Psoriasis treatments

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is an inflammatory, incurable skin disease caused by the proliferation (excessive division) of epidermal cells and an increase in the further number of keratinizing cells, the body of which contains pathological keratin. The characteristic signs of psoriasis are rounded psoriatic plaques of red or bright pink color, with a surface covered with gray-silvery scales. The sites of localization of lesions are located, most often on the joints of the lower and upper extremities, on the hands, feet, on the neck or head, less often on the human torso.

Treatment of this disease should be carried out in a comprehensive manner, using keratolytic agents that help dissolve pathological keratin in dead skin cells and drugs that reduce hyperproliferation (excessive growth) of keratocytes. Medicines for the treatment of psoriasis are used in both local and systemic therapy.  

Local therapy

At the initial stage of the development of the disease, the use of special emollient creams shows quite good results, and for more severe cases, patients are prescribed to take analogs of vitamin D, dithranol and other drugs, such as pyrithione zinc, sulfur, Naftalan oil. Good results are shown by the use of topical medicinal ointments, which include salicylic or boric acid, birch tar.

Hormonal agents for the treatment of psoriasis , glucocorticosteroids, which include, for example, triamcinolone, betamethasone and fluocinolone, help to reduce inflammatory processes in the lesions, reduce the rate of division of epidermal cells, and activate the body’s immune responses. Thanks to this, the external symptoms of the disease become less pronounced, peeling, burning and itching of the skin decreases. 

However, hormonal drugs can cause addiction and further skin atrophy, so the use of any creams and ointments with glucocorticosteroids should be limited.

Calcipotriol (vitamin D) helps to reduce the formation of keratinocytes. Most effective in combination with hormonal agents. It is not recommended to combine the use of calcipotriol with salicylic acid preparations, which neutralizes its effectiveness. In turn, salicylic acid, as well as ointments, creams and gels with coal or wood tar relieve inflammation at the sites of skin lesions, promote the early healing of erosions, reduce itching, flaking, and redness.

Systemic therapy

Systemic therapy involves the use of medications that also suppress the immune system and help reduce the proliferation of epidermal cells. All systemic treatments for severe psoriasis should be taken orally or by intramuscular injection. Given the fact that many of these drugs have a number of side effects and have a negative effect on internal organs, they should be taken only as directed by a qualified specialist and only under the strict supervision of the attending physician.  

Systemic therapy for psoriasis includes drugs such as:

  • Sandimmun-Neoral (cyclosporin A), which helps to reduce inflammation in the affected areas by suppressing the production of anti-inflammatory cytokines in T-lymphocytes;
  • Methotrexate, due to which DNA synthesis in skin cells decreases, that is, there is a cytostatic effect on the heat of cell division;
  • Acitretin (retinoic acid preparation), which helps soften the skin and inhibits the processes of rapid keratinization of skin cells.

Of course, this is not a complete list of drugs used by official medicine to treat psoriasis. To combat this chronic disease, various innovative techniques are used, drugs of targeted and general action, additional therapies (PUVA, BUF, phototherapy, etc.), as well as traditional medicine, which, with proper management of the disease, show extremely positive results.

Is psoriasis contagious? It is not true!

Dr. Hooman-Khorasani
Posted in Uncategorized

In modern society, it is customary to hide information about one’s own health, existing diseases, health problems. Because of their own views on life, their principles, feelings of shame, many do not consider it necessary or are embarrassed to talk about chronic skin diseases, such as, for example, psoriasis, neurodermatitis, streptoderma , eczema. Outwardly, such diseases look unpleasant, not aesthetically pleasing, frightening. That is why a natural question arises in healthy people: “ Is psoriasis contagious ? Is the disease transmitted by contact? Is it possible to fearlessly communicate with a person whose skin is covered with psoriatic plaques? “

Do not be afraid, do not worry and do not shun, please, your friends if they are sick with psoriasis! This disease is hereditary or neuro-allergic, but not viral, fungal, bacterial!

Psoriasis is the cause of loneliness and depression

Unfortunately, people with this disease often remain lonely. The first reason for their loneliness is the fear of others around to get infected, or simply the dislike of communicating with infected people. The second reason is that the patients themselves try to limit themselves from communicating with others, fearing to infect them, or fearing to appear like a black sheep among healthy people.

Pushing a person with psoriasis away from you, you infringe upon him, drive him into a corner, forcing him to think about your inferiority. Subsequently, he may develop deep depression or, even worse, there will be a desire to commit suicide. You cannot leave a sick person alone, alone with the disease! Remember that relatives, friends and relatives help to solve any problem. And those who still think that psoriasis is contagious and refuse to behave “humanly” towards deeply suffering people are at least wrong and cruel. 

And it is so nice to know that many citizens who, in one way or another, are faced with the disease of psoriasis, are ready to sponsor hospitals, clinics, institutes, so that they, in turn, conduct research in search of methods of treatment and irrevocable cure for this disease.

Family life and psoriasis

The fact that psoriasis is contagious is complete nonsense and not true! This disease is not an infection! Remember once and for all – you cannot get infected by living with him under the same roof, using the patient’s objects, with intimate contact. You can live peacefully with this person, eat from one plate, drink from one cup, dry yourself in the morning with one towel, in any case, you will never have this disease.  

The causes of the disease are metabolic disorders, allergies or failures in the immune system of the sick person. That is why psoriasis patients do not pose any threat to others. In the medical literature, you can find another name for this disease – squamous lichen, but unlike lichen (meaning other types of it), psoriasis is never contagious.

If suddenly you have been diagnosed with this disease, then there is no need to blame that you have been infected by an acquaintance, relative or someone else. The reason, first of all, is heredity and those genes that you received from your ancestors. If lice parents were predisposed to this disease, then you may have it. Suppose one of the parents (mother, father) is sick, the likelihood of developing the disease will be 20-30%, if both parents are sick, therefore, the likelihood of psoriasis will be approximately 75%. By the way, even if the parents are sick, the disease in the offspring may not appear at all.

Hereditary predisposition is one of the main factors affecting the onset of the disease. Scientists dealing with this problem assume the presence of other factors, but there is still little information about this, since the problem is not fully understood.

Common skin diseases. Psoriasis is forever

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis (squamous lichen) is a severe chronic skin disease, the origin of which is based on many factors: this is a violation of metabolic processes, and genetic inheritance, and an increased load on the nervous system. Unfortunately, the disease cannot be called exotic, since according to statistics, skin diseases – psoriasis , dermatitis, eczema, oppress more than 3% of the world’s inhabitants . Fortunately for many, these diseases are not contagious and are not transmitted from one person to another either by contact or by airborne droplets. 

Symptoms of the disease

The local manifestations of the disease are so peculiar that they are unlikely to be confused with anything else.

Redness appears on the skin, then a rash consisting of round pinkish lesions with a diameter of 0.2-5 cm, which are soon covered with whitish scales. Scaly crusts are easily removed, exposing a focal lesion of the skin with a reddish, moist, shiny surface. In place of the bursting papules, pinpoint droplets of blood appear. Such signs are characteristic exclusively of psoriasis.

Depending on the form, degree of development and duration of the course, the disease may be accompanied by other symptoms. For example, like some other skin diseases psoriasis can affect the large joints of the lower and upper extremities ( psoriatic arthritis), the scalp (lichen scaly), and other anatomical areas of the human body. On the palms and soles, characteristic rashes may also occur, simulating callous formations with a clear boundary.   

Almost all types of psoriasis are accompanied by damage to the nails ( psoriatic onychia ): multiple punctate depressions that make the nail plate look like a thimble wall, or loosening (destruction) of the nail plate with the appearance of a pink, dense translucent border around it.

Traditional and folk treatment methods

Like many other skin diseases, psoriasis needs long-term, well-chosen, careful treatment, which implies a whole range of therapeutic measures. This includes taking external and internal anti-inflammatory drugs, special vitamin complexes, hormonal drugs, as well as all kinds of health treatments.  

Since mankind has been familiar with lichen scaly for a long time (even the ancient Greeks considered it to be the punishment of the gods), traditional medicine has accumulated many recipes that help alleviate the course of the disease. Here are just a few of them.

For internal use:

20 g of bay leaves are poured with water (500 ml) and boiled for 10 minutes. The prepared broth is filtered and divided into 3 equal portions. It should be drunk in 3 doses – in the morning, afternoon and evening. The duration of the course is 5-7 days.

Sea buckthorn oil is taken 2-3 g three times a day with food. The course is at least a month. Be careful! Do not take herbal preparations and medications at the same time; the required interval between taking these dosage forms is at least 1 hour.

For external use:

Apply fresh juice or garlic gruel to the affected areas. You can also make lotions from garlic infusion: 2-3 chopped cloves are poured with one tbsp. boiled water and leave for 60 minutes.

A decoction of blueberries is used for washing and lotions.

Take baths with a decoction of yarrow. The broth is prepared as follows: 10 tablespoons of herbs are poured into 2 liters of water and brought to a boil. It is recommended to bring the temperature of the water in the bath to 35-40 ° С, the duration of the procedure is 20 minutes.

All these manipulations really effectively relieve the symptoms of psoriasis, but unfortunately, there is no need to talk about the possibility of a final and irrevocable victory over the disease – while medicine is powerless in front of it.

Pregnancy – psoriasis – cure: causal relationships

Dr. Hooman-Khorasani
Posted in Uncategorized

There is no need to repeat for the hundredth time that bearing healthy offspring requires maximum responsibility from a woman. In this difficult period, associated with certain physiological changes in a woman’s body, you need to pay special attention to your condition, health, rules of behavior in everyday life.

If the expectant mother has any chronic hereditary diseases, such as psoriasis, this responsibility increases a thousandfold. By itself, the autoimmune inflammatory disease psoriasis, a medicine that is used to treat diseases of internal organs and systems, can leave an imprint not only on the course of pregnancy and a woman’s well-being, but also greatly affect the process of fetal development. 

Pregnancy and psoriasis

The severity of pathological changes in the body in psoriasis is determined by two main criteria – the location of the lesions and the area of ​​skin areas affected by psoriatic plaques. The mild form of the disease can be easily controlled with topical preparations – ointments, creams, emulsions. If psoriasis is severe, the patient requires a complex, systemic treatment.

How can psoriasis or the medicine used to fight the disease affect pregnancy?   

There is a high risk of passing the gene for the predisposition to the development of this disease to the offspring. Heredity is one of the main reasons for the development of this disease in a child in the future, regardless of whether only one of the parents suffers from psoriasis, or both mother and father suffer from it.

In addition, it was found that there is a relationship between the presence of chronic psoriasis in a woman and the likelihood of having a baby with low or, conversely, unacceptably high weight ( macrosomia ), the risk of miscarriage and premature delivery. Dysfunctions of the immune system of the mother, occurring at the cellular level, can cause placental and systemic vasculopathy of the fetus.

Pregnant women suffering from psoriasis are more prone to rapid weight gain (obesity), the development of arterial hypertension, hypertension, gastrointestinal diseases, cardiovascular, endocrine and nervous systems, and diabetes mellitus.

All these manifestations cannot but affect both the condition of the pregnant woman herself and the development of the fetus. Therefore, when registering with an antenatal clinic, a woman is obliged to report any diseases she has, especially such as psoriasis, eczema, etc.

If a woman is registered with a dermatologist or is undergoing treatment at the KVD, it is necessary to inform the attending physician about the change in her position in order to prescribe the appropriate treatment that will not pose any threat to the unborn child.

Pregnancy and psoriasis medications

Medical treatment of psoriasis during pregnancy provides for a strict differentiation of the drugs used. This requirement is due to the potentially teratogenic effect (malformations, fetal deformities) of certain local and systemic agents.

Mild psoriasis can only be treated with topical therapies. In this case, the use of corticosteroids should be limited and only as directed by a doctor. Local treatment with anthralin , coal tar, calcipotriene is safe, but it is also carried out under the guidance of a specialist.

In the treatment of a severe form of a disease such as psoriasis, external drugs are combined with the intake of systemic, potent drugs. These include, for example, biologics alephasept , etanercept, adalimumab , infliximab or mycophenolate mofetil , acitretin , methotrexate, which are toxic and can significantly affect the fetus. Therefore, treatment with such drugs must be completely abandoned, replacing them with other, less dangerous drugs.  

An adequate strategy for the treatment of psoriasis during pregnancy must necessarily be developed taking into account the optimal balance of negative consequences associated with the harmful effect of psoriasis and related diseases on the well-being of the expectant mother and fetus, as well as with therapies used during treatment. 

Alternative treatments for psoriasis. Ichthyotherapy

Dr. Hooman-Khorasani
Posted in Uncategorized

In addition to traditional therapies, which have been used successfully for a long time and everywhere to treat chronic skin diseases, there are new, alternative methods of treating psoriasis , eczema, scleroderma, and other dermatitis. Yes, innovative therapies, like all other methods, unfortunately, are not able to completely cure the disease, but to bring noticeable relief to patients with psoriasis, to reduce unpleasant both aesthetically and physically, the symptoms of the disease such modern treatment options can, and quite effectively … 

Such alternative methods of treatment include ichthyotherapy or hirudotherapy, in which living organisms are the main “drug”. Today we will talk about ichthyotherapy – the treatment of psoriasis with garra rufa fish .

Fundamentals of therapy

Few treatments for psoriasis are as enjoyable as ichthyotherapy treatments . Firstly, this is a completely natural method of treatment, secondly, it has absolutely no side effects, and thirdly, ichthyotherapy procedures are methods of treating psoriasis , thanks to which it is possible not only to improve the patient’s skin condition, but also to strengthen his health in the whole. 

What is the essence of the technique? Small fish of the genus garra rufa feed on dead skin particles, in this case, human skin. That is, they literally eat up the stratum corneum formed on psoriatic plaques, exfoliate them from the surface of the epidermis of a patient with psoriasis, simultaneously performing a delicate massage of the skin and cleansing it of all kinds of impurities. In addition, Garra rufa has a unique ability to thoroughly cleanse skin tissues affected by hyperkeratosis, which helps to successfully fight skin diseases such as severe psoriasis, eczema, neurodermatitis, ichthyosis, atopic dermatitis, etc.

How is the ichthyotherapy procedure carried out ? The patient is partially or completely immersed in a bath filled with water enriched with useful components. At the same time, the affected areas of the skin soften and the fish begin to bite them, tearing off the smallest pieces of the dead layer affected by psoriasis. Moreover, light touches of garra rufa produce the effect of a kind of massage that improves blood circulation in the tissues of the epidermis.

At first, the bites of the fish can be a little painful, there is a desire to scratch the sore skin. But then all the unpleasant sensations disappear and the patient enjoys a useful procedure and relaxed rest.

The benefits of ichthyotherapy

The effect of ichthyotherapy is multifactorial, namely:

– psoriatic plaques are freed from the scaly layer of the skin and respond better to external treatments;

– healthy skin is cleared of dirt and harmful bacteria;

– increased blood circulation;

– regeneration of epidermal cells is accelerated;

– itching decreases;

– nervous tension goes away, stress is relieved;

– blood pressure stabilizes;

– the skin is rejuvenated;

– relieves fatigue and swelling of the legs;

– prophylaxis against fungal diseases is carried out.

In addition, the saliva of the fish contains special enzymes that can have an anti-inflammatory and disinfectant effect on the damaged cells of a patient with psoriasis.

To consolidate and improve the results of the procedures, patients are prescribed the use of special medicinal creams, thalassotherapy sessions, heliotherapy and short-term exposure of the affected skin to intense ultraviolet radiation.

Patients who have tried other methods of treating psoriasis on themselves note that thanks to ichthyotherapy procedures , remission of the disease occurs much faster and lasts much longer. Moreover, such treatment brings incredible pleasure!  

Chronic psoriasis. Hirudotherapy

Dr. Hooman-Khorasani
Posted in Uncategorized

For the treatment of chronic psoriasis, various methods are used, various means are used, whole complexes of taking medications of various spectrum of action are prescribed. In most cases, an integrated approach to reducing the recurrent symptoms of the disease and treating the diseases that provoked the onset of psoriasis give a positive result. Traditional medicine recipes have also proven to be a successful way to combat a common skin disease such as psoriasis. The methods of treatment in this case are considered to be traditional, since they are all well studied, they allow to achieve a stable stage of remission, are available and widespread everywhere.  

In addition, in the treatment of chronic forms of psoriasis, alternative methods of treatment are actively used today, which include, in this case, treatment with medical leeches – hirudotherapy. The technique can be used as an independent treatment in cases of resistance of the patient’s body to conventional therapies, or in combination with traditional methods and therapeutic agents.

What is the principle of leech therapy based on?

To begin with, it must be said that the only drawback of hirudotherapy is not very pleasant sensations of patients during and, for some time, after the procedures. A burning sensation from leech bites, disgust for the appearance of a “natural preparation” – that’s all that can disturb and irritate the patient during the course of hirudotherapy. In addition, it is contraindicated in pregnant women, with individual intolerance to the biological components of the saliva of leeches, with hemophilia , for the treatment of such a skin disease as psoriasis  

Thanks to hirudotherapy sessions, the supply of oxygen to the epidermal tissues is improved, blood microcirculation is stimulated, a vasodilating effect is produced, an anti-inflammatory effect is exerted on tissues affected by a severe form of the disease, swelling is removed, the risk of oxidative stress of the skin at the cellular level is reduced, and the frequency of psoriasis relapses is reduced.

In the saliva of leeches, you can find up to a hundred components most useful for the human body, thanks to which the walls of blood vessels are strengthened (prevention of atherosclerosis), the risk of blood clots is significantly reduced, and blood microcirculation is restored. In addition, psoriasis, the methods of treatment of which by alternative methods we are considering today, is exposed, in a certain sense of the word, to a systemic effect. That is, after hirudotherapy sessions, patients experience an improvement in the functions of the nervous system, normalize sleep, improve mood, strengthen the body’s protective functions, increase appetite, and improve overall well-being.  

How is a hirudotherapy session carried out

The patient is comfortably located on the bed, while the hirudotherapist prepares the number of leeches required for one session (3-6, no more). The leeches are placed in a small beaker, which is then turned over and pressed firmly against the patient’s skin on the area of ​​the body affected by psoriatic plaques.

After the leeches have sucked, the specialist removes the beaker and places pieces of cotton wool to the lower edge of the attachment so that the liquid secreted by the leech’s body does not get on the patient’s skin. The hirudotherapy session lasts until the leeches themselves disappear , completely saturated with “bad” blood. On average, this takes 45-60 minutes.

After the end of the procedure, an antiseptic bandage is applied to the bite site for a period of 1-2 days. You need to change the dressing and treat the wounds with iodine daily. The course of hirudotherapy consists of an average of 7-10 sessions, up to 150 leeches are used, it is necessary to repeat the course twice a day .

Psoriasis is the disease of the century!

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is an inflammatory skin disease characterized by the appearance of pinkish spots with clearly defined boundaries on various parts of the body and with increased desquamation of the epithelium on the surface of the lesions. Psoriasis is a disease of the century, since this type of skin pathology affects millions of people around the world. Currently, the cause of psoriasis has not been established, but it is assumed that hereditary (genetic) factors are involved in the development of this disease a major role.  

The nature of the disease

Psoriasis is a chronic, often recurrent skin inflammation that occurs throughout a person’s life. At the initial stage, the disease is accompanied by significant lesions of small areas of the skin in any anatomical area of ​​the body. With a sufficiently long course of the disease, the lesions spread and capture large areas of the epidermis.

The main symptoms of psoriasis: the formation of pinkish spots on the skin, the surface of which is characterized by flaking, a feeling of “drawn in” and dry skin, itching and burning, hardening of the skin. The process of diagnosing this disease is carried out when characteristic formations appear on the skin.

There are three layers in the structure of skin tissues: epidermis, hypodermis and dermis. The epidermis is the surface layer of the skin. It consists of special cells, which, in the process of division and vital activity, form the so-called stratum corneum, consisting of horny scales. As they die off, the smallest scales naturally peel off, and in their place cells appear from the deep layers of the skin. Thanks to such processes, the skin of the human body is constantly renewed.

The season when psoriasis is a neuro-allergic disease is in progress – winter. However, exacerbations can be triggered by prolonged exposure to the sun, various infectious diseases, injuries, etc.  

With an exacerbation of psoriasis, new papules are formed (vesicular rashes on the skin), in the stationary stage, the appearance of papules stops, the existing ones begin to fade. During regression, the papules turn pale, decrease in size, and cease to rise above the surface of the skin. Peeling stops and itching decreases.

Psoriasis is an inflammation of the upper layers of skin tissue, that is, the epidermis. For unknown reasons, in people who suffer from psoriasis, the cells of the lower layers of the epidermis divide at a faster rate than in the absence of the disease, which leads to the rapid rejection of the surface layers of the epidermis and is caused by excessive flaking of the skin.

Causes of occurrence

For what reason psoriasis develops , a disease that is so widespread in our time, has not yet been established. However, there is a point of view that the main factor affecting the possibility of the onset of the disease at any age period is human heredity. 

In addition, some reasons have been identified that provoke the development of psoriasis. The primary and main cause of psoriasis is considered to be disturbances in the functioning of the nervous system, which are the result of constant nervous tension, emotional breakdowns and stresses that occur in the life of a modern person. In addition, the disease can be caused by various infectious diseases, skin injuries, sunburn, alcohol consumption, HIV infection, as well as the use of certain foods and the intake of potent drugs (an allergic reaction of the body).

Most studies have confirmed the version that psoriasis is not a contagious disease, and is not transmitted to others through contact or airborne droplets.

If you have any signs of psoriasis, you should see your doctor urgently. Treatment of psoriasis is a laborious process, which for the most part does not lead to a complete cure, but only translates the disease into a stage of remission, which is usually considered as a positive result of the therapy undertaken.

Parapsoriasis : types, features, symptoms

Dr. Hooman-Khorasani
Posted in Uncategorized

With this term, parapsoriasis , it is customary to designate a group of specific dermatoses that are transmitted mainly by inheritance. The disease is superficial and affects the upper layers of the epidermis. Parapsoriasis is predominantly chronic in nature, does not have general phenomena and subjective sensations, and has a tendency to resist therapeutic treatment. The factors determining the onset of the disease have not yet been established. Sometimes infectious or allergic infectious causes of the disease can be traced. It is known that the severe development of the disease can be accompanied by various infectious diseases.  

Types of parapsoriasis

Teardrop parapsoriaz . It is also called chronic lichenoid lichen and nodular psoriasiform dermatitis. This type of disease in women occurs about 2 times more often than in the strong sex. Typical for adolescents and middle-aged people. This type of psoriasis is extremely rare in children. 

With guttate parapsoriasis, the skin is suddenly covered with many papules ranging in size from 3 to 4 millimeters. Papules are pale pink or brown in color. In the center of the papule there is a firmly seated brownish scale, which, when removed, takes the form of a shell. During light scraping, a slight peeling forms on the surface of the papules , and with intense scraping, punctate hemorrhages form.

Lichenoid parapsoriasis . This type of dermatosis has another name – variegated or reticular parakeratosis. The risk group most often includes adults of both sexes. Children are rarely affected by the disease.

Plaque parapsoriasis usually occurs in people of retirement or middle age. Men are more susceptible to it than women. Plaque parapsoriasis arises and develops as follows. The skin on the limbs (upper and lower), trunk (back, belly, chest), and most often the lateral surfaces begins to become covered with rounded spots of gray-pink color with a brown tint. The edges of the lesions are clearly defined. No seepage into the system is detected. Atrophy of the skin in the lesions is not observed. It can take many years for the development of psoriatic plaques to regress.   

Acute type of parapsoriasis . It is also called Fly Habermann ‘s disease , acute lichenoid and varioliform lichen. The disease affects adults of both sexes. Distinctive features of acute parapsoriasis are manifold changes on the skin. Simultaneously with rashes similar to a rash with teardrop-shaped psoriasis, bleeding in papules, bloody crusts with dead elements, as well as varicella-like vesicular elements are revealed .

A couple of weeks after the regression procedures, spots and depleted scars remain at the site of the former inflammations. Sometimes the disease drags on and turns into a drop-shaped type.

Diagnosis and treatment of parapsoriasis

Pathological changes in skin tissues in the disease are not determined. A distinctive diagnostic test should be carried out along with psoriasis, papular syphilis , lichen planus, seborrheic dermatitis, chickenpox, etc. The life prognosis for the disease is positive. At least once every six months, the patient needs to be examined by a dermatologist.

There are no generally accepted treatments for the disease. With the drop-shaped type of parapsoriasis, sanitation of the foci of infection is prescribed. Usually they prescribe widely acting antibiotics, hyposensitizing , antihistamines, vascular drugs. In the chronic form of the disease , which is at the stage of resolution, PUVA therapy shows good results.

With plaque , as well as lichenoid types of this skin disease, the same therapeutic therapies are carried out as with guttate parapsoriasis , although in this case the disease is much more difficult to treat.

If the result from the above treatment is not effective enough, as well as in the acute type of parapsoriasis, the patient must be prescribed low doses of glucocorticosteroids . For local therapy, local glucocorticosteroids , moisturizing medicinal creams, and absorbable ointments are used.

Diet for psoriasis: keep the disease under control!

Dr. Hooman-Khorasani
Posted in Uncategorized

Doctors do not just talk about the effect of a balanced diet and a special diet in the treatment of psoriasis. Practice shows that a properly planned diet, a special diet for psoriasis become fundamental factors and the key to a successful fight for clean skin, help keep the disease in remission, and resist relapses. If you really strive to face the recurrence of the appearance of psoriatic plaques on the skin as rarely as possible , you will have to give up some foods once and for all, and also constantly adhere to the same diet.  

“Right” foods for psoriasis

The main thing in the treatment of psoriasis is to achieve a stable and normal functioning of the digestive tract, that is, to create the correct acid-base environment in the digestive organs. If this condition is met, then the functions of the body will gradually recover and your condition will noticeably improve.

In order to achieve such a result, you need to know which foods can be included in the diet, and which ones are best to be discarded altogether. By schelocheobrazuyuschih products include:

· Lean meats (lamb, poultry, rabbit meat). However, even these types of meat should not be overused.

· From fish products it is recommended to eat hake, sole, halibut, sardine, white tuna, cod, flounder, sturgeon. It is advisable to steam the fish or eat it baked, stewed.

· Fruits, vegetables (almost everything!) And juices from them must be present in the daily diet!

· You can eat grains and cereals, among which buckwheat, millet, brown rice, oats, bran, sprouted wheat, rye are especially useful.

· It is recommended to use sesame seeds, pumpkin, sunflower, flax, pine nuts, natural muesli (buckwheat, oat, wheat).

· Be sure to include vegetable oils (olive, sunflower oil, etc.) in your menu.

In addition, the diet for psoriasis does not sometimes prohibit the use of olives, nuts, mushrooms, grapes, low-fat cheeses, low-fat dairy products (cottage cheese, yogurt, kefir) in the diet. And to make it much easier for the body to fight the disease, it is necessary to limit the use of foods that contribute to the formation of an acidic environment in the gastrointestinal tract. These include, for example, raw smoked and smoked sausages, animal fats, potatoes, fatty meat dishes, fried foods, sugar and all confectionery products, hard cheese, butter and cream, and some cereals.  

Now we list the foods that the diet for psoriasis completely and irrevocably excludes.  

“Wrong” foods for psoriasis

It is possible that very many people suffering from psoriasis will find it very difficult to give up forever from the products, the list of which will be given below. But! You must prioritize what is more important for you, live a full life, communicate without hesitation with others, rejoice that the disease is being controlled or give up and continue to indulge your whims, thereby aggravating your chronic disease and your health.

So, if you are determined to take the path of recovery, you should never use:

Any alcohol

Sweets, starch, sugar (including cane sugar)

Products containing dyes, preservatives, flavorings

·Vinegar

Cocoa, coffee, chocolate

·Milk

· Marine and river crustaceans, as well as any dishes from them

·Yeast

·Carbonated drinks

White flour baked goods

To improve metabolism while dieting, you need to drink plenty of purified water, freshly squeezed vegetable and fruit juices. It is advisable to replace black tea with herbal tea or herbal decoctions.

Exclude from the list of approved and recommended foods for the diet those that cause you an allergic reaction. Introduce new foods into the diet gradually, carefully listening to how the body reacts to them.

In addition to the main diet, take vitamin complexes, macro and micronutrients , minerals, which are usually recommended for therapeutic dietary complexes.

Be sure to check your diet with your doctor. Knowing all the features of your body, observing the course of the disease, the specialist will be able to correct the diet and make useful additions to it.

Help your body cope with psoriasis! It’s so easy!

Pregnancy and psoriasis: is there cause for concern?

Dr. Hooman-Khorasani
Posted in Uncategorized

Pregnancy for any woman is a special stage that heralds a new branch of life, full of new joys, anxieties, worries, and happiness. But this is also a complete, enormous responsibility for the future – one’s own future and the future of the child. Especially if a woman has any health problems that can somehow affect the course of pregnancy, intrauterine development of the fetus, and the health of the baby. Pregnancy and psoriasis – what anxiety does this “combination” cause in the expectant mother?    

Pregnancy is characterized by many physiological changes in the body of the expectant mother. From the beginning to the very end of the gestational period, especially in the presence of a chronic disease, both the mother and the child become vulnerable to a variety of external and internal adverse factors. Chronic diseases of a woman, her use of certain medications, and other factors can have a far from harmless effect on the development of the fetus. The course of pregnancy in women with one form or another of psoriasis can be complicated by both pathological changes caused by the disease and the means used to treat it.

Direct risks

There is some relationship between some autoimmune, inflammatory diseases, including psoriasis, with the risk of miscarriage, premature birth and low birth weight. This fact is due to the inclusion of cells of the immune system in the process of pathological development of the disease, as well as the concomitant stimulation of the production of anti-inflammatory cytokines, hormone-like proteins that provide intercellular interactions. A large amount of these substances causes endothelial dysfunction, which leads through the induction of platelet aggregation, activation of blood coagulation processes and intermittent vasospasm to placental and systemic vasculopathies .

The pregnancy-psoriasis combination for many women can mean the presence of frequent stresses associated with chronic skin disease. Constant nervous tension can affect the psycho-emotional state of a woman, entails depression, alcohol abuse, smoking, and rapid weight gain. These factors, of course, can affect the development of the fetus in the most unpredictable, but always negative way, provoke the development of various pathologies, diseases, deformities.

Indirect risks

Psoriasis is often accompanied by concomitant systemic diseases such as obesity, diabetes mellitus, diseases of the endocrine, cardiovascular and nervous systems, metabolic syndrome. Such conditions, as well as the drugs used to stop them, cannot but affect the development of the fetus.

For example, arterial hypertension is directly related to miscarriage , the risk of premature birth, placental insufficiency, low or too high birth weight perinatal mortality. The drugs used to treat this condition can cause physical abnormalities and deformities in the fetus.

Pregnancy, psoriasis , plus diabetes mellitus is also the reason for the likely development of numerous diseases of the child, including congenital malformations, fetal macrosomia , and postpartum hypoglycemia. Obesity, which often affects pregnant women with psoriasis, is associated with the likelihood of high fetal weight, the risk of premature birth, and a low Apgar score (assessment of the condition of the newborn).

In addition to the above factors, the use of many drugs for the treatment of psoriasis by the expectant mother can lead to undesirable options for the development of events. Therefore, in order to avoid any complications, it is necessary to inform the dermatologist and the gynecologist leading the pregnancy as soon as possible about your condition.

The magnitude of the effect of psoriasis on pregnancy and fetal development can vary. In order to reduce the risk of developing any negative consequences for herself and the unborn child, a woman should pay special attention to both her lifestyle in general and methods of treating psoriasis and related diseases.