Diagnosis of psoriasis

Content

  • How to diagnose psoriasis?
  • What affects the skin in addition to psoriasis?
  • What causes exacerbation of psoriasis?

  • Diagnosis of psoriasis

    How to diagnose psoriasis?

    When atypical picture or suspected psoriasis
    Additional studies may be required of the child. In cases
    when the clinical picture is unclear, the most accurate method - a biopsy
    skin. To take a biopsy a small piece of skin (about 6 mm in diameter)
    which is transmitted patomor-phology - a doctor who specializes in
    Microscopic examination of tissue samples. results of the analysis
    Pathologist describes in a special report - conclusion.

    how
    Typically, one biopsy is sufficient, however, if the outcome is uncertain or
    also, if Also, if the nature of the disease over time
    changes, a second biopsy. The patient can ask him
    issue a copy of the opinion, and the majority of doctors prefer to once again
    carefully study it before you prescribe medication. special
    blood test for psoriasis does not exist, and blood counts is
    disease is usually not affected.

    In psoriasis, blood tests more often
    all done in order to ensure the safety purpose
    a new drug or check to see if side effects occurred.
    The exception is severe psoriasis, who seized vast
    surface of the body - in this case, the protective function of the skin changes
    may lead to dehydration, or violation of the salt balance
    blood.

    If the patient is hurt or swollen joints,
    It must be tested for psoriatic arthritis. This diagnosis is usually
    puts dermatologist, rheumatologist, orthopedic surgeon or other specialist in
    diseases of the joints. As a rule, carried out X-rays,
    examination of the joints and blood tests to check whether caused by
    arthritis from other causes. It is important to remember that psoriatic arthritis can
    develop in any patient with psoriasis. To avoid irreversible
    joint damage, it is important to conduct a survey and quickly
    prescribe treatment.


    What affects the skin in addition to psoriasis?

    In
    Most people psoriasis appears only on the skin. However helpful
    know and the less common forms of the disease. In addition to skin psoriasis
    It can affect the nails, joints, and - at least - other organs.

    Mucous membranes. Sometimes
    Psoriasis affects the mucous membranes of the lips, mouth and tongue. at
    the defeat of the language it appears sharp jagged boundaries separating
    the darker and lighter areas, like a map. Hence arose
    the term "geographic tongue" - although it must be noted that this is in
    the absence of psoriasis.

    Joints. Psoriasis,
    manifests itself in the form of arthritis, can affect the joints, especially in
    fingers. This so-called Psora-matic arthritis.Diagnosis of psoriasis

    Eyes. AT
    rare cases of psoriasis appear red around the pupil
    painful rim. This condition is called though, and the front
    uveitis. Sometimes it is the first symptom of psoriasis and diagnosed
    ophthalmologist.



    What causes exacerbation of psoriasis?

    In
    Psoriasis occurs different people differently. In some periods of improvement and
    alternate degradation (according to seasons or
    other factors), in others the disease does not recede ever
    It is shown continuously with the same force.

    In some patients,
    aggravation happens from time to time. Although the reaction of each patient
    individual, some precipitating factors, including drugs
    money and stress are common to many.

    Stress.
    Emotional and physical stress can cause aggravation
    psoriasis. Sometimes it manifests itself after weeks or months after the event,
    cause stress. The reason can serve a variety of events, from
    global changes in life, such as death of a family member or a change
    work to transition to a new diet or cold.

    Many techniques help
    to relieve stress (yoga, meditation, etc.), a family vacation
    circle or communicate with pet. Just avoid the disease and
    stress is not possible, however, to be careful, you can just
    notice signs of deterioration and take necessary measures.

    Drugs.
    Any drugs (or change) can affect the skin condition. AT
    Specifically, there are several classes of drugs that can
    cause exacerbation of psoriasis. Among them:

    Funds from high blood pressure

    • Thiazide diuretics.
    • Beta-blockers.
    • Calcium antagonists.
    • ACE inhibitors (angiotensin converting enzyme).

    Other drugs

    • Glucocorticoids oral - with abrupt cancellation.
    • Nonsteroidal anti-inflammatory drugs.
    • Immunostimulators.
    • Antimalarials.
    • lithium preparations.

    These
    medication does not necessarily cause aggravation. However, if after
    I start taking some of them aggravated psoriasis, talk with
    doctor can be replaced drug.

    the
    the same should be done if the psoriasis is exacerbated after the start
    receiving or increasing the dose of any other medicines. However, always
    It must be borne in mind that exacerbation could provoke not itself
    drug (e.g., an antibiotic, designated at infection) and disease
    which it treats.

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