Psoriasis clear fluid: Causes, Treatments, and Lifestyle Tips
Causes, Treatments, and Lifestyle Tips
Psoriasis is a skin disease that affects about 7 million Americans. It comes in several forms. Plaque psoriasis is the most common.
Plaques are raised red patches covered with a whitish buildup of dead skins cells called scale. They usually show up on your elbows, knees, scalp, and lower back, but you can have them anywhere. Plaques often itch or hurt.
Doctors aren’t sure why people get plaque psoriasis. It’s considered an autoimmune disease. That means your immune system attacks healthy cells as if it’s fighting an infection. This causes new skin cells to grow much faster than normal, and they build up in thick patches.
Whether you get plaque psoriasis depends on your genes and your health history:
- Heredity. Psoriasis seems to run in families. About 10% of people are born with genes that make them likely to get psoriasis. But only about 3% of people get the disease.
- Triggers. Something has to happen to start your immune system’s reaction. Sometimes, it’s an injury to your skin or a bad sunburn. It could be a certain medicine, like lithium or malaria drugs. An infection, particularly strep, can bring on psoriasis. So can high levels of stress.
Psoriasis isn’t contagious. It can’t be spread by touch or other close contact.
People with psoriasis tend to have other conditions that cause inflammation, like Crohn’s disease, diabetes, metabolic syndrome, fatty liver disease, and obesity. If you have it, you may be more likely to get heart disease, depression, and a kind of eye disease called uveitis. You also have as much as a 1-in-3 chance of getting psoriatic arthritis, which causes joint pain, stiffness, and swelling, and joint deformity.
A dermatologist (skin doctor) can usually tell if you have plaque psoriasis just by talking with you about your medical history and looking at your skin. But since psoriasis can look like eczema and other skin diseases, diagnosing it can be difficult. In some cases, your doctor may need to do a biopsy. They’ll take a tiny sample of your skin and look at the cells under a microscope.
Psoriasis can’t be cured. You’ll probably go through cycles where the rash looks better and then flares up again. The goal of treatment is fewer and less severe flare-ups.
You may get medicine to put on your skin or you may take pills, or your doctor may recommend a combination of those. Treatment options include:
- Topical medications. If you have only a few plaques, your doctor will probably try a prescription cream first. You put these directly on your skin. They help with inflammation or slow the growth of skin cells. Examples include corticosteroids, vitamin D, vitamin A, and anthralin. You can also try over-the-counter topical medicines. Salicylic acid and coal tar are approved to treat psoriasis. Other ingredients may soothe itch and remove scale, including aloe vera, jojoba, zinc pyrithione, and capsaicin. Topical emollients that you put on after a shower or bath can help keep your skin moist.
- Light therapy. If the rash is more widespread, your doctor may treat it with ultraviolet light. This is done at their office or with a special box you can keep at home. You may also get relief by going out in the sun, but this can raise your risk of skin cancer. Watch how long you spend outside, and cover up or put sunscreen on places where you don’t have plaques.
- Systemic drugs. If you have a severe case of plaque psoriasis, you may need medicines that work throughout your body. They calm your immune system or make your skin cells grow more slowly. But they can cause serious side effects, like depression, aggressive thoughts, liver problems, or a higher risk of skin cancer. You take systemic drugs like acitretin, cyclosporine, and methotrexate by pill, or your doctor will give you a shot.
- Biologic drugs. Another kind of systemic drug also targets your immune system. Biologic drugs used to treat psoriasis include adalimumab (Humira), brodalumab (Siliq), etanercept (Enbrel), guselkumab (Tremfya), infliximab (Remicade), ixekizumab (Taltz), risankisumab-rzaa (Skyrizi), secukinumab (Cosentyx), and ustekinumab (Stelara). They’re given in a shot or through a vein in your arm. They affect a specific type of immune cell or keep certain proteins from causing inflammation. But these drugs can make it harder for you to fight an infection.
Learn more about advanced treatments for psoriasis.
What You Can Do
Most people who get plaque psoriasis have it for the rest of their lives. You can do a few things to deal with it better:
Avoid triggers. Things like stress and smoking don’t cause psoriasis. But they can make it worse. Try to figure out what triggers your flare-ups. You may be affected by:
- Cold, dry weather
Watch your diet. There’s no proof that specific foods make a difference with psoriasis. But losing weight may keep your symptoms at bay, so it makes sense to eat healthfully. And a diet low in fatty meat and dairy products and high in fish and colorful fruits and vegetables may help with inflammation. Read more on psoriasis and your diet.
Take care of your skin. A good moisturizer can keep plaques soft and make you less itchy. A bath with colloidal oatmeal or Epsom salts can also soothe your skin. Learn about more skin care tips for psoriasis.
Get support. Plaque psoriasis can take an emotional toll. You may feel self-conscious about the way it looks or overwhelmed by what it takes to manage it. Many people with psoriasis become depressed. If you think you need some help, talk with your doctor about therapy or medication. It also helps to talk with people who understand what you’re going through and can offer strategies for coping. Find out how to get emotional support during psoriasis treatment.
Work with your doctor. Talk with them about how you’re doing and any changes to your condition. You may need to change your treatment over time. Don’t suddenly stop using a psoriasis drug, or you could cause a more serious illness. Be aware of symptoms that could signal psoriatic arthritis, like joint pain. Read about what you can do to make your psoriasis treatment work.
Genital Psoriasis: Symptoms, Causes, Diagnosis, Treatment
Psoriasis and Psoriatic Arthritis Alliance: “Genital Psoriasis,” “Psoriasis and Sensitive Areas.”
Journal of Dermatological Treatment: “Prevalence of genital psoriasis in patients with psoriasis.”
Dermatology and Therapy: “Patients’ Perspectives on the Impact of Genital Psoriasis: A Qualitative Study,” “Inverse Psoriasis Involving Genital Skin Folds: Successful Therapy with Dapsone.”
“Psoriasis Information: Sensitive Areas,” Psoriasis Association, October 2016.
National Psoriasis Foundation: “Inverse Psoriasis,” “The Immune System and Psoriatic Disease,” “Does Obesity Lead to Psoriasis?” “About Psoriasis,” “Gluten-Free Diet,” “Psoriasis and intimacy.”
American Academy of Dermatology: “Psoriasis: Diagnosis, treatment, and outcome,” “Psoriasis: Who gets it and causes.”
Psoriasis: Targets and Therapy: “Drug-induced psoriasis: clinical perspectives.”
National Psoriasis Foundation, Advance Online: “Genital psoriasis: how to treat and manage it,” “Study: Genital psoriasis wreaks havoc on sex life,” “Why do we itch?”
DermNet NZ: “Genital psoriasis.”
Dermatology News: “Be mindful of psoriasis/cutaneous T-cell lymphoma link.”
Dermatologic Therapy: “Underdiagnosed and undertreated psoriasis: Nuances of treating psoriasis affecting the scalp, face, intertriginous areas, genitals, hands, feet, and nails.”
Psoriasis Association: “Types of Psoriasis.”
Expert Review of Dermatology: “Effective Topical Agents and Emerging Perspectives in the Treatment of Psoriasis.”
“Systemic Medications: for psoriasis and psoriatic arthritis,” National Psoriasis Foundation, 2015.
Dermatology: “Psoriasis and Obesity.”
Journal of Translational Medicine: “Nutrition and psoriasis: is there any association between the severity of the disease and adherence to the Mediterranean diet?”
Gluten Intolerance Group: “The Toxic Truth About Gluten-Free Beer.”
National Center for Complementary and Integrative Health: “Omega-3 Supplements: In Depth.”
Journal of the American Academy of Dermatology: “Diet and Psoriasis: Part 3. Role of Nutritional Supplements.”
NPFBlog: “5 tips for living with genital psoriasis.”
Monitor on Psychology: “The link between skin and psychology.”
Pustular Psoriasis: Symptoms, Causes, and Treatment
Pustular psoriasis is a skin disease. You’ll see white bumps filled with pus near or inside red skin blotches. These are called pustules, and they can hurt and be scaly, flaky, or itchy.
Even though you see pus on your bumps, it’s not an infection. You can’t catch pustular psoriasis from someone else or give it to others.
Pustular psoriasis usually happens to adults — it’s rare for kids to have it. It can run in families.
You can get pustular psoriasis either on its own or with another kind of psoriasis called plaque psoriasis.
Types and Symptoms
There are three types of pustular psoriasis, based on where the blister outbreaks are or how fast they popped up.
- Palmoplantar pustulosis (PPP): Blisters form on small areas of your body, usually your palms or the soles of your feet. These pus-filled spots can turn brown, peel off, or crust over. Your skin can crack, too. This type of psoriasis may come and go. People who smoke are more likely to get this form.
- Acropustulosis:Small, very painful lesions pop up on your fingertips or toes. The pain can make it hard to use your fingers or toes. In rare cases, it can cause nail or even bone damage.
- Generalized or Von Zumbusch: Red, painful, tender skin blotches show up over a wide area of your body, and pus-filled blisters pop up soon after. Your skin may be very itchy. You also might be very tired or have fever, chills, dehydration, nausea, weak muscles, headache, joint pain, fast pulse, or weight loss. This is a rare, serious disease — see your doctor right away if you have these symptoms.
Causes and Triggers
Psoriasis is an autoimmune disease. Your immune system usually sends white blood cells to fight off disease in your body. But in this case, they attack your own skin by mistake.
A few things can trigger psoriasis flares:
- Medications, such as steroids
- Something that irritates your skin, like a topical cream or harsh skincare product
- Too much sunlight
A mutation, or change, in a specific gene may make you more likely to get pustular psoriasis. If you have this gene, one of those triggers could set off a flare.
You’ll see a dermatologist (skin doctor) who will ask about your symptoms, your medical history, and any family history of psoriasis.
They may need to take a small sample of your inflamed skin to look at under a microscope. That’s called a biopsy.
If you have a severe flare, they may also test your blood for signs of high white cell counts; signs that your kidney and liver are working the way they should; and whether you have healthy levels of electrolytes, calcium, and phosphate.
The goal of treatment is to ease your symptoms and control outbreaks. What you take may depend on your type of pustular psoriasis.
Small, local outbreak: Your doctor may try a topical steroid cream first to treat the sores. Coal tar or salicylic acid creams can help with scaly skin. You’ll slather on lotions to soothe and prevent cracked skin. Then you’ll slip on cotton gloves or socks to hold the moisture in.
PPP and acropustulosis outbreaks can be stubborn. Your doctor may try ultraviolet light treatments on the inflamed skin. This is called phototherapy.
Oral drugs like methotrexate or cyclosporine may help calm down your immune system. Acitretin (Soriatane) is another drug that can slow skin outbreaks. It’s a retinoid, or a synthetic form of vitamin A.
All these drugs can have serious side effects, so you may need to switch treatments from time to time.
If you smoke, try to quit. Smoking makes your psoriasis harder to treat.
Widespread outbreak: If you have generalized or Von Zumbusch psoriasis, get medical care right away. You’ll need fluids, and get treatments to prevent infection, ease your fever, and calm inflamed, broken skin. While you’re in the hospital, you need to rest, stay hydrated, and keep cool.
Your doctor may try acitretin, methotrexate, cyclosporine, steroids, or biologics (drugs made from living cells) like etanercept or infliximab to get your flare under control. Once your skin redness and pustule outbreaks have calmed down, you can also try PUVA, where you take a drug called psoralen and then beam ultraviolet light at the affected area of your skin.
Sometimes, one treatment doesn’t do the trick. You may need to combine one or more to feel better.
Itchy Rash? How to Tell If It’s Eczema or Psoriasis – Health Essentials from Cleveland Clinic
Do you have persistent patches of red, dry, itchy skin that won’t go away? If so, you may have eczema or psoriasis. These skin conditions have similar symptoms, so it’s often difficult to tell them apart. But you’ll likely find that doctors often treat them the same way.
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Both conditions show up as skin inflammation (they look like rashes), according to dermatologist Anthony Fernandez, MD, PhD. The differences lie in their cellular and molecular makeup, he says.
What are the basic differences?
Psoriasis is a chronic immune-mediated disease. That means your immune system becomes dysfunctional and chronically activated, resulting in skin changes. It causes raised, red, scaly patches on your skin or scalp.
There are multiple subtypes of psoriasis. Plaque psoriasis is the most common and accounts for nearly 80-90 percent of psoriasis cases.
People with plaque psoriasis typically have sharply demarcated, raised, itchy, painful red plaques covered with silvery scales. The plaques are most often found on elbows and knees, but they can occur anywhere.
Eczema is an inflammation of the skin that can have numerous triggers. Atopic dermatitis is the most common type of eczema. It typically occurs in people with a personal or family history of asthma, hay fever or other allergies, and it is often seen in children. It makes skin more sensitive and more prone to infection.
At any time in your life, you can develop eczema from dry skin or chemicals that contact the skin and trigger irritation or allergic reactions.
Neither psoriasis nor eczema is contagious, Dr. Fernandez says. But while you can’t pass them from person to person, they may run in families.
What symptoms should you watch for?
Visually, it can sometimes be difficult to tell one condition from the other.
“You have to look at all the clinical aspects of a rash to distinguish between eczema and psoriasis, including the history and the patient’s other medical problems,” Dr. Fernandez says.
The common signs — dry and/or cracked scaly skin, itching and red patches or plaques — may show up for either.
With psoriasis, the plaques on your skin are likely thicker and have dry scaling. But sometimes that’s not enough to tell between the two with the naked eye, Dr. Fernandez says.
A more obvious clue — fluid leaking through the skin (known as a serous exudate) — points to eczema.
“When we see that, we definitely think about eczema instead of psoriasis,” he says. “But there are definitely times when we cannot tell the difference. And, in those cases, we will perform biopsies.”
What are the treatment options?
Though the underlying causes are different, treatment is generally similar, Dr. Fernandez says. You should see a dermatologist for any rash that doesn’t go away with over-the-counter medicine, he says.
Typical treatments include:
- Topical cortisone, especially if you have a mild case.
- Immunosuppressive drugs (such as cyclosporine or methotrexate) for more moderate to severe cases.
- Phototherapy or ultraviolet light treatment for severe cases.
Also, eczema can prompt a secondary infection so your doctor may use topical and systemic antibiotics to remove bacteria and calm the inflammation.
How can you ease your symptoms?
Dr. Fernandez recommends using a moisturizing cream or ointment if you have either eczema or psoriasis. Keeping your skin moist is helpful because you’re more likely to itch if your skin is dry.
Your skin can also benefit from these general health tips:
- Drink alcohol only in moderation.
- Eat a healthy diet.
- Drink more water.
- Get plenty of exercise.
There is no cure for psoriasis and multiple types of eczema, including atopic dermatitis. But you can help limit the symptoms by getting proper treatment and taking good care of your skin, Dr. Fernandez says.
Causes, risk factors, symptoms. and types
Psoriasis is an inflammatory condition that affects the skin and sometimes the joints. It occurs due to a problem with the immune system that results in an overgrowth of skin cells, leading to skin changes.
Pustular psoriasis is a rare and severe form of psoriasis that involves widespread inflammation of the skin and small white or yellow pus-filled blisters or pustules.
The pus consists of white blood cells and is not a sign of infection. On light skin, the affected areas will appear red. On darker skin, the patches are darker in color.
Generalized pustular psoriasis (GPP), or von Zumbusch psoriasis, causes widespread symptoms across the body.
Other types of pustular psoriasis include palmoplantar pustulosis and acrodermatitis continua of Hallopeau, which affect only the hands and feet.
Pustular psoriasis can also occur during pregnancy.
Any pustular psoriasis will need medical attention. A combination of topical and other therapies can usually clear the symptoms. A person with GPP may need to spend time in the hospital, as it can be life-threatening.
Psoriasis is an inflammatory condition that occurs when the immune system changes the way cells work, leading to inflammation in different areas of the body. It can trigger the rapid growth of skin cells that results in skin changes.
Doctors do not know why this happens, but they think that specific genetic features might increase a person’s risk of developing the condition. Pustular psoriasis appears to be hereditary, and it can run in families.
A person with these genetic features may be more likely to develop psoriasis after exposure to specific triggers, but not everyone with the features will develop it.
Factors that appear to trigger pustular psoriasis include:
- the use of or withdrawal from certain internal medications, including corticosteroids
- the use of some topical creams
- overexposure to UV light, for example, sunlight
- some infections
Pustular psoriasis is not contagious.
People with pustular psoriasis have a higher risk of developing other types of psoriasis and other conditions.
Around 1 in 10 people with pustular psoriasis have a previous history of plaque psoriasis.
Also, a person with any type of psoriasis may have a higher risk of developing:
A person who notices symptoms of any type of psoriasis should see a doctor, who may also test blood sugar levels and carry out other tests.
Pustular psoriasis involves widespread areas of inflamed skin and pustules that contain fluid, or pus, which gives them their yellow or cream color. It can be painful.
Pustules that burst or dry up may appear brown or crusty. The red or darkened skin surrounding the pustules may be thick and flaky, and the skin may crack.
The presence of pus does not indicate an infection or bacteria. As with all types of psoriasis, the pustules are not contagious and do not pose a threat to others.
Share on PinterestPustular psoriasis involves red skin and pustules.
Image credit: scielo.br, 2010
This can occur suddenly.
According to Dermnetz NZ, a person can expect the following to happen:
- First, the skin will become hot and tender.
- Within a few hours, pustules appear, around 2–3 millimeters in diameter.
- After around 24 hours, the pustules will start to join together so that pools of pus form.
- The areas of pus dry out, leaving a smooth, shiny surface.
- The cycle begins again, with new pustules appearing every few days to weeks.
- In time, with treatment, the symptoms will clear. However, another flare may occur at a later date.
Some people go on to develop erythroderma, a serious condition that may need emergency medical attention.
Symptoms may include:
- inflamed skin that is red on light skin or darker in black skin
- peeling skin all over the body
- fever and shivers
- intense itching
- a rapid pulse
- dehydration and exhaustion
- a headache
- muscle weakness and joint pain
- weight loss
The skin may be very sore and fragile. After an outbreak of GPP, milder flares of psoriasis may occur.
A person may also have:
- furrowed or geographic tongue
- unusual nail growth or poor nail formation
Large, yellow pustules occur in the fleshy areas of the hands and feet.
It can happen in the following stages:
- the skin becomes red
- pustules form
- scaling occurs, and the skin may crack
Depending on the severity, some people may find everyday tasks, such as walking, challenging.
According to the Psoriasis and Psoriatic Arthritis Alliance (PAPAA), around 5% of people with psoriasis will experience palmoplantar pustulosis.
According to PAPAA, it is most likely to affect people who:
- are aged 20–60 years
- have had an infection
- have experienced stress
Palmoplantar psoriasis is another type of psoriasis that can affect the hands and feet. Learn more here.
Acrodermatitis continua of Hallopeau
This is a rare form of pustular psoriasis that involves painful skin lesions on the ends of the fingers and sometimes the toes. The lesions typically form after an injury in the area. Bone changes may also occur.
A rare type of pustular psoriasis — impetigo herpetiformis — can appear during the third trimester of pregnancy. This may happen because hormonal changes affect the immune system.
It can affect a person who has not had psoriasis before and usually resolves after pregnancy.
Women who are receiving treatment for psoriasis and become pregnant should see their doctor for guidance as they may need to adjust their medication. Some medications may have adverse effects during pregnancy and breastfeeding.
A dermatologist can usually identify pustular psoriasis by the type of lesions that appear on the skin, but tests can also confirm the diagnosis and identify possible complications.
A doctor may recommend:
- laboratory tests to rule out a bacterial infection
- a skin biopsy
- a blood count
- kidney and liver function tests
- measures of levels of electrolytes and minerals
Damage to the skin can result in a loss of fluid and internal damage. Depending on how severe symptoms are, a person may need to spend time in the hospital.
A doctor may prescribe:
- a topical steroid cream or emollients to apply to the affected area
- systemic medications to take by mouth or as an injection, such as methotrexate
- a biologic medication to help manage flares and symptoms
Treatment will vary from person to person depending on their symptoms. A person may need to try more than one treatment or a combination of therapies before finding a suitable one.
Topical therapies can help, either alone or combined with other options.
These may include:
- compresses containing suitable topical therapies
- corticosteroids to apply directly to the skin
- coal tar or salicylic acid to help with scaling
- emollients and moisturizers to help prevent cracking
Over-the-counter (OTC) topical creams containing salicylic acid or hydrocortisone may help some people, but individuals should check with a doctor before using them.
Other options include light therapy or oral medications.
GPP can affect large areas of the skin, and the person may need immediate medical attention.
Depending on how severe the symptoms are, they may need to spend time in the hospital.
Treatment will aim to:
- restore the skin’s protective function and chemical balance
- prevent loss of fluid
- stabilize the body’s temperature
Skin damage can result in fluid loss, and this can lead to dehydration and a chemical imbalance in the body. If this happens, it can put a strain on the heart and kidneys, especially in older adults.
Strategies will include:
- bed rest
- bland emollient therapy
- avoiding excessive heat
- removing all possible triggers, including any medications that may be causing the problem
Medications for GPP include:
- antibiotics for confirmed or suspected infection
- systemic corticosteroids
- biologic medications
A doctor may prescribe cyclosporine and colchicine off-label. Off-label means the medications have received approval for another condition, but the doctor knows that they can help with pustular psoriasis.
Pustular psoriasis can be challenging to treat.
Doctors often combine or rotate treatment, depending on how the symptoms respond and the possible side effects. Combining medications may help clear the skin and bring about remission.
For people who experience frequent flares or moderate to severe symptoms, a doctor may recommend using a biologic treatment.
This is a type of therapy that can reduce the risk of flares and the severity of symptoms. A doctor may give it as an injection or an infusion. Some types are suitable for a person to use at home.
Biologics can help resolve the underlying problem that leads to skin symptoms by targeting specific genes that affect how the immune system works.
Pustular psoriasis usually needs medical treatment, but some home remedies may offer additional relief by soothing the skin and relieving irritation and itching.
Possible options include:
- bathing with salt water
- taking oatmeal baths
- using an oil-rich moisturizer to keep the skin moist and possibly prevent peeling
If scales form, a person should remove them with a soft cloth.
Skin care is essential because blistering increases the risk that bacteria will enter the skin. Keeping the skin clean and moisturized can help reduce the risk of infection.
Learn more here about home remedies for psoriasis.
Psoriasis is a long-term condition that affects the immune system. Most people will continue to experience flares, but medication and lifestyle options can help to reduce the risk and severity of symptoms.
It is not possible to prevent a condition that results from a genetic change, but some lifestyle choices may reduce the risk of pustular psoriasis occurring.
Tips that may help include:
- not smoking
- avoiding drinking unhealthful amounts of alcohol
- avoiding stress where possible
- getting enough sleep
- following a healthful diet
Click here to find out more about how diet can affect psoriasis.
Too much exposure to sunlight may trigger a flare or make symptoms worse, but studies also show that some sun exposure may benefit a person with psoriasis. An individual should ask their doctor about how much sun is good for them, and how to get the right amount of sunshine.
Learn more here about how sunshine can affect psoriasis.
A person should talk to their doctor about a treatment plan, follow the doctor’s instructions, and inform the doctor if changes occur, if symptoms worsen, or if a medication appears to trigger adverse effects.
I sometimes have pustular psoriasis. Is there any diet I can follow that will help prevent a flare?
At this time, there are no known diets that can prevent a flare. However, there is evidence that a diet that promotes weight loss can help with the symptoms and frequency of flareups for psoriasis in general.
Try a diet that consists of less alcohol and fewer nightshade foods, such as tomatoes. Including fish oil and vitamin D to the diet might help some people manage their symptoms.
Debra Sullivan, PhD, MSN, RN, CNE, COIAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.
Psoriasis (Discharge Care) – What You Need to Know
- Discharge Care
This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.
WHAT YOU NEED TO KNOW:
Psoriasis is a long-term skin disease in which the skin cells grow faster than normal. This abnormal growth causes a buildup of cells on the surface of the skin. Red, raised patches of skin that are covered with silver-colored scales form on your skin.
- Topical medicine: These medicines can be ointments, creams, and pastes and are applied on the skin.
- Moisturizers: These soothe your skin by keeping it moist and preventing dryness.
- Steroids: This medicine may be given to decrease inflammation.
- Vitamin D and retinoids: These are vitamin-based creams that are used to clear plaques.
- Anthralin: This medicine decreases swelling and excess skin cells that form scales.
- Salicylic acid: This peeling agent helps decrease scaling of the skin and scalp.
- Tar preparations: These medicines decrease your itching, scaling, and inflammation. They may be shampoos, creams, or bath oils.
- Oral medicine: These medicines are used to treat serious types of psoriasis and are taken by mouth. These medicines include steroids or retinoids. They may also include medicines that decrease the rate of growth of your skin cells or that affect your immune system.
- Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.
Follow up with your healthcare provider or dermatologist as directed:
Write down your questions so you remember to ask them during your visits.
- Take care of your skin: Apply emollients, lubricants, or moisturizing creams to your skin regularly. Apply these while your skin is still damp when you bathe. Stop using them if they sting or irritate your skin. Use mild soaps and add bath oils to soothe your skin when you bathe.
- Protect your skin from sun exposure: When you get sun exposure for short periods of time, it can help your psoriasis. Too much sun exposure or a sunburn can make your psoriasis worse. Talk to your dermatologist or healthcare provider about how much sun exposure is right for you.
- Manage stress: Stress can trigger a flare-up. Find healthy ways to manage stress, such as deep breathing or meditation.
- Watch for symptoms with new medicines or herbal supplements: Some medicines, including herbal supplements, may trigger a psoriasis flare-up. Ask if any of the medicines you take may be making your psoriasis worse. Always check for skin changes when you take your medicines.
- Do not smoke: Smoking can trigger a flare-up of psoriasis. If you smoke, it is never too late to quit. Ask for information about how to stop.
- Avoid triggers: Injury to the skin, cold weather, and heavy alcohol use are other things that can trigger psoriasis flare-ups.
Contact your healthcare provider if:
- You get pregnant.
- You have a fever.
- Your skin plaques are not getting better or are getting worse.
- You cannot sleep because your skin itches.
- Your skin plaques have pus draining from them or they have soft yellow scabs.
- You have questions or concerns about your condition or care.
Seek care immediately if:
- Psoriasis suddenly covers larger areas of your body and becomes more painful.
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9 Tips to Soothe the Chronic Itch of Psoriasis
Fortunately, there are a number of things you can do to calm your itchy skin — some at home and some with the help of your doctor.
Consider these nine remedies:
- Avoid perfumed or scented products. Any household products such as cleansers, detergents, and fabric softeners that are strongly scented can worsen your itchy skin. “It is a good idea to use those that are clearly marked ‘fragrance free’ or ‘hypoallergenic,'” suggests Robles.
- Take short baths in tepid water. You may prefer long soaks in hot water when you take a bath or shower, but that’s a no-no if you want to prevent or stop the itch. This is because water — hot water, in particular — removes some of the natural moisturizers in the upper layers of your skin.
- Use a mild body wash. To protect your skin from irritants, stay away from harsh soaps, and opt for milder ones or other hypoallergenic cleansers. Also, resist slathering on a lot of cleanser, since even mild ones can dry your skin — and the drier your skin, the more it itches.
- Take a spa bath. Add some oatmeal, Epsom salts, or Dead Sea salts to your bath water. Just don’t soak for too long, and follow the recommendations on the package for bathing.
- Pat your skin dry. Vigorously rubbing can irritate your skin, causing it to itch more, Robles says.
- Apply moisturizer religiously. Think thick and greasy — these choices will stick to your skin more effectively than lotions. Apply them within a few minutes of drying off from your bath. That way, the cream will be able to trap moisture in your skin before it can evaporate. This may also be the best time to apply prescription creams and ointments. Ask your doctor if these medications can be applied to wet skin and be sure to apply them first, followed by the over-the-counter moisturizer.
- Try antihistamines. Colby Evans, MD, a dermatologist in Austin, Texas, recommends “non-drowsy formulas in the morning and Benadryl at night.” If over-the-counter antihistamines don’t help you, talk to your doctor about prescribing stronger ones. Antihistamines work by targeting the nerve pathways that are related to itching.
- Apply ice. Ice numbs your nerve endings, making it a quick, easy, and cheap way to relieve the pain and itching that psoriasis lesions can cause. Placing your regular moisturizer in the refrigerator can have a similar effect.
- Wrap it up. If you seem to itch more at night, ask your doctor if this bedtime trick to help the medicine stick is right for you: Apply the psoriasis cream or ointment on the affected area, and then cover it in plastic wrap. Also, wear rubber gloves or socks to keep the cream from coming off your hands and feet.
If your doctor has prescribed medications for your psoriasis symptoms, be sure to use them. “Most treatments for psoriasis also help the itching,” Dr. Evans says. One common psoriasis treatment that is particularly helpful with itching, he adds, is ultraviolet light — narrow-band UVB or PUVA phototherapy.
Psoriasis is a chronic condition that can’t be cured, but it can be managed so that you aren’t constantly scratching. Try these tips for itch relief and talk to your doctor about what else you can do to relieve the discomfort of chronic itching.
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Most patients with psoriasis find it difficult to adapt in society, interaction in external social and work conditions is difficult.For example, they cannot get proper rest due to frequent severe itching, and plaques on their hands limit their work activities, preventing them from being fully competent in the chosen field. Psoriasis is a serious obstacle that affects the quality of life, patients with psoriasis feel uncomfortable both physically and psychologically.
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Skin care for psoriasis
How do the properties of the skin affected by psoriasis change?
The skin affected by psoriasis is characterized by an accelerated renewal of the epidermis.Normally, it takes 3-4 weeks for the complete renewal of epidermal cells, and with psoriasis it takes only 4-7 days. Due to dehydration, the skin becomes dry and less elastic. In addition, it becomes prone to inflammation, so plaques that appear on different parts of the body, especially on the arms, legs, trunk and scalp, are reddish in color. The plaques are usually covered with thin, whitish scales.
Psoriasis is a chronic, undulating disease that usually occurs after 15 years of age.
How can pain and itching be reduced?
To avoid aggravating the inflammation, try not to rub or scratch the plaque. When caring for your skin, handle it with extreme caution. Do not remove keratinized crusts that form on the elbows, knees and scalp. It is best if the scales peel off gradually on their own as the skin heals.
How should I wash my skin affected by psoriasis?
When washing, try not to rub or stretch the skin.
It is better to give preference to showers over baths, as they dry out the skin. However, to relax, you can sometimes take a bath, provided that it is not too long and the water is not very hot – maximum 37-38 ° C.
Soap should be neutral and fragrance-free.
After washing, do not try to remove dead skin on the elbows and knees.
Dry the skin with a towel very carefully, gently pressing it to the body.
Thoroughly dry all folds and hidden areas of the skin.When doing this, pay special attention to the ear canals and the skin behind the ears, armpits, folds of skin under the mammary glands, umbilical region and groin, as well as the skin between the toes.
Is it possible to swim with psoriasis?
Swimming with psoriasis is possible, but not during exacerbations, when the skin is especially vulnerable. Explain to other bathers that psoriasis is not contagious and they do not risk anything by being near you.
Apply petroleum jelly to plaques before swimming in the pool to protect them from chlorine and other chemicals added to the water.After leaving the pool, rinse your skin with warm clean water. Dry the skin with a soft towel, lightly patting it on the body.
What cosmetics and skin care products can be used for psoriasis?
For psoriasis, you can use mild alkaline soaps, deodorants, make-up, etc. Best suited for sensitive or baby skin. If you are allergic to any perfumes, use the same hypoallergenic products that you used before the first exacerbation of psoriasis.Remember that substances that cause allergic reactions can be found in air fresheners and fabric softeners.
If the skin is inflamed in the armpits, it can be rinsed with saline. It is not recommended to use deodorants until the redness of the skin goes away. Avoid products containing alcohol and aromatic substances.
You can use regular and waterproof cosmetics for eyes, lips and face.
For hair removal, it is better to use cold wax, which is less irritating to the skin than hot wax, depilatory creams or shaving, especially if the plaque is on the legs and armpits.
What skin care products should I use for psoriasis?
Psoriasis sufferers find it difficult to decide which makeup removers or body lotions are best to use, especially given the ever-growing range of these products. In this section, we will introduce you to what products are suitable for the care of sensitive skin of the face and body.
We will not give an exhaustive list, but only some of the tools that you can use.Feel free to ask your pharmacist questions for more information.
Psoriasis is a chronic disease that often has an undulating course. It is characterized by increased proliferation of keratinocytes, leading to hyperkeratosis (thickening of the stratum corneum of the epidermis), and the appearance of inflamed reddish plaques on the skin.
The range of products for skin care for psoriasis is far from complete, so it is important to choose products that do not cause irritation and do not have allergenic properties.Skin irritation can lead to the Koebner phenomenon, i.e., to the appearance of new plaques on the irritated skin. Keratolytic agents are commercially available to help remove scales, making it easier for topical drugs (such as glucocorticoids and vitamin D derivatives) to reach and absorb the damaged skin. Finally, emollients (moisturizers) should be used for psoriasis as they increase the elasticity of the skin and make it less rough and dry. Especially suitable for this are remedies based on water from thermal springs (they have emollient and anti-inflammatory properties).
While skin care products cannot replace topical psoriasis medications, they can complement each other. Skin care products help improve the general condition of psoriasis patients by reducing discomfort and improving the appearance of the skin. Well-hydrated skin looks better and becomes softer, making psoriasis patients feel more confident. Thus, using these remedies can help improve their quality of life.
Moisturizing Body Lotions
With psoriasis, the skin becomes dry and rough, the stratum corneum of the epidermis thickens significantly. Violation of cellular processes leads to the fact that it becomes more difficult for the skin to retain moisture, and it is subject to dehydration. Therefore, for psoriasis, it is recommended to use emollients that make the skin more pliable. Substances such as urea, amino acids and lactic acid, which absorb and retain water, give these products emollient properties, while petroleum jelly, beeswax, vegetable oils and ceramides, which prevent skin dehydration, provide protective properties.
What are the best tools to use?
It is better to use products labeled “O / W” (oil in water) on the packaging, which make the skin less oily than when using products labeled “W / O” (water in oil). For people with psoriasis, products for very dry skin and products for people with atopic dermatitis are usually suitable. However, inflammation of the skin with psoriasis does not always lead to dryness. Atopic dermatitis is a skin disease that manifests itself as eczema.Although some of its manifestations (especially redness and itching of the skin) resemble some forms of psoriasis, atopic dermatitis does not lead to thickening of the stratum corneum of the epidermis.
Is there a special treatment?
No specific treatment has been developed for different forms or stages (progressive or stable) of psoriasis. However, all patients are well tolerated by moisturizers, which are used after showers and baths, and have a long lasting effect. It is believed that they can slow down the renewal of skin cells in half and prevent the appearance of new lesions.
It is important to remember that emollients should not be used immediately prior to UV-A or UV-B irradiation of the skin, as they obstruct the access of this radiation to the skin. However, they can be used the day before the procedure or the night before.
What remedies to buy if there are itchy plaques?
Atopic dermatitis skin care products (enriched with omega-3 fatty acids and essential fatty acids) are suitable for patients with psoriasis, especially if they have itchy plaques.Although a deficiency of fatty acids is characteristic of atopic dermatitis, there is every reason to believe that they are necessary in psoriasis, since it is characterized by an accelerated renewal of the epidermis.
Keratinization of the skin is a normal process during which the skin is renewed by keratinocytes. Keratinocytes make up the main population of epidermal cells and produce keratin. In psoriasis, their functioning is disrupted, as a result of which the stratum corneum of the epidermis thickens and becomes covered with scales.As the desquamation of keratinocytes in psoriasis is impaired, the skin becomes coarser. Various substances are used to combat hyperkeratosis (thickening of the skin), including salicylic acid, urea, lactic acid.
What substances are most effective?
Salicylic acid, which has a keratolytic and antiseptic effect, is an active ingredient that is included in many products used for irritation and peeling of the skin. Urea acts as a keratolytic and moisturizer.The so-called alpha hydroxyl acids and fruit acids (such as glycolic and citric) have long been used in cosmetology for their exfoliating and smoothing properties, as they help remove excess dead cells. Stronger alpha hydroxyl acids (lower pH) have more exfoliating effects. In psoriasis, only the weakest alpha hydroxyl acids such as lactate ammo can be used
Psoriasis treatment | Medical center No. 1 Lipetsk
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Psoriasis is a chronic disease that is non-infectious.Due to the fact that it is characterized by the appearance of rashes on the skin and their flaking, the disease is also called scaly lichen.
Psoriasis can develop in people of any age and gender, but it is more common in young women. Periods of improvement and damage to small areas of the skin are replaced by periods of exacerbation and growth of peeling foci.
Manifestations of psoriasis
In psoriasis, inflamed red plaques appear on different parts of the body, which are scaly and are often accompanied by severe itching.Usually, such rashes occur on those parts of the body that are prone to dryness or experience frequent mechanical friction (knees, skin folds, elbows, scalp, etc.). The more the psoriasis progresses, the more likely the development of the Kebner phenomenon, which is characterized by the appearance of so-called psoriatic plaques in places of injured skin or scratches.
There are different types of psoriasis, each with specific symptoms:
- Drop-shaped.Lesions are circular or teardrop-shaped. There are many of them, they are purple or red.
- Plaque. There are areas of inflamed, irritated, red, hot to the touch and thickened skin, which are covered with dry scales on top.
- Pustular. This type of psoriasis is characterized by rashes, bubbles filled with a transparent liquid. The skin around them is inflamed, which can easily peel off.
- Psoriatic arthritis. In addition to skin lesions, joint lesions (mainly toes and hands) also develop.
In addition to rashes, peeling and itching, pain and swelling in the joints, dimples on the nails, and bleeding wounds can also disturb.
Causes of the disease
It is impossible to say for sure why psoriasis occurs. There are only assumptions that can act as provoking factors:
- Hormonal disorders.
- Neurological disorders, neuropsychic stress. Strong emotional distress can also provoke an exacerbation of the disease.
- Problems in the metabolism of certain trace elements (especially silicon) and vitamins.
- The presence of parasites in the body.
- Viral infections.
- Hereditary factor.
Although it is difficult to name the exact cause of psoriasis, the mechanism of the development of this disease is roughly known. Many doctors agree that a malfunction of the immune system appears, due to which immune cells begin to attack skin cells and lead to the appearance of psoriatic plaques.
What tests need to be passed
There are no specific tests to detect psoriasis, but you need to control the general condition of the body. This will require a clinical blood test. It may also be necessary to take a biopsy of the affected skin.
Treatment of psoriasis in Lipetsk
The treatment of psoriasis should be carried out by a qualified dermatovenerologist who will develop an individual scheme for the patient. Our center employs just such specialists with impressive work experience Rotar Inna Leonidovna and Dobrynina Svetlana Veniaminovna, using the most modern methods of treating psoriasis, which are the most effective today.
Make an appointment with a dermatovenerologist in Lipetsk by phone +7 (4742) 37-02-52, +7 (4742) 37-03-52, +7 (4742) 37-04-52 or online
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July 29, 2019
About 5% of the total population suffers from psoriasis. It can appear both in old age and from birth. Most often occurs in young people and adolescents.It is believed that this is a genetic disorder, but it is not at all necessary that the relationship be close. No one is immune from the occurrence of pathology, such famous people as Winston Churchill, Henry Ford, Vladimir Nabokov were ill. Now the disease psoriasis cannot be cured, but the condition can be significantly alleviated. The main thing is to see a doctor on time and follow his recommendations.
What is psoriasis
This is a serious pathology that does not have a mortal danger to a person, but can cause a lot of trouble for a sick person.It manifests itself in the form of scaly plaques, unbearable itching and redness.
- If these psoriatic eruptions are on the face and neck, and the profession of the sick person is public enough, then ignorant people may not understand that there is no threat to their health, they may be scared or point a finger. These are all rather unpleasant manifestations that can cause stress in a sick person.
- If plaques are located on the scalp, they are visually invisible, but falling scales, the occurrence of which is inevitable, fall on clothes.They are especially noticeable on dark-colored wardrobe – this gives the impression of a sloven, not taking care of himself.
- Psoriasis of the palms and soles interferes with the ability to move normally, stand or do something with the hands – all of which significantly reduce the quality of life.
For the first time, they started talking about psoriasis as an independent disease at the end of the 18th century, before that it was often confused with other manifestations of skin pathologies. Unlike ordinary dermatoses, the disease affects a number of other systems – the immune, endocrine and nervous systems.
If someone, even a distant relative, is ill, then there is a possibility that each of you is a carrier, but not a single doctor will tell you what exactly will serve as the trigger that will trigger the manifestation of the disease. The disease psoriasis will make itself felt – if not even in this generation, then in the next.
For example, take two identical twins – both are genetically carriers.But one of them lives without manifestations, but the second has them in the most difficult form.
There are no gender advantages – both women and men are sick. It usually manifests itself by the age of 15-20, but if the danger has passed, do not rush to rejoice – the symptoms can occur at a more mature age. The only thing that can be encouraging is that the severity will no longer be so acute.
IMPORTANT: People with thin, fair skin prone to dryness need to be extremely careful about their health – they are at risk.
Causes and prevention
In psoriasis, cells divide several times faster than they should. Until now, the causes of psoriasis have not been studied, or rather, the mechanism of its development has not been understood – otherwise it would be easier to create a medicine and find ways to cure the disease. It is believed that the occurrence of scaly plaques is associated with vascular disease, but most likely several factors lead to the development of pathology:
- heredity – the error is spelled out in the DNA;
- autoimmune error – the body begins to perceive its skin as an aggressor, due to an increased concentration of T-lymphocytes;
- endocrine problems – due to malfunctions of the pituitary gland and thyroid gland;
- metabolic disorders – patients have problems with nitrogenous and lipid metabolism, there is a large content of toxins in the body.
Scientists have been struggling for several years to solve this mystery, none of the theories has been proven – modern psoriasis treatment is aimed at reducing the severity of symptoms and improving the quality of life.
What can cause exacerbation and frequency
Psoriasis is cyclical – at the first stage, red spots appear, which eventually turn into one large one. Over the next few weeks, silvery scales appear, and plaque growth stops.The final stage is the reduction of plaques. She is in remission.
IMPORTANT: If psoriasis is not treated, everything will be repeated from the beginning, but the stages will begin to replace each other faster – exacerbations will be monthly.
Remember what exactly was the predecessor of the red itchy plaques, and try to avoid recurrence:
- colds – be treated on time, do not start;
- alcoholism and tobacco smoking – try to get rid of addictions;
- fasting and body cleansing are fashionable trends, but they are not for you;
- the sun is your enemy, it drives psoriasis deep inside, and from there it comes with a vengeance, so try not to overheat;
- endocrine diseases.
Types of psoriasis
Depending on the place of localization and appearance of the plaques, there are:
Plaque – pink-red spots appear on the skin, raised above the skin. They are prone to peeling and merging with each other. In places where they have already been removed, a red focus remains, which is easy to damage.
Drop-shaped – in large areas, point plaques appear, resembling drops.A characteristic feature of this type is the absence of damage to the nail plates and, extremely rare, of the palms and feet. It occurs as a result of past infections: tonsillitis, pharyngitis, etc.
Postular – there is a transparent liquid inside the vesicles on the surface of the skin, they seem to be inside a red hoop, which peels off, and the scales easily fall off. If you allow the spread of plaque on your hands, you can be left without nails.
Psoriarthric – the knees are most often affected, but the arms and spine are also not protected.There are swelling, deformation of the joints and nails. Early diagnosis will prevent irreversible damage to the affected area.
If you suspect that you or your loved ones have atopic dermatitis, psoriasis, or notice suspicious signs, you need to urgently make an appointment with a doctor. The dermatologist will subject you to a visual examination and, if in doubt about the diagnosis, will order additional tests, such as a biopsy.
Treatment of psoriasis: methods and effectiveness
The treatment regimen depends on the severity of the disease. Before using any drugs, be sure to consult your doctor. Improper treatment will lead to disastrous consequences – the disease will become chronic.
During therapy, hormonal ointments and creams are used – it is dangerous to use them on your own initiative. Often, doctors say that if patients did not self-medicate, it would be easier and easier to get rid of the misfortune.
Another effective remedy is acupuncture. It is a fast and effective treatment without side effects. With a competent approach, positive dynamics is observed in 80% of cases; it is possible to increase this figure and achieve long-term remission if several courses are taken.
Acupuncture contributes to a more rapid completion of pathological skin processes – puffiness, peeling disappears, plaques decrease, itching subsides. Against this background, the psychophysical state is normalized – the mood improves, irritability goes away and sleep normalizes.
And most importantly, this will increase the period of remission. Exacerbations will come back to you less and less. Statistics show that those who come to us and undergo complex treatment forget about the appearance of papules for a very long time – from 6 months to 10-12 years.
How to care for your skin
- You will have to forget about taking a bath, give preference to a shower. But if you still want to soak up, do it rarely and watch the temperature of the water – it should not be hot.
- Use a neutral, fragrance-free detergent.
- After showering, moisturize your skin with an emollient.
- Cut your nails short to protect yourself from injury if you feel like scratching.
- Choose light and loose clothing made from natural materials in light colors.
Do I need a diet
It is very important to follow your dietary regimen and remove all possible allergens from your diet.In the course of long-term observations, it was possible to notice that the triggers of exacerbation of psoriasis in adults are the following foods – sugar, alcohol, flavor enhancers, citrus fruits and chocolate. Avoid fast food and carbonated drinks to avoid allergies. Apples, pineapples, spinach, seafood, legumes and nuts have a positive effect.
Advice and advice from a specialist in psoriasis treatment
At the Psormak Institute for Healthy Skin, where dermatological diseases are treated in adults and children, they will do everything possible to make your life more comfortable, and relapses occur much less frequently.Do not despair, talk to experts – you can call, contact the online support service, via social networks, or come in person. They will always listen to you and tell you what to do next and how to slow down pathological processes.
More than three dozen medicinal herbs are included in the author’s ointments, developed by the chief physician of the clinic, academician of RAMTN Vladimir Fedorovich Mak – they relieve irritation, itching and other unpleasant moments. Much attention is paid to the general strengthening of the body – metabolic processes are normalized and their own resources are activated.
One of the most important factors in the success of the treatment of psoriasis and symptoms is the psychological component. At the PsorMac clinic, patients are offered professional psychotherapeutic treatment that will help them cope with the disease. In the course of psychotherapy, mental balance is stabilized, and there is a setting for a positive result.
It’s scary to fight psoriasis alone, we understand how painful and difficult it is. That is why we are ready to invite you to take advantage of our experience and best practices accumulated in the course of 25 years of successful clinical experience.Come, together we will definitely cope with the disease!
July 29, 2019
The author of the article: dermatologist Mak Vladimir Fedorovich
Psoriasis – TerraMedica Medical Center
Psoriasis is a slowly progressive inflammatory non-infectious skin disease. People of any age are susceptible to its development. Most often, psoriasis is diagnosed in young people and children.
Another name for the disease is squamous lichen.Unlike other common types of lichen, psoriasis is not transmitted from person to person, so the patient does not pose any danger to others.
The exact causes of this dermatosis are unknown. Experts identify external and internal factors that contribute to the appearance of the disease in humans. These factors include:
- genetic predisposition. The risk of psoriasis is increased when close relatives have this disease.It has been established that the likelihood of the appearance of symptoms of dermatosis in a person whose parents suffer from this ailment is approximately 75%. Also psoriasis can be transmitted through the generation, i.e. from grandmother to grandson, etc .;
- stress. Constant stay in a state of severe stress causes various failures in the body. It is known that negative emotional experiences affect the state of the endocrine system, hormonal balance, and contribute to a decrease in immunity.Dermatosis often develops in very emotional people, people who face great difficulties every day at work, in family life, work hard, rarely rest;
- chronic infections of the body. Many infections are latent. Psoriasis often coexists with diseases caused by streptococcus, staphylococcus. Persons suffering from chronic bronchitis, often suffering from acute respiratory infections, are susceptible to its occurrence. Various inflammatory skin conditions can also lead to signs of psoriasis in the future;
- Chronic exposure to toxic chemicals on the skin.The risk group for the onset of the disease includes people who, due to their professional activities, are in daily contact with paints and varnishes, petroleum products, washing powders, etc.;
- hormonal disorders in the body. Psoriasis is often diagnosed in pregnant women, menopausal women, people with endocrine pathologies;
- natural aging of the body.
The onset of psoriasis in children is caused by the behavior of a woman during pregnancy.Her drinking alcohol, leading an unhealthy lifestyle while carrying a child can cause him to develop psoriasis. The first signs of a congenital disease can occur in the first years of a person’s life, upon reaching the age of puberty.
The manifestations of psoriasis are very diverse. There are several forms and stages of the development of the disease.
Ordinary or vulgar psoriasis is accompanied by the appearance of characteristic neoplasms on the skin.Such neoplasms take the form of plaques that rise above its surface. The number of plaques can be varied. In places of their appearance, severe itching occurs, contributing to a deterioration in well-being and negatively affecting the patient’s standard of living. Constant itching causes insomnia and severe depression. As psoriasis develops, the skin plaques become covered with a thin dry crust, may appear, and constantly get wet. After removing them, noticeable red spots remain on the skin.With an advanced stage of the disease, plaques can increase in size, merge, covering up to 90% of the human body.
Another form of dermatosis – inverse psoriasis affects the elbows, knees, abdomen and groin area. Its symptoms occur at the locations of the skin folds. This type of psoriasis is accompanied by the appearance of smooth red spots on the body. These spots can also flake off, often causing itching and irritation of the skin.
Exudative psoriasis is considered the most severe form of the disease, accompanied by the appearance of plaques on the skin and blisters filled with transparent liquid.Bubbles can burst under the influence of external factors, which increases the risk of secondary infection. Penetration under the skin of staphylococcus and streptococcus in this case can lead to serious complications, up to the development of sepsis.
With drop-shaped psoriasis, small formations appear on the human body, resembling drops of water of a red or lilac color. This form of the disease affects the upper body, neck, face, scalp.
Erythrodermic psoriasis is accompanied by inflammation of a significant part of the skin surface.Inflamed areas of the body usually cause severe discomfort to the patient, peel off. The disease causes constant itching, slight swelling of the skin.
A type of psoriasis is considered to be psoriatic arthropathy. In this case, the disease affects the joints of the fingers and toes. In places of inflammation, the skin also constantly gets wet and flaky. Psoriatic arthritis can coexist with other forms of psoriasis and occur as a complication of them.
90,000 Psoriasis: causes, symptoms, treatment methods
Psoriasis is a multifactorial chronic inflammatory non-infectious immune-mediated disease, predominantly of the skin, with the appearance of characteristic bright red or pink plaques, raised above the surface of the skin and randomly scattered over the skin.
Types of psoriasis
– Plaque psoriasis. Also known as psoriasis vulgaris and psoriasis vulgaris. It is diagnosed in more than 80% of patients. Plaque psoriasis is often found on the head.
– “Reverse psoriasis”. Another name for the disease is flexor surface psoriasis. This form of psoriasis is characterized by smooth, non-flaky red, inflamed spots. The main sites of localization are folds of skin, for example, in the folds of the elbow, under the chest, inner thigh and in other places in the absence or with minimally affected areas of smooth skin.
– Guttate psoriasis. It is accompanied by the presence of small, dry papules, shaped like drops. The color of the papules is red. Sometimes lilac and purple papules are found. Guttate psoriasis can appear all over the body: on the neck, head, limbs, and other places.
– Pustular (exudative) psoriasis. In this form of psoriasis, the affected skin not only peels off, but transparent blisters also form. The skin around the papules turns red, and a yellowish crust may form on the papules themselves.
– Psoriasis of nails. This form of psoriasis is characterized by deformation of the nail layer.
– Psoriatic erythroderma. A severe form of psoriasis, possibly generalized, accompanied by inflammation and peeling of the upper skin and affecting a large area of the body.
– Psoriatic arthritis. A chronic disease characterized by a strong inflammatory process in the joints.
Men and women are equally ill with psoriasis , the course of the disease is approximately the same, it causes similar symptoms.The disease develops at any age. Debuts more often in the period from fifteen to twenty-five years . However, there are cases of psoriasis in people aged 50-60 years. In this age group, the disease may be less pronounced. In the world, psoriasis occurs in 2-4% of patients . In Russia, the percentage of cases is from 0.72 to 11.8% . It is important for psoriasis patients to find the right treatment.
Causes of psoriasis
Psoriasis, the causes of which are often associated with heredity, stress, intercurrent infections, is caused by many factors.The main causes of the disease can be:
– allergic reactions, for example, associated with the use of household chemicals, soap and detergents, alcohol-containing solutions;
– Injury or irritation of skin cells caused by friction or pressure;
– genetic predisposition to the disease;
– viral, fungal and other types of infections;
– disruption of the pituitary gland and thyroid gland;
– depression and constant stress;
– diseases of the liver, stomach and intestines
If any of the symptoms described below appear, you should consult a doctor to prevent exacerbation and complications of the disease.
The main symptom of psoriasis is a scaly, pale, gray or silvery papule that coalesces to form a psoriatic plaque on the skin. When diascopy (viewing with pressure) of the plaque, it turns pale, which characterizes the growth of new vessels during inflammation.
All symptoms can be divided into:
• Lesions of smooth skin
• Lesions of folds
• Lesions of nails
• Lesions of the scalp
• Lesions of joints
Psoriasis of nails is characterized by the appearance of yellowish spots under the nails, the appearance of depressions, dots, transverse lines, thickening or delamination of the nail.
The most dangerous form of psoriasis is psoriatic erythroderma, which is often fatal. This is due to the fact that during the course of the disease the body loses its ability to regulate body temperature, the barrier function of the skin decreases, which leads to various complications, including secondary infection.
Psoriasis worsens the quality and lifestyle, affects social adaptation. At the same time, in patients with psoriasis, there is concern about their appearance, up to the appearance of signs of dysmorphophobia and low self-esteem.
Diagnosis and treatment are determined at the consultation with a dermatologist, after a non-invasive skin test. When diagnosing psoriatic arthritis, you will need to consult a rheumatologist.
The following preventive measures are designed to prevent and prevent the progression of psoriasis:
– Avoiding stress. It is necessary to monitor your psycho-emotional background, minimize the negative impact on the psyche from the outside and “listen” to the signals of your body, since stress can become a catalyst for a disease that is “dormant”.
– Dietetic food. For people prone to psoriasis, the Pegano diet is recommended, in which the consumption of harmful foods that impair the functioning of the digestive tract is contraindicated, for example, fried, spicy, salty and pickled foods, sweets, convenience foods, as well as citrus fruits and some other types of foods.
– Skin Care. It is recommended to follow a number of rules to prevent the development of psoriasis: taking regular water treatments, using hypoallergenic and hygienic products, maintaining humidity in the room at 50-60%, and more.
– Choosing the right clothes.
– Taking vitamins. Especially vitamins A, E, D and group B.
– Preventive use of certain medications prescribed by the doctor. Be careful, some medications can make the disease worse.
– Do not injure your skin and watch the condition of your nails.
Also, prevention measures include giving up bad habits (smoking, drinking alcohol-containing products), visiting sanatoriums and dispensaries, massage.
Psoriasis, the treatment of which is mainly aimed at alleviating the symptoms of the disease, is still an incurable disease. Treatment of psoriasis is prescribed by a dermatologist. There are two areas of treatment: local and systemic. Research on psoriasis over the past 10 years has led to the emergence of new and highly targeted agents and treatments for severe psoriasis, which have already proven their effectiveness. Ointments are used to treat local manifestations as well as to alleviate symptoms that effectively treat psoriasis manifestations such as flaking and itching.In some cases of therapy, drug treatment of psoriasis is carried out to reduce the severity of inflammatory processes, but this method often contributes to the occurrence of side effects such as fatigue, loss of appetite, and others. In some situations, it is possible to use injections for treatment, which improve the parameters of the immune system.
1. Kupetsky E.A., Keller M. Psoriasis vulgaris: an evidence-based guide for primary care (English) // Journal of the American Board of Family Medicine: journal.- Vol. 26, no. 6. – P. 787-801. – doi: 10.3122 / jabfm.2013.06.130055. – PMID 24204077.
2. Benoit S., Hamm H. Childhood Psoriasis (English) // Clinics in Dermatology (English) Russian .. – Elsevier, 2007. – Vol. 25, no. 6. – P. 555-562. – doi: 10.1016 / j.clindermatol.2007.08.009. PMID 18021892
3. Parisi R., Symmons D. P., Griffiths C. E., Ashcroft DM; Identification and Management of Psoriasis and Associated ComorbidiTy (IMPACT) project team. Global epidemiology of psoriasis: a systematic review of incidence and prevalence (eng.) // Journal of Investigative Dermatology: journal. – 2013. – February (vol. 133, no. 2). – P. 377-385. – doi: 10.1038 / jid.2012.339. – PMID 23014338.
4. Molochkov V. A., Badokin V. V., Albanova V. I., Volnukhin V. A. Psoriasis and psoriatic arthritis. – M., 2007.
90,000 Treatment of atopic dermatitis in adults – Online Appointment in Sochi
Atopic dermatitis is a chronic dermatological disease characterized by inflammation of the surface layer of the epidermis, severe itching, dryness and the presence of specific rashes.This disease is detected even in infancy in a person, after which it accompanies him throughout his life. During its course, periods of improvement are replaced by exacerbations. The disease not only affects the general health of a person, but also leads to aesthetic and psychological problems. Regular skin rashes, itching and extreme dryness create discomfort that interferes with normal life. Very often, dermatological problems affect the psychoemotional state of the patient. Usually such people withdraw into themselves, it is difficult to make contact with strangers, they are mainly suppressed by depression, they suffer from insomnia and other nervous disorders.It is impossible to completely cure it, but with the help of complex therapy, you can improve the condition.
Specificity of the course of the disease in children
In a newborn under the age of three months, a dermatological disease manifests itself, first of all, by external symptoms on the skin. Any changes in the state of the epidermis are characterized by the following stages:
- exudation – the release of a natural liquid containing protein and other cells on the surface of the skin;
- the formation of “serous wells” – weeping affected areas of the epidermis, which open themselves and lead to the outflow of purulent contents to the surface.Usually, with strong scratching, such erosive formations can turn into a huge wound;
- Exfoliation of cells.
They appear mainly on the skin of the face (with the exception of the nasolabial region), on the elbows and knees. The itching of the skin can be very severe, leading to anxiety and tearfulness of the baby. And combing the wounds aggravates the course of a dermatological disease, which leads to sleep disturbances and other neurological problems.
Adolescent atopic dermatitis
For a child in adolescence, this form of dermatological disease is characterized by the formation of large painful papules. The upper layers of the epidermis are thick, the pattern of the blood vessels is enhanced, and the pigmentation is clearly impaired. When combing and mechanical action on the skin, hemorrhagic crusts appear mainly in the area around the eyes, corners of the mouth, chest, hands, elbows and knees. The adolescent has a stable form of light skin dermographism.Treatment at this stage is assigned to each patient by a qualified specialist on an individual basis.
Atopic dermatitis in mature patients
Therapy for this skin disease in adults has its own specifics. It usually goes away after puberty. If this does not happen, then it remains with the person for the rest of his life. In medical practice, cases of self-healing of the disease in a child during the period of his active growth have been recorded. However, the increased sensitivity of the skin may persist.
The disease in an adult combines all of the above symptoms. The superficial layer of the epidermis is very dry, the pattern of the vascular network is strongly pronounced, the pigmentation is clearly changed. With strong scratching of the skin, an infection can join, which often aggravates the course of the disease. Periods of exacerbation and improvement of the patient’s condition replace each other at regular intervals.
Emergence of complications in the course of atopic dermatitis
Basically, all complications in this disease are associated with mechanical damage to the surface layer of the epidermis, as a result of which any infection can be brought inside.In case of violation of the skin cover, the immune system also decreases, and this is a favorable environment for the reproduction of pathogens. All these factors together significantly complicate the treatment of the disease.
The most common complications of atopy are bacterial. When bacteria penetrate into the damaged area, a purulent lesion – pyoderma – can develop. The causative agents of this dermatological disease are pyogenic cocci, including streptococci, gonococci, and staphylococci.The popular symptoms of this disease are purulent eruptions on the skin of the body and face. When dried, they form yellow crusts. Other signs of pyoderma are severe fatigue, weakness, and fever.
In addition to bacterial complications, various viral lesions are often associated with atopic dermatitis. With them, a variety of rashes appear on the skin, including vesicles (formations with a transparent liquid). Mostly viral lesions are observed in the area of the skin of the face and mucous membranes.
Another common complication of this type of dermatitis, which is characteristic of childhood, is fungal infection. Very often, infants develop thrush, the causative agent of which is the candida fungus. Dermatitis in mature people, to which the fungus joins, manifests itself in various signs, including the formation of plaque in the skin folds.
Causes of atopic dermatitis
How is atopic dermatitis treated? For this, it is important to identify its root cause.As medical practice shows, it can be caused by a combination of external and internal factors. This dermatological disease is one of the genetically determined ones, therefore, children with similar symptoms are very often born to parents who suffer from it. Doctors confirmed that in patients, among whose relatives cases of atopic dermatitis were recorded, almost 50% have a predisposition to various allergic reactions. In the case when a child has both parents susceptible to atopic dermatitis, the probability of having a child with a similar dermatological disease is about 80 percent.
It is possible to identify a genetic predisposition and the presence of this disease already in the first year of life. They usually manifest themselves in the form of a specific allergic reaction – inflammation and the appearance of skin rashes. Signs must appear before 5-6 years of age. If allergies do not appear at school age, then parents with atopic dermatitis can be calm about the disease in their baby. However, sometimes symptoms of this disease can appear during adolescence.They can be aggravated by various factors, which include:
- decreased immune system;
- unfavorable ecological situation;
- climate – high temperature or humidity;
- unbalanced nutrition;
- lack of vitamins and iron;
- psychological factors and others.
Basically, this type of dermatitis is accompanied by other allergic diseases – rhinitis or bronchial asthma.It cannot be completely cured, but with the help of specific procedures and medications, the condition of the skin and the quality of life can be significantly improved. With their systematic implementation, remission can be achieved.
How is atopic dermatitis treated? To answer this difficult question, you must first disassemble the classification. According to the research of doctors, several of its forms can be distinguished – the stage of exacerbation, remission and the stage preceding the aggravation. It is called incomplete remission.Complete remission means a healthy body and no symptoms. Also, the forms of the disease are classified according to age – it is possible to distinguish infant (from 1 to 3 years), children (from 4 to 12 years), youth (13 to 18 years) and adults (after 19 years).
Also, depending on the severity of the symptoms of this disease, experts distinguish three different forms – mild, moderate and severe. This division is due to the duration of the periods of deterioration, as well as the severity of clinical manifestations.
Signs of atopic dermatitis
The first symptoms of this disease in a child from birth to six months, but only if he has a tendency to allergic reactions. Doctors have determined that babies who are breastfed are less likely to develop allergies. Together with breast milk, antibodies are transferred to them, which help the immature body to fight allergens. Also, the first signs may appear with the introduction of complementary foods, which usually begins at the age of six months, or when switching to an adapted milk formula.
During puberty, in which there is an active production of hormones, in more than half of the patients, all the symptoms of atopy completely disappear. However, if they remain, then they will cause discomfort until the end of a person’s life. Usually, the primary forms of atopy pass into the adult, the symptoms of which are more pronounced.
According to the characteristics of the course of the disease, doctors distinguish two stages – acute and chronic. Each of them has its own symptomatology and severity of clinical symptoms.In the first variant, there is a change in shade in the affected areas, hyperemia and severe edema. In some other cases, the course of the disease can be aggravated by numerous rashes in the form of nodules, erosive formations, dryness and increased desquamation. The most characteristic sign of atopy is the secretion of a natural fluid containing protein and other cells on the surface of the skin. This leads to the formation of weeping wounds and ulcers. With constant combing of these formations, a viral or bacterial infection can join dermatitis, which will lead to various complications and aggravation of the course of the disease.The most dangerous of these is the appearance of papules and pustules.
For the chronic form of the course of this disease, thickening of the skin and the appearance of a noticeable pattern on it are characteristic. It is also characterized by the following symptoms:
- numerous wrinkles in the lower eyelids of a child;
- the skin on the feet is edematous with many small cracks;
- occiput alopecia.
In mature people, other symptoms of the course of the disease can be distinguished.A characteristic sign of this dermatological ailment for different forms is severe itching. Other symptoms may vary depending on the age of the person.
Atopic dermatitis therapy
If signs of atopy were found in a child, adolescent or adult and the diagnosis was confirmed, then it is important to start comprehensive treatment in a timely manner. It is aimed at achieving specific objectives, including:
- removal of toxins and allergens from the body;
- reducing the severity of allergy symptoms;
- reduction of increased sensitivity of the body to certain allergic substances;
- Relief of severe itching;
- therapy of secondary associated infections;
- prevention of exacerbation of the disease.
Atopy, the causes of which can vary depending on the age and health of the patient, cannot be completely cured. But drug and non-drug therapy can significantly alleviate the patient’s condition. For this, it is important for the patient to follow all the recommendations of a specialist.
Balanced diet for illness
To prevent relapse and alleviate the patient’s health during an exacerbation of the course of the disease, it is necessary to choose the diet correctly.It should not include foods that are high in allergens. Especially it is necessary to treat him carefully when feeding infants, in this case all restrictions are imposed on the mother. It is necessary to exclude from her diet all foods to which the baby has an increased sensitivity. These typically include dairy products and chicken eggs.
Also, the diet should not include fatty, fried and salty foods, smoked sausages, fish and meat with a high fat content, highly colored foods.Also, do not eat sweet foods, citrus fruits, nuts, as well as fish caviar and mushrooms, as they have a strong effect on the gastrointestinal tract.
When preparing food, the patient should reduce the amount of salt; also, pickled and salted canned foods should not be consumed. Fat pills can be taken to meet the need for nutrients that are contained in some prohibited foods. For more information on how to formulate a balanced diet, you should seek the advice of a dietitian.He will be able to choose an individual meal plan.
Drug treatment for atopic dermatitis
When treating this disease, the primary goal is to eliminate uncomfortable itching. It leads to constant scratching, which can infect the affected area and lead to other more dangerous complications. To combat this unpleasant symptom of atopy, doctors prescribe special medications.
Antihistamines are good at eliminating itching of the skin, but they also remove excessive swelling on the mucous membranes.This allows you to prevent common complications of the course of dermatological disease. It is important to take into account that regular use of most of these drugs can cause the body to develop a lack of sensitivity to them in the future. This will cause the medication to stop working. To avoid this, experts recommend not taking antihistamines for more than a week. Also, many similar drugs (Suprastin, Diazolin, as well as Tavigil and others) have a slight relaxing effect, which is important to consider for those people whose work is associated with high attention.
There are several hormone-based allergy medications. Their reception is possible only for a short period of time with a gradual decrease in the amount. It is used only in the presence of severe itching, as well as in the absence of effect from the use of other medicines and medicines.
In the presence of symptoms of intoxication, the doctor may prescribe an additional intake of sorbing substances. They bind allergens and remove them from the body.Enterosorbents are suitable for the child, which include coal, polysorb, enterosgel and others.
Intensive treatment of atopy is carried out with severe symptoms using droppers for the introduction of certain medications inside, including saline. In very difficult situations, blood purification may be prescribed. Depending on how you feel, this procedure is performed every day or several times a week.
Of great importance in the treatment of many dermatological diseases is the use of special preparations for external action – ointments, creams, gels and other cosmetics.Dermatologists often use corticosteroids for therapy. The most common is Elidel. The main advantage of this medication is that it can be used to treat young children from birth to 3 months.
If the patient’s skin has weeping wounds and ulcers, then they need to be dried. For this, special cosmetic preparations are used. The selection of medicines depends on the location of the lesions, the stage of the disease and the characteristics of the patient.
When a secondary viral or bacterial infection is attached, antibiotic therapy is prescribed to patients. The selection of drugs in this case should be based on the results of analyzes carried out to determine the pathogen. With antibiotics, a drug can be prescribed simultaneously to strengthen the immune system and prevent the development of intestinal dysbiosis.
Atopy therapy can only be prescribed by a qualified specialist after a thorough diagnosis of the patient’s condition.To achieve the maximum effect, the treatment program is selected individually.
Prevention of atopic dermatitis
Therapy of this disease in people of mature age requires adherence to preventive measures. Today, this dermatological disease cannot be completely cured, since it occurs in the presence of factors that do not depend on the person. But with a competent approach to treatment, any patient can ease the course of the disease, improve well-being and reduce the symptoms of exacerbation.To do this, it is important to avoid certain factors, which will prevent relapse.
All activities carried out within the framework of prevention can be divided into primary and secondary. The first group includes, first of all, the careful management of a woman during preparation for childbirth. It is important to prevent the development of severe toxicosis and the use of potent medications. A pregnant woman should eat a balanced diet and avoid certain foods that can lead to allergies.
A newborn baby should be breastfed for as long as possible. It is not recommended to introduce complementary foods early and transfer the baby to an adapted milk formula. A nursing mother should also carefully monitor her diet and exclude highly allergenic foods from it, be careful about eating vegetables and fruits. You should not take strong medications with hepatitis B.
Secondary preventive measures are aimed at preventing the effects of external factors that provoke the appearance of allergies.It is important to carefully approach your skin care and not use cosmetics that contain hazardous chemical dyes, fragrances and other aggressive ingredients.
It is also worth giving up wearing tight-fitting underwear, using hard washcloths, hot water. It is important to carry out comprehensive skin care that includes hydration, nutrition and protection from adverse external factors.