Psoriasis: diagnosis, treatment, prognosis

An important role in controlling the symptoms of psoriasis to play a well-chosen external therapy timely treatment. The main principle of the chosen treatment, especially in the early stages of psoriasis development, is the principle of "do no harm" - treatment is not a strike, the health of the skin, provoking the appearance of the unwanted consequences in the form of skin atrophy, or syndrome. After all, the primary goal of the therapy is to prolong the rest period, as well as skin health, without a sudden painful relapses, exacerbations.

the treatment of psoriasis

Since people know psoriasis?

The psoriasis is familiar to humanity for centuries. The traces of psoriatic skin lesions archaeologists have found the mummified bodies of ancient people. The description is very similar to psoriasis a skin rash can be found in the writings of Herodotus, Plato.

The first description of the clinical symptoms of psoriasis belongs to ancient scientists, Cornelia. The term psoriasis is the psoriasis is derived from the Greek "pso" (itching, scarring). This name is found in the writings of Hippocrates.

However, the scientific study of psoriasis as an independent disease began only in the nineteenth century, a description of the clinical symptoms English doctor, Robert. In 1798, he took from him the leprosy, fungal infection, eczema, and the book "skin diseases," in 1808 identified characteristics, atypical psoriasis, and also pointed out that the role of genetic factors in the development of the dermatosis.

So, what is known now, the genetic basis of the disease? The effect of this external factors: stress, environment, bad habits, food?

The connection to the psoriasis, the nervous system is quite complex, more than a vicious circle, the nature of a today's model. On the one hand, the stress, long lasting, emotional tension leads to the exacerbation of the process, the other is the very condition of skin (presence of arthritis lesions) causing the patient anxiety leads to the development of chronic stress, which, in turn, worsens the disease, and this closes the vicious circle.

Some medicines used in the treatment of other diseases, in some cases, can worsen the symptoms of psoriasis. These include antibiotics (tetracyclines, penicillin, bitsillin, chloramphenicol, etc.), drugs, lithium, vitamin C, vitamins of the B group, beta-blockers, non-steroidal anti-inflammatory drugs, estrogenic compounds (birth control pills), anticonvulsants, immunomodulatory. You can provoke the aggravation of the processes, vaccines and sera.

Ecology, feeding, bad habits – there is a negative effect on the course of psoriasis treatment.

What is the prevalence of psoriasis in the country?

The prevalence of psoriasis in the world it is estimated that around 1-3% of the population. According to the international organization, in 2010, the planet was 125 million patients with psoriasis. In europe, it affects up to 5 million people, which is similar to the frequency of coronary heart disease, diabetes.

The largest percentage of Northern European countries (4%), the lowest in the African, Latin-American countries, in Japan (less than 0.5%).

As it is now, is diagnosed with psoriasis? What diseases can be confused?


Psoriasis smooth skin are fairly typical rash, clinically diagnosed exhibited. There are diagnostic tests: arthritis triad – increased desquamation, when poskablivanii, the appearance, the blood stains after the removal of the scales.

As psoriasis treated early, how to handle it? Began treatment perfect, effective?

Until the last century, in the middle of the main methods of contain the medication is the salicylic acid, Helio-, thalasso therapy. Then there were the topical steroids (later — analogues of vitamin D3), as well as systemic immunosuppressive medications. But the breakthrough in the treatment of psoriasis is considered to be the appearance of the early 21. century biological products. And, of course, the Arsenal of topical and systemic medication and light therapy techniques now allows to select the most effective therapy for each patient.

What approaches are used to treat children and some adults?

First of all, the psoriasis should be shared is limited, and the common (severe, medium-severe). The treatment must be ordered, as the data.

The difference in the approach to the treatment of adults and children just the age of the drug use (for example, calcipotriol is appointed, the 6-year-old), or method of light therapy (e.g., PUVA therapy may be 18 years of age).

What are the most common myths about the disease?

  • Psoriasis contagious. No, psoriasis is a chronic non contagious skin disease, which will not be the person who does not migrate to the part of the body to another. The patient suffering from receiving free to use the public bath, sauna, pool, common objects in the daily life, the treatment of diseases in general hospitals.
  • Climate affects the frequency, if you move to a warmer climate psoriasis is not. No, the climate, the prevalence of psoriasis is not affected. However, the methods of treatment is a special therapy – the treatment of the sun, the salt water, but the life of the regions, a warm Sea climate does not protect the patients relapse. A simple example of Israel: successfully manage your psoriasis the Dead sea, but the occurrence of the population is not lower than the world.
  • Psoriasis can be prevented. The causing factors in aggravation, or by themselves, or in various combinations you don't cause of the disease. Today, no one knows what the original impetus for the development of psoriasis, therefore, the preventive measures, it is impossible. There is no recipe, what to do or what not to do to not be sick of psoriasis, no. To increase the period of remission if rash or missing, avoiding provoking or worsening psoriasis factors, taking into account the appropriate lifestyle help of supportive therapy.
  • Psoriasis can be treated with the methods of the so-called folk medicine. The attitude to these methods, the patients to be very careful. On the one hand, we know that you don't have psoriasis, which we know will heal, but the desire, at all costs get rid of the disease, and then push the patients to various measures (appeal, healers, witch doctors), waste your money. On the other hand, these "healers" for patients, such as external means, to "own", which, as a rule, hormones, but in this case even more, so the dosage can not be controlled.

What is important to know that your psoriasis and what you need to know?

The main is considered the principle: "learn to live with psoriasis". Current treatments allow you to not only achieve remission (cleansing), but to a certain extent, to control psoriasis (persistent remission).

You need to follow your doctor's recommendations and have patience, because everything takes time, including the fact that the drug works. Unfinished, of course, the use of several methods simultaneously (especially the series "recommended") leads to the fact that the patient doesn't see the correct results, disappointed, and believes that these methods do not help him.