Although psoriasis is a common and well-known disease, it is not yet fully understood. And most patients do not even know that psoriasis is not a bacterial infection or a fungus, but a non-standard reaction of the immune system, which is caused for unknown reasons. Information about the causes and symptoms of psoriasis is very useful for patients as it helps overcome the disease.
Lichen scaly is another name for psoriasis, and that name perfectly describes this disease. Psoriasis manifests itself in the formation of inflamed plaques of various sizes on the skin, which are densely covered with thick flakes of skin.
Surely almost everyone has heard of a disease like psoriasis. And that's not surprising, given that scaly lichen is common. This disease is diagnosed in 4-10% of the world's population. In addition, statisticians who collect information on the prevalence of psoriasis argue that the number of patients is growing steadily.
Scaly lichens have been known to humans since ancient times, even healers in ancient Greece tried to treat this disease. The modern history of the study of psoriasis is about 150 years old. During that lengthy period, however, researchers failed to learn enough about the causes and treatment of psoriasis.
Wide prevalence, aetiological uncertainty (causes of occurrence), inadequately effective treatment - all these characterize psoriasis as one of the most difficult problems in dermatology.
Dermatologists today regard psoriasis as a complex systemic disease associated with disorders of the immune system, a malfunction of metabolic processes and the occurrence of trophic disorders. These defects lead to specific skin changes.
Therefore, when answering the question of what psoriasis is, a modern dermatologist will answer that it is trophism disorders and metabolic processes in the skin caused by a dysfunction of the body systems. Today, two theories about the etiology of psoriasis are considered most likely: genetic and viral.
There are other theories that explain psoriasis. For example, endocrine, neurogenic, metabolic, etc. Of course, all of these theories are not unfounded and their study will allow you to get more important information about psoriasis disease. However, it is already known with certainty today that the state of the endocrine and nervous systems, as well as the work of the gastrointestinal tract, do not cause psoriasis, but have a significant influence on the course of this disease.
For example, pathologies affecting the liver lead to a severe deterioration in the quality of the blood purification carried out by this organ. And this, in turn, can provoke the appearance of various skin conditions, including psoriasis.
Liver diseases (hepatitis, primary cirrhosis, etc. ) lead to the fact that the tissues of this organ are reborn, that is, the liver is gradually replaced by connective tissue. As a result, the liver stops performing its cleansing functions. Outwardly, this is manifested by yellowing of the mucous membranes and skin, and the development of skin diseases, including psoriasis, is possible.
There is also an inverse relationship, psoriasis is often accompanied by fat loss, which affects the liver. Therefore, when treating this skin disease, it is important to follow a diet so as not to overload the liver. Patients are advised to limit fatty foods and completely eliminate alcohol.
Therefore, despite numerous studies, it has not been possible to get an exact answer to the question of what psoriasis is. However, the work continues, so there is a chance that the mystery of this mysterious disease will be solved and we will learn a lot about the skin disease psoriasis.
Psoriasis disease manifests itself in different forms. To facilitate navigation for those skilled in the art, a generally accepted classification of psoriasis is used.
Psoriasis added to the International Classification of Diseases (ICD). To date, 10 revisions of the international disease registry are in use, so the abbreviation ICD 10 is used. Work on 10 revisions of the international classifier of diseases began in 1983 and was completed in 1987.
In essence, ICD 10 is a standard assessment tool used in medical and health administration. The manual in revision 10 is used to monitor the prevalence of various diseases and other health problems.
Version 10 of the ICD enables data on morbidity and mortality in different countries to be compared, which enables statistical data to be called up and diagnostic information to be systematized. With the consent of WHO members, ICD 10 is used to assign codes to various diseases. In the 10th version of the classifier, alphanumeric codes are adopted, with the help of which information can be conveniently stored in electronic form.
All types of psoriasis are included in ICD 10, and each of them is assigned a specific code. In dermatology, the following forms and types of psoriasis are distinguished:
In psoriasis, the classification of the disease takes into account not only the types of the disease, but also the severity of the symptoms:
If we look at all types of the disease, common psoriasis is more common than other forms.
Limited or widespread psoriasis goes through three phases in its course: progressive, stable and regressive.
The following is characteristic of the progressive stage of psoriasis:
The following symptoms are characteristic of the stationary stage of psoriasis:
The appearance of wrinkles in the stratum corneum around the elements is a sign of a transition from a stationary to a regressive stage.
The regression stage is characterized by the following types of symptoms:
After the dissolution of psoriasis plaques, hypo- or hyperpigmented spots remain in their place.
Scaly lichens are characterized by a long course with periodic exacerbations. The following types of psoriasis are distinguished:
If psoriasis has a typical clinical picture, the diagnosis is not that difficult. However, this disease is often disguised as another pathology.
For example, nail psoriasis is often confused with nail fungus, since the external manifestations in the early stages of these diseases are very similar. However, nail fungus and psoriasis are completely different in nature, so treatment should be different.
A layperson can confuse psoriasis and fungus with fungus. Since mycoses of the skin (skin fungus) are manifested in similar symptoms - the formation of scaly plaques. After discovering suspicious symptoms on the body or nails, there is no need to self-diagnose and read on to treat the fungus with pharmacy or folk remedies.
If the diagnosis is incorrect and the cause of the appearance of symptoms is psoriasis rather than fungus, then treatment is not beneficial, on the contrary, it makes symptoms worse.
When contacting a dermatologist, a fungal analysis is performed and the nail or skin is scraped off. Then the resulting material is placed in nutrient media. If the fungus is present in the material, a large colony will grow in the test sample after a few days. By the appearance of the material, it will be possible to understand what kind of fungus provoked the infection.
Sometimes psoriasis is complicated by the addition of secondary infections. It could be a bacterial infection or a fungus. Therefore, if the clinical picture changes (the appearance of a purulent discharge, discoloration of plaques, etc. ), patients must therefore be tested regularly for fungi and other infectious agents.
In diagnosis, a specific role is assigned to a number of phenomena known as the psoriasis triad. The phenomena appear one after another when scraping the element of the rash.
The psoriatic triad looks like this:
A dermatologist diagnoses psoriasis, but if necessary, the doctor can refer the patient to other specialists for consultation - a rheumatologist, gastroenterologist, surgeon, etc.
People have known psoriasis for a long time. Even the name of the disease came into our language from ancient Greek. At the time of the prosperity of ancient Hellas, the word "psora" meant all skin diseases that manifested themselves through peeling and itching.
The first person to write an extensive treatise on psoriasis was a Roman named Cornelius Celz. In the fifth volume of his work "De medicina" there is an extensive chapter on this disease.
You knew about psoriasis, but this disease was not clearly valued as it was called, sometimes "imperial", sometimes "diabolical" disease.
Of course, the ancient healers knew very little about psoriasis. Until the 19th century, this disease was often mixed with other skin conditions. Psoriasis was first identified as an independent nosological form in 1799. This was done by the English dermatologist Robert Villan, who identified psoriasis as one of a large group of skin diseases manifested by itching and flaking.
Not only ordinary people but also prominent political figures knew about psoriasis firsthand. For example, Winston Churchill, who suffered from this disease, promised to erect a monument of pure gold to a person who can learn all about psoriasis and offer effective treatment for the disease.
It must be said that modern science does not know much about this mysterious disease. There are various theories about the origin, course and treatment of psoriasis.
Here are some facts about psoriasis that are beyond doubt:
When talking about the common disease of psoriasis, one can only tell about the treatment of this common disease. It must be said that it is impossible to cure psoriasis with just tablets or ointments.
In order to forget the manifestations of psoriasis for a long time, the patient must make an effort in close cooperation with the doctor. It will be necessary to properly organize the meal. Some experts argue that only with the help of a properly composed diet and regular cleansing of the body can you forget forever about psoriasis.
The doctor draws up a preliminary treatment plan. As a rule, methods of external (ointments, creams) and systemic (tablets, injections) therapy are used. In addition, physiotherapy methods are used and treatment in resorts is recommended. It is recommended to treat psoriasis with healing mud, mineral and thermal water.
The resorts also offer non-traditional treatments. For example, with the help of fish that live in thermal springs. These little healers effectively remove dead skin cells and disinfect the skin, promoting its fastest healing.
The spas may offer other treatments for flaky lichen. For example leech therapy, therapeutic baths and treatments, sun therapy, etc.
You have to be prepared for the fact that the treatment regimen changes regularly. As not all methods are suitable for a particular patient. If the selected treatments don't work, they will need to be replaced.
Popular treatments for psoriasis are also widely advertised. In fact, some of them can help achieve remission. But when choosing a method, you need to use common sense so as not to harm your health. When a prescription or recommendation is in doubt, it is better not to use it. Consult a doctor before using any method of treatment.
It goes without saying that it will only be possible to forget about psoriasis forever if the patient himself and his immediate surroundings are positive. Only belief in success and an optimistic attitude will help to overcome this mysterious and insidious disease.