Dermatoses and psoriasis applies for unpleasant body rash. They almost no damage, but it seems a lot of itching and a primitive weapon, therefore a delivery person for a lot of trouble. Consider which there are many types of psoriasis other than they are, and is a disease that can be treated as such .
Psoriasis classification ICD-10
If psoriasis L40 and the International Classification of diseases code. This meaning is concerned with papuosalus disorders (lat. papule but - "nodules" and squa search - "stamps").
L40.0 psoriasis vulgaris
Other names: plaque-like. Diagnosis almost 90% of cases. Scaly papules yourself structure. Plaques may be Grey, Silver-white or pinkish in color. Sometimes popular grow, merge, and neighboring entire "island" or "the lake".
L40.Generalized pustular psoriasis 1
Other names: exudative, disease impetigo Samsung. The most severe form; self-inflammatory article full of bubbles or blisters. If a bubble will reveal, and will fall in infection, psoriasis, wins a purulent character. Most bubbles close to the hands and feet, rarely on the body.
L40.2 Acrodermatitis durable
Other names: Cracker dermatitis, dermatitis Cartoon. Content pimples (pustules) form this form psoriasis is sterile, so not a contagious disease acrodermatitis. Why is a major inconvenience that the fingers can form plaques that exfoliate nails.
L40.3 Pustules palms and soles of feet
Other names: pustular bacterici. As inferred by the title, this type of psoriasis effects the feet and palms. They covered small and large formations pustullerbubbled slowly grows and increases. Contents sterile pustules pustular bacterici but is considered in severe disease. The mechanical effect of compound treatment the pustules are constantly exposed (opened and erode walking).
L40.4 guttat to psoriasis
Yourself small dotted mauve, clear hip circle, shins, forearms , shoulder, head, neck and back. Streptococcal tonsillitis or pharyngitis, often developing after spending .
L40.5-7 Psoriasis arthropathie
Other names: psoriatic arthropathy psoriatic arthritis. Suffering from the disease approximately 10% of psoriasis in all patients. Effects, joint and connective tissue . Swelling of the fingers and toes phalanges from outside himself. Less influence on the hip, humeroscapu, knee joints and spine. Sometimes the path disability: the patient can not move.
L40.8 different psoriasis
Other names: inverse psoriasis. Yourself properly inflamed spots, and almost never peel folds and localized skin folds (groin, elbow, external genital organs, under the milk glands, etc.). Another treatment the problem with psoriasis affected by constant friction, both the sweat secretions of the skin folds. Often the cause of inverse psoriasis fungal infection.
L40.9 Psoriasis, unspecified
These, and all other forms of psoriasis is not suitable for, nor is it under a above.
Psoriasis clinical classification there is another separation by category.
Localization
Psoriatic plaques can spread to different parts of the body.
- The palms and soles of feet. Already had been seen before, this pustular bacterici (code L40.3).
- Joints . Psoriaticheski talked about arthritis (the code L40.5-7).
- Mucous membranes. Rashes are common in oral, conjunctival and genital mucous. Training as inflammatory elements in different ways, but with clear boundaries. A little bump around.
- Nails . Scientific name: psoriatic onychodystrophy. Symptoms: pits and grooves on the nail surface, opacity, nail, peeling, broken, hide, capillary, itching hotels manicure.
- The scalp. This kind of psoriasis called seborrheic keratosis. Very complicated because one of the symptoms of dandruff, flaking scalp. But because it's a disease much worse psoriasis seborrheic, skin cracks in the area of ear shells and can spread to the neck. All this is accompanied by strong itching and a depleted stubs scab .
- Intertrigo large skin folds or psoriasis. In the plates occurs between the toes, groin, armpits, under the breasts women.
- The surface of the body. This case is called erythroderma. Lesions the plaques because the skin loses the high rate of the disease is a type of death basic functions: temperature regulation, protection, barrier, etc.
- Too dangerous to defeat the system because it is implied in the meantime, a few psoriasis medicine immediately.
Clinical picture
Psoriasis symptoms:
- ordinary (rough);
- age;
- they were in ambush;
- arthropathie;
- eritroderma shaped.
Psoriatic erythroderma
All typology of acceptance is high.
During the development phase and
If you choose in terms of staging several steps you can psoriasis treatment.
Psoriasis progressive
Stage of ripening is the cause. The following symptoms:
- pinkish flat popular education;
- itching;
- the inflammatory reaction after irritation popular (shields attempts to pierce, needle or toothpick, etc.);
- individual elements of the initial spill.
Hard psoriasis
Scene flows virtually unchanged:
- new consists of papules;
- old not increase the size of the plaque;
- peeling the middle.
Retrogressive psoriasis
The final stage, when the wound grew up. Healing begins in the middle of the month. Plaque consists of white depigmented somewhere an old stain, does not deliver outside discomfort already an aesthetic component.
The acute seasonality of demand
Psoriasis is characteristic of seasonal population. In this context can be distinguished:
- summer psoriasis: a escalates when under the rays of the sun;
- psoriasis is winter; severe cold, an acting skin;
- Off-season psoriasis: the most severe periods of remission with the lack of Figure. So disease throughout the year.
It looks like, symptoms, in the form of psoriasis summer
Square skin lesions
Only 2 Type of psoriasis this classification:
- limited and covers less than 20% of the skin body;
- common - more than 20%;
- universal - marvel cover the entire skin.
Classification of the National Fund (United States)
Psoriasis lesions and the area varies:
- easy: defeat 2% of skin area;
- average: 2-10%;
- heavy: more than 10%.
International pass code
To calculate the index of the table defeat psoriasis
That looks weakest with an index number 0 and the mean intensity 72 rust infiltration clinical signs of psoriasis ( erythema and flaking) and strong (bruising, suppuration). The index is determined.
Psoriasis treatment
The application of modern treatment strategies for the disease recommend that all complex methods. This is important to stick to the three main objectives are:
- faster achieve positive results for the primary;
- following some of the techniques and the inefficiency it is possible to cancel them, but continue to use it then, what happens;
- withdrawal of patients in remission.
The treatment of psoriasis among two species of features such as:
- drug-free;
- drug.
Non-drug therapy
If you have the ability to without Drug Administration, doctors try to use all the time. Several factors that may play an important role in the treatment of psoriasis non-drug therapy.Length mode
People pain psoriasis must:
- to try to quit smoking;
- outside alcohol (not even beer);
- lingerie and sleep wear clothes only natural fabrics;
- swap soap powder Laundry soap ;
- cutting your toenails short;
- under the shower only bathroom, it features a sauna, a steam bath and not to join;
- try to eliminate stress.
Psoriasis diet
A positive trend over a low protein diet Appendix C to good effect in the treatment of psoriasis. 30 g of protein / day. Patients once a week, freeing you to good results. This day you eat 2-3 tomatoes a few leaves of lettuce, 1 cucumber, 2-3 cups of tea Yesil 300 ml saline soda.
Psoriasis diet implies general principles:
- freshly squeezed citrus juices;
- fresh or boiled vegetables;
- unsalted fish;
- bakery products, rye flour only;
- dried fruit, fruit;
- nuts (no more than 50 g / day).
Also limit or eliminate: meat, grain, meat, sugar, potatoes, cheese, beans, oil, sugar, coffee.
Spa therapy
Spa therapy not to assign the last place in the treatment of psoriasis. This is perfect - off is a factor.
Also psoriasis treatment the Dead Sea .The main plus balneotherapy: fighting a disease with the power of nature. Water treatment, a balanced diet, fresh air and the soft sun - all of which will reduce the symptoms of psoriasis and remission.
Balneotherapy is a kind of arrival, treatment, fish Garra Ruf . These little creatures, has no teeth, but they slowly eat up their lips and flaky skin particles improve microcirculation, cover the tooth. Also, the routine returns a great relaxing effect.
Physical therapy
With psoriasis skin and physical therapy methods are used as follows:
- ultraviolet radiation;
- selective phototherapy ;
- laser therapy ;
- radiotherapy;
- cryotherapy (cold therapy);
- electrophoresis;
- including phonophoresis .
You can get the best aesthetic results, because almost all the methods of physiotherapy using IMA's effects on different skin are clear. Plaques is becoming less, and healthy skin is made up of cells.
Photochemotherapy
This method is highlighted separately because it is one of the most effective psoriasis treatment. Use, even in advanced cases, the taxpayer another bad physiotherapy procedures. The effects of photochemotherapy on the skin to long-wavelength UVA rays. For this reason, a method of a different name - PUVA therapy (puva) .
Drug treatment
The main drugs in the treatment of psoriasis helps to relieve the symptoms and patient referral on the path to healing. Three stages in the general (systemic) drug treatment for psoriasis:
- Emergency treatment. Done to relieve acute symptoms during the acute stage of disease and cracking. One drug that is used steroid drugs and immunosuppressants sometimes .
- A transitional stage. Ima that it will be a weaker drug with the gradual implementation after patient admission courses.
- Current treatment is supportive.
Drug therapy includes drugs and application to outer space:
- creams;
- this is the place where are presented;
- gels;
- lotions;
- ointment;
- sprays.
Hormone-based apply hydrocortisone ointment for the treatment of psoriasis
The drug can be purchase or the recipe, according to traditional medicine. The vehicle can accommodate it indoors or outdoors bandage. For maximum impact the treatment of psoriasis in combination of drug and non-drug therapy. Selects all of the tools and methods doctor.
Results
As can be seen, the variety and shapes, psoriasis, and if so, to determine what kind of disease this is, is very difficult. When asked why, the primary symptoms of psoriasis and treatment a doctor will determine the type that should refer to will appoint. With psoriasis result will be an effective and fast to start a fight like never before.