psoriasis

symptom

What are the common manifestations of psoriasis?

Psoriasis vulgaris has erythema or erythema covered with silvery white scales, gently scraping off the surface scales, revealing a layer of light red shiny translucent film, and then scraping the film, there is bleeding point, the patient can There are varying degrees of itching.

Pustular psoriasis is characterized by aseptic pustules.

Arthritis can be characterized by arthritis in addition to erythema scales.

The erythrodermic psoriasis is characterized by diffuse flushing and swelling of the whole body skin with a large amount of desquamation.

What is the condition of psoriasis?

Clinically, psoriasis is divided into a progressive phase, a stationary phase, and a regression phase.

Progression: New rashes continue to appear, old rashes continue to expand, scales gradually thicken, and itching is obvious.

Resting period: The condition is stable, no new rash appears, and the old rash does not disappear.

Regression period: The color of the rash is lighter, the thickness is thinner, the scales are reduced, and the itching is relieved.

What harm does psoriasis have on the body?

The vast majority of patients with psoriasis are vulgaris. Psoriasis vulgaris has little effect on the physiological function of the body. Only some patients have itching symptoms, which generally do not affect the patient's life and will not shorten the life of the person. It just makes the patient feel painful and has some psychological pressure. In patients with arthritis, if there is a joint deformity that leads to dysfunction or even disability, the patient's quality of life may be degraded.

What are the manifestations of psoriatic arthritis?

Psoriatic arthritis can manifest as monoarthritis or arthritis, mostly after psoriasis. Fingers, toe joints, metacarpophalangeal joints, wrists, knees, ankles and other large and small joints can occur; symmetry polyarthritis similar to rheumatoid arthritis can also occur, but also psoriasis spine similar to ankylosing spondylitis Inflammation, some patients may have osteolysis of the finger bone and metacarpal bone.

Can psoriasis occur on nails?

80% of patients with psoriatic arthritis have nail lesions, especially joints between the distal finger (toe). When the lesion is light, there may be only apical dents, the deck is thickened, tarnished, and the surface has lateral grooves or mediastinum. , often under the keratin thickening, there may be nail peeling when heavy.

Does psoriasis affect life?

Often, psoriasis does not affect the life of the patient. However, patients with erythrodermic type may have fever, edema, increased cardiac burden, water, electrolytes and protein metabolism disorders due to thermoregulatory disorders after skin lesions, and the mortality rate may be significantly increased.

Will psoriasis become cancerous?

Psoriasis is a benign lesion that does not cause cancer.

Cause

What is the cause of psoriasis?

The etiology of psoriasis is still unclear. At present, it is recognized that many factors such as genetic factors, environmental factors and immune factors work together.

Why is psoriasis prone to recurrence?

Trauma, infection, mental, diet, sunlight and endocrine factors can easily lead to psoriasis. They are constantly present in our daily lives, and these factors are hard to avoid, interact, and contribute to the recurrence or even exacerbation of psoriasis.

Is psoriasis contagious?

People who have psoriasis are unwilling to contact family members and do not dare to participate in activities in public places. They are afraid of transmitting diseases to others. In fact, this idea is completely redundant. Although the occurrence and development of psoriasis may be related to bacterial or viral infections, psoriasis is not an infectious disease and does not have any contagious nature. Even if it is in close contact, it will not be transmitted to others.

Is psoriasis inherited?

Psoriasis causes a lot of pain to patients, so people are very concerned about whether psoriasis can be passed on to future generations. In fact, psoriasis is genetically predisposed. Although some patients have children at the time of onset and have no psoriasis in their families, their children are more likely to have psoriasis than the general population. Much more, and the closer to the patient's blood relationship, the greater the likelihood of morbidity.

Is mental stress and stress related to the onset and exacerbation of psoriasis?

The exact cause of psoriasis is still unclear, but studies have shown that it is related to many factors such as the environment, infection and spirit. Long-term "tension, high pressure" will make people feel anxious and nervous, and the study found that about 40% Patients with psoriasis are accompanied by anxiety in the skin lesions, and patients with psoriasis vulgaris have more serious psychological changes such as anxiety, suspiciousness, depression and nervousness. It can be said that the occurrence and development of psoriasis are closely related to psychological factors such as nervousness, anxiety and troubles of the sick individual.

diagnosis

How to diagnose psoriasis?

If the patient's scalp, extremities, knees and elbows appear symmetrical silvery white scales, film phenomenon and punctiform hemorrhage, plus the course of the disease is chronic, mostly summer light winter, repeated attacks, easy to diagnose psoriasis vulgaris.

The diagnosis of pustular type is mainly based on the vulgaris type, most of the sterility small pustules appear in batches, and the disease recurs.

Articular type is often associated with psoriasis vulgaris or pustular type, and the severity of joint symptoms is parallel to the severity of skin lesions.

The erythrodermic type is diffusely flushed, with a lot of desquamation and a history of psoriasis.

How do patients with psoriasis observe their condition?

Psoriasis patients can observe the condition themselves, such as skin damage, usually under natural light, check the thickness of the whole body skin lesions, whether there is color change, whether the lesion area is enlarged, etc., should also pay attention to hair, nails (toe) And whether there is any change in the mucosa; in addition, the patient can observe whether his joint has pain, swelling and deformation. When you see a doctor, you should promptly report the changes to your doctor for proper treatment.

treatment

How to treat psoriasis?

At present, the treatment of psoriasis mainly includes external medicine treatment, systemic treatment, physical therapy and other treatments. But no matter which method is used, it can't completely cure psoriasis.

External medication: In the acute phase of psoriasis, it is best to use mild protective agents and emollients, such as petrolatum, glycerin, mineral oil, etc.; strong drugs can be used in the stable phase and the regressive phase. Tazarotene, a potent and potent glucocorticoid, calcipotriol can be used as a first-line treatment for topical treatment.

Physical therapy: Long-wave UV (UVA), photochemotherapy (PUVA), broad-spectrum UVB, and narrow-spectrum UVB are available.

Internal medication: anti-infective drugs, such as penicillin, erythromycin, cephalosporin, etc.; methotrexate is an effective treatment for psoriasis. Vitamin A acid and cyclosporine have certain therapeutic effects on psoriasis. Biological agents, such as etanercept, can also be used to treat psoriasis.

Psychotherapy: According to the patient's condition, individual treatment, concentrated treatment, family therapy and social treatment can be adopted. Biofeedback therapy and abdominal breathing training can also be used to improve the patient's psychological state and improve the patient's self-regulation ability.

Can psoriasis be completely cured?

There is currently no effective or effective cure for psoriasis. If someone asks you if your family has an ancestral secret recipe or how certain medicine is magical, you can completely cure psoriasis, never relapse, solve the world's problems, etc. Please don't trust these advertisements easily, and don't go to the doctors to prevent them from being fooled. Being deceived to avoid economic losses, and more importantly, may delay the best period of disease treatment.

How to treat psoriatic arthritis?

There is currently no ideal treatment for psoriatic arthritis. Most drugs can only achieve the purpose of alleviating or relieving symptoms, and can not effectively prevent recurrence. Treatments include appropriate rest and physical exercise, oral medication, photochemotherapy, physiotherapy, and surgical arthroplasty. In recent years, alternative drugs have been leflunomide and biological agents (tumor necrosis factor-alpha antagonists).

Can biological agents treat psoriasis?

The biological agents currently used for psoriatic arthritis are mainly tumor necrosis factor-�� antagonists. For arthritic psoriasis patients, especially refractory psoriatic arthritis, the application can be considered, but the cost is more expensive, and the efficacy needs further evaluation. In addition, in order to apply such drugs, patients must first check for tuberculosis, tumors and viral hepatitis.

How do psoriasis patients adjust their medication during pregnancy?

Psoriasis patients during pregnancy, in principle, can not be used with any drugs, especially hormones, antibiotics, immunosuppressants and other drugs, these drugs may lead to fetal malformations, mental retardation and so on. During pregnancy, care should be taken to avoid drug abuse. If it is necessary to use the drug in an emergency, it should be based on the rescue of pregnant women. Once it is out of danger, it should be immediately reduced or discontinued. If the pregnant woman feels particularly itchy, the topical medication is the main.

life

Does smoking or drinking affect psoriasis?

Foreign studies have found that the probability of psoriasis in men who drink alcohol is significantly higher than that of the general population; domestic studies have not found that drinking is related to the severity of psoriasis, but there are reports of drinking and aggravating psoriasis. In any case, heavy drinking is detrimental to the health of patients with psoriasis and may induce or aggravate psoriasis. The dangers of smoking Everyone knows that the effects of smoking are very unfavorable for patients with psoriasis. Patients should quit smoking and minimize the chance of passive smoking.

Can a female patient with psoriasis become pregnant?

Can be pregnant. But if a woman with psoriasis wants to become pregnant, she should first understand the genetics of psoriasis. In general, a single parent with psoriasis has a child's chance of getting sick about 16%; if a parent has psoriasis, the likelihood of his child suffering from psoriasis is about 50%. Therefore, in order to ensure the health of the next generation, women of childbearing age should go to the dermatology clinic of a regular hospital if they are preparing for childbirth, and make a detailed record of the treatment plan, the drugs used, the period of use and the dose, so that the doctor can judge whether There are drugs that affect fertility and when they can be pregnant, while giving correct guidance.

Can psoriasis mothers breastfeed?

If you are receiving treatment for psoriasis, it is recommended not to breastfeed. If you don't use any medicine, you can breastfeed.

Can psoriasis patients take a shower?

If you have psoriasis, you can take a bath, depending on the condition of the skin damage and the type of disease.

For patients with vulgaris, take a bath and wipe off the white scales on the skin lesions. Use warm water and general soap when taking a bath.

For patients with erythrodermic type, the number of baths should not be too much, about once a week, and the water temperature should not be too high, and it should not be rubbed or scratched.

For pustular patients, potassium permanganate bath (1:10000 potassium permanganate 2 g) or starch bath (200-500 g) can be used.

Psoriasis patients should have a suitable water temperature during bathing, usually between 35 and 39 ��C, preferably 20 to 50 minutes.

What should be paid attention to in the diet of psoriasis patients?

It is recommended that patients with psoriasis eat more foods containing more protein, such as eggs and fish. In addition, high-quality soy products, fresh and delicious dairy products are good food for psoriasis patients, while eating more vitamin-rich foods, such as fresh fruits and vegetables. In addition, for patients with psoriasis, do not drink alcohol, drink strong tea, espresso and spicy spicy food.

Can psoriasis patients use cosmetics?

Psoriasis patients do not need cosmetics. Most cosmetics contain mercury, which can cause irritation to the skin and cause skin damage, especially if the facial skin lesions are heavier. If you have to use cosmetics, it is best to use some moisturizing cream that is non-irritating to the skin to relieve dryness and itching.

prevention

How to prevent the recurrence of psoriasis?

The recurrence of psoriasis is more common, and the causes and causes of recurrence are different for different patients. Those who have psoriasis should maintain positive, optimistic, upward emotions, establish confidence in overcoming the disease, maintain a normal state of mind; avoid excessive mental stress, excessive stress, pay attention to work and rest; do not smoke, do not drink, do not eat Spicy food, develop good habits; often participate in physical exercise, prevent infection, especially in the cold season, should always carry out outdoor sports; actively treat infected wounds and inflammation, to avoid all kinds of trauma.