Types of psoriasis and their treatment

Psoriasis refers to dermatoses and manifest unpleasant eruption in the body. Almost did not suffer, but very itchy and look ugly, so that it gives a person a lot of inconvenience. Let's see what are the types of psoriasis, how they differ and how they can cure the disease .

The classification of psoriasis according to ICD-10

According to the international classification of diseases psoriasis L40 has the code. This means that it refers to papuloscentus rape (from lat. papula - "a knot" and squama "scale").

L40.0 Psoriasis vulgaris

Other names: plate-like. Diagnose almost 90% of the cases. It is manifested by papules scaly structure. Plaque can be silver grey, white or pink color. The papules sometimes grow, connect with neighbors and was trained on the set of "the Islands" or "lakes".

L40.1 generalized pustular Psoriasis

Other names: pericardial, impetigo, disease Tsumbush. It is considered the most severe; manifested by vesicles or blisters filled with inflammatory substance the exudate. If the road opens up and inside you will get an infection, psoriasis becomes purulent. The majority of these vesicles occur on hands and feet, rarely on the body.

L40.2 Acrodermatitis, persistent

Other names: Crocker dermatitis, dermatitis Settona. The contents of the pustules (pustules), giving rise to a form of psoriasis, is sterile, because acrodermatitis is not an infectious disease. The main disadvantage is that the plate can be formed with the fingers, which flake off the nails.

L40.3 Pustules of the palms and plants

Other names: pustular bactericide. The title is clear that this type of psoriasis affects the soles and palms. 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 to be a serious illness. The treatment is complicated by the fact that the pustules are constantly subjected to mechanical stress (wear out and it was open at the time of walking).

L40.4 Psoriasis guttate

It manifests as small purple dots, scattered over the thighs, shins, forearms , shoulders, head, neck and back. Often develops after experiencing a strep in the throat or pharyngitis .

L40.5-7 Psoriasis arthropathic

Other names: psoriatic arthropathy, psoriatic arthritis. The disease affects approximately 10% of all patients with psoriasis. Affects the joints and connective tissue . Apparently it is manifested by inflammation of the phalanges of the hands and feet. Less frequently affects the hip, humeroscapular joints, knee joints and spine. Sometimes leads to disability: the patient can not move.

L40.8 Other psoriasis

Other names: inverse psoriasis. Appears mild inflammation of plots that almost no flakes and localized in the skin folds and in the creases (groin, elbows, genitals, under the Breasts, etc.). Difficulties of treatment of rest of the psoriasis is associated with a constant friction of the affected areas, as well as the sweat in the creases of the skin. Often inverse psoriasis is the cause of the fungus infection.

L40.9 Psoriasis unspecified

This includes all the other forms of psoriasis that do not fit in any of the above.

There is another division of the psoriasis in the category of clinical classification.

Location

Psoriatic plaques can extend to different parts of the body.

• The palms and soles. As has already been explained above, this pustular bactericide (code L40.3).
• The joints . About psoriatic arthritis also spoke (code L40.5-7).
• The mucous membranes. Eruptions appear in the oral cavity, conjunctiva, and the mucous membranes of the genital organs. Education in the form of inflammatory elements in different forms, but with clear limits. Around a small inflammation.
• Nails . Scientific name: psoriatic onychodystrophy. Symptoms: indentations and grooves on the surface of nails, dullness of the nail plate, peeling, jump, bleed through the capillaries, itching near the cuticle.
• Scalp. This type is called psoriasis. Many people confuse with dandruff , because one of the symptoms is the flaking of the scalp. But psoriasis is much more unpleasant than the disease, 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 you rip off the scab .
• Large folds of the skin or intertrigio psoriasis. The Plates are formed between the fingers, in the groin, in the armpits, under the Breasts of women.
• The surface of the body. This phenomenon is called erythroderma. A variation of this disease has a high percentage of lethal outcome due to its plates, the skin loses its basic functions: temperature regulation, barriers, etc.
• Systemic failure is also dangerous, because it is a combination of several types of psoriasis.

In the clinical picture

The manifestations of psoriasis are:

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

Psoriatic erythroderma

All the types mentioned above.

In the development phase

If one takes into account the psoriasis from the perspective of its staging , and it is possible to allocate some stages.

Progressive psoriasis

The stage of maturation of the inflammation. It has the following characteristics:

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

Hospitalization of psoriasis

The scene comes almost without changes:

• new papules are not formats;
• old platelets do not increase in size;
• the peeling means.

Retrogressive psoriasis

The last stage, when the wounds are overgrown. Healing starts from the middle. In the former headquarters of plates formed of white depigmented spot that does not cause discomfort, in addition to the aesthetic component.

Season of the exacerbation

For psoriasis is characterized by the season of recurrence. In this regard, distinguish:

• in the summer of psoriasis: it is exacerbated under the action of the light of the sun;
• winter psoriasis develops because of the intense cold acting on the skin;
• out of season, the psoriasis: the most severe form with absence of periods of remission. That is to say, the disease occurs throughout the year.

It seems that the manifestations of psoriasis in uniform

In the affected area of the skin

In this classification only 2 types of psoriasis:

• limit - is less than 20% of the skin of the body;
• common - more than 20%;
• universal hit throughout the skin.

The classification of the National science Foundation (USA)

Psoriasis varies and the area affected:

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

International PASI

Table for the calculation of the index lesions of psoriasis

PASI is represented by a number from 0 to 72, and indicates the severity of the course of psoriasis, ranging from the mild clinical signs ( erythema and flaking) to severe (bruising, suppuration). The index is determined by experts.

The treatment of psoriasis

Modern strategy of treatment of the disease involve the use of a number of methods. It is important to fulfill three main objectives:

• to get a quick initial positive results;
• to track the ineffectiveness of some methods and replace them, but continue to use the that helps;
• bring the patient into remission.

Among the types of psoriasis treatment are two:

• drug-free;
• the medication.

Non-drug treatment

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

The mode of the day

People who suffer from psoriasis must:

• try to stop Smoking;
• avoid alcohol (even beer);
• the wear and tear of the bed clothes, clothes of natural fabrics;
• to change the washing soap powder ;
• short cut nails;
• to wash only in the shower, not to visit bath and sauna;
• try to eliminate stress.

Diet for psoriasis

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

General principles of diet in psoriasis said:

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

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

Spa therapy

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

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

A kind of balneotherapy with varicose veins is a treatment with Garra rufa fish . These little creatures have no teeth, but its lips are gently to eat the particles of the flaky skin and improves the microcirculation of the external skin. In addition, the procedure gives a great relaxing effect.

Physical therapy

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

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

With the help of physical therapy you can achieve good aesthetic results, because almost all methods involve different types of effects on the outer skin. Plates smaller, the formation of the health of the skin cells.

Photochemotherapy

This method is noteworthy because it is one of the most effective in the treatment of psoriasis. It is used even 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 - therapy PUVA (PUVA) .

The medication

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

1. Emergency therapy. Is carried out in the period of acute illness and is designed to relieve the symptoms of acute. Of drugs used are steroids and sometimes immunosuppressants .
2. A stage of transition. Involves the gradual introduction of weak drugs that in the future it will be taken by the patient courses.
3. Current maintenance therapy.

Drug therapy includes the application of topical treatments:

• creams;
• foams;
• the gels;
• lotions;
• ointments;
• mtn.

Hormonal-based ointment hydrocortisone used for psoriasis

The drugs can be purchased or made according to the recipes of traditional medicine. The funds can remain in the open air, or under an airtight dressing. The maximum effect in the treatment of psoriasis is a combination of drug and non-drug therapy. All media and methods selected by the physician.

Conclusion

As you can see, the forms and types of psoriasis, and to determine what kind of sickness is exactly what you have, it is very difficult. Therefore, the appearance of primary symptoms should consult a doctor who will determine the type of psoriasis and prescribe the proper treatment. Before you begin to treat psoriasis, the most effective and fast result.