Red skin psoriasis

Red skin psoriasis

First, flushing occurs in the original psoriatic lesions, which rapidly spread into large pieces, and finally the whole body presents diffuse flushing infiltration.

Second, a large number of scales fall off every day during the onset of the disease, and the scalp has thick squama. In the later stages, there is a large piece of skin peeling off the hands and feet.

Third, the finger (toe) A turbidity is thick and deformed, and the nail can fall off.

4. The mouth, pharynx and nasal cavity as well as the conjunctiva of the eye are both congested and reddened. Often accompanied by fever, chills, headache, general malaise and so on.

Fifth, superficial lymph node enlargement, white blood cell count increased.

The erythroderous psoriasis is stubborn and relapses more easily after healing. And with long-term arthritis, the condition is more serious. Due to long-term prolonged and recurrent episodes, patients with psoriasis gradually weaken, which is more likely to cause various complications and cause adverse consequences.

Disease description

Psoriatic psoriasis is also known as psoriasis exfoliative dermatitis. This is a rare form of psoriasis with more common psoriasis, accounting for about 1% of patients with psoriasis. More common in adults, rarely involving children.

Cause of disease

1. Red skin psoriasis is often caused by certain stimulating factors of psoriasis in the acute stage, such as topical irritating or inappropriate drugs;

2, a small number can be derived from psoriasis vulgaris;

3, after a large number of long-term application of corticosteroids, such as sudden withdrawal or reduction too fast, and the symptoms of recurrence and increase the joints;

4, pustular psoriasis in the process of pustular regression, joint changes may also occur.

Symptom performance

The erythrodermic psoriasis often affects more than 75% of the body expression. In the case of unstable psoriasis vulgaris, the skin lesions can be further developed to cover most of the skin, causing erythroderma; It involves a wide range of skin, and pustules coexist with skin inflammation. If skin redness is dominant, it can also be called erythrodermic psoriasis. The erythrodermic psoriasis is a special type of psoriasis that affects most of the skin, but the incidence is the lowest in psoriasis. Erythrodermic psoriasis is often secondary to some uncontrollable plaque psoriasis. The patient has a wide range of skin redness on a periodic basis, and the skin of the patient is often accompanied by severe desquamation and itching pain.

(1) Systemic symptoms: patients with erythrodermic psoriasis may have fever, chills, headache, fatigue and other discomfort, and the subcutaneous lymph nodes may be swollen. The whole body skin is in the process of active inflammation, so some complications arising from its pathophysiological changes and metabolic abnormalities should be taken seriously. Especially elderly patients should pay special attention to the condition of heart function, dehydration, anemia and hypoproteinemia. Patients may also have abnormal liver and kidney function.

(2) Skin damage: If it is changed from the vulgaris type, the initial skin lesions will appear flushed and rapidly expand. Finally, the skin of the whole body will be diffuse red or dark red, and the inflammation will be obvious; Sexual redness and desquamation of erythroderma manifestations, a large amount of bran-like scales on the surface of the skin, and constantly falling off. Normal skin is distributed between skin lesions like an island. Patients with hand and foot involvement can often see the entire piece of horny exfoliation, and A is often involved, showing turbidity, hypertrophy, deformation, and even peeling off. The oral cavity, nasal cavity, pharyngeal mucosa and conjunctiva are all red and red, and there may be gray-white keratinized infiltrating patches in the mouth.

Treatment programs

1. Strengthen the psychological treatment of patients with erythrodermic psoriasis, relieve the burden of thought, and improve the confidence of cure.

2. Remove suspicious incentives, prevent trauma, and avoid abuse of drugs or remedies with toxic side effects.

3. The treatment of psoriasis vulgaris is simple, safe, and has no toxic side effects. Traditional Chinese medicine is safe and effective for psoriasis vulgaris. It can be used to treat wind, cool blood, and liver and qi. Winter psoriasis can be treated with hot water bath-tar-ultraviolet triple therapy.

4. For external use, hormone-free drugs such as vitamin A acid cream or ice cream should be used during the period. After the condition is stable, it can be used: 13% salicylic acid ointment; 25% rectified oil or coal tar emulsion.

5. The treatment of pustular, erythrodermic and arthritic types is difficult, and the appropriate medicine can be selected according to the patient's constitution. Blood, urine, and liver function must be tested frequently. Patients with erythrodermic psoriasis cannot be stopped suddenly after recovery to prevent recurrence.