You have a psoriasis for quite a long time and you have learned all questions related to him, or you may have just found out that you have this disease. In any case, look at these most frequently asked questions and answers to them so that you can better understand the specifics of this disease and treatment methods.
Content
What is psoriasis?
Unnoticed
For human eye, the skin is constantly changing, lives and updated.
Skin functions are numerous and worthy of surprise. Without consciousness
The skin protects us from harmful external influences, prevents the loss
vital internal components, bonded the body, warns
On potentially harmful both internal and external changes
Temperatures playing a major role in the immune system and executes
Many other functions.
She brings pleasant sensations and, if about it
Care, decorate appearance, being a necessary protective barrier,
allowing to live in this world.
The skin is constantly resumed, and this
It is important to understand what psoriasis represents. Norma it
completely renewed once a month, or rather, every 28 days.
With psoriasis, this process is accelerated, for the skin is trying to resume itself
Every 3-4 days. No need to be a genius to understand what happened
deviation from the norm is not in order.
Freight of scales for
Psoriasis can occur so much that leads to bleeding
(Sign of Auspittsa). Cell-leaving on the surface is not quite
functional, for did not have enough time to form.
Not only deteriorating the appearance of the patient, functions are disturbed
skin, which is a danger in internal or external
influences.
Psoriasis - chronic non-skin disease.
Its manifestations can vary from several small spots on
body to large areas. This is not an infectious and non-transmitted
one person else or from one part of the body another disease.
How the psoriasis begins?
For
Psoriasis begins when you pay attention to the appearance of rash
covered with silver scales. Then there is a deterioration and
Spread. And the patient goes to the doctor. Sometimes the first signs
appear on the site of the wound or scratches on the skin. Damage ne
passes, and psoriasis begins to spread around. From try
stuck or cut the skin on this place only worse. Low
humidity, systematic reception of drugs and stress are also
Factors preceding the first manifestation of the disease.
There is a theory,
that psoriasis appears more often in those areas that are more susceptible
Loads and external influences, for example, on elbows and knees. but
Many patients have rashes where there are no specific
Loads, for example, on the abdomen or back. Ordinary places of rash - it
Head, elbows, knees, loins and legs. They can, however appear
anywhere, including nails on legs and hands, as well as sensitive
The surface of the mucous membranes. Why psoriasis is manifested somewhere more often,
and somewhere less often - already insignificant if the cure.
There are several psoriasis varieties. But, regardless of the severity or form of manifestation, this is the same disease.
The peculiarity of this disease is that the patient does not experience pain, it is not immobilized and even efficient.
Can I cope with the disease myself or I need to consult a doctor?
If you suddenly find a small rash on the knee and elbow joints, be sure to go to the dermatologist. Psoriasis
- Serious disease and self-medication can harm the patient. And if
The doctor will confirm the diagnosis of psoriasis, should not despair. With modern
Methods of therapy in most cases it is possible to achieve a rack
remission or clinical recovery.
Why psoriasis arises?
Psoriasis - polyethological disease. The causes of the occurrence of psoriasis are also endocrine disorders, changes in the immune system of the patient, metabolic disorders, various neurosis and stress.
If
You suffer from psoriasis, with your children, increased the risk of disease
psoriasis. Risk rises almost twice if both parents sick
psoriasis.
The exact reasons for psoriasis are still
pores unknown. It occurs as a result of two processes — too much
Fast fission leathercells and inflammation, however, what exactly serves
the impetus to their development, it remains unclear. Now this question is actively
Learn.
Under the microscope is visible,
that the skin affected by psoriasis is inflamed and thicker — Due to
sharp thickening episDermis (hyperkeratose). Inflammation cause
T-lymphocytes (a variety of leukocytes) accumulated in the foci
diseases and attacking skin itself.
Chronic inflammation forces
Skin cells called keratinocytes, share and pass
Cell cycle 4-5 times faster than normal. Fast accumulation
keratinocytes, in turn, driveDIT to the formation of thick scales.
Over time, new blood vessels arise in deep layers of the skin,
who pTait Active Emerging Psoriatic Plaques. Because of
newly formed vessels skin can remain red yessame after
Treatment.
It is not yet clear why in psoriasis (as well as other
autoimmune diseases) T-lymphocytes are activated in the skin, but
This process, once started, continueAll life is frustrated. How
inactivate or «Disable» Namesbut these T-lymphocytes without damage
The immune system as a whole and without providing serious side effects, —
One of the most important problems in the treatment of psoriasis, and to solve it now
ProvoActive immunological studies are found.
Survey
patients with psoriasis and their relatives so farcalls against the disease
There is genetic, or onInvestigation, predisposition, but
This does not mean that all people who inherited certain genes or
having painpsoriasis brothers and sisters, will certainly get sick (see.
inmillet 25). As far as is known today, mostGUSTs
genes associated with the development of psoriasis is responsible for expressingBotka Belkov
Immune system. Separate genes and groupsnew meet in patients
psoriasis more often than the rest of the population.
However, most people,
possessing these geWe, psoriasis, do not hurt, and in many patients,
On the contrary, these genes are not. Therefore, at present, genetic analysis
It is carried out only for research purposes. He does not give NickKoya
Useful information for the diagnosis and treatment of PsoriaFor, as well as
To compile forecasts about the course of the disease.
Active
studies of the reasons for psoriasis showed that in its occurrence
Participate certain genes. OStaking the next step —
use this informationto develop new treatments, and
Such work is now being conducted.
Psoriasis contagious?
Currently, the infectious theory of the occurrence of psoriasis is completely rejected. Proved that >Psoriasis are not contagious.
There is a misconception that psoriasis is inflated.
Uncertainty and fear experienced by people when they first see,
how are youLooking psoriasis, for the most part is generated by the fear of Zarazya.
However, psoriasis is not infected. Nor touchfeminine skin nor
Care for the sick, nor use of common objects (cups, towels
and etc.) cannot lead to psoriasis infection. Psoriasis — Not infection.
It is not caused by pathogenic microorganisms, but leukocytes
painit is why this disease is not transmitted to others.
Many
People do not see the difference between contagious and independentSkin diseases.
They can take psoriasis for mushroomfutility (dermatophyte, or
mycosis), impetigo (hundredPhilococcus or streptococcal skin infection),
virusinfection flowing with rash or scabies. Therefore, some kind of
Patients with psoriasis consider it necessary in two words to explain new
familiar what is psoriasis and why it is not infected.
If
One person in the family fell ill with psoriasis, and then this is the disease
diagnosed in the rest, then the reason lies in the general hereditary
predisposition, and not at allzeal contact with patients. For
Most people, countryPhysical contacts with psoriasis, physical contacts with relatives
And closemi are very important, and others do not follow them.
Myth
about contractions of psoriasis is very common and can deliver a lot
troubles like sore and those who surround them. Reliable I
Correctly filed informationsable dispel at least part of false
fears who are in consciouspeople related to this disease.
Armed
contemporary knowledge (for example,Tav recommendations national
Foundation Psoriasis or other organizations), people suffering from psoriasis,
will be able to clearly explain that this disease is not no. This is the first, with
what is worth starting the conversation about her.
Although psoriasis is ne
contagious, it can spread through the body and capture different sections
Skin. The first hearth may aroseAll-place, however, most often
This happens onNot specific sites. And although every case
IndividualFlax, most patients psoriasis proceeds more or less
it seems. The most common form of illness — Normal psoriasis —
strikes elbows, knees, scalp and torso (rice. 2; color.
rice. B and E).
If a patient detected one hearth
psoriasis, doctor usually examines typical places checking if there is no
Other foci. Plaques may appear on any plot where the skin was
NSGda is damaged, for example, on the site of an old scar orJust
scratches (see. question 30). In most cases, plaques are located on
the body is symmetrically, although some patients are affected by everything
one or two.
There are other forms
psoriasis, but significantly reSame. For example, the disease may hit
Mortifying hollowWe (CV. rice. 3) and groin. This form of illness is called
Psoriasis of skin folds, or psoriasis with perverted localization
rash. In addition, palm-sole psoriasis may occur,
Doodle psoriasis, Pustulatory Psoriasis and Psoriatic erythrodermia.
As a rule, each patient has only one species psoriasis, although not excluded, and the imposition of several species.
IN
severe cases of rash can cover the whole body. Redness over 90
% of the body surface is called psoriatic erythrodermia. This is very
serious condition, sometimes yesDangerous for life. Defeat all
Surface surfaces vFake the body's ability to deal with infections
and save moisture, increases the risk of infections. Depending on the severity
PSORiaza and the general condition of the patient may need
stateTalization for more close observation and treatment.
At what age most often the first signs of the disease appear?
Psoriasis
usually begins in a relatively young age, but may arise
in any, from the first year of life to old age when his manifestations often
There are uncharacteristic. In some patients, psoriasis occurs after
Influenza or angina. This is not surprising - any infection weakens
immunity.
Psoriasis is most often ill in
age from twenty to thirty years. In children it is not found
Often, and in the elderly — even less often, therefore, the correct diagnosis in these
Cases sometimes manage not immediately.
Who is sick psoriasis?
Sick
Psoriasis can each, regardless of gender, NazioNality or availability
other skin ailments. Most often he arises from the age of
adolescent to thirty years. Sometimes psoriasis is diagnosed even
children, but they can care
Ikid otherwise than in adults.
For
Some people have a risk of falling psoriasis. In particular, this
concerns those who have sick or hurt anyoneBe from the nearest
relatives (parents, grandfathers and grandmothers, native brothers and sisters).
Other risk factors include psoriasis in more distant relatives
(Uncle and to the Tort, cousins and secondary brothers and sisters), psoriatic
Artite for someone at seven, the presence in the family history of autoimmune
Diseases. Polls of patients with psoriasisWear that 40—65% of them
Anyone from family members of the countrygives or suffering from this disease.
It was
A lot of studies of hereditary preLocation K
Psoriaza. It turned out that among the genes, fromWeb for the production of proteins
immune system, there are thosesome are often found in patients
Psoriasis and less often — in healthyout of people.
In the future, this information can
It is clutteredNoah for therapeutic purposes, however
Day of the test system to determine the genotype of people suffering from psoriasis,
On an industrial scale are not produced and practicalTicker role in the assessment
forecast and choosing treatment do not play.
Degree
Risk was evaluated in a number of research with the participation of the nearest relatives
(native brothers and sisters, twins, children and parents). If one is
Gemini suffers psoriasis, then the probability of the second get sick — 58%
(The conclusion is made by the resultTatam surveys 141 pairs of twins).
If
Psoriasis BoLeares just a native brother or sister, the risk to get sick below
— eyeLo 6%. If one of the parents is sick with psoriasis, then for a child
The probability of getting lower than 20%, however, if both are bornLa, then she
increases to 65%. The severity of the disease and localization of the lesion from different
family members may vary.
Psoriasis is a rare disease?
Some
consider psoriasis rare, almost an exotic disease. IN
reality, according to the most modest counting, even in the most
Reaching countries and regions psoriasis suffers from at least 4%
Population. And in Scandinavia - up to 8% of citizens. Statistics are given
Different, but, estimated, psoriasis suffers from 2% to 3% of the US population,
that is, about 4.5 million people. Every year diagnose approximately
200,000 new cases.
The prevalence of psoriasis is different in different
ethnic groups. Among whites it is higher than among black, la
Tino-American, Asians, Indians and Eskimos. Causes ofGood
unevenness are unknown, but it is believed that it is connectedfor us
hereditary predisposition (see. Question 25).
Most
Common, or blushing, psoriaz — This form meets
85% of patients (col. rice. G). Other forms of psoriasis combined,
account for about 15% of cases, although the same person has
At the same time can obeySeveral variations of the disease.
Doodle psoriasis often occurs in children recently undergoing
infection, such as angina. Sometimes he passes quite quickly. Everything
Rare forms of psoriasis externally are so much similar to the usual psoriasis,
that sometimes they are not possible for quite a long timeAgnosty or put
erroneous diagnosis.
The incidence of psoriasis
hesitates from country to country, reflecting differences in ethnic
population and the number of sunlight. Above all (4—5%) she in
Northern Europe, but below — In some countries of South America and on
OISTRov Samoa, where no case of Psoria was foundper. W
men and women he meets equally often.
W
10—30% of Psoriasis patients may develop psoriatsSky Arthritis. W
most it appears after 5—10 years after the start of the disease, however
occasionally happens and its first symptom.
Whether psoriasis is dangerous?
Psoriasis does not affect overall health.
If he extensively spread, it may, of course, cause
discomfort, unpleasant feelings on the skin and difficulty emotional
plan, can affect work and leisure. Fortunately, most people,
patients with psoriasis, has small skin-affected skin that, though
This is unpleasant, does not change their lifestyle.
Approximately 10%
Cases in people patients with psoriasis can develop form arthritis,
called psoriatic arthritis. Need appropriate
Medical examination to confirm this diagnosis. Although ne
always, psoriatic arthritis is more often seen in people with extensive
common psoriasis, and not with local distribution.
Psoriatic arthritis can affect people of all ages.
Is it possible to cure psoriasis?
Not
There are funds for complete treatment of psoriasis, but there are many
drugs and methods of treatment that can reduce and control
PS
Oriaz, often for rather long periods of time. Psoriasis
By itself, it can appear and disappear, often with long periods
remission.
In most cases, however, psoriasis is constant. He can
appear and go without any obvious reason. Psoriasis is not necessary
worsening with age. Psoriasis may occur at any age from
Infancy to old age. Often psoriasis remains in small
limited areas and never applies.
On the
Today, it is impossible to finally recover from psoriasis. Like I
Many autoimmune diseases are treatedMI overwhelming immune
System. Unfortunately, none of the modern methods of treatment can
lower assetimmune cells forever. Current means
remove the symptoms of psoriasis, but they are not able to influence its deep
Cause: An attack of the immune system on the skin.
W
most patients psoriasis is exacerbated, it subsides. In many
There are periods when it completely disappears. But, as a rule, illness
All the same returns. Since imThe muggy system is already aimed at
skin attack, then it is from time to time and happens.
IN
Mass media something and business advertiseSia Regular
«miraculous» Funds from psoriasis. Oneko, since psoriasis
has a complex and ambiguousclan, and the immune system is difficult
«Move», Most patients need constant treatment.
Therefore, although manyGIE Methods are cleaned for some time symptoms
PsoriaFor, any messages about full healing should be carefully
check.
The most real purpose for most
Patients — It is to find an acceptable balance between the control of your condition
And byhonorable time, strength and money that they are willing to spend on
treatment. Since all drugs are unsafe, you should always evaluate
The ratio between their medicinal action and the sideEffects.
There is
Hope that in the future healing means is still singingFirm. Immunologists
And dermatologists continuously continue research, formacetic
Companies and large medical centers are also engaged in this problem.
Psoriasis remains on the crest of scientific interest; Constantly reported O
new achievements and discoveries in this area.
What worsens the course of psoriasis?
Available
Some reasons that may worsen psoriasis. Them
good to know. But remember, psoriasis can flash and without any
Apparent reason. Below are some of the factors that worsen
The flow of psoriasis (at least it is sophistication to most people):
Damage to the skin and comb
Irritation,
scratches and tan - all this can activate psoriasis. You must
try to stop the mechanical irritation of your psoriasis if
This is possible. Psoriasis can develop for the first time on skin sites,
damaged from scratches, burns or infectious diseases.
Sun rays
For
most people with psoriasis, moderate sunbathing is very
useful, but the tan can make psoriasis flashep again. Small
The number of people (about 10%) believe that their psoriasis worsen from
Sun in any of its number. If you have white skin, perhaps you
You will need sunscreen to protect yourself from the sun.
Diet
No
The relationship between the diet and psoriasis was not found; However, there are
Some important guidelines that need to follow.
Healthy Balanced Diet is important for good health. Some
People find that their psoriasis deteriorates with excess weight - so
Weight loss is useful for psoriasis regulation. Some people treat
Attention that alcohol of any type activates their psoriasis
Stress
Some
Patients notice that stress exacerbates the course of their psoriasis. If this
It is worth trying to find ways to avoid stressful situations.
Medications
Some medicines,
accepted for other reasons deteriorate the course of psoriasis, but of course,
not in each case. These medicines include in their composition: gold,
Lithium, beta-blockers type inderal used in hypertension. You
must tell your dermatologist what medicines you take. If
You have questions about this, be sure to ask them.
Infection
Some
Diseases of the throat and upper respiratory tract - especially streptococcal
infections, may worsen your psoriasis. It is more often manifested in children and
Teenage.
