Palmar-plantar psoriasis on palms and soles of your feet hits, in and of itself represent a pathological disease is an autoimmune condition.
Psoriasis palms and soles of the feet together with it forms on the scalp the most common disease of the localization process. Into account 14% of patients in the pathological condition of the skin.
The causes, development, diseases
However, palmar-plantar psoriasis is not form-specific binding observed in the age range of 15-35 years, the highest incidence of the disease. In addition, the connection with ethnicity. Individuals report that Caucasian, over the age of 50, significantly increases the risk of pathology.
The exact causes the pathological condition is a disease that lies still until the end of openness and acceptance on the basis of an autoimmune process. During normal operation, a person receives immune protection to various foreign agents: viruses, allergens, protozoa, and other microorganisms.
Psoriasis in the body is a bit fail, then the immune system starts to produce aggressive substances against its own cells and tissues. An excessive amount of T lymphocytes (basic immune cells) and macrophages leads to the development of inflammatory reaction and cause excessive cell proliferation and hyperkeratosis of the skin revealed characteristic symptoms observed.
Note! Hyperkeratosis excessive thickening of the epidermis and constitute the outermost skin layer.
Heredity factor in some studies a small role. For example, the population is about 10% of the inherited genes associated with psoriasis and only 3% is a disease that develops in. Similar statistics suggest the thought that, if you have other better the cause of the disease.
Additional risk factors:
- Stress and emotional liability (sensitivity).
- Smoking and drug intake.
- Is immune to diseases affecting the background.
- Infection, common injuries, cuts, palms and soles of feet.
In the study of 2006, about the specified connection with pathology and other conditions dermatological diseases of the cardiovascular system: hypertension, diabetes mellitus, and hyperlipidemia.
It's clear there was results until the end of the experiment. For a full understanding of the entire process is continuing to a discussion of this subject and more research is required.
Trigger diseases (pathology factors that impact, but resulting him directly) might look like this:
- Sunburn;
- Insect bites;
- Exposure to allergens;
- General bacterial infections, such as pneumonia, or angina;
- Viral diseases, including HIV infection;
- Inflammatory condition, varying degrees of severity: bronchitis, nasopharyngitis;
- Heavy alcohol poisoning;
- Obesity.
Diagnosis of palmar-plantar psoriasis
Though the rapid development of modern medicine today, psoriasis palms skin with a special tool until the establishment maybe visual inspection by a doctor. Physical examination-based "trias of psoriasis", the slight scrape is observed that is a manifestation of body areas affected with flakes.
Doctor a history of attracting the attention of some imported drugs triggers the development of the disease there may be continuous:
- Indomethacin and other non-steroidal anti-inflammatory drugs (MAILER);
- Lithium and anti-malarial drugs;
- Corticosteroids sudden cancellation;
- Purchase penicillin, hydroxychloroquine.
In difficult situations, a laboratory blood test and ultrasound scan that includes a comprehensive survey of the proposed exception and yeast infection using Mycological diagnosis. In a statement, suspicious a biopsy to be done on the stove skin.
The first signs of symptoms, palmar-plantar psoriasis
Between the basic types, there are five variations of the disease. 90% of these cases observed in a visual characteristic clinical picture.
It looks like palmar-plantar psoriasis? Psoriatic plaques on the palms and soles of the feet of the patient is determined — red, scaly patches of thickened skin, prone to itching, flaking. Feeling a man inside greenhouses, itching, fever and pain of varying intensity; in some cases, the lids are cracked and bleeding skin.
The halo effect and formation quotes:
- The nail plates a visible defect, a hole;
- The nail thickens and decolorized;
- Of changes the shape.
Palmar-plantar type, the disease-a part of the overall process, but only limited leather palms and feet. Psoriasis feet and make it difficult to walk wearing shoes. Any business to carry out the intervention only of damage, but at the same time to apply a negative fingerprint people who have a relationship with. Casual greeting that can be used for disturbing, is what leads to confusion and the development of the individual as social phobia social anxiety.
Types of this type of distinctive feature is the presence of the disease process name the following terms:
- Palmar-plantar pustular psoriasis Barbera;
- Psoriasis purulent;
- Pustular dermatitis.
The listed disorders the skin which is the cause of a training set (clusters) in the field of various pimples plaques. In general, such a rash very similar to a normal pimple. It should be noted that the faithful endures enough of this type of the disease requires an integrated approach and usually treatments light therapy.
Attention! Pustular psoriasis palms and soles of the feet require treatment with antibacterial drugs when you attach a bacterial infection.
Scene, palmar-plantar psoriasis
How and what kind of pathological process the localization is characterized by palmar plantar three clinical stages:
- In the initial stage. The rash on hands and feet that emerge. Purulent whitish plaques that have the characteristic red color visible opening; an intense itching that bothers the patient. Traces of elements merge large pockets. Their number depends on the individual, the course of the disease.
- The phase stability. As the condition progresses, new elements formed are not pathological, but the old is still intact. The itching gradually decreases plaques and staining less shiny.
- The final stage. Accompanying the application elements, and does not itch. Treatment, support, and for any; suggestions offered protection remission, and preventing relapse.
In some cases, items that are classified as disease lesions:
- Normal form — a typical manifestation of skin;
- Horny accompanied by hyperkeratosis and red spots form a typical, small, or missing, they are;
- Figure Barbera.
Treatment methods
Palmar — plantar psoriasis is a chronic disease that it may appear again, regardless of the treat. However, treatment methods, allows to achieve lowering, the times, the attacks and the remission period extension.
The basic treatment method, the rapid growth of cellular elements to prevent interference to the development of plaques, executed, anti-inflammatory treatment. Offers an alternative method of directly removing a flake.
Thickened skin that covers the palms and soles of the feet on because even in healthy people, treatment of this localization usually includes assembly techniques, and has created a more aggressive impact.
Primarily as a topical treatment psoriasis palms and the soles of the feet is assigned to Gels, Ointments and creams:
- Vitamin D analogues;
- Corticosteroid ointments;
- Retinoids;
- This is especially true in the case;
- Special resin;
- Salicylic acid;
- Moisturizing to reduce edema and inflammation relieving drugs.
Normal side effects are irritation, drying and thinning of the skin. Phototherapy Sessions also be done:
- Natural ultraviolet radiation from the sun;
- Special devices using artificial ultraviolet radiation;
- Excimer laser;
- Photochemotherapy.
It is important that you know!A smooth transition is a very important natural phototherapy. To begin with it is recommended in direct sunlight for 5-10 minutes a day. Then gradually increased the exposure time can be 30 seconds a day.
Drugs for treatment, palmar-plantar psoriasis
Palmar-plantar psoriasis treatment includes oral medications more severe illness course:
- Methotrexate;
- Retinoids;
- Cyclosporin;
- Biologic drugs, reducing the effectiveness of the immune system;
- Thioguanin;
- Hydroxyurea.
The most common side effects with this drug there are problems, gastro-intestinal tract.
The Centers for Disease Control and Prevention
Severe disease a serious condition that can affect the development of a degree course, threats to life and health of the patient: by 58% increases the risk for myocardial infarction, and 43% — stroke. Basic immediate complications psoriasis palms and soles of the Feet, Nail dystrophy and psoriatic arthritis.
National Medical Research Center named range which diseases of the skin which may be due to pathology:
- Concomitant autoimmune condition: Crohn's disease, celiac disease, sarcoidosis, and other;
- Eye disorders: cataract, glaucoma, infection process;
- High blood pressure;
- Parkinson's Disease;
- Diabetes mellitus;
- Liver disease and kidney;
- Osteoporosis;
- Depression.
Note.Recommendations and, if necessary, timely treatment, reduce recurrence and minimize the symptoms of psoriasis skin possible.
Recommended prevention measures:
- Get everyday natural oils for bath, salts and mild soap that does not contain artificial sweeteners and colorings;
- Use a moisturizer skin (in severe cases twice a day), especially after water plants. Unauthorized use is equipped with rough towels. Just insert the skin with a dry, soft cloth, then cream;
- , A sufficient amount of sunlight. Ask a medical expert to select the "middle way". Sun is an important effect that will bring a very weak, and very intense — it will increase the risk of skin cancer;
- Avoid triggers, smoking, alcohol, stress, and infection;
- Use aloe juice. Areas of damaged skin the tools necessary to perform several times a day. There taken a formal survey of this plant the efficiency of the anti-inflammatory skin processes;
- At least three grams of omega-3 fatty acids a day. Diet of fish, walnuts, flax seed oil or fish oil capsules. Provides fatty acids, to reduce inflammation in the body;
- Auxiliary intake, some based on special additives, weeds, tea tree oil or dead sea salts.