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The first accurate description of the dermatological disease psoriasis was in 1801, although the disease appeared much earlier. In fact, the name of the pathology comes from the ancient Greek word, translated as itching or pruritus. Therefore, the disease is often called scaly lichen.
About 2-4% of the world's population suffers from psoriasis (according to some sources, up to 7%). The disease manifests itself by external signs - psoriatic plaques appear on the human body, which peel off. It has a cyclical course - 3 stages replace each other throughout life.
It is during the period of exacerbation that pathological processes occur in the patient’s body, which negatively affect the functionality of internal organs and systems. The heart, blood vessels, liver, kidneys, gastrointestinal tract, organs of vision, etc. are under attack.
With psoriasis, which organs are sick except the skin, the symptoms of internal disorders, what diseases does scaly lichen lead to - we will consider in detail.
What is this article about?
Psoriasis of internal organs refers to complications of the disease when the patient has not only skin manifestations (psoriatic plaques), but also impaired functionality of internal organs and systems. The disease manifests itself with varying intensity and localization is different.
The undulating nature occurs with alternating remissions and relapses. As a rule, periods of remission become shorter over time, and exacerbations become longer; it is more difficult to relieve symptoms with medications.
Medical specialists view the disease not as a skin defect, but as a systemic failure that affects the functionality of the entire body as a whole. This is especially evident against the background of a prolonged course of lichen planus, when the patient’s exacerbation is severe and long-lasting, and a large area of the skin is affected. In the United States, psoriasis is already classified as a systemic disease.
Symptoms of internal psoriasis always vary because they are caused by a specific disorder in the body.
Doctors know which organs and systems are affected by psoriasis. The disease leads to the following disorders:
If you ignore the symptoms of the disease, it progresses, complications develop, which can lead to loss of ability to work and sometimes death.
The causes of the disease are not fully known to doctors, but the negative consequences have been fully studied. The prolonged course of psoriasis affects all organs and systems and leads to various pathological processes.
There is a high likelihood of psoriatic arthropathy. Against the background of this complication, damage to the ankle joints, joints of the upper/lower extremities, and some parts of the spine is detected. The root cause is scaly lichen, which affects the nail plates, elbows, feet, and knees.
At an early stage of the complication, an inflammatory process in the joint capsule is observed, which spreads over time. It is impossible to replace the change yourself.
Classification of arthropathy:
Arthropathy is accompanied by painful sensations in the joints and muscles. Patients complain of deterioration in health, stiffness (especially pronounced in the morning, immediately after sleep). The disease may appear suddenly or develop slowly. Treatment includes taking medications (tablets), using external agents, and injections.
In severe cases, surgery is prescribed.
Psoriasis is not a contagious disease, it has been proven. Localization varies - scalp, palms, soles, hands and other areas of the body. Regardless of the location of psoriatic plaques, the lack of treatment affects the state of the cardiovascular system.
There is a relationship between long-term psoriasis and myocardial infarction. The risk of developing complications from the cardiovascular system is high in severe forms of lichen planus, which developed at a relatively young age.
In the presence of additional risk factors - alcohol consumption, smoking, frequent stress, poor nutrition, the likelihood of a heart attack increases significantly.
If the cardiovascular system is disrupted, patients complain of the following symptoms:
If such symptoms are present, drug treatment is required. Patients with psoriasis are prone to developing insulin resistance, which increases the risk of developing type 2 diabetes.
It also has a negative effect. The most common complication is uveitis, an inflammation of the blood vessels of the eyes. It affects the eyeball both above and inside.
Clinical manifestations of the inflammatory process in the vessels of the eyes are pronounced. Thus, the patient’s whites of the eye turn red, a fear of light develops, lacrimation increases, and the level of visual perception decreases. A veil appears before your eyes, preventing you from seeing fully. But the patient suffers greatly from an unbearable burning sensation and pain.
The second most common eye complication, iritis, is already a complication of uveitis, when the inflammatory process spreads to the iris of the eye.
Symptoms:
Treatment is complex; a dermatologist and an ophthalmologist must work together.
With moderate and severe forms of lichen planus, the risk of impaired kidney function doubles. The danger is that the likelihood of developing chronic renal failure in patients with psoriasis is 4 times higher. And over time it increases even more. That is why preventive control of the renal system is necessary for psoriasis.
The gastrointestinal tract primarily responds to the disease. Against the background of psoriasis, thickening of the mucous membrane, the appearance of atrophic areas, and impaired production of gastric juice can be diagnosed. Patients complain of heartburn, loss of appetite, and bouts of nausea. Clinical manifestations are not always pronounced.
With a long course of pathology, examination of the liver in almost all cases reveals abnormalities. They often occur without symptoms, but as the disease progresses they become more pronounced.
It is possible that liver failure may develop in severe cases when more than 10% of the patient’s skin is affected.
Liver problems have the following symptoms:
If the outflow of bile is disrupted, patients complain of decreased appetite, chronic fatigue, discomfort after eating, and jaundice of the skin.
Since psoriasis is a systemic disease, it can affect all organs and systems without exception. In turn, this can lead to any pathology.
Against the background of psoriatic lesions, the nervous system suffers. The patient may experience encephalopathy, which causes brain damage. He suffers from epileptic seizures, hallucinations and delusions are possible. Muscle atrophy is detected, and the person quickly loses weight.
Mental health is also at risk. Plaques on the skin look unsightly, which leads to embarrassment and emotional distress. The situation is aggravated by the people around him, because most see the skin lesion and consider it infectious, and as a result, they avoid the patient.
This provokes even greater emotional experiences. The patient develops difficulties with self-esteem, depression sets in, and social adaptation becomes difficult. The development of social phobia is possible.
The inflammatory process disrupts the natural process of urine excretion. This problem increases the risk of developing bladder stones. Symptoms of bladder problems include loss of appetite, fatigue, and yellowness of the eyeballs.
“Psoriasis in the blood” of a person is not detected, but this does not mean that the disease does not pose a threat. It affects the lungs. Inflammation of the lung tissue develops. Because of this, the lungs are insufficiently supplied with blood and breathing becomes difficult. Symptoms: coughing fits, shortness of breath.
Psoriasis is an incurable disease; there is no method of complete cure. Therefore, medication support is required throughout life. Inadequate therapy or its absence leads to various ailments:
Against the background of psoriasis, those systems and organs that have already been weakened are primarily affected. Thus, the patient may develop diabetes mellitus, Crohn's disease, or hemorrhagic stroke.
When complications occur in the heart and blood vessels, the risk of death increases. If there is no proper therapy against the background of arthropathy, the patient refuses medication, then the complication is gangrene. Lack of timely amputation means death.
Primary preventive measures have not been developed to prevent psoriasis, since the causes of the disease are unknown. Therefore, all recommendations relate to secondary prevention, aimed at preventing relapse.
It is recommended to choose clothes in light colors and made from natural fabric. It should be loose - it doesn’t rub, it doesn’t hug the body. On light-colored clothing, the scales of the disease are not so noticeable, which is important for the patient. It is better to purchase bed linen from cotton fabrics. As a rule, the patient receives from the doctor a complete list of recommendations regarding clothing or a manual that describes the lifestyle.
You need to take care of your skin, but even with maximum care it is impossible to protect yourself from knife cuts, scratches, and abrasions.
All this can provoke the appearance of psoriatic plaques at the site of a violation of the integrity of the skin.
Wounds and scratches must be promptly treated with healing ointment and protected from contamination, because there is a risk of secondary infection.
Additionally, you should moisturize the skin, especially after taking a bath or shower, with special gels and oils.
Nutrition plays a significant role in the treatment of psoriasis. With the help of a well-designed diet, you can prolong remission and avoid complications from internal organs and systems. For example, the special one has proven itself to be excellent.
Nutrition tips:
Preventive measures are general. If you constantly monitor the disease, change your lifestyle, and follow all doctor’s orders, this will prevent exacerbation and, accordingly, the development of complications that are fraught not only with health problems, but also with death.
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Modern statistics indicate that about 7% of the total population of our planet suffers from psoriasis. The pathology is characterized by damage to the patient’s skin, on the surface of which rashes and plaques appear. The disease is accompanied by itching. Psoriasis is chronic. That is, all therapy is aimed at suppressing the main symptoms, preventing the occurrence of complications and increasing remission.
The disease itself comes in several types. The degree of damage to the skin and the level of the clinical picture depend on this, as well as on the individual characteristics of the patient. For example, in some patients relapses last for several days. Others have to cope with symptoms for years.
However, despite the fact that the main characteristic of psoriatic disease is skin damage, in fact, the systemic disease affects many internal organs. As a result, other pathologies develop that, at first glance, are in no way related to psoriasis. The occurrence of skin disease in representatives of the older generation is most dangerous, as the likelihood of damage to organs and various internal systems increases.
The symptoms of psoriasis in this case differ from each other. Damage to internal organs may vary. In addition, therapy has a huge impact on the patient's condition.
Symptoms often present themselves as follows::
All of the above indicates that psoriasis is a rather dangerous disease. True, complications after it most often arise in the absence of proper therapy.
Today, scientists cannot yet say exactly what negative consequences psoriasis can lead to. However, they are sure of one thing: without treating the underlying disease, pathologies in other parts of the body will inevitably arise.
Russian specialists from the Nizhny Novgorod Research Institute have established a relationship between psoriasis and the functioning of the cardiovascular system. More precisely, they found that the long course of the first disease necessarily affects the organs of the latter system. In particular, such consequences are caused by an increase in cholesterol levels in the body due to metabolic disorders and weakening of the liver.
Psoriasis increases blood pressure. The patient experiences sudden weight gain.
In general, symptoms of complications affecting the functioning of the cardiovascular system manifest themselves as follows:
In representatives of the older generation, psoriasis can change the osteoarticular system, which, coupled with problems with the cardiovascular system, can cause myocarditis and heart defects. However, properly selected treatment, as research shows, can restore the functionality of this system.
The organs of the gastrointestinal tract react to psoriasis earlier than others. This is mainly due to the treatment that has begun, which involves taking antibiotics that negatively affect the mucous membrane of the stomach and intestines, causing it to thicken. In addition, complications of the underlying disease often cause damage to this area.
Gastritis, stomach and intestinal ulcers, colitis and other pathologies significantly worsen the treatment of psoriasis. In this case, more complex forms of the underlying disease such as exudative psoriasis and erythroderma are often observed. Such consequences are difficult to treat, and patients at this time experience persistent rashes on the palms, soles and scalp.
In addition, symptoms indicating the onset of pathological processes in the gastrointestinal tract are not always pronounced. Despite this, a patient with psoriasis is recommended to undergo additional examination by a gastroenterologist.
The liver is also called the “digestive factory”, as it is responsible for processing and removing toxins and other waste products from the body. Psoriasis almost always affects the functioning of this organ. It usually disrupts the antitoxic function. Often such complications are asymptomatic.
However, later the clinical picture manifests itself very clearly:
Gradually, psoriasis causes the liver to increase in size. In case of serious complications, liver failure occurs.
Foci of inflammation appear in various places in the body, and therefore normal urination is disrupted. This leads to bladder dysfunction. This problem increases the risk of stone formation.
The patient has:
Severe forms of psoriasis, as well as a long course of the disease, lead to damage to the joints. This often causes the formation of arthritic processes accompanied by connective tissue disorders. Most often, such lesions are localized in the phalanges of the fingers, which is why their structure is disrupted.
However, in certain cases, other parts of the body may be involved, including the spine. As the pathology develops, the patient's movements become constrained. In addition, the possibility of disability cannot be ruled out, especially when the lower limbs are affected.
A severe form of psoriatic disease (sometimes a moderate one) contributes to the occurrence of pathological processes in the kidneys. Moreover, the risk of developing chronic failure increases approximately 4 times. Particular attention should be paid to the kidneys in patients whose affected area covers more than 3% of the body surface. This will allow renal failure to be stopped in the early stages.
Psoriasis does not ignore the nervous system. The brain is often affected due to vascular problems, which leads to the formation of encephalopathy. The patient experiences attacks of delirium and epilepsy. Subsequently, atrophy of muscle fibers is observed and, as a result, weakness and sudden weight loss.
Do not forget that skin rashes affecting a large area of the body negatively affect the psychological state of the patient. Patients worry about their unsightly appearance. Some of them develop depression, self-esteem decreases, and communication with strangers becomes difficult.
Psoriatic diseases often develop against the background of a weak defense system of the body. But at the same time, they can themselves negatively affect the immune system. Thus, with a long course of the disease, B-lymphocytes, responsible for creating a protective barrier, become less active.
Psoriasis is an annoying disease with unpleasant symptoms and an unsightly appearance that can begin to progress at any time in the presence of provoking factors. Appearing not only from the outside, but also from the inside, the disease is quite multifaceted, it can affect, occurring differently in everyone, and has several stages of progression.
Particularly dangerous is psoriasis of internal organs, which manifests itself in the form of skin rashes, affects bone tissue and negatively affects the functioning of the entire body. The symptoms do not indicate the beginning of a series of internal disorders, unless a full examination is carried out to obtain more detailed data about the patient.
Because psoriasis can last for decades, and it is not easy to notice the connection between diseases developing against its background, it can lead to a whole chain of pathologies. Symptoms can differ radically; a systemic illness affects the functioning of internal organs and systems, manifesting itself in this way:
Internal psoriasis especially threatens consequences in adulthood. The disease develops gradually and leads to serious complications, so it is best to treat it at an early stage, without pushing it into an irreparable situation. If the first symptoms of the disease appear, you should immediately seek help from a doctor.
Despite the fact that the disease has not been fully studied, experts agree that advanced forms of psoriasis directly affect the organs and systems of the body. If their internal functioning is disrupted, treating psoriasis becomes even more difficult.
With psoriasis, there is an increase in blood pressure, and the patient may experience rapid weight gain. The disease reveals itself by some signs:
Timely intervention preceding disruptions to normal functionality will help restore the cardiovascular system.
Despite the possible absence of symptoms, liver function and its antitoxic function are often impaired under the influence of a long course of psoriasis. As a result, the organ may enlarge or liver failure may develop. Symptoms of psoriasis affecting the liver may include the following:
If you start treatment in the early stages, liver function can be restored without causing serious changes that later affect other organs and systems. Often, a violation of the outflow of bile leads to pathologies of the gallbladder.
Kidney failure may occur as a consequence of psoriasis. With skin lesions, the risk of developing chronic kidney pathologies in patients is approximately four times higher. Psoriasis covering more than 3% of the skin already requires urgent action.
The stomach and intestines are the first to take the hit, reacting to the development of the disease. Antibiotics have a detrimental effect on the flora of the gastrointestinal tract, the mucous membrane undergoes changes under their influence:
The appearance of gastritis, colitis and other gastrointestinal diseases significantly complicates the treatment of psoriasis. The situation is aggravated in the case of severe forms of disease. Symptoms are not always pronounced at the initial stage of development, but at the first signs of gastrointestinal problems, you should immediately contact a gastroenterologist.
The disease causes the patient to experience a depressed state of depression, psychological discomfort associated with the deterioration of his own health and appearance. The patient withdraws into himself, finds it difficult to adapt and avoids company, which entails personal problems.
Due to vascular dysfunction, encephalopathy may develop, affecting the brain. The patient may experience delirium, epileptic seizures, and muscle atrophy.
The effect of any disease, especially one that lasts for years, has always affected other organs that are not related to a specific disease, and psoriasis is no exception. If the integrity of the body is violated, a process of internal changes is launched, which along the chain affects the work of interconnected systems. Internal violations also include:
When the disease is prolonged and severe, it negatively affects almost all systems, slowly destroying the body. To avoid serious irreversible changes, psoriasis of the internal organs should be diagnosed and treated promptly.
There are a huge number of dermatological diseases. One of the most common skin diseases is psoriasis. Treatment of psoriasis is a very hot topic in modern medicine. Thousands of pharmaceutical companies are releasing new products every day to get rid of this pathology, but today there is no medicine that can get rid of the disease once and for all. In this article we will find out everything about psoriasis and its treatment, and also try to answer such common questions as what to do with psoriasis, how to get rid of psoriasis, and whether it is possible to cure psoriasis once and for all.
This disease is classified as a non-infectious pathology that cannot be transmitted through household, sexual, airborne or any other means. Many patients believe that this disease affects only the skin, but this is not the case. The disease has several types, which can manifest themselves not only on the skin, but also have a negative effect on nails, joints and some internal organs.
So, what is psoriasis? In a person with healthy skin, the cycle of maturation and division of skin cells is from 28 to 30 days, but with psoriasis, this period is reduced tenfold and is only 4-6 days. Because of this, unripe cells begin to divide and die, resulting in the formation of unpleasant white or grayish scales on the skin. Scientists around the world still cannot figure out the exact reasons why this process occurs. Only a few provoking factors are known that can cause relapse and exacerbation of the pathology.
Most scientists are inclined to argue that psoriatic disease is an incurable disease and no one has yet been able to get rid of it. It has also long been known that it is impossible to cure psoriasis with any of the treatment methods. Sooner or later, the disease returns with renewed vigor.
The disease can occur in men, women and even children. According to some statistics, it is known that people living in countries with cold and humid climates are more prone to the disease. Also at risk are young people aged 18 to 25 years and older patients after 45-50 years of both sexes. Children get sick somewhat less and their pathology can occur in an atypical form, that is, without symptoms characteristic of psoriasis, for example, such as scales, itching and flaking.
You should not assume that, apart from being an aesthetic problem, psoriasis is not capable of causing serious harm to the body. Symptoms such as itching, redness, peeling are only a small part of what can provoke this disease. Experts say that many patients often develop a form of the disease called psoriatic arthritis. This is a serious damage to joints and cartilage, which can even lead to disability. Also, complications of psoriasis include the following manifestations:
These are just some of the consequences that the disease can lead to. The list goes on and on, but even without this it is obvious that psoriasis is a serious disease that requires serious and timely treatment.
Important! In order to avoid complications, you should not let the disease take its course. Timely contact with a specialist will help to avoid many complications and side effects.
At the present stage of research into psoriasis, scientists and doctors have not been able to agree on the exact causes of the development of the disease. Representatives of different theories adhere to points of view that explain the possible reasons for the appearance of pathologically rapid division of skin cells. Next, we will consider the most popular theories of the development of the disease.
This is one of the main and most reliable causes of the disease. Immunity is a person’s natural defense that can cope with many diseases. Sometimes, under the influence of various factors, the immune system malfunctions. Representatives of this theory believe that psoriasis occurs as a result of an incorrect immune response to dermal cells. In other words, immune cells begin to attack skin cells, perceiving them as aggressors. As a result, severe itching, redness and inflammation occurs.
Another point of view is the genetic theory. Its supporters believe that psoriasis is inherited. According to medical statistics, in more than 50% of all patients with pathology, one of the parents suffered from the disease. In addition, if the mother or father suffers from the disease, the risk of developing psoriasis in the child increases by 25%, but if both parents suffer from the pathology, the risk increases by more than 50%.
The hormonal background of the body plays a very important role. The endocrine system, consisting of organs such as the thyroid, pancreas and pituitary gland, is entirely responsible for the balance of hormones. Diseases and malfunctions of these organs can lead to hormonal imbalance, which, according to supporters of the endocrine theory, leads to the development of unhealthy cell division in the dermis.
Also, imbalance can often occur during puberty, the menstrual cycle and menopause, as well as treatment with hormonal drugs and under the influence of some other reasons.
It is important to note that in the context of modern research, the influence of hormones on the occurrence of psoriasis has not been proven, so this theory remains only an assumption.
This is one of the young theories, whose representatives believe that the appearance of the disease can occur against the background of severe stress and psychosomatic disorders. The theory has also not been proven; its proponents continue to conduct research to this day.
The neurogenic theory explains the appearance of the disease by the development of vasomotor neurosis in the walls and muscles of blood vessels. This process can cause a narrowing of the vascular walls, resulting in a significant reduction in blood circulation.
The theory has also not been proven, however, numerous studies confirm the fact that in most patients psoriasis worsened or arose for the first time after strong emotional stress and experiences.
It is immediately worth noting that a direct connection between viruses and psoriasis has not been identified. It is only confirmed that after suffering from certain diseases caused by the action of various viruses, psoriasis can worsen. Experts attribute this not to the viral origin of the pathology, but rather to the appearance of the disease against the background of a strong complication of the immune system.
Scientists have identified the following abnormalities in almost all patients with psoriasis:
Important! None of the theories has been officially approved or scientifically proven to date. All of them are just assumptions without supporting factors.
The disease psoriasis and its treatment is a very complex process, which is often complicated by many provoking factors. These can be both external and internal influences that can provoke an exacerbation of the pathology or its primary appearance. So, factors that can lead to the disease include:
Treatment for psoriasis consists primarily of eliminating factors that can aggravate the disease. If the cause is not eliminated, psoriasis is almost impossible to cure.
Symptoms of psoriasis can be very diverse. Its manifestations depend on the type of disease. Forms of psoriasis in medical practice are divided into the following types.
This is one of the most common types. Many patients have encountered this problem and know how unpleasant this pathology is. Can scalp psoriasis be cured? Definitely not, like its other types. The disease manifests itself differently in each patient. These may be minor rashes in the area of the hairline, accompanied by flaking and dandruff, or the disease may manifest as large plaques with rough crusts and significant redness of the skin.
It is necessary to treat psoriasis of this type; it is strictly undesirable to let the disease take its course.
Faced with this type of disease, patients are concerned about whether nail psoriasis can be treated. After all, pathology not only significantly spoils the aesthetic appearance of the nail plates, but also leads to their severe distortion, detachment and even complete loss. This type of illness most often develops against the background of other types of illness and requires comprehensive and proper treatment.
The fight against nail psoriasis often involves an integrated approach and fairly long-term treatment. The patient must be patient to achieve positive results.
Hands, namely palms, are highly susceptible to various mechanical damage and friction. Often this type of disease occurs in both men and women. The main manifestations of psoriasis on the hands are calloused formations with peeling, itching and redness. The disease is aggravated by frequent skin injuries, since the palms are very mobile.
The appearance of rashes on the face is very unpleasant, since this area is constantly in sight. Patients are puzzled by how to overcome facial psoriasis. After all, ugly flaky plaques not only cause severe discomfort on a physical level, but also a significant deterioration in the emotional state. This type of disease can occur on any area of the face: cheeks, nose, lips, forehead and chin. Treatment of scaly lichen on the face (as psoriasis is often called) is a complex and troublesome process.
The course is very similar to the disease on the hands. This form can affect the inner surface of the thighs, knee joints, and less commonly the feet. Characteristic signs are itching, flaking and inflammation.
A common type of pathology, it occurs in many patients of different age groups. Affects the outer surface of the elbows. Externally, the disease resembles the appearance of a whitish or grayish film on the skin in the form of a so-called shell. Elbow psoriasis is not difficult to treat and often has a favorable prognosis for patients.
The mildest form of the disease. In this case, single plaques appear on the patient’s skin, which do not cause much discomfort for the patient. Psoriasis vulgaris can be treated with topical treatments and simple preventive measures.
Disease of the genital organs is quite rare. In almost 99% of cases it is not an independent disease. The disease is often confused with many sexually transmitted pathologies, and patients are in no hurry to consult a dermatologist. In men, the head of the penis is affected; in women, the disease spreads to the labia.
Very similar to seborrheic dermatitis. This type is characterized by redness and peeling of the skin. Found on the head, scalp and ears.
Often develops after exposure to viral and infectious diseases. Outwardly it resembles small red drops, which are framed by a whitish border. Often there is no peeling at all. The disease spreads to all parts of the body; it can be a single rash or a large number of rashes.
Important! You should not try to make a diagnosis on your own. Often one form of psoriasis turns into another. Only a doctor can make a diagnosis and prescribe treatment.
Most patients faced with this disease have no idea how to get rid of psoriasis. In addition, people simply do not know whether this pathology can be treated or not. Further in the article we will try to understand what methods of treating the disease exist and what are the features of treating psoriasis.
Before starting treatment, every patient should remember that psoriasis is incurable. Treatment is always aimed solely at eliminating symptoms, strengthening the immune system, and achieving stable remission.
Treatment methods for psoriasis are quite varied and involve the use of the following techniques:
Important! How and with what to treat psoriasis is decided exclusively by a qualified specialist. Only a doctor can choose the right method of therapy, taking into account the individual characteristics of each patient.
Psoriasis and its treatment is a complex and lengthy process. In medical practice, a step-by-step approach is used to ensure the achievement of the desired result, which lasts for a long time. This approach includes the following steps:
The doctor selects medications depending on the severity of the patient’s condition, as well as the characteristics of the course of the disease.
If the disease worsens, the doctor may recommend the patient a certain type of cyclic therapy. It consists of using one medicine over a long period in order to prevent serious complications and side effects. The treatment regimen for psoriasis may look like this:
In most cases, after cyclic therapy, long-awaited relief and stable remission occurs.
Very often, in medical practice, to relieve itching, inflammation, redness and other symptoms of the disease, products intended for external application are used. This group includes medications produced in the form of ointments, gels, lotions, sprays, shampoos, foams and others.
The use of such drugs is indicated for mild to moderate forms of pathology. In cases of severe disease, such drugs are most often prescribed in combination with stronger drugs.
The specialist selects the medicine taking into account the severity of the disease and the individual characteristics of the patient. Treatment methods for psoriasis using external medications can be used in patients of different age groups and provide minimal side effects.
One of the common groups of medications for this disease are corticosteroids. They are fundamental in treatment and are used in most modern countries of the world. These drugs have the following effects:
Corticosteroids can have strong and moderate effects. For severe degrees of the disease, the specialist prescribes medications with a stronger effect; for milder forms, medications that have a mild effect.
Based on their biological activity, drugs in this group can be divided into:
Steroid drugs include the following:
Despite the fairly good effectiveness of steroids, their use for most patients is insufficient. Doctors are forced to prescribe complex treatment, including the use of other medications.
When prescribing strong drugs belonging to this group, the specialist must take into account the risk of side effects. Negative manifestations include:
Another serious disadvantage of steroids is the addictive effect. With prolonged use, the drug ceases to have the necessary effect and loss of effectiveness occurs. That is why doctors do not recommend that patients immediately take strong medications.
Many patients wonder how to cure psoriasis and do vitamins play a role in treatment? The answer to this question is clearly positive. Taking vitamins during illness is extremely necessary. Vitamin D3 is especially indicated for people suffering from pathology. Research into the use of medications based on vitamin D3 has proven the good effectiveness of such drugs and a minimal number of side effects. These drugs include:
Such agents are able to stop the excessively rapid division of dermal cells and have an anti-inflammatory effect. Their main distinguishing feature from corticosteroids is that the drugs are not addictive and do not cause severe side effects. The combination of steroids and products with vitamin D3 reduces the risk of complications, as they allow you to limit the concentration of the active substances of steroid drugs. Quite good results are obtained from treatment using ointments with vitamin D3, as well as herbal medicine.
Comprehensive treatment of psoriasis with vitamin D3 may also cause some side effects. These include:
The medications should be taken strictly according to the regimen prescribed by a specialist. This will help avoid many complications and unwanted side effects.
Medicines in this group contain vitamin A and are used to treat many skin diseases. So, we will consider further how to treat psoriasis with the help of retinoids. One of the first remedies that has proven itself for psoriasis is tazarotene. It is used for mild to moderate forms of pathology. The drug is available in the form of products for external use, such as creams and gels.
Products containing vitamin A do not cause tolerance. Apply the product to the affected areas in small quantities. One of the contraindications is applying the cream to the genital area and eyelids.
Retinoids in combination with corticosteroids are quite effective.
Long-term use of tazarotene can cause dryness of healthy skin. To prevent this, it is necessary to treat healthy skin with emollients after applying the medicine.
If severe irritation occurs after treatment with retinoids, the concentration of the active substances of the drug can be reduced by diluting the medicine with petroleum jelly.
The drug is also contraindicated during pregnancy. The components of the drug can negatively affect the development of the fetus and cause congenital anomalies.
It has long been known that psoriasis cannot be completely cured. However, comprehensive and correct therapy can save a person from the disease for many years. One of the groups of drugs are systemic drugs. These are very serious medications that are often used to treat severe autoimmune diseases, arthritis and oncology.
Such drugs are administered mainly orally or by injection. They are used mainly for particularly severe forms of psoriasis, since systemic drugs have a number of serious side effects. Next, we will consider the most effective means. Systemic drugs include the following drugs:
Also, to get rid of psoriasis, products intended to treat diseases such as cancer, acne and others are often used. It can be:
If these drugs are used incorrectly, the following complications may occur:
Methotrexate is strictly contraindicated for people suffering from anemia and other blood diseases, patients with alcohol dependence, patients with impaired renal function, weak immunity and some others.
Important! When treating a disease with medications, you should never reduce or increase the dose on your own, or terminate therapy prematurely without the doctor’s permission. Self-medication and non-prescription often lead to many negative consequences.
One of the most effective methods of physiotherapy today is light treatment. Various methods are used in this area. The most popular procedures are:
As you know, the disease can become more complicated in the cold season, as well as in the summer months. Winter psoriasis, which is often treated with light, responds quite well to treatment with PUVA. Photochemotherapy is one of the most effective modern methods. Thanks to this method, success can be achieved in more than 95% of cases. The action involves the use of long-wave ultraviolet treatment, as well as the introduction of photosensitizers into the body.
The use of PUVA is very effective for such types of pathology as exudative, vulgar, palmoplantar psoriasis, as well as disease of the scalp. Photochemotherapy has proven itself very well in the treatment of such severe forms as pustular and erythrodermic psoriasis. Answering the question: is it possible to cure psoriasis using light therapy alone, it is impossible to give a definite answer. In most cases, treatment with physiotherapeutic methods still requires drug therapy.
Using this method, exudative and vulgar forms of psoriasis are often treated. However, SFT is often used for progressive forms. Procedures are prescribed 5-6 times a week. The initial radiation doses are low, the doctor can increase them if the patient tolerates the treatment well and no complications arise. The course of selective therapy averages 25-30 sessions.
No less effective than PUVA, gives excellent results in practice. The disadvantage is the high cost and inaccessibility of treatment, since today there is a shortage of equipment with which UVB can be performed. The patient is given 3-5 sessions per week, the total course is from 20 to 30 days.
Like other therapies, phototherapy has a number of side effects. These include:
Some time after using the light, side effects such as age spots may occur. Light therapy should also be used very carefully due to frequent eye injuries.
Important! Despite its great effectiveness, almost every light treatment method can increase the risk of malignant formations on the skin.
In addition to traditional therapy, there are alternative treatment methods. Very often in practice, the use of unconventional treatment gives the most unexpected results. So, we will consider further how psoriasis is treated with alternative methods.
This is a relatively new method using small Garra rufa fish. This type of therapy is carried out in sanatoriums where there are springs. The session is very simple. A person dives into water with fish, and they, in turn, cleanse the body of rough skin particles and scales, without affecting healthy areas at all.
Therapeutic mud cleanses the skin of plaques very well. Often they use, for example, mud obtained from Lake Sivash. It can be purchased at a pharmacy. For application, the mud is heated to a temperature of 38-39 degrees and applied in a thin layer to the affected areas. After 30-40 minutes, the mask is washed off with warm water and a softening cream is applied to the skin.
Massage for psoriasis is another effective method. Acupuncture is also often used in conjunction with acupressure. Massage for psoriasis has the following goals:
Important! The main feature of massage for psoriasis is the complete avoidance of any chemical and cosmetic products. Medicines in the form of creams and ointments are applied only after the session.
As is already known, one of the main causes of psoriasis is a violation of the body's metabolic processes. Due to metabolic imbalance, negative products such as waste, toxins, and radicals accumulate in the body. These components have a very negative effect on the entire body, poisoning it from the inside. Blood transfusion for psoriasis is one of the methods of combating the disease. For these purposes, a centrifuge (plasmapheresis) is used. Using this method, you can cleanse the patient’s blood of harmful substances, as well as pathogenic viruses and fungi. Thanks to plasmapheresis, the following goals can be achieved:
Cleansing the body with psoriasis is often carried out using folk remedies. For these purposes, various products of natural origin, as well as herbs, are used. So, we’ll figure out how to treat psoriasis using traditional methods later in the article.
All treatment methods can be divided into drugs for internal use, as well as drugs for external application.
To cleanse the skin and eliminate the main symptoms of psoriasis, the following recipes are recommended:
To get rid of plaques and cleanse the skin, use the following recipes:
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The exact causes of psoriasis have not yet been discovered, but it has been established that the development of the disease is associated with disturbances in the functioning of the immune system. There is also a connection between scaly lichen and heredity, and therefore two types of psoriasis are distinguished:
It is believed that for the first symptoms of psoriasis to appear, exposure to certain environmental factors, called provoking factors, is necessary.
Like any chronic disease, the course of psoriasis is characterized by alternating periods of remission (manifestations of psoriasis are minimal or completely absent) and periods of exacerbation (manifestations of psoriasis begin to intensify and reach a maximum). Each exacerbation of psoriasis occurs in three stages:
In the progressive stage, a red stripe is visible at the edge of the plaque, which indicates that the element continues to grow.
The progressive stage is characterized by an increase in the size of existing rashes, as well as the appearance of new red or bright pink nodules on the skin. At first the nodules are small, but over time they enlarge and turn into plaques. A distinctive feature of psoriasis is the presence of plaques and nodules of silvery-white scales on the surface, which can be easily and painlessly separated.
In the initial stage of the disease, a red stripe is visible along the edge of the rash elements, on which there is no peeling. The presence of such a stripe indicates that the disease is progressing and the element continues to increase in size.
Psoriasis rashes can be accompanied by itching, burning, and, in severe cases, even general malaise.
The progressive stage is characterized by the Koebner phenomenon - the appearance of fresh psoriatic elements in areas of skin irritation. Irritation can be mechanical (rubbing with the seams of clothing, scratching, abrasions, scratches, surgical incisions, etc.), thermal (burn, visiting a bathhouse or sauna, taking a hot shower or bath), ultraviolet (visiting a solarium or being in the sun), chemical (applying irritating ointments to the skin, for example, warming, tar, etc., using hair dyes). After irritation, new papules do not appear immediately - usually within a week.
In the stationary stage, the development of the disease stops, that is, existing nodules and plaques no longer grow, and new rashes do not appear. The red line along the edge of the elements turns pale and peeling reaches their edges. Around the lesions you can see a border in the form of lighter skin. At this stage of psoriasis, the Koebner phenomenon does not appear.
In the regressive stage of the disease, plaques and papules become flat, pale, and the number of silver-white scales decreases. Gradually the lesions regress.
Very often, large plaques begin to disappear from the center, resulting in the remaining edges of ring-shaped, arched or bizarre (reminiscent of a geographical map) plaques around the healing skin.
Often large elements begin to regress from the center. As a result, edges remain in the form of rings and arcs.
Over time, the skin is completely restored. In place of the disappeared psoriatic papules and plaques, there remain areas of skin that look somewhat lighter than areas not affected by the disease. However, this difference in color disappears over time.
Psoriatic elements, no matter how large they are, never leave scars, since the pathological process of psoriasis affects only the superficial layers of the skin.
Plaque form | It occurs most often - in 80-90% of cases. Typical places of localization of psoriatic elements: the skin of the scalp, elbow and knee joints, torso (especially on the sacrum). However, plaques and papules can appear on any part of the skin, in rare cases even on the mucous membranes. |
teardrop shape | Occurs in children and young people. Small, bright red, teardrop-shaped papules appear on the skin. Often the development of guttate psoriasis is preceded by a previous cold (influenza, ARVI, tonsillitis). |
Exudative form | It is characterized by an intense inflammatory process, accompanied by the release of serous exudate onto the surface of the affected areas of the skin. The scales on the surface of the plaques become saturated with this liquid, stick together and dry out into yellowish crusts. In most cases, patients with this form of the disease are bothered by itching. The exudative form of psoriasis, as a rule, develops in patients with obesity and disorders of carbohydrate metabolism. |
Pustular form | It is a rare but severe form of the disease. Accompanied by the appearance of pustules filled with pus on the surface of the affected skin. The process may be limited to the skin of the palms and soles, but in severe cases it is generalized and covers large areas of the body. |
Arthropathic form | In addition to skin rashes, signs of joint damage appear. As a rule, small joints of the feet and hands are affected. |
Psoriatic nail lesions | Often, people with psoriasis experience damage to the nails, on the surface of which multiple pinpoint impressions appear, like on thimbles - the “thimble symptom”. The nail plates loosen, become brittle, deformed, and the periungual fold becomes inflamed. |
Psoriatic erythroderma | This is a severe complication of psoriasis, which can develop as a result of intense provoking effects and improper treatment. It manifests itself as bright redness, moderate thickening, and intense peeling of the entire surface of the skin. Accompanied by a deterioration in general condition, increased body temperature, chills, burning, itching, and a feeling of tight skin. |
Modern medicine cannot yet offer a way to cure once and for all. The difficulty lies in the genetic nature of the disease. However, it is always possible to select an effective treatment method and use it to control the psoriatic process, trying to minimize the frequency, duration and severity of periods of exacerbation of the disease.
Most patients with the common plaque form of psoriasis (about 80% of cases) have a mild or moderate course. In such cases, external treatment is often sufficient. The following drugs are used for external therapy: topical corticosteroids, vitamin D 3 analogues, combination agents (corticosteroids + vitamin D 3 analogues, corticosteroids + salicylic acid), zinc pyrithione, exfoliating and moisturizing agents.
In place of the plaques, areas of skin remain that are lighter than the surrounding skin. Over time, the color becomes the same. Psoriasis never causes scarring.
In the treatment of severe and extensive forms of psoriasis, systemic therapy is used, which involves the prescription of immunosuppressants, cytostatics, synthetic retinoids, and biological drugs. Phototherapy can be used - irradiation of skin areas with rashes with ultraviolet rays of various spectrums and wavelengths.
Treatment of psoriasis is the responsibility of dermatologists. Systemic therapy, selected individually for each patient, should be prescribed only by these specialists.
Concerns about whether skin psoriasis is contagious are completely unfounded. This is not an infectious, including not a fungal disease, which means that there are no pathogens in superficial rashes, no matter how they look. Therefore, a patient with scaly lichen is not contagious to others, even with close contact.
Undoubtedly dangerous. Alcohol abuse and smoking are powerful provoking factors, which means that for people who smoke and drink, the risk of frequent and severe exacerbations of the disease increases. In addition, the duration and cost of treatment increases.