Completely Peeled About Psoriasis

understanding PsoriasisPsoriasis is an autoimmune disease of the skin , characterized by silvery scales are layered accompanied by redness and thickening of itching or burning . When the bladder is removed then there will be bleeding spots on the skin underneathThe following factors can trigger psoriasis include:1 . Physical trauma ( Koebner Phenomenon ) , due to friction or scratching .2 . Infections : streptococcal infection can cause Guttate psoriasis3 . Stress : other factors that trigger the onset of psoriasis is stress , its incidence by 40 % and even higher in children .4 . Medicines : medicines that can trigger the onset of psoriasis , namely glucocorticoids , lithium , antimalarial drugs , and B blockers .classificationPsoriasis is divided into several sections , namely :1 . Psoriasis Vulgaris2 . Psoriatic Erythroderma3 . Psoriasis Pustular4 . Psoriasis guttate5 . Flexural psoriasisClinical manifestationsThere are 2 main types of lesions of psoriasis are:a. Inflammatory type : manifestation that arises is the presence of inflammatory , eruptive , which is small . Guttate lesions may form ( such as water droplets ) or nummular ( such as coins ) .b . Stable plaque type .Other symptoms that arise on the skin include itching ( pruritus ) , especially in the head and anogenital area , acanthosis , parakeratosis , and the lesions are usually covered by silvery plaques .Distribution and location of predilectionThere are specific locations where the psoriasis is often the case , namely :1 . Chief (scalp ) : arise demarcated plaques with thick scaling .2 . Palms of the hands and feet : a thick gray plaques , hyperkeratosis , and scaling . desquamation showed inflammatory process .3 . Torso ( trunk ) : lesions that arise are usually shaped guttate .4 . Face : rarely on this area .Psoriasis is divided into several types , among others :• Psoriasis plaquesThis includes the most common type of psoriasis fari . The skin will be covered by silvery scales , feels dry , and cause plaque or red sores on the skin that is itchy and painful . If plaque is severe , the skin may crack and bleed experience . All parts of the body can experience this type of diseases , including genital• Nail PsoriasisCan be used effects nail and cause abnormal growth of nails and nail discoloration . Nail psoriasis causes the nail becomes loose and can be detached from the skin ( onycholysis ) . When severe , the nail may crumble .• Scalp PsoriasisIf you experience scalp disease , scalp would be red , itchy , and raised silvery white scales on the scalp . If you scratch it , dead skin flakes will look at your hair or shoulders .• Guttate psoriasisType of the disease is triggered by a bacterial infection , such as strep throat and normally affects people under the age of 30 years . Signs that emerged from this type of disease is the presence of a small wound shaped like drops of water on the arms , legs , and scalp . The wound is covered with fine scales that are not as thick as plaque .• Inverse PsoriasisThis type of disease affects the skin in the armpits , groin , under the breasts and around the genitals . When you experience this skin , red patches will appear and the skin becomes inflamed . The disease is commonly experienced by people who are overweight and will be aggravated by friction and sweat .• pustular psoriasisThis is a rare type of psoriasis . If you experience this , you will see a small wound even wider in the area hands , legs , and fingertips . This will develop rapidly and cause skin blisters filled with fluid and pus . The blisters will dry for about two days later , but may reappear every few days or weeks . If you experience this type of disease , you may experience fever , chills , fatigue , and severe itching on the skin .• Psoriasis erythrodermaSunburn , corticosteroids , and other drugs can trigger this type of disease . The skin on your whole body will be red , flaky , itchy , and burn.• Psoriatic arthritisType of this disease will affect any joint in your body . Typically , the disease will not cause paralysis , but this can cause stiffness and progressive damage to themselves and can lead to permanent deformity . The signs that this disease is raised from the skin scaly , inflamed , swollen and discolored nails , and joint pain .cause
There are several factors capable of triggering psoriasis and make it worse , such as :• Family historyPerhaps the most significant risk factor for psoriasis is having a family history of psoriasis . About 40 percent of people with psoriasis have a definite family members with the disease .
Injury to the skin , such as from insect bites and sunburn• Viral infectionsPeople who have weak immune systems more easily infected with the virus , including psoriasis .• StressWithout realizing it , the immune system can be affected when you are stressed . High levels of stress can increase the risk of psoriasis .• ObesityBeing overweight can increase the risk of inverse psoriasis .• Cold weather• Smoking Habit
Smoking not only increases the risk of psoriasis , but also can increase the severity of the disease . Smoking may play a role in the early development of the disease .• Consuming alcohol in an amount more than the normal• Taking certain drugs , such as lithium prescribed for bipolar disorder , high blood pressure medications such as beta blockers , antimalarial drugs , and iodidediagnosisDiagnosis is done by :1 . Perform history and physical examination : inspection was conducted on the entire area of ​​the skin, especially the head and nails . Do also sign the checks auspitz see the onset of blood spots that exist under the lesions , which are typical of psoriasis .2 . Biopsy , although rarely done . Done by taking a small sample of your skin to be examined under a microscope . When it is detected that you have psoriasis , you can more quickly to treatment and to minimize the risk of this disease . However , if you do not directly deal with serious , can increase the risk of complications .treatment
Psoriasis treatment performed with the aim of :• Interrupting the cycle that causes an increased production of skin cells . That way the skin inflammation and plaque formation can be overcome .• Eliminate scales and smooth the skin .
Here are 3 types of psoriasis treatments :
1 . Topical Treatment
This type of treatment is to use creams or ointments that can be applied directly to the skin that is problematic . Topical psoriasis treatments include :• Topical CorticosteroidsThis is a type of drug most commonly used to treat mild to moderate psoriasis stage . These drugs can slow cell turnover is to suppress the immune system . In addition , inflammation and itching can contribute is reduced . However , when the drug is used in the long term , your skin can menipi . Therefore, topical corticosteroids can be stopped when your condition has improved.• Topical retinoidsTypically , these drugs are used to treat acne and skin damaged by sun exposure . However , tazarotene ( Tazorac , Avage ) was developed specifically to treat psoriasis . These drugs can normalize DNA activity in skin cells and can reduce inflammation . Side effects from the use of this drug is skin irritation and increased sensitivity to the sun , so sunscreen should still be applied when you are taking this drug .• MoistureMoisturizing creams will not heal psoriasis , but only relieve itching and moisturize dry skin .
2 . Therapy light ( phototherapy )
This type of treatment uses natural and artificial ultraviolet light .• SunlightWhen you terkan skin exposure to sunlight containing UV active white blood cells in the skin will die . This can slow down skin cell turnover and reduces flaking and inflammation of the skin .• UVB PhototherapyUVB phototherapy is also called broadband UVB . This type of treatment is used to treat widespread psoriasis and psoriasis that is resistant to topical treatment . Side effects of this type of treatment is the skin red, itchy , and feels dry . Using a moisturizer can help reduce side effects .• Narrowband UVB therapyWhen compared with broadband UVB therapy , this type of therapy is more effective . This type of care is given two or three times a week until the skin improves. However , if you do this kind of treatment , your skin will be burned .• Therapy GoeckermanIt is a combination of UVB treatment with coal tar treatment . Both types of treatment when combined can provide more effective results . Therefore , coal tar alone makes the skin more receptive to UVB exposure .• or psoralen photochemotherapy plus ultraviolet A ( PUVA )Given before exposure to UVA rays , you are recommended to take the drug sensitivity of light ( psoralen ) . This drug makes the skin more responsive to UVA exposure . This treatment is done to improve the skin and is often used for severe cases of psoriasis . If you do this type of care in the long term , you may experience nausea , headaches , skin burning sensation , itching , dry skin and wrinkles , spots appear on the skin , and increases the risk of skin cancer , including melanoma .• The combination of light therapyCombining UV light with other types of treatments , such as retinoids . Merging several types of treatments often increases the effectiveness of phototherapy and used when other types of treatment do not work effectively .
3 . Oral drugs or injections right $
If you suffer from severe psoriasis in phase and can not be cured with various types of treatments , your doctor may prescribe oral or injected . Several types of medication side effects are severe enough that you are recommended to consume in the short term . Type of drug that can handle psoriasis , among others :• RetinoidsThe drug is related to vitamin A, which can reduce the production of skin cells . Side effects that you may experience are the skin and mucous membranes feels dry , itchy , and experiencing hair loss . However , pregnant women are advised not to consume this drug because it can cause birth defects .• MethotrexateThese drugs can reduce the production of skin cells and suppress inflammation. In addition , this drug can slow the progression of psoriatic arthritis in some people . However , when you use this drug in a long period of time , you may experience liver damage and decreased production of red blood cells , white blood cells , and platelets .• CyclosporineThese drugs can suppress the immune system and its effectiveness is similar to methotrexate . As with other immune system -suppressing drugs , cyclosporine increases the risk of infection and other health problems , including cancer . Cyclosporine also makes you more susceptible to kidney problems and high blood pressure .• hydroxyureaThis drug is not as effective as cyclosporine or methotrexate and have side effects , such as decrease in red blood cells ( anemia ) and white blood cell penuruanan and platelets . These drugs are not recommended for consumption for women who are pregnant .• Immunomodulatory Drugs ( biological )These drugs are given by intravenous infusion , intramuscular injection , or subcutaneous injection and is usually used for people who have failed to respond to traditional therapy or associated psoriatic arthritis . These drugs can block the interaction between certain immune cells and certain inflammatory pathways . Although they are derived from natural sources that are safer than chemicals , this drug should be used with caution because they have a powerful effect on the immune system and can cause life-threatening infections .• thioguanineThis type of medicine is almost as effective as methotrexate and cyclosporine and have fewer side effects . However , these drugs cause side effects were anemia . Women who are pregnant or have plans to contain should not be taking this drug because it can cause birth defects .
In addition , there are several types of herbal ingredients that are available to reduce the symptoms of psoriasis and is considered safer , for example :• Aloe veraAloe vera extracts may reduce skin redness , itching , and inflammation . You may have to use it several times a day for a month to see improvement in your skin .• Fish oilOmega - 3 fatty acids found in fish oil supplements may reduce inflammation associated with psoriasis . You are encouraged to take fish oil as much as 3 grams or less per day to be able to feel the benefits .