Exudative psoriasis - causes, symptoms, diagnosis and treatment
Exudative psoriasis - Heavy kind of psoriasis, characterized by a pronounced exudative component on the background of immune disorders and endocrine disease. Clinically evident formation of inflammatory foci of plaques impregnated with exudate, with thick crusts on the surface in the absence of the primary erythema. When removing the plaques are exposed to erosion, joins a secondary infection. The diagnostic triad is not a phenomenon of stearin spot, terminal saved film, drip bleeding. Diagnosis is based on clinical and immune status of the patient, various instrumental techniques are used to identify complications (radiography, arthroscopy, and so on. D.). Treatment with anti-inflammatory connecting antihistamines, vitamin therapy, ultraviolet irradiation.
Exudative psoriasis
Psoriasis is one of the most common skin diseases in the world (according to some authors this disease affects up to 7% of all inhabitants of the planet), 1% of exudative psoriasis in the general morbidity structure provides a sufficiently high population prevalence of pathological process. Dermatologists say exudative psoriasis associating with bad habits - smoking and overeating, which probably explains its greatest incidence in developed countries with atherogenic profile power. The climate, the color does not determine the appearance of dermatosis, with exudative psoriasis genotipichen. For example, in the United States from the Indians and blacks dermatosis barely registered, while other races with different skin color is not uncommon. The disease has a gender component and age restrictions. The urgency of the problems associated with the quality of life violation, severity, the possibility of death.
dermatology at it oriented clinicians, assigning adequate therapy of dermatosis in order to avoid the development of drug inverse psoriasis, which occurs as an inflammation of the secondary type, provoked a new trigger on a background of pre-existing inflammatory reactions of other etiology. Distinguish:
1. Tolstoblyashechny exudative psoriasis Associated with obesity. Suffer mostly men. Such a poor prognosis psoriasis, severe course with nail lesions and the development of psoriatic arthritis. When mentoring of patients should determine the body mass index (BMI), it is mandatory to connect the means of therapy, adjusting lipid metabolism and anti-rheumatoid therapy.
2. Tonkoblyashechny exudative psoriasis Associated with diabetes and other endocrine disorders, eczema, psoriasis guttate. Supervision of these patients require continuous monitoring with the definition of quality of life index (IKZH), which allows for the clinic and the patient's subjective sensations (itching, bleeding, prodromal phenomena), so as not to miss a possible malignancy.
insomnia and neuroses. Localized pathological process can in any part of the skin, but most often exudative psoriasis is located in the folds of the skin and in the lower extremities, accompanied varices. If the pathological process is injured hearth, the healing is going very slowly. This is due to the fact that exudative psoriasis is active throughout the life of the patients, for it is characterized by relapses and exacerbations, but even in the period of remission lasts in the skin inflammation latently present. During exacerbations intensified manifestations of physical comorbidity.
dermatologist based on history and clinical manifestations. The immune status of the patient is determined to assess the severity of the disease, the appointment of adequate therapy. Spend immunohistochemical studies, define the cytokine profile, the level of immunoglobulins IgG, IgA, IgM. The histological diagnosis is important in the identification of the epidermis microabscesses Munro characteristic of exudative psoriasis. Consider the presence of comorbidities, complications exudative psoriasis, above all, the involvement in the pathological process of the joints. Apply radiological, biochemical, immunological examination. Use sonographic ultrasound and arthroscopy, measured bone density (densitometry). In addition, obligatory consultation rheumatologist, surgeon, endocrinologist.
Differentiate exudative pustular psoriasis with a form of psoriasis, palmar-plantar psoriasis, guttate psoriasis, psoriatic arthropathy, psoriatic arthritis, seborrheic seborrheic eczema and psoriasis, erythrodermic psoriasis, atopic dermatitis.
UFO, PUVA therapy for psoriasis. In severe cases, is carried out hemosorption and plasmapheresis, using paraffin baths. In modern dermatology use laser treatment of exudative psoriasis. The most effective is a combination of photomechanical, photochemical and photothermal effect of excimer laser system.
With the variety of psoriasis is needed everyday prevention. There are a number of rules that should be performed in patients with exudative psoriasis. It should only take a shower, do not use rough sponges, do not rub the skin with a towel, Daily moisturize the skin and the room, wearing clothes made from natural materials and underwear made of cotton, sunbathing, use tools with high filter against ultraviolet irradiation, eliminate bad habits, heavy physical exertion, fatigue atherogenic profile and power, avoid stress and infections. Complete recovery is considered impossible, uncertain prognosis.