medical sites. Detailed photos of psoriasis on the feet and will allow you to consider the shape, type and structural features of the psoriatic plaque.

The initial stage of psoriasis on the legs

From the photo you can see that the initial stage of psoriasis on the legs is similar to many dermatopathies , so it is sometimes mistaken for another disease and treated at home. The rash is represented by pale pink papules, on the surface of which there are white scales. Subjective sensations in the form of itching are uncharacteristic of psoriasis; pain can be noted in the presence of cracks.

To conduct a differential diagnosis of psoriasis from other dermatoses, specific symptoms are checked:

In the progressive phase, the rash intensifies, becomes intensely pink, combines into plaques, and is partially covered with white scales with a silvery sheen. As the disease progresses, the area of the lesion grows and is completely covered with scales. Itching and burning are noted in places of close contact with clothing, cracks occur due to dryness of the epidermis.

In infants and when the rash is located in large folds of the skin ( intertriginous form of psoriasis), the symptom complex is difficult to perform due to the rapid desquamation of the scales.

Symptoms of psoriasis on the legs

The peculiarity of the clinical picture of psoriasis on the lower extremities depends on the location and form of the disease.

Vulgar or ordinary psoriasis is more often located in places of close contact with clothing and frequent friction: feet, extensor surface of the knees, lower legs. The rashes are round or irregular in shape, prone to rapid fusion and plaque formation. Abundantly covered with white, silvery and gray scales, which are easily peeled off by rubbing and scraping. There is local hyperthermia, infiltration, itching and burning.

Inverse psoriasis affects the flexion surfaces of the skin and areas of large folds: axillary, inguinal and intergluteal folds , elbow and popliteal folds. A complex form of the disease, similar to various types of dermatitis and allergies. Rashes are rounded, bright pink in color, a scarlet tint is possible, not covered with scales due to high humidity and active work of the sweat glands. Possible moderate itching, burning, pain. pain syndrome, severe itching and burning.

The exudative form can be located on the entire surface of the legs. On the skin, the presence of large, inflamed and weeping bright red plaques is noted. This form of psoriasis is characterized by the presence of dense scales-crusts of a yellowish-gray color on the surface of the rash.

The teardrop form of psoriasis is manifested by multiple small reddish papules covered with silvery-white scales. With this form of psoriasis, the fusion of individual elements into plaques is rarely noted.

Psoriatic erythroderma is the most severe form, manifested by redness and infiltration of the entire human skin. There may be pronounced large-lamellar peeling. This form of psoriasis is characterized by a violation of the general condition of the patient – there is an increase in temperature, a violation of general well-being.

Psoriasis on the feet

Psoriasis on the feet brings significant psychological discomfort and limits daily activities due to the presence of painful sensations. If psoriatic plaques are located on the back and plantar part of the foot, stiffness of movement occurs, it is difficult to find a pair of shoes.

Psoriasis on the feet is most often localized in areas of increased pressure on the skin. In these places, typical psoriatic rashes are formed, represented by infiltrated plaques of bright red color. On the surface of the plaques, there may be pronounced peeling, deep cracks.

Treatment of psoriasis on the legs

Before deciding how to treat psoriasis on the legs, it is important to exclude other skin diseases, such as a fungal infection. For this purpose, skin scrapings are most often taken for laboratory testing.

Treatment of psoriasis on the legs involves the use of drugs for external and internal use, physiotherapy, personal hygiene, diet, sleep and rest.

In severe cases of psoriasis on the legs, systemic anti-inflammatory ( immunosuppressive and cytostatic) drugs or drugs that affect the rate of cell division (synthetic retinoids ) are used. Additionally or in milder cases, vitamin therapy, hepatoprotectors may be prescribed.

External treatment for psoriasis on the legs includes the use of drugs (hormonal preparations are most often used in combination with salicylic acid or an analogue of vitamin D) and care products based on salicylic acid, urea, tar, naftalan oil.

Losterin in the treatment of psoriasis on the legs

The line of non-hormonal products Losterin is specially designed for the complex therapy of chronic skin diseases and the care of damaged skin. Preparations are suitable for daily long-term use. Active ingredients: naftalan deresined , carbamide (urea), salicylic acid, D- panthenol , Japanese Sophora extract and almond oil do not cause addiction and “withdrawal syndrome”.

Carefully selected ingredients act directly on the lesions, reducing inflammation and itching. For the purpose of complex treatment and preventive measures for exacerbation of psoriasis on the legs and feet, the following are used: foot cream, thick emulsion and Losterin shower gel . The funds can be used during remission and as part of combination therapy.

Treatment can be supplemented with physiotherapy. The greatest therapeutic effect is observed from phototherapy (PUVA therapy. UVB-311 nm ). This method significantly reduces inflammation within the focus, reduces the need for drugs and prevents the recurrence of the disease.

Sanatorium-resort treatment with hydrogen sulfide and sulfur sources in the period of regression and stationary form. The selection of an effective remedy for psoriasis on the legs is carried out by the attending specialist, it is important to have a complex effect on the body.

Prevention of psoriasis on the legs

Preventive measures include taking measures to prevent the recurrence of the disease:

  1. Wearing clothes made of natural light material. Underwear should be in size, without squeezing elastic bands.
  2. Selection of shoes strictly according to size. Wearing orthopedic insoles.
  3. Keep the affected areas clean and dry, air baths should be carried out.
  4. After bathing , pat your skin dry with a clean, soft towel.
  5. Trim nails regularly and inspect daily.
  6. Treatment of feet with an antiseptic: solution of Furacilin, Chlorhexidine.
  7. The use of moisturizers and wound healing agents.
  8. Avoid stressful situations.
  9. Weight normalization.
  10. Follow proper nutrition and daily routine. Rejection of bad habits.

Forms of psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a chronic disease that has an autoimmune nature. There are more than 10 forms of psoriasis. As a rule, a person has only one type of disease, which is determined by the nature of the rash. In this article, we will tell you about the types of psoriasis and what psoriasis looks like in a photo.

Plaque psoriasis, or psoriasis vulgaris, psoriasis vulgaris, simple psoriasis is the most common form of pathology, it is observed in 80% of patients. The disease begins with the appearance of small patches of red, hot, dry swollen skin. The inflammation gradually increases in size, an easily exfoliating gray-white scaly film (plaque) appears on it, removing which, you can see the injured bleeding skin. Psoriatic plaques often merge with neighboring ones, forming the so-called paraffin lakes. Plaque psoriasis can affect any part of the body: head, hands, elbows and knees, nails, feet, legs, genitals.

Guttate psoriasis is observed in every 10th patient, characterized by the appearance of a large number of small red, purple and even bluish rashes raised above healthy skin. The dry rash is shaped like tears or drops (hence the name). Guttate psoriasis often occurs as a complication after a streptococcal infection of the ENT organs (tonsillitis, pharyngitis). The disease affects in most cases the hips, it can also be observed on the legs, neck, back, shoulders and forearms, scalp.

Spotted psoriasis is a severe form of guttate psoriasis. Manifested by large locations of damaged skin throughout the body. It is first diagnosed in childhood or in very young people. Women get patchy psoriasis more often than men.

Pustular psoriasis, or exudative, (Barber’s disease, Zumbusch ‘s disease ) is the most severe of the skin forms of psoriasis, can occur as a reaction to medication or a stressful situation. It is a blisters or vesicles (pustule) filled with uninfected transparent interstitial fluid (exudate). The pustules are surrounded by red, inflamed, hot skin that easily flakes off when mechanically applied. If an infection penetrates the pustules, pus appears in the exudate. Most often, pustular psoriasis occurs on the legs and forearms. In severe cases, the rash can spread to the entire body, and the pustules can merge with each other.

Follicular psoriasis affects the mouth of the hairline on the shins and thighs. The rash is small light papules with a depression in the middle. This form of the disease is quite rare.

Psoriasis of the flexor surfaces is a smooth shiny red spots raised above the surface of the skin, located exclusively in its folds: in the groin, under the mammary glands, under the abdomen with abdominal obesity, on the inner thighs, in the armpits. Due to frequent trauma to the skin in these areas (rubbing, shaving, sweating), there is a risk of a fungal infection.

Palmar-plantar psoriasis most often affects people 30-50 years old, engaged in physical labor. The disease can manifest itself either in the form of ordinary psoriatic plaques and papules, or in the form of hyperkeratotic formations simulating calluses and calluses. In some cases, psoriasis on the arms or legs is continuous, which manifests itself in the form of increased thickening or keratinization. The boundaries of this type of lesion are characterized by clarity, in more rare cases, this form of psoriasis is limited to the appearance of large ring -shaped peeling.

Nail psoriasis ( psoriatic onychodystrophy ) is often found in patients with psoriatic rashes on the palms, hands, feet, soles, fingers and toes. The disease changes the appearance of nails: dots appear on them, as if squeezed out by a needle, transverse and longitudinal grooves, spots. The color of the nails acquires a yellow or gray tint, the skin under the nails and around them thickens and flakes, the plate itself also thickens and exfoliates. In a severe form of the disease, there may be a complete death of the nail plate.

Psoriasis of the scalp is one of the most common forms of this disease. Clinical signs of pathology are red scaly spots covering the scalp, inflammation, itching.
Psoriasis on the head does not pose a significant threat to health, but it often provokes the development of psychological complexes and even causes social isolation due to an unaesthetic appearance: after all, this part of the body is always in sight, and unattractive crusts cannot be hidden from others. The disease can occur in people of any age group, but is more common in young people.

Seborrheic psoriasis is a disease similar in pathogenesis to seborrheic eczema. Most often, it affects the scalp, as well as the skin behind the auricles, nasolabial folds, chest, and the area between the shoulder blades. The foci of seborrheic psoriasis of the scalp are separate areas with severe peeling, which pass from the forehead to the scalp and form the so-called psoriatic crown. In the area of the auricles, the disease manifests itself in the form of red eczema with purulent crusts, which often crack. On the face and other areas of the skin, the disease is characterized by patchy rashes with characteristic psoriatic scales.

The erythrodermic form refers to a severe variety of psoriasis. A large surface of the skin is affected, the skin can come off in layers, the temperature rises, the patient experiences severe pain. Inflammation accompanies intense itching, swelling of the skin and subcutaneous tissue. This form can occur as an exacerbation of plaque psoriasis vulgaris , especially with abrupt withdrawal of treatment. Also , erythrodermic psoriasis can be the result of infectious diseases, severe stress, or poisoning with toxins (including alcohol). Psoriatic erythroderma is dangerous by infection of injured areas and the development of pyoderma (purulent skin lesions) throughout the body. In the most severe cases, the disease can be fatal. With timely treatment , erythrodermic psoriasis turns into a simple form.

Arthropathic psoriasis ( psoriatic arthritis, psoriatic arthropathy ) is also a severe form of the disease, in which not only the skin is affected, but also the connective tissue and, in the early stages, the small joints of the hands and feet. In this case, the fingers and toes swell, their movements are constrained and accompanied by pain. A more severe form of the disease affects the hip, knee, shoulder, shoulder, and spinal joints, which can lead to disability. Psoriatic arthritis occurs in 10-15% of people with another form of psoriasis.

Diagnosis of psoriasis

Dr. Hooman-Khorasani
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Psoriasis, like other skin diseases, is diagnosed by a dermatologist . Most often, a visual examination is enough to make a diagnosis of plaque -like (the most common type) psoriasis. At the first stage, a rash appears in the form of papules of various sizes. Close to each other, they coalesce to form psoriatic plaques , which have a clear border and a rich, hot pink color. In addition, the plaques are covered with a white, gray or yellowish coating – scales that easily peel off when scratched.

Thus, psoriasis is characterized by the presence of the ” psoriatic triad” – pinpoint bleeding, a symptom of a stearin stain and a terminal film. Stearin stain is easily removable scales on the surface of the plaque. The spot is formed due to the accumulation of air bubbles in the stratum corneum of the skin and increased lipid secretion. Intercellular connections are weakened, the stratum corneum does not receive nutrition, the cells die. Terminal film – the affected area, represented by thin, inflamed skin under a stearin stain. The film is wet and shiny, very thin and easily damaged. It contains many capillaries that expand during the inflammatory process. They are easily damaged by tearing off the terminal film. A lot of droplets of blood will come out on the surface – that same pinpoint bleeding .

Psoriasis can affect any part of the body, including the palmar-plantar surfaces and the scalp, depending on the type of disease.

However, in some cases, psoriasis can be confused with dermatitis or eczema. In this case, examination alone is not enough, a skin biopsy and a blood test are necessary. In blood tests for psoriasis, an increased level of leukocytes, proteins and a high erythrocyte sedimentation rate are found.

Since psoriasis is autoimmune in nature, histological analysis of the skin should not show the presence of microorganisms (for example, seborrheic dermatitis is characterized by the presence of Malassezia fungi furfur ). In addition, a biopsy of skin affected by psoriasis reveals an accumulation of so-called Rete bodies , thickening of the stratum corneum of the epidermis, accelerated formation of blood vessels in the skin under the plaque, immaturity of young skin cells, and the absence of a granular layer of the skin.

Also, with a progressive (acute) stage of psoriasis, a symptom of Koebner is observed. – the appearance of new papules at the site of skin damage: cut, burn, injection, etc.

In addition to the progressive, 2 more stages of the development of psoriasis are distinguished. At the stationary stage , the appearance of new plaques stops and existing plaques stop growing. The regressing stage is characterized by discoloration of plaques, their flattening, and the elimination of peeling. Hypo- or hyperpigmentation is often observed in the area of previous rashes.

About psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a non-infectious skin disease characterized by the appearance of psoriatic plaques. In addition, the appearance of plaques is accompanied by itching and flaking.

Psoriasis is a disease that does not depend on gender and age, it affects from 2 to 4% of the world’s population. The disease can manifest itself at any age, but in 70% of cases it manifests itself at the age of 15–25 years. Therefore, psoriasis is called a disease of the young.

Symptoms of psoriasis

Psoriatic plaques are inflamed, itchy red patches raised above the surface of healthy skin. Plaques may become covered with a crust that resembles wax or paraffin. Inflammations can occur anywhere on the body, but most often they occur at the places of folds and friction: elbows and knees, buttocks, palms and feet. Often, psoriasis appears on the scalp, vulva, or nails.

The area of the lesion can vary from small (the size of a pinhead) to the size of the palm of your hand or more. Manifestations of psoriasis are accompanied by severe itching and flaking, dead skin scales are easily removed from the surface of the skin when scratched. In difficult cases, suppuration and cracks may appear at the site of the lesion.

Also worth mentioning is the Koebner phenomenon , a condition in which psoriatic plaques develop due to scratches or other damage to the skin. This syndrome is characterized by a deterioration in the condition of the nails: the appearance of spots and depressions, thickening, brittleness.

There are two forms of psoriasis – summer and winter. The summer form of psoriasis is very sensitive to sunlight, so periods of exacerbation occur during this season. Much more common is the winter form of psoriasis, the provoking factor in which is cold.

Causes of psoriasis

Normally, the epidermis (surface layer of the skin) is updated on average every 30 days. In psoriasis, cells divide, mature, and die in as little as 5 days. That is why itching and peeling appear, leading to scratching, wounds and even suppuration.

The causes of pathology to date have not been fully identified. Possible researchers include:

  • autoimmune nature,
  • genetic factor
  • violation of metabolic processes,
  • neurological disorders.

Also, some of the alleged causes may be stress, infectious diseases, malnutrition, alcohol consumption, living in a cold climate, decreased immunity, streptococcal skin infections, skin trauma, taking β-blockers, aminoquinoline drugs, interferon and its derivatives, systemic glucocorticoids.

Patients with psoriasis are advised to refrain from drinking alcoholic beverages, marinades, peppers, and chocolate.

It is important to know that psoriasis is not an infectious disease and is not transmitted from person to person.

Diagnosis of psoriasis

Psoriasis, like other skin diseases, is diagnosed by a dermatologist. Most often, he makes a diagnosis through a visual examination of the skin. In some cases, a skin biopsy and blood test may be used.

Varieties of psoriasis

There are about 10 forms of psoriasis. As a rule, a person has only one type of disease. The type of disease is determined by the nature of the rash.

Treatment of psoriasis

It is impossible to completely cure psoriasis, but it is possible to achieve a long, up to several years, remission . Since there are many varieties of psoriasis, as well as the reasons for its development, most treatments are prescribed only by a doctor. The main therapy is a treatment with topical preparations that soften the skin, reduce itching and slow down cell division.

Additionally, vitamins (A, E, D), diet therapy to restore metabolism and antihistamines can be used. Physiotherapeutic methods can also be prescribed to help restore immunity, normalize metabolism and reduce rash and swelling.

In addition, therapeutic measures may include diet therapy and psychotherapy.

Prevention and standard of living of a patient with psoriasis

Since psoriasis is a chronic and in most cases autoimmune disease, it cannot be cured. Treatment should be aimed at achieving, and prevention – at maintaining remission.

The scientific literature describes the remission of psoriasis for 20 years with the observance of preventive measures, the constant supervision of a doctor, the exclusion of self-treatment.

Line ” Losterin “

Designed for daily skin care for chronic skin diseases – psoriasis, eczema, atopic dermatitis .

Dermatological products of the Losterin line contain a balanced combination of active ingredients, specially selected for the most effective effect on the skin in complex care for various skin diseases.

Eczema, dermatitis… What do we know about skin diseases?

Dr. Hooman-Khorasani
Posted in Uncategorized

Some of you have probably met with a disease that initially occurs in children under two years of age, and by adolescence, fortunately, is already gone. Eczema is a disease that affects the skin, accompanied by itching and dry skin. According to statistics, 15-20% of children suffer from eczema.

The second name for this disease is atopic dermatitis. You can “catch” this type of dermatitis when allergens enter the respiratory organs (for example, pollen, animal hair components, dust) or organs involved in the digestive process (substances that cause food allergies). Dermatitis can accompany a person throughout life, but usually it develops and disappears in childhood, up to 3 years. Atopic dermatitis manifests itself in the form of red irritations on the surface layers of the epidermis. At the same time, the skin begins to dry, itch, and subsequently, on the lesions, one can observe the appearance of weeping (serous fluid from bursting papules) with an admixture of blood droplets. Very often , eczema , atopic dermatitis , occurs on the hands, face and neck, on the elbows and in the popliteal region. Negatively on the body during the period of the disease affects the infection that enters the body through the affected areas of the skin.

Where does the disease begin?

Specialists involved in the study of chronic skin diseases cannot accurately determine the cause of eczema, dermatitis, psoriasis, and so on. A special role in this process is assigned to the genetic factor – that is, the disease is largely hereditary. The calm course of the disease, the stage of remission, does not cause any trouble to the patient, but can be interrupted at any time by a sudden exacerbation. Often, an exacerbation is associated with the body’s reaction to provoking factors (stress, illness, etc.) or contact of the skin with allergen substances.

Household chemicals, shampoos, bath foams or even soap can act as an allergen. In case of exacerbations, doctors advise changing the brand of washing powder or shampoo, as this can help improve the patient’s condition. By the way, some people have allergic reactions to jewelry (more precisely, to the metals they contain).

Following atopic dermatitis, the patient may develop contact dermatitis. In advanced cases, if left untreated, eczema and dermatitis can spread over the entire surface of the skin, which causes unbearable physical and psychological suffering to the patient.

Treatment Methods

Treatment of the disease directly depends on its severity. Usually, for eczematous pathologies, ointments containing hormones, lotions or creams with a softening effect are prescribed – this is with a mild course of the disease. External preparations are recommended to be applied to the affected areas of the skin several times a day, thereby ensuring optimal hydration of dry skin.

If a complex, severe form of the disease suddenly develops, due to the penetration of infections of various kinds into the lesions, a patient with eczema is prescribed a course of antibiotics.

Before buying any drug, a specialist consultation is required, since all drugs are different, have a different spectrum of action and may not produce the desired effect in one case or another. In addition, corticosteroids, hormones, traditional medicine are strongly discouraged from being used on their own, without a prescription from the attending physician. This is a mandatory rule and the key to successful treatment of the disease.

Dyshidrotic eczema. What do you need to know about her?

Dr. Hooman-Khorasani
Posted in Uncategorized

Skin diseases are among the most common on the planet. In addition to the main clinical symptoms, they cause great discomfort to the patient due to a pronounced aesthetic defect. An example of such a disease is dyshidrotic eczema . This is a chronic disease, often relapsing, affecting mainly the skin of the palms, hands and feet. Eczema is not particularly difficult to diagnose and is easily treatable, subject to early contact with a dermatologist.

The causes of this disease are still not fully established – scientists identify only factors that predispose to the development of eczema. These factors include stressful situations and extreme psycho-emotional overstrain. The cause of eczema can be frequent contact with allergens, both household (eg detergents) and food. The presence of endocrine diseases in humans, such as diabetes mellitus and hyperthyroidism, are also factors that provoke the appearance of eczema. And against the background of burdened heredity, the risk increases significantly.

Symptoms and diagnosis of the disease

The main manifestation of eczema is a rash on the back surface of the feet and hands, as well as on the plantar surface of the feet and in the interdigital spaces. Rashes are vesicles, no larger than 4 mm, containing a clear serous fluid. When ripe, the vesicles burst, and when dried, they form light yellow crusts.

Rash, i.e. dyshidrotic eczema , accompanied by severe itching, lead to nervousness and disturbed sleep of the patient. Since the vesicles lie in the deep layer of the epidermis, when combing, hemorrhagic smudges occur, which is manifested by the formation of bloody dark red crusts. In such a situation, it is necessary to avoid bacterial contamination of the wound, since upon contact with staphylococcal flora, infection will occur and pyoderma (a skin disease of a purulent nature) will develop.

For the diagnosis of dyshidrotic eczema is enough differentiate it from similar diseases. Fungal dermatitis, psoriasis and contact dermatosis have a similar clinical picture. But these diseases have other causes and a longer course.

eczema treatment

The fight against skin disease must begin with drug treatment. The patient is prescribed antihistamines , for example, Zirtek , Pipolfen , Suprastin or Tavegil. These drugs will reduce itching and calm the nervous system. Since the treatment of dyshidrotic eczema should be carried out in a complex manner, that is, with the simultaneous use of several methods, an equally important role belongs to hyposensitizing (magnesium sulfate, calcium gluconate) and immunocorrective ( methyluracil , thymalin) therapy. With a complicated course of the disease, aggravated by the presence of infection, additional antibiotic therapy is prescribed.

For local treatment, topical preparations are used – sulfuric ointment, salicylic ointment, lotions with a solution of tannin, amidopyrine, Burov’s liquid. To correct the immune state of the body, vitamin therapy is prescribed – vitamins of groups A, B, E, K.

To additional measures for the treatment of a disease such as dyshidrotic eczema , include physiotherapy. The most popular are thalassotherapy, UHF-therapy, UV-therapy, acupuncture. In the absence of contraindications, magnetic therapy can be prescribed. Electrophoresis and paraffin treatment are possible in the absence of infectious complications.

At home, it is appropriate to use baths for hands and feet from decoctions of chamomile, string, oak bark, sage, lavender. The total duration of such a procedure should be no more than 10-20 minutes. We must not forget that the treatment will be ineffective if you do not initially eliminate any contact with the alleged allergen.