Types of psoriasis and their treatment

Psoriasis refers to dermatoses and obviously uncomfortable, rash on the body. They almost did not suffer, but very itchy and look unsightly, so it gives a person a lot of inconvenience. Let us see what are the types of psoriasis, how they differ and how you can cure the disease .

The classification of psoriasis according to ICD-10

According to the international classification of diseases, psoriasis L40 is the code. This means, that refers to the papuloscentus violation (from lat. papula - "the knot" and squama "scale").

L40.0 Psoriasis vulgaris

Other names: citation, such as. Diagnosis almost 90% of the cases. Is manifested by papules scaly structure. The plaque can be gray, silvery-white or pinkish color. The papules sometimes grow, connectivity to the adjacent and is formed in the whole of "Islands" or "lakes".

L40.1 generalized pustular Psoriasis

Other names: pericardial, impetigo, disease Tsumbush. Is subject to the most severe; manifested by vesicles or blisters, which is filled with inflammatory substances exudate. If the vial will be opened and inside you will get infections, psoriasis becomes purulent. Most of these blisters appear on the hands and feet, rarely on the body.

L40.2 Acrodermatitis, persistent

Other names: Crocker dermatitis, dermatitis, Settona. The contents of the pustules (pustules), resulting in a form of psoriasis, is a sterile, therefore acrodermatitis is not an infectious disease. The main disadvantage is that plaque can form on the fingers, which may flake off the nails.

L40.3 Pustules on the palms and soles

Other names: pustular bactericide. The title is clear that this type of psoriasis affects the soles of the feet and palms of the hands. They are covered with large and small pustular formations, which gradually grow and increase in size. The contents of the pustules are sterile, but pustular bactericide is considered severe disease. Treatment is complicated by the fact that pustules are constantly exposed to mechanical stress (wear out and are opened when walking).

L40.4 Psoriasis guttate

Manifests as small purple dots, scattered on the thighs, shins, forearms , shoulders, head, neck and back. Frequently develops after experiencing strep throat or pharyngitis .

L40.5-7 Psoriasis arthropathic

Other names: psoriatic arthropathy, psoriatic arthritis. The disease affects approximately 10% of all patients with psoriasis. The impact on the joints and connective tissue . Externally manifested by swelling in phalanges in the hands and feet. Less often affects the hip, humeroscapular joints, the knees, joints and spine. Sometimes lead to disability: patient is unable to move.

L40.8 Other psoriasis

Other names: inverse psoriasis. Appears smooth inflamed patches that almost without chipping and localized in the skin folds and creases (groin, knees, the genitals, under the Breasts, etc). Problems treatment other psoriasis is associated with a constant friction of the affected areas, as well as sweat in the skin folds. Often inverse psoriasis is the cause for fungal infection.

L40.9 Psoriasis unspecified

This also includes all other forms of psoriasis that do not fall into any of the above.

There is still a division of of psoriasis on the category of clinical classification.

Translations

Psoriatic panels can spread to other parts of the body.

• The palms and soles. As has already been explained above, this pustular bactericide (code L40.3).
• Conclusions . O psoriatic arthritis is also talked about (with the code L40.5-7).
• The mucous membranes. The eruptions appear in the oral cavity, the conjunctiva and the mucous membranes of the genitals. Education in the form of inflammatory elements in a variety of forms, but with clear boundaries. Around - a small swelling.
• Nails . Scientific name: psoriatic onychodystrophy. Symptoms: indentations and grooves on the surface of nails, dullness of the nail plate, peeling, chipping, bleed through the capillaries, the itching near the cuticle.
• The scalp. This type is called seborrheic psoriasis. A lot of people confuse with dandruff , because it is one of the symptoms is the flaking of the scalp. However seborrheic psoriasis is much more unpleasant diseases, because the skin crack in the area of the ears and may extend to the neck. All this is accompanied by strong itching and bruising, when tearing off the scab .
• Large wrinkles of the skin or intertrigio psoriasis. The panels are shaped between the fingers, in the groin, armpits, under the Breasts in women.
• Area of the body. This phenomenon is called erythroderma. A variation of this disease is the high percentage of lethal outcome due to their panels, the skin loses its basic functions: temperature regulation, barriers, etc
• The system errors, it is also dangerous, since it is a combination of several types of psoriasis.

The clinical picture

The manifestations of psoriasis are:

• ordinary (vulgar);
• exudative;
• pustular;
• arthropathic;
• in the form of erythroderma.

Psoriatic erythroderma

All of the typology discussed above.

In the development phase

If you think that psoriasis with the terms of its staging , it is possible to allocate some stages.

The progressive psoriasis

In the stage of maturation of the inflammation. It has the following features:

• education pink smooth papules;
• itching;
• inflammatory reaction after irritation papules (scratch, trying to pierce it with a needle or toothpick, etc);
• start peeling of the individual elements.

Inpatient psoriasis

In the stage proceeds almost without changes:

• new papules are not formed;
• old platelets do not increase in size;
• the peeling medium.

Retrogressive psoriasis

The last stage, when the wounds are overgrown. Treatment starts in the middle. On the former site of the panels shaped white depigmented spot that does not cause discomfort, in addition to aesthetic components.

Seasonal deterioration

For psoriasis are characterized by seasonal recurrence. In this regard, we distinguish:

• summer psoriasis: is exacerbated under the influence of sunlight;
• winter psoriasis develops due to the intense cold acting on the skin;
• the off-season psoriasis: the most severe form with absence of remission periods. Ie, the disease occurs all year round.

It looks like it forms of psoriasis in uniform

In the area of the affected skin

In this classification only 2 types of psoriasis are:

• limited - less than 20% of the skin of the body;
• common - more than 20%;
• universal - struck the entire skin.

The classification of the National science Foundation (USA)

Psoriasis varies and the area is affected by:

• easy: lose up to 2 % of the surface of the skin;
• moderate: 2-10%;
• heavy: more than 10%.

The international FEED

Table for the calculation of the index lesions of psoriasis

FEED is represented by a number from 0 to 72, and shows the severity of the course of psoriasis from the most mild clinical signs ( erythema and flaking) to severe (bruising, suppuration). The index, which is defined by the experts.

Treatment of psoriasis

Modern strategy of treatment of the disease include the use of different methods. It is important to stick to three main objectives:

• to achieve rapid initial positive results;
• if you want to follow the inefficiency of some methods and override them, but continue to use what helps;
• bring the patient to remission.

Between the types of psoriasis treatment are two:

• drug-free;
• of the medicinal product.

Non-drug treatment

If it is possible to do without medication, doctors, always try to use it. In the treatment of psoriasis, an important role can be played by a number of factors non-pharmacological treatment.

The mode of the day

People who suffer from psoriasis, it is necessary to:

• try to quit Smoking;
• avoid alcohol (including beer);
• wear clothing and linens made of natural materials;
• if you want to change the washing powder soap ;
• short cut nails;
• to wash only in the shower, not to visit the bath and sauna;
• try to eliminate stress.

Diet for psoriasis

Positive dynamics in the treatment of psoriasis, has a good effect of low-protein diet, limit protein to 30 grams per day. The results show good patients times a week doing the unloading. On this day you can eat 2-3 tomatoes, some leaf lettuce, 1 cucumber, 2-3 cups of green tea and 300 ml of unsweetened club soda.

General principles of diet in psoriasis means:

• freshly squeezed citrus juices;
• fresh or steamed vegetables;
• fresh fish;
• flour, only rye flour;
• dried fruit, fruit;
• nuts (not more than 50 g per day).

You should also limit or eliminate: meat, cereals, meat, sugar, potatoes, cheese, beans, oils, sweets, coffee.

Spa therapy

Spa therapy is withdrawn is not on the last place in the treatment of psoriasis. This is a great anti-factor.

For the treatment of psoriasis at the Dead sea .The main advantage of the balneotherapy: a force of nature in the fight against the disease. For clean water, a balanced diet, clean air and soft sun - all this will help to reduce the symptoms of psoriasis to go in remission.

Type of balneotherapy with varicose veins is a treatment with Garra rufa fish . These little creatures have no teeth, but her lips were gently eat up the particles of scaly skin and improve the microcirculation of the external skin. In addition, it is the process that gives a great relaxing effect.

Physical therapy

Among the physiotherapeutic methods in the fight against psoriasis of the skin use the following:

• ultraviolet radiation;
• selective phototherapy ;
• laser therapy ;
• radiotherapy;
• cryotherapy (treatment with cold);
• electrosleep;
• phonophoresis .

With the help of physical therapy can achieve good aesthetic results, because almost all the methods, which include different types of effects on the skin outside. The panels become smaller, the formation of healthy skin cells.

Photochemotherapy

This method is highlighted because it is one of the most effective in the treatment of psoriasis. It is also used in severe forms of the disease that do not respond well to other physiotherapeutic procedures. Photochemotherapy is exposure of the skin to long-wave UVA rays. Therefore, another name of the method - PUVA therapy (PUVA) .

Medicines

Psoriasis treatment medication also helps to relieve the main symptoms and keeping the patient on the way to recovery. It is possible to allocate three stages of the General (systemic) drug treatment of psoriasis:

1. Urgent therapy. Is carried out in the acute period of the disease and is designed to relieve acute symptoms. The medications used are steroids and sometimes immunosuppressants .
2. The transitional phase. Includes the gradual introduction of weak drugs that will in the future be taken for the patient's courses.
3. Ongoing maintenance therapy.

Drug therapy includes the use of topical treatments:

• creams;
• foam;
• gels;
• lotions;
• ointments;
• sprays.

Hormonal-based ointment hydrocortisone used for psoriasis

The drug can be purchased or constructed in accordance with the recipes of traditional medicine. Funds may remain in the open air, or in an air-tight dressing. The largest effect in the treatment of psoriasis is a combination of medications and non-drug therapy. All the means and methods chosen by the surgeon.

Finish

As you can see, the forms and types of psoriasis very much, and determine what kind of disease exactly you have is very difficult. Therefore, the appearance of primary symptoms should consult a doctor, who will determine the type of psoriasis and prescribe appropriate treatment. The sooner you begin to deal with psoriasis, more effective and rapid the result.